2 10 198 https://repository.horizon.ac.id/files/original/82d648c67b516ffac2a2bc35d9fa372b.pdf 6f37f50ac01c032b4267aec4fff45bf4 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 17 Issue 1 2024 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 The effect of time to neurosurgical or neuroradiological intervention therapy on outcomes and quality of care after traumatic brain injury, a registry-based observational study Subject The topic of the resource Traumatic brain injury, Intervention, Mortality, Disability Description An account of the resource Abstract Background Evidence regarding the effect of time to neurosurgical and neuroradiological intervention on outcomes in traumatic brain injury (TBI) across Asia-Pacific region is limited. This study evaluates the quality of care and outcomes for TBI patients undergoing neurosurgical and neuroradiological procedures at different timings. Methods Adult TBI patients who received any neurosurgical or neuroradiological interventions during the year 2015–2022 in the Pan-Asian Trauma Outcome Study database were analyzed. The time to intervention, as the main exposure, was classified into three groups (Early, Intermediate, and Delayed) using Restricted Cubic Spline (RCS) analysis. The outcomes were in-hospital mortality and unfavorable neurological outcomes. W score was utilized to compare the quality of care among exposure groups. Multivariable logistic regression analysis and interaction analysis were performed to identify the association between the exposure groups and outcomes, reported as adjusted odds ratios (AOR) with 95% confidence intervals (CI). Results A total of 1,780 patients were included. From the RCS analysis, patients were classified into three groups according to time to intervention: Early (<1.9 h), Intermediate (1.9–4.1 h), and Delayed (>4.1 h). According to the time to intervention, W score was −8.6 in the early group, -1.1 in the intermediate group, and +0.4 in the delayed group. Patients receiving intermediate and delayed intervention showed significantly lower mortality (AOR 0.64, 95% CI 0.47–0.86 and AOR 0.66, 95%CI 0.48–0.90, respectively). Conclusion Early neurosurgical and neuroradiological interventions in TBI patients in the Asia-Pacific region were associated with lower quality of care and higher mortality. The quality of care should be focused and improved during the early hours of TBI. Creator An entity primarily responsible for making the resource Wasin Pansiritanachot1 , Sattha Riyapan1*, Sang Do Shin2 , Jirayu Chantanakomes1 , Netiporn Thirawattanasoot1 , Wichayada Rangabpai1 , Bongkot Somboonkul3 , Joo Jeong4,5, Kyoung Jun Song5,6, Wen-Chiu Chiang7 , Sabariah Faizah Jamaluddin8 and Kentaro Kajino9 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00787-y Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Traumatic brain injury, Intervention, Mortality, Disability https://repository.horizon.ac.id/files/original/16bf0e5267266b8bb7e9f4e73d812d93.pdf 6b8021053329c0b0d4012a84f45c5ee3 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 17 Issue 1 2024 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 Audit of preparedness of selected military hospital in the face of biological threats: action research study Subject The topic of the resource Audit, Hospital, Biological threats, Action research Description An account of the resource Abstract Introduction In today’s societies, the threats caused by chemical, biological, radiological and nuclear accidents, whether accidental or intentional, have become a great concern. Acquiring knowledge about how to respond to the management of these incidents and the complications caused by them in order to preserve societies and ensure stability is essential. Due to the fact that hospitals play an important role in dealing with the victims of biological threats, this study was conducted with the aim of auditing the preparedness of selected military Hospital in facing biological threats in 2023–2024. Methods This applied research was conducted with the participatory action research method in all departments of selected military Hospital during one year from July 2023 to July 2024. The level of biological preparedness of the hospital was investigated using the hospital’s preparedness tool in biological events with 147 items in 8 main dimensions and 20 sub-dimensions, and the weak areas of the hospital (9 areas) were identified. Then, in the hospital audit cycle, using the FOCUS-PDCA model, a program to improve work processes and improve the biological preparedness of different departments of the hospital in the face of accidents and disasters was implemented. The level of biological preparedness of the