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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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                <text>“Iliacus muscle abscess as an unexpected cause of posterior hip pain in a healthy young adult female”: a case report</text>
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                <text>Iliacus abscess, Iliopsoas abscess, Hip pain</text>
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                <text>Abstract&#13;
Background Iliacus muscle abscess is an uncommon but potentially life-threatening condition that can present&#13;
with nonspecific symptoms, posing diagnostic challenges. This case report highlights the importance of considering&#13;
iliopsoas abscess in patients presenting with fever and hip pain, especially in the absence of obvious risk factors or&#13;
penetrating trauma. The novelty of this case lies in its atypical presentation mimicking a respiratory viral infection and&#13;
musculoskeletal injury, impeding accurate diagnosis and appropriate management.&#13;
Case Presentation A previously healthy 21-year-old female who had a mechanical fall 3 weeks prior presented with&#13;
fever, right hip pain, and respiratory symptoms, initially suggestive of a respiratory infection and musculoskeletal&#13;
injury. However, initial investigations revealing a markedly high C-reactive protein (CRP) concentration prompted&#13;
further computed tomography (CT) imaging of her abdomen and pelvis, which uncovered an iliopsoas abscess&#13;
presumably stemming from antecedent trauma. Subsequent CT guided aspiration along with culture-sensitive&#13;
antibiotics led to successful treatment and resolution of her symptoms.&#13;
Conclusions This case emphasizes the importance of considering iliopsoas abscess as a possible differential, even in&#13;
young patients without typical risk factors. Markedly elevated inflammatory markers such as CRP concentrations can&#13;
serve as a vital indicator, directing attention towards the possibility of septicemia or the presence of an occult abscess,&#13;
facilitating prompt imaging and accurate diagnosis.&#13;
Keywords Iliacus abscess, Iliopsoas abscess, Hip pain</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132364">
                <text>Caleb Weihao Huang1* and Mathew Yi Wen Yeo1</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="132365">
                <text>https://doi.org/10.1186/s12245-024-00668-4</text>
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                <text>Peri Irawan</text>
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                  <text>Volume 17 Issue 1 2024</text>
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                  <text>peri irawan</text>
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            <description>A name given to the resource</description>
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                <text>A 26 years old primigravida woman presented with abdominal cutaneous entrapment syndrome: a case report</text>
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          <element elementId="49">
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                <text>ACNES, Neuropathic pain, Pregnancy</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Abstract&#13;
Background Abdominal cutaneous nerve entrapment syndrome (ACNES) is characterized by severe, mostly&#13;
refractory, chronic pain due to the entrapment of the cutaneous branches of the lower torso intercostal nerves at&#13;
the lateral edge of the rectus abdominis muscle. ACNES is rare compared to other pregnancy-related peripheral&#13;
neuropathies and is often overlooked as a differential diagnosis for abdominal pain, despite the diagnosis relying&#13;
primarily on patient history and physical examination. Emergency physicians and other medical personnel’s lack of&#13;
exposure to such cases results in unnecessary laboratory requests, repeated visits, and increased fear and tension for&#13;
the patient.&#13;
Case presentation A 26-year-old primigravida on her second trimester of pregnancy presented to our Emergency&#13;
department with persistent localized right upper quadrant abdominal pain. Despite repeated visit to the nearby&#13;
hospital, no diagnosis was settled and the pain persisted. At our ED after a thorough history, physical examination and&#13;
diagnostic test no abnormality was found. Finally Abdominal cutaneous nerve entrapment syndrome (ACNES) was&#13;
considered and a mixture of 1 ml 2% lidocaine with adrenaline and 1 ml dexamethasone (4 mg) was infiltrated into&#13;
the fascial plane in a fanning fashion into the most tender area using a modified technique and the patient reported&#13;
significant improvement in pain.&#13;
Conclusion Abdominal cutaneous nerve entrapment syndrome (ACNES) is a cause of abdominal pain in pregnancy&#13;
that is often overlooked. The objective of this study is to describe a rare case of ACNES in a 26-year-old primigravida&#13;
woman who presented to a low-resource emergency department to assist patient management.&#13;
Keywords ACNES, Neuropathic pain, Pregnancy</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132945">
                <text>Melaku Tsediew Berhanu1&#13;
&#13;
, Molla Asnake Kebede2*, Adamu Tigabu Tessfaw3&#13;
&#13;
, Alemayehu Beharu Tekle1&#13;
,&#13;
&#13;
Anteneh Messele Birhanu1&#13;
&#13;
and Meron Teka Deresa4</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="132946">
                <text>https://doi.org/10.1186/s12245-024-00720-3</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132947">
                <text>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="132948">
                <text>Peri Irawan</text>
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            <description>A language of the resource</description>
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              <elementText elementTextId="132950">
                <text>english</text>
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        <name>ACNES, Neuropathic pain, Pregnancy</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
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    <elementSetContainer>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="134049">
                <text>A case of acute tubulointerstitial nephritis following the use of chenopodium album L</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="134050">
                <text>Chenopodium album, Acute tubulointerstitial nephritis, Herbal supplements, Renal dysfunction, Side effects</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="134051">
                <text>Abstract&#13;
Introduction Chenopodium album, commonly known as “lambsquarters,” is a plant consumed as food and used in&#13;
traditional medicine. Its popularity is increasing due to the belief that it has fewer side effects compared to synthetic&#13;
drugs. However, its use can lead to acute or chronic poisoning. The growing interest in herbal remedies, along with&#13;
uncontrolled usage and disregard for expert recommendations, contributes to adverse effects.&#13;
Case Presentation : A 68-year-old female patient presented to the emergency department with nausea, vomiting,&#13;
and flank pain following the use of lambsquarters. Impaired kidney function was detected in the patient. A biopsy&#13;
performed after Chenopodium album usage led to the diagnosis of tubulointerstitial nephritis (TIN). The