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              <name>Title</name>
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                  <text>Volume 17 Issue 1 2024</text>
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                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Posterior reversible encephalopathy syndrome (PRES) on the second postpartum day: learning experience from a case report and literature review</text>
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          <element elementId="49">
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                <text>HELLP syndrome, Maternal mortality, MRI, Neurology, Preeclampsia, PRES</text>
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            <description>An account of the resource</description>
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                <text>Abstract&#13;
Background Posterior reversible encephalopathy syndrome (PRES) is an uncommon neurological disorder which is&#13;
characterised by variable symptoms. The transient clinical condition may be underestimated and misdiagnosed as&#13;
other conditions, especially, among pregnant women with severe preeclampsia, eclampsia, and HELLP (hemolysis,&#13;
elevated liver enzymes, and low platelets) syndrome in the puerperium. We hereby contribute to the literature this&#13;
rare complication and hightlight the appropriate management of PRES .&#13;
Presentation case A pregnant woman (gravida 3, parity 2) had a normal antenatal course. However, she was&#13;
diagnosed with severe preeclampsia and HELLP syndrome at 29 weeks and 5 days of gestation. Therefore, she&#13;
was indicated for a medical termination of pregnancy following a patient’s consent at our tertiary referral hospital.&#13;
Severely, the patient developed rapidly with altered mental health in early puerperium. In result, PRES was diagnosed&#13;
based on a brain magnetic resonance imaging (MRI) evidence with typical findings. After a strict multidisciplinary&#13;
management, the clinical condition improved after 5 days of onset and recovered completely after a 4-month&#13;
follow-up without any sequelae.&#13;
Conclusion In summary, despite its rarity, clinicians ought to be knowledgeable and raise an aware of PRES during&#13;
pregnancy. Importantly, a brain imaging modalities should be taken into account among pregnant women with&#13;
neurological symptoms subsequent to severe preeclampsia. In addition to early diagnosis, a timely appropriate&#13;
treatment with multidisciplinary team is strongly indicated. Further studies with a large case series are required for this&#13;
uncommon entity.&#13;
Keywords HELLP syndrome, Maternal mortality, MRI, Neurology, Preeclampsia, PRES</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132845">
                <text>Anh Dinh Bao Vuong1† , Xuan Trang Thi Pham1 and Phuc Nhon Nguyen1,2*†</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="132846">
                <text>https://doi.org/10.1186/s12245-024-00707-0</text>
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            <name>Date</name>
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              <elementText elementTextId="132847">
                <text>2024</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="132848">
                <text>Peri Irawan</text>
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                <text>english</text>
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      <tag tagId="15296">
        <name>HELLP syndrome, Maternal mortality, MRI, Neurology, Preeclampsia, PRES</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</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="130913">
                  <text>peri irawan</text>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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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="132832">
                <text>Aortoesophageal fistula with hemorrhagic shock successfully treated with resuscitative endovascular balloon occlusion of the aorta</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132833">
                <text>Hemorrhagic shock, Aortoenteric fistula, REBOA</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132834">
                <text>Abstract&#13;
Background Aortoesophageal fistula (AEF) is a rare cause of upper gastrointestinal hemorrhage. Despite diagnostic&#13;
and therapeutic advances, the mortality rate in AEF patients remains high because of its fulminant course, even with&#13;
maximal intensive care. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a resuscitation technique&#13;
to control life-threatening bleeding. It has become an important modality in the management of life-threatening,&#13;
traumatic or non-traumatic, arterial bleeding. However, it’s use in hemorrhagic shock caused by cancer has rarely&#13;
been reported.&#13;
Case presentation A 51-year-old woman with a history of esophageal cancer presented to our emergency&#13;
department with hematemesis. Computed tomography was performed because of a strong suspicion of&#13;
hemorrhagic shock. With a diagnosis of AEF due to esophageal cancer, emergency thoracic endovascular aortic repair&#13;
was performed while the bleeding was controlled using REBOA. Staged elective esophageal reconstruction was&#13;
successfully performed.&#13;
Conclusions Hemostasis is crucial in patients who present with suspected hemorrhagic shock attributable to AEF.&#13;
The timely implementation of REBOA has shown promise and potential effectiveness in such cases.&#13;
Keywords Hemorrhagic shock, Aortoenteric fistula, REBOA</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132835">
                <text>Tadayuki Hirai1*, Masaki Okajima1&#13;
&#13;
, Toru Noda1&#13;
&#13;
and Yoshikazu Goto1</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="132836">