hospital before and after the implementation of the change was compared and analyzed using SPSS. version 22 software. Results The preparedness in the studied hospital in facing biological threats before the change was 196 out of 294 and the hospital’s biological preparedness percentage was 66.66%, which was in the average range, and after the change, the preparedness score reached 228 and the hospital’s preparedness percentage was 77.55%, which was in the range Well classified. In 9 fields where the level of biological preparedness was moderate and weak, the highest preparedness was created in the field of employees and volunteers with 86.36% and the lowest preparedness was related to the field of corpse management with 50%. Conclusion Considering the impact of training in improving the hospital’s preparedness program in the face of biological threats, it is suggested that other medical centers include audits in their work plan. Keywords Audit, Hospital, Biological threats, Action research Creator An entity primarily responsible for making the resource Ali Mohammdi Sehdeh1 , Abbas Ebadi2 , Abdollah Saghafi2 , Alireza Basiri3 and Esmail Heidaranlu2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00786-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Audit, Hospital, Biological threats, Action research https://repository.horizon.ac.id/files/original/f5010fa2cb28bff37f82ce9d3337297f.pdf f7459a67e01737bfea7937d73186352f 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 17 Issue 1 2024 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 Plasma exchange as a rescue therapy for treatment‐resistant thyroid storm with concurrent heart failure: a literature review based on a case report Subject The topic of the resource Plasma exchange as a rescue therapy for treatment‐resistant thyroid storm with concurrent heart failure: a literature review based on a case report Description An account of the resource Abstract Introduction Thyroid storm or severe hyperthyroidism can present with various signs and symptoms. They are mostly controlled by general treatment, such as anti-thyroid drugs and other medications to control clinical features. However, in rare cases, they are more severe, and they only respond to more aggressive treatments, such as plas- mapheresis and total thyroidectomy. The final histopathological features, such as the loci of differentiated thyroid carcinoma, are sometimes surprising. Case presentation Here, we present a 40-year-old female who presented with severe palpitation, diaphoresis, and chest pain. After taking the initial steps of treatment and stabilizing the patient, the history, physical exam, and laboratory results confirmed the diagnosis of a thyroid storm in the background of Graves’ disease that is accom- panied by heart failure with reduced ejection fraction (HFrEF). She was admitted to an ICU setting and received principal treatment of thyroid storm. However, the systematic treatment was not effective, and finally, plasmapheresis and total thyroidectomy were performed. Histopathologic evaluation following surgery confirmed the presence of foci of papillary thyroid carcinoma (PTC) in the background of the grave’s disease. This case underscores the complexity of managing Grave’s induced thyroid storm in severe cases, which might lead to plasmapheresis and total thyroidectomy. Urgent and invasive treatment may be necessary in rare cases when nor- mally applied treatment modalities are not able to control the situation and result in life-threatening critical health conditions. In such a severe case, it can result in serious cardiovascular complications such as decompensated heart failure with a high rate of mortality. Key clinical message Thyroid storm, though rare, can be accompanied by severe medical conditions such as heart failure and death. In cases in which primary medical and symptomatic therapies do not work, more aggressive treat- ment (such as plasmapheresis and total thyroidectomy) should be considered. On the other hand, precise histopatho- logic evaluation of the thyroid tissue is necessary. Keywords Thyroid storm, Grave’s diseases, Plasmapheresis, Thyroidectomy, Papillary thyroid cancer, Case Report Creator An entity primarily responsible for making the resource Pouya Ebrahimi1 , Moloud Payab1 , Maryam Taheri2 , Salma Sefidbakht3 , Neda Alipour4 , Taha Hasanpour4 , Pedram Ramezani1 , Mahbube Ebrahimpur4,5,7* and Hamid Reza Aghaei Meybodi6,7* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00783-2 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Plasma exchange as a rescue therapy https://repository.horizon.ac.id/files/original/66c4a8d85aa973624cec36051c1298a5.pdf 