                <text>https://doi.org/10.1186/s12245-024-00706-1</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="132837">
                <text>2024</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132838">
                <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="132839">
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          <element elementId="44">
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            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132840">
                <text>english</text>
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    <tagContainer>
      <tag tagId="15295">
        <name>Hemorrhagic shock, Aortoenteric fistula, REBOA</name>
      </tag>
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  </item>
  <item itemId="12433" public="1" featured="1">
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</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="130913">
                  <text>peri irawan</text>
                </elementText>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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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>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132822">
                <text>Surviving a classic heat stroke/ hyperthermia&gt;42 °C – a case report</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132823">
                <text>Hyperthermia, Heat stroke, Burns, Facial reconstruction, Case report</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132824">
                <text>Abstract&#13;
Introduction Classic heat stroke is a severe trauma which can lead to multi-organ dysfunctions and is associated&#13;
with a high mortality.&#13;
Case presentation In this case report we present a 73-year-old patient with a classic heat stroke. His initial core&#13;
body temperature was over 42 °C and he had a GCS of 3. Due to severe burn injuries the patient was transferred to&#13;
a specialized burn center. The patient developed different organ failures and showed a prolonged course on the&#13;
intensive care unit. Although the patient demonstrated different impaired organ systems, he recovered completely&#13;
after receiving painstaking supportive therapy.&#13;
Conclusions This is a rare case of a patient who fully recovered after a heat stroke with a temperature over 42 °C and&#13;
severe sequelae.&#13;
Keywords Hyperthermia, Heat stroke, Burns, Facial reconstruction, Case report</text>
              </elementText>
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          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132825">
                <text>Sonja Verena Schmidt1*†, Jannik Hinzmann1†, Anna Stammler1&#13;
&#13;
, Paula Wilhelms zu Bickern2&#13;
,&#13;
&#13;
Elisabete Macedo Santos2&#13;
&#13;
, Marcus Lehnhardt1&#13;
&#13;
and Christoph Wallner1</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="132826">
                <text>https://doi.org/10.1186/s12245-024-00705-2</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="132827">
                <text>2024</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132828">
                <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="132829">
                <text>pdf</text>
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            </elementTextContainer>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132830">
                <text>english</text>
              </elementText>
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          <element elementId="51">
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            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132831">
                <text>text</text>
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    <tagContainer>
      <tag tagId="15294">
        <name>Hyperthermia, Heat stroke, Burns, Facial reconstruction, Case report</name>
      </tag>
    </tagContainer>
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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>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
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    <elementSetContainer>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132812">
                <text>Emergency care via video consultation: interviews on patient experiences from rural community hospitals in northern Sweden</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132813">
                <text>Emergency care, Video consultation, Patient experience, Qualitative, Rural, Telehealth, Emergency nursing,&#13;
Emergency nurse, General practitioner, Community hospital</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132814">
                <text>Abstract&#13;
Background Delivering emergency care in rural areas can be challenging, but video consultation (VC) offers oppor‐&#13;
tunities to make healthcare more accessible. The communication and relationship between professionals and patients&#13;
have a significant impact on the patient’s experience of safety and inclusion. Understanding the patient perspective&#13;
is crucial to developing good quality healthcare, but little is known about patient experiences of emergency care&#13;
via VC in a rural context. The aim of this study was to explore patient experiences of emergency care via VC in north‐&#13;
ern rural Sweden.&#13;
Methods Using a qualitative approach, semi- structured interviews (n=12) were conducted with individuals aged&#13;
18—89 who had received emergency care with a registered nurse (RN) on site and VC with a general practitioner (GP).&#13;
The interviews were conducted between October 2021 and March 2023 at community hospitals (n=7) in Västerbot‐&#13;
ten County, Sweden. Interviews were analysed with content analysis.&#13;
Results The analysis resulted in main categories (n=2), categories (n=5) and subcategories (n=20). In the main&#13;
category, “We were a team of three”, patients described a sense of inclusion and ability to contribute. The patients&#13;
perceived the interaction between the GP and RN to function well despite being geographically dispersed. Patients&#13;
highly valued the opportunity to speak directly to the GP. In the main category, “VC was a two-sided coin”, some expe‐&#13;
rienced the emergency care through VC to be effective and smooth, while some felt that they received a lower quality&#13;
of care and preferred face-to-face consultation with the GP. The quality of the VC was highly dependent on the RN’s&#13;
ability to function as the hub in the emergency room.&#13;
Conclusion Patients in rural areas perceived being included in ’the team’ during VC, however they experienced&#13;
disadvantages with the system on individual basis. The nursing profession plays an important role, and a proper edu‐&#13;
cational background is crucial to support RNs in their role as the hub of the visit. The GP’s presence via VC was seen&#13;
as important, but to fully enable them to fulfil their commitments as medical professionals, VC needs to be further&#13;
improved with education and support from technical devices.&#13;
Keywords Emergency care, Video consultation, Patient experience, Qualitative, Rural, Telehealth, Emergency nursing,&#13;
Emergency nurse, General practitioner, Community hospital</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132815">
                <text>Lina Ärlebrant1*, Hanna Dubois2&#13;
&#13;
, Johan Creutzfeldt3 and Anette Edin‐Liljegren4</text>
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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="132816">
                <text>https://doi.org/10.1186/s12245-024-00703-4</text>
              </elementText>
            </elementTextContainer>
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            <name>Date</name>
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              <elementText elementTextId="132817">
                <text>2024</text>
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              <elementText elementTextId="132818">
                <text>Peri Irawan</text>
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      <tag tagId="15293">
        <name>Emergency care, Video consultation, Patient experience, Qualitative, Rural, Telehealth, Emergency nursing,</name>
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                  <text>Volume 17 Issue 1 2024</text>
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          <element elementId="50">
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            <description>A name given to the resource</description>
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                <text>Rupture of a calcified right ventricle to pulmonary artery homograft by balloon dilation– emergency rescue by venus P-Valve</text>
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                <text>Congenital heart defect, Tetralogy of Fallot (TOF), Right ventricular outflow tract (RVOT) obstruction,&#13;
Calcified right ventricular outflow conduit rupture, Venous P-valve</text>
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            <description>An account of the resource</description>
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              <elementText elementTextId="132804">
                <text>Background Percutaneous pulmonary valve implantation (PPVI) is a recognized alternative treatment to surgery for&#13;
patients with dysfunctional right ventricular outflow tracts. Patient selection is essential to avoid serious complications&#13;
from attempted treatment, such as rupture or dissection, especially of the calcified outflow tracts. We describe a case&#13;
with an unexpected rupture of a calcified homograft valve and main pulmonary artery, which was treated successfully&#13;
by emergency implantation of a self-expanding Venus P-Valve (Venus MedTech, Hangzhou, China) without the need&#13;
for pre-stenting with a covered stent.&#13;
Case details A 13-year-old boy had two previous operations of tetralogy of Fallot, one a total repair and the other&#13;
a homograft valved conduit for pulmonary regurgitation. He presented with dyspnea and severe right ventricular&#13;
outflow tract obstruction (RVOTO) and had a calcified outflow tract and main pulmonary artery. In the catheter&#13;
laboratory, a non-compliant balloon dilation resulted in a contained rupture of the conduit. The patient remained&#13;
hemodynamically stable, and the rupture was treated with a self-expandable Venus P-Valve without the need for a&#13;
covered stent combined with a balloon-expandable valve or a further surgical procedure.&#13;
Discussion Preprocedural evaluation with an inflating balloon is necessary to examine tissue compliance and&#13;
determine suitability for PPVI. However, this condition is accompanied by a risk of conduit rupture. Risk factors of&#13;
this complication are calcification and homograft use. These ruptures are mostly controlled with a prophylactic or&#13;
therapeutic covered stent, with a low rate of requiring surgery. However, there are severe ruptures which lead to&#13;
&#13;
hemothorax and death. In the available literature, there was no similar reported case of conduit rupture, which a self-&#13;
expandable Pulmonary valve stent has managed. It seems that fibrosis and collagen tissue around the heart, formed&#13;
&#13;
after open surgeries, can contribute to the control of bleeding in these cases.&#13;
Conclusion (clinical Learning Point) The suitability of patients for the PPVI procedure should be examined more&#13;
carefully, specifically patients with homograft and calcification in their conduit. Furthermore, conduit rupture might&#13;