5669f59bb3f72825f008b03807c477d6 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 17 Issue 1 2024 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 Preventable diagnostic errors of lower gastrointestinal perforation: a secondary analysis of a large-scale multicenter retrospective study Subject The topic of the resource Diagnostic errors, Delayed diagnosis, Gastrointestinal perforation, Abdominal pain, Clinical reasoning Description An account of the resource Abstract Background Lower gastrointestinal perforation (LGP) is an acute abdominal condition associated with a high mortality rate. Timely and accurate diagnosis is crucial. Nevertheless, a diagnostic delay has been estimated to occur in approximately one-third of the cases, and the factors contributing to this delay are yet to be clearly understood. This study aimed to evaluate the diagnostic process for appropriate clinical reasoning and availability of image interpretation in cases of delayed diagnosis of LGP. Methods A secondary data analysis of a large multicenter retrospective study was conducted. This descriptive study analyzed data from a multicenter, observational study conducted across nine hospitals in Japan from January 2015 to December 2019. Out of 439 LGP cases, we included 138 cases of delayed diagnosis, excluding patients with traumatic or iatrogenic perforations, or those secondary to mesenteric ischemia, appendicitis, or diverticulitis. Clinical history and computed tomography (CT) imaging information were collected for 138 cases. Additionally, information on the clinical course of 50 cases, which were incorrectly diagnosed as gastroenteritis, constipation, or small bowel obstruction, was also collected. Results In 42 (30.4%) cases of delayed diagnosis of LGP, CT imaging was performed before diagnosis, indicating a missed opportunity for timely diagnosis. Moreover, 33 of the 50 patients initially diagnosed with gastroenteritis, constipation, or small bowel obstruction at the time of initial examination had atypical findings that were not consistent with the initial diagnosis. Of the 138 cases with delayed diagnosis in our study, 67 cases (48.6%) showed problems with either the interpretation of CT scans or with the process of clinical reasoning. Conclusion Our retrospective study results indicate that approximately half of the cases with delayed diagnosis of LGP were due to problems in interpreting CT images or in clinical reasoning. This finding suggests that clinical reasoning and image interpretation by radiologists are important in improving the diagnostic process for LGP. Creator An entity primarily responsible for making the resource Taku Harada1,2*, Takashi Watari3 , Satoshi Watanuki4 , Seiko Kushiro5 , Taiju Miyagami5 , Syunsuke Syusa6 , Satoshi Suzuki6 , Tetsuya Hiyoshi7 , Suguru Hasegawa8 , Shigeki Nabeshima7 , Hidetoshi Aihara9 , Shun Yamashita9 , Masaki Tago9 , Fumitaka Yoshimura10, Kotaro Kunitomo10, Takahiro Tsuji10, Masanori Hirose11, Tomoya Tsuchida11 and Taro Shimizu2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00781-4 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 https://repository.horizon.ac.id/files/original/6cdaae38f2a54756bf6730b12ba94790.pdf ff54a59c82632cccd210da82fd3793e8 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 17 Issue 1 2024 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 Awareness and knowledge of cardiopulmonary resuscitation (CPR) among the general public in West-Bank in Palestine Subject The topic of the resource Sudden cardiac death, Cardiopulmonary resuscitation, Basic life support, Palestine, Automated external defibrillator Description An account of the resource Abstract Background Sudden cardiac death (SCD) is a leading cause of cardiovascular-related deaths, often occurring outside hospitals in undiagnosed individuals. Our study aims to assess the baseline awareness and skills in performing CPR among the population in Palestine. Methods A cross-sectional study was conducted using an online questionnaire to assess CPR knowledge among residents of the West Bank, Palestine. Convenience sampling targeted 300 participants via social media. Data were analyzed using descriptive statistics and chi-square tests to examine associations. Results The study surveyed 555 participants, revealing that 58.2% lacked CPR training. Awareness of cardiac arrest signs varied, with chest pain being the most recognized 19%. CPR training significantly improved participants’ recognition and response to cardiac emergencies. Conclusion Addressing the fear of legal consequences is crucial to encourage bystander assistance. We recommend increasing first aid awareness through scientific conferences, free training