be manageable with self-expandable artificial pulmonary valves, specifically in previously operated patients, and the&#13;
applicability of this hypothesis is worth examining in future research.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132805">
                <text>Hojjat Mortezaeian1&#13;
&#13;
, Ata Firouzi1&#13;
&#13;
, Pouya Ebrahimi3&#13;
&#13;
, Mohsen Anafje2,6*, Peyman Bashghareh1&#13;
&#13;
, Phuoc Doung4&#13;
and&#13;
&#13;
Shakeel Qureshi5</text>
              </elementText>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="132806">
                <text>https://doi.org/10.1186/s12245-024-00702-5</text>
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            <name>Date</name>
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                <text>Peri Irawan</text>
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                <text>englsih</text>
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        <name>Congenital heart defect, Tetralogy of Fallot (TOF), Right ventricular outflow tract (RVOT) obstruction, Calcified right ventricular outflow conduit rupture, Venous P-valve</name>
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                  <text>Volume 17 Issue 1 2024</text>
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          <element elementId="50">
            <name>Title</name>
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                <text>Patient satisfaction using handheld ultrasound at emergency department in Jordan University Hospital</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132793">
                <text>Handheld Ultrasound, Patient Satisfaction, Emergency Medicine, Point-of-Care Ultrasound (POCUS),&#13;
Butterfly POCUS</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="132794">
                <text>Introduction The use of portable ultrasound equipment in emergency medicine has shown the capacity to greatly&#13;
improve patient care in the swiftly changing field. This research evaluates the influence of the Butterfly POCUS device&#13;
on patient contentment in the Emergency Department at Jordan University Hospital.&#13;
Materials and Methods We conducted a cross-sectional survey of 98 patients to examine their satisfaction levels&#13;
after undergoing an ultrasound examination. We then evaluated these levels in relation to demographic and clinical&#13;
characteristics.&#13;
&#13;
Results Seventy eight percent of the patients expressed a high level of satisfaction with their evaluation. This satisfac-&#13;
tion level was consistent across all patient demographics, with no notable differences. Significantly, there was a clear&#13;
&#13;
correlation between greater satisfaction levels and higher first pain ratings, indicating that the technology effectively&#13;
addresses patient concerns and enhances the diagnostic experience.&#13;
Conclusion The findings of our study support the wider use of portable ultrasound technology in emergency care&#13;
settings, emphasizing its ability to greatly enhance patient satisfaction and outcomes. Further investigation should&#13;
include multicenter trials to authenticate these results and investigate the long-term effects on clinical practice.&#13;
Keywords Handheld Ultrasound, Patient Satisfaction, Emergency Medicine, Point-of-Care Ultrasound (POCUS),&#13;
Butterfly POCUS</text>
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              <elementText elementTextId="132795">
                <text>Ihab Alasasfeh1*, Yousef Almashakbeh2&#13;
&#13;
, Shadin Jwaifel1&#13;
&#13;
, Farah AlSheikh1&#13;
&#13;
, Hiba Mihyar1 and&#13;
&#13;
Nansi M. Abdelrahim3</text>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="132796">
                <text>https://doi.org/10.1186/s12245-024-00701-6</text>
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            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="132797">
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              <elementText elementTextId="132798">
                <text>Peri Irawan</text>
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                <text>english</text>
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        <name>Handheld Ultrasound, Patient Satisfaction,</name>
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              <name>Title</name>
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              <elementTextContainer>
                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</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="130913">
                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132782">
                <text>Implementation of an early attention strategy to reduce emergency room&#13;
overcrowding in an academic institution in Colombia, a pilot study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132783">
                <text>Patient satisfaction, Emergency department, Overcrowding, Crowding interventions, Crowding solutions</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132784">
                <text>Abstract&#13;
Overcrowding is a worldwide problem, and long waiting times are associated with increased morbidity and even&#13;
mortality of patients regardless of triage classification. Although there are many tools published in the literature&#13;
&#13;
that contribute to the reduction of overcrowding, for the Colombian population there are not many tools evalu-&#13;
ated to reduce the length of stay of patients in the emergency department. This is a retrospective analytical study&#13;
&#13;
that compared whether there was a difference in patient definition time and ED length of stay between a group&#13;
attended under an early care protocol (PAT) versus the usual protocol. Of the total of 969 patients included it&#13;
&#13;
was found that the group attended under the PAT protocol had a shorter definition time than the usual proto-&#13;