courses, media campaigns, and incentivized competitions. Keywords Sudden cardiac death, Cardiopulmonary resuscitation, Basic life support, Palestine, Automated external defibrillator Creator An entity primarily responsible for making the resource Alhareth M. Amro1 , Osama J. Makhamreh1 , Hamdah Hanifa2* , Tarek A. Owais3 and Afnan W. M. Jobran4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00778-z Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Sudden cardiac death, Cardiopulmonary resuscitation, Basic life support, Palestine, Automated external defibrillator https://repository.horizon.ac.id/files/original/8f41a4b2f2f41ccf3bfd403d2c1a4a96.pdf 920119031e7df62ef052a5b353860fed 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 17 Issue 1 2024 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 Carbon monoxide poisoning: a clinical case report Subject The topic of the resource Carbon monoxide (CO) poisoning is a serious yet frequently overlooked condition with diverse and nonspecific clinical presentations. Description An account of the resource Abstract Background Carbon monoxide (CO) poisoning is a serious yet frequently overlooked condition with diverse and nonspecific clinical presentations. The analysis of Lithuanian statistics reveals fluctuations in patient admissions and consultations through the poisoning center over a four-year period, with notable variations in fatality rates. Despite these trends, CO poisoning remains a significant public health concern due to its potential for severe long-term sequelae or death. Case This case report focuses on two distinct presentations of CO poisoning in a young couple, illustrating the varied manifestations and outcomes of this toxic exposure. The first case describes a 23-year-old male presenting with altered consciousness and neurological symptoms, while the second case involves a 21-year-old pregnant female presenting with cardiovascular symptoms, including Takotsubo cardiomyopathy. Discussion Highlights include the challenges in diagnosing CO poisoning; factors influencing the severity and symptoms of CO poisoning; potential complications; and considerations for hyperbaric oxygen therapy (HBO) in severe cases and pregnancy. Conclusion These cases illustrate the importance of recognizing CO poisoning, advocating for oxygen therapy as the first-line treatment, and calling for further research to improve understanding, treatment, and prevention of this potentially fatal condition. Creator An entity primarily responsible for making the resource Deimante Baksevice1*, Aida Mankute-Use1 , Austeja Bernotaite-Morkune1 and Egle Zelbiene1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00777-0 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 TETX https://repository.horizon.ac.id/files/original/a9bc93faa2623c7ffe35efad11a7012c.pdf 7b00edb6b5dfecbba01657eda9d0e13d 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 17 Issue 1 2024 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 Automatic B-lines: a tool for minimizing time to diuretic administration in pulmonary edema patients in the emergency department of a developing country Subject The topic of the resource Artificial intelligence, Ultrasonography, Lung, Pulmonary edema, Diuretics, Emergency department, Artifacts Description An account of the resource Abstract Background Effective management of pulmonary edema in the emergency department (ED) is crucial given its significant global impact on health. This study aimed to investigate the hypothesis: “Does the utilization of Automatic B-lines via ultrasonography in patients with pulmonary edema facilitate faster diuretic administration in a developing country?” Methods This retrospective observational study was conducted at a tertiary academic center in Thailand. Patients with pulmonary edema admitted to the ED between January 2023 and June 2024 were enrolled. Ultrasound documentation and electronic ED medical records were compared to assess the time of diuretic administration between patients who had lung ultrasounds utilizing automatic B-lines and those who had manual B-lines counted by physician eye inspection. Multivariate logistic regression was employed to examine the relationship between the use of automatic B-lines and early diuretic administration. Results The study included 134 patients with pulmonary edema. The time to diuretic administration was significantly shorter in the automatic B-lines group (median time [Q1-Q3], 55 min; range, 35–110 min) compared to the non- automatic B-lines group (median time, 100 min; range, 75–145 min). In the multivariable logistic regression analysis, early diuretic administration within 60 min of triage was significantly more likely in the automatic B-lines group (adjusted odds ratio, 1.45; 95% confidence interval, 1.10–2.45) than in the non-automatic B-lines group. Conclusions In a developing country, patients with pulmonary edema who had lung ultrasound evaluation with automated B lines experienced a fastest diuresis compared to those who utilized ultrasonography without automatic B lines. Implementing automatic B-lines as an early screening protocol could enhance clinical practice in the ED. Keywords Artificial intelligence, Ultrasonography, Lung, Pulmonary edema, Diuretics, Emergency department, Artifacts Creator An entity primarily responsible for making the resource Kamonwon Ienghong1 , Lap Woon Cheung2,3, Sivit Chanthawatthanarak1 and Korakot Apiratwarakul1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00776-1 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Artificial intelligence, Ultrasonography, Lung, Pulmonary edema, Diuretics, Emergency department, Artifacts https://repository.horizon.ac.id/files/original/aef73fbd95ae9dd9afd6035dac75836a.pdf 555ee2d5feb5b5f9b8507a0ba294896b 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 17 Issue 1 2024 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 Current understanding of stroke and stroke mimics in adolescents and young adults: a narrative review Subject The topic of the resource Stroke, Stroke-mimic, Adolescent stroke, Pediatric stroke, Young-adult stroke Description An account of the resource Abstract Background Stroke in adolescents and young adults are uncommon, and unlike in older adults, the etiology can be a challenging puzzle to solve. Patients often lack traditional risk factors such as hypertension or may be too young for suspected atherosclerotic disease. Additionally, among this group, various stroke mimics exist that can cloud physician judgment, leading to under- or overtreatment. Aim There is a significant gap in the current literature and clinical evidence regarding stroke in this population. This review of the literature aims to extract important information surrounding the etiology, risk factors, diagnosis, management, and complications of stroke in younger people and address stroke mimics and how they can appear similar and different from ischemic or hemorrhagic stroke. Additionally, we discuss the importance of furthering research in this specific population in all areas due to a concerning rise in stroke frequency and unique associated disabilities. Conclusion The acute treatment of stroke in young patients is similar to older adults. While stroke mimics may complicate suspicion and cause hesitance, delays in stroke care should be avoided. There remains a need for research in the areas of diagnosis, management, and assessment of long-term care and challenges in this population of patients. Keywords Stroke, Stroke-mimic, Adolescent stroke, Pediatric stroke, Young-adult stroke Creator An entity primarily responsible for making the resource Avinash Sookdeo1*, Yusuf M. Shaikh2 , Mridula Bhattacharjee3 , Javaria Khan4 , Waqar Ahmad Alvi5 , Muhammad Saad Arshad6 , Arafat Hassan Tariq5 and Muhammad Muzammil2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00771-6 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Stroke, Stroke-mimic, Adolescent stroke, Pediatric stroke, Young-adult stroke https://repository.horizon.ac.id/files/original/5a068bc1ca91172c9dcde2e50e6956f8.pdf f5010a1199534b8d2593c5a9eae2626a 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 17 Issue 1 2024 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 Successful transcatheter treatment of large right pulmonary artery to left atrial fistula: a case series and literature review Subject The topic of the resource Interventional Cardiology, Congenital heart disease, Vascular shunt, Case report Description An account of the resource Abstract Introduction Cyanotic congenital heart diseases are among the most serious anomalies among newborns. A rare type of this condition is direct communication between the right pulmonary artery and left atrium, which presents mostly in adolescence and adulthood. Large shunts, however, should be corrected as soon as possible, considering their potential to cause congestive heart failure. Case Presentation Two 2- and 13-year-old patients with this pathologic communication complained of exertional dyspnea and central cyanosis. Their physical exams were prominent, with a low oxygen saturation level. The diagnostic modalities used, electrocardiogram, chest X-ray, echocardiogram, CT scan, and selective angiography of the pulmonary arteries, showed right-to-left abnormal blood flow through the right pulmonary artery and left atrium shunt. Finally, both