col, also the Emergency department length of stay (EDLOS) was significantly lower in the PAT group compared&#13;
&#13;
to the usual protocol. The implementation of the PAT protocol performed by emergency physicians allows a faster&#13;
contact with the patient by the physician, and leads to a significant reduction of EDLOS, contributing to the reduction&#13;
of overcrowding in the emergency department.&#13;
Keywords Patient satisfaction, Emergency department, Overcrowding, Crowding interventions, Crowding solutions</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132785">
                <text>German Devia Jaramillo1* , Nathalia Esmeral Zuluaga2&#13;
&#13;
, Viviana Andrea Velandia Avellaneda2&#13;
,&#13;
&#13;
Salvador Menendez Ramirez3 , Fernando Jose Pimienta Neira4&#13;
&#13;
, Angie Paola Lopez Contador5 and&#13;
&#13;
Juan Pablo Vargas Gallo3</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="132786">
                <text>https://doi.org/10.1186/s12245-024-00700-7</text>
              </elementText>
            </elementTextContainer>
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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="132787">
                <text>2024</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132788">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="132789">
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132790">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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      <tag tagId="4804">
        <name>patient satisfaction levels; spo; the right six principles dispensing</name>
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  </item>
  <item itemId="12418" 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="130912">
                  <text>Volume 17 Issue 1 2024</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="130913">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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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>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132661">
                <text>Entrustable professional activities, emergency&#13;
medicine and medical education: a systematic&#13;
review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132662">
                <text>Medicine emergency, Entrustable professional activities, Medical school</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132663">
                <text>Abstract&#13;
Introduction Entrustable professional activities (EPAs) are one way to assess competencies, and are designed to&#13;
bridge the gap between theoretical competencies and real world clinical practice.&#13;
Aims This was a systematic review which aims to answer the question: “Which EPAs related to Emergency Medicine&#13;
are described for medical schools?”.&#13;
Methods We included original qualitative, interventional and observational studies (cross-sectional, case-control,&#13;
and cohort studies) that described EPAs relevant to Emergency Medicine for Medical School. The search strategy was&#13;
created using a combination of keywords and standardized index terms related to EPAs and Emergency Medicine.&#13;
Results The search strategy identified 991 citations. After screening the titles and abstracts, we identified 85&#13;
potentially relevant studies. After the full-text review, a total of 11 reports met the criteria for inclusion.&#13;
Conclusion Recognizing a patient requiring urgent or emergent care and initiating evaluation and management is&#13;
the most common EPA related to Emergency Medicine described at Medical Schools. Use of EPAs is associated with&#13;
increased student satisfaction and improved competences. However, there is a lack of undergraduate EM specific EPAs&#13;
being systematically developed and published, and this should be an area to be explored in future studies.&#13;
Keywords Medicine emergency, Entrustable professional activities, Medical school</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132664">
                <text>Lucas Casagrande Passoni Lopes1*, Rafael Vasconcelos Silva Ferrazini1&#13;
&#13;
, Kessy Costa1&#13;
,&#13;
&#13;
Winicius Loureiro de Albuquerque1&#13;
&#13;
, Clara Carvalho2&#13;
&#13;
, James Kwan3,4,11, Teng Kuan Peng David3&#13;
&#13;
, Simon Chu5,6,&#13;
&#13;
Patricia Zen Tempski7,8,9, Milton de Arruda Martins10 and Julio Cesar Garcia Alencar1</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="132665">
                <text>https://doi.org/10.1186/s12245-024-00699-x</text>
              </elementText>
            </elementTextContainer>
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            <name>Date</name>
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                <text>Decrease of haemoconcentration reliably&#13;
detects hydrostatic pulmonary oedema&#13;
in dyspnoeic patients in the emergency&#13;
department – a machine learning approach</text>
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                <text>Pulmonary edema, Lung water, Haemoconcentration, Haemodilution, Augmented intelligence</text>
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                <text>Abstract&#13;
Background Haemoglobin variation (ΔHb) induced by fluid transfer through the intestitium has been proposed as a&#13;
useful tool for detecting hydrostatic pulmonary oedema (HPO). However, its use in the emergency department (ED)&#13;
setting still needs to be determined.&#13;
Methods In this observational retrospective monocentric study, ED patients admitted for acute dyspnoea were&#13;
enrolled. Hb values were recorded both at ED presentation (T0) and after 4 to 8 h (T1). ΔHb between T1 and T0&#13;
(ΔHbT1-T0) was calculated as absolute and relative value. Two investigators, unaware of Hb values, defined the cause of&#13;