patients were treated successfully by a transcatheter occluder without any complications or follow-up complaints. Discussion The right pulmonary artery and left atrium abnormal congenital connections are rare causes of central cyanosis, mostly present with exertional dyspnea and cyanosis during adolescence or early adulthood. Transthoracic echocardiography, contrast-enhanced CT scans, and angiography of the pulmonary arteries make the diagnosis. The treatment has emerged during the last two decades, shifting from surgical treatment for severe cases to interventional percutaneous strategies, leaving the surgery for cases with no appropriate location for the application of interventional therapy. Conclusion Considering the potentially life-threatening complications of the untreated right pulmonary artery and left atrium fistulas, such as thromboembolic events, early diagnosis is crucial. However, treating these patients is not always straightforward, and strategies should be selected based on the connecting fistula’s anatomical features, location, size, and tortuosity. Although endovascular treatment is the preferred option, some patients need to be treated with surgical procedures due to their structural characteristics. Keywords Interventional Cardiology, Congenital heart disease, Vascular shunt, Case report Creator An entity primarily responsible for making the resource Hojjat Mortezaeian1 , Farshad Jafari1 , Mahmoud Meraji1 , Avisa Tabib2 , Hamid Reza Pouraliakbar1 and Fatemeh Naderi3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00770-7 Date A point or period of time associated with an event in the lifecycle of the resource 2024 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 Interventional Cardiology, Congenital heart disease, Vascular shunt, Case report https://repository.horizon.ac.id/files/original/055b29eb37ee9592f4abd13f8ea9c0a2.pdf 1369a3577e2a5671b6b6b134e4c3e914 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 17 Issue 1 2024 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 Airway, breathing, cellphone: a new vital sign? Subject The topic of the resource emergency medicine, triage encompasses more than the initial prioritization of treatment; Description An account of the resource Abstract Introduction In emergency medicine, triage encompasses more than the initial prioritization of treatment; it also includes decisions about the most suitable level of care and disposition for each patient. However, the increasing use of mobile technology by patients in the emergency department (ED) introduces a new factor. This study aims to explore the relationship between patients’ cellphone use at the time of initial assessment and final disposition in the ED. Methods A prospective, cross-sectional study was conducted on 292 patients who presented to the ED between 9/1/2021 and 8/9/2022. Patients were stratified into two cohorts based on their behavior during the initial assessment: actively using a cell phone (n=32) or not using a cell phone (n=259). Final disposition was dichotomously recorded as admission or discharge. Hospital admission, hospital observation, and admission to the ED observation unit were consolidated into the combined category of admission. Results Patients not actively using their cell phone on initial assessment exhibited a discharge rate of 64%, while those engaged with their cellphones displayed notably higher dismissal rates at 94%. The calculated odds ratio (OR) of 8.4 (95% confidence interval: 1.96-36.0, p=0.004) underscores a significantly heightened likelihood of dismissal among individuals actively using their cellphones, suggesting a potential association between cellphone use and a reduced probability of hospital admission. Conclusion The study suggests an association between cellphone use during initial ED assessment and higher discharge rates. While this introduces a novel concept, the study’s potential contribution to more informed and efficient triage decisions warrants careful consideration in future research and clinical applications. Creator An entity primarily responsible for making the resource Samuel I. Garcia1,2*, Ashley Jacobson3 , Gregory P. Moore2 , Jesse Frank2 , Wyatt Gifford2 , Samantha Johnson2 , Donell Lazaro-Paulina4 , Aidan Mullan5 and Alexander S. Finch2 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00769-0 Date A point or period of time associated with an event in the lifecycle of the resource 2024 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource PDF Language A language of the resource ENGLISH Type The nature or genre of the resource TEXT emergency medicine, triage encompasses more than the initial prioritization of treatment;