dyspnoea as HPO and non-HPO. ΔHbT1-T0 ability to detect HPO was evaluated. A machine learning approach was used&#13;
to develop a predictive tool for HPO, by considering the ability of ΔHb as covariate, together with baseline patient&#13;
characteristics.&#13;
Results Seven-hundred-and-six dyspnoeic patients (203 HPO and 503 non-HPO) were enrolled over 19 months.&#13;
Hb levels were significantly different between HPO and non-HPO patients both at T0 and T1 (p&lt;0.001). ΔHbT1-T0&#13;
were more pronounced in HPO than non-HPO patients, both as relative (-8.2 [-11.2 to -5.6] vs. 0.6 [-2.1 to 3.3] %) and&#13;
absolute (-1.0 [-1.4 to -0.8] vs. 0.1 [-0.3 to 0.4] g/dL) values (p&lt;0.001). A relative ΔHbT1-T0 of -5% detected HPO with an&#13;
area under the receiver operating characteristic curve (AUROC) of 0.901 [0.896–0.906]. Among the considered models,&#13;
Gradient Boosting Machine showed excellent predictive ability in identifying HPO patients and was used to create a&#13;
web-based application. ΔHbT1-T0 was confirmed as the most important covariate for HPO prediction.&#13;
Conclusions ΔHbT1-T0 in patients admitted for acute dyspnoea reliably identifies HPO in the ED setting. The machine&#13;
learning predictive tool may represent a performing and clinically handy tool for confirming HPO.&#13;
Keywords Pulmonary edema, Lung water, Haemoconcentration, Haemodilution, Augmented intelligence</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="132654">
                <text>Francesco Gavelli1,2,3*, Luigi Mario Castello1,2, Xavier Monnet3&#13;
&#13;
, Danila Azzolina4&#13;
&#13;
, Ilaria Nerici1,2, Simona Priora1,2,&#13;
&#13;
Valentina Giai Via1,2, Matteo Bertoli1,2, Claudia Foieni1,2, Michela Beltrame1,2, Mattia Bellan1&#13;
&#13;
, Pier Paolo Sainaghi1&#13;
,&#13;
&#13;
Nello De Vita1&#13;
&#13;
, Filippo Patrucco1&#13;
&#13;
, Jean-Louis Teboul3&#13;
&#13;
and Gian Carlo Avanzi1,2</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="132655">
                <text>https://doi.org/10.1186/s12245-024-00698-y</text>
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            <name>Date</name>
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              <elementText elementTextId="132656">
                <text>2024</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132657">
                <text>Peri Irawan</text>
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                <text>english</text>
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                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
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                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
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                <text>Predictors of nursing home conveyances&#13;
to emergency department</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Conveyances, Emergency department, Nursing homes, Predictors, Transfers</text>
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            <description>An account of the resource</description>
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                <text>Abstract&#13;
Background With increasing rates of patient conveyances from nursing homes to emergency departments&#13;
worldwide, we aim to examine factors causing high rates of conveyances from nursing homes to the emergency&#13;
department (ED) of an acute tertiary hospital.&#13;
Methods This was a prospective study involving presentation of ED attendances from nursing home residents during&#13;
out-of-hours over a 23-month period from April 2020 to February 2022. Data was collected from a standardized&#13;
manual form used by the Emergency Department to document nursing home conveyances.&#13;
Results A total of 338 pre-conveyance forms were reviewed. The most common reasons for conveyances to ED were&#13;
neurological symptoms (16%), unstable hemodynamics (12%), fever (11%) and falls (10%). The peak conveyances&#13;
occurred between 1600 and 1900 h on weekends. Respiratory rate, oxygenation requirements and high National&#13;
Early Warning Score (NEWS) were significantly associated with increased conveyances to the emergency department.&#13;
When the components of NEWS were analyzed individually, decision for ambulance conveyance to emergency&#13;
department was significantly associated with respiratory rate (p&lt;.001), oxygen saturation (p&lt;.001), and the use of&#13;
oxygen supplementation (p&lt;.005).&#13;
Conclusions Unstable hemodynamics and falls were among the leading factors for nursing home conveyances&#13;
to the emergency department, which highlights the need to implement better fall prevention strategies and&#13;
standardized parameters monitoring in nursing homes. Future research should focus on outcomes of conveyances&#13;
and the characteristics of nursing home with higher conveyance rates. This would aid to assess the appropriateness of&#13;
conveyances and to identify strategies to decrease preventable conveyances.&#13;
Keywords Conveyances, Emergency department, Nursing homes, Predictors, Transfers</text>
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              <elementText elementTextId="132644">
                <text>Keerthana1*, Yee Har Liew1&#13;
&#13;
, Mui Hua Jean Lee2,3 and Chong Yau Ong2</text>
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          <element elementId="48">
            <name>Source</name>
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              <elementText elementTextId="132645">
                <text>https://doi.org/10.1186/s12245-024-00697-z</text>
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                <text>2024</text>
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              <elementText elementTextId="132647">
                <text>Peri Irawan</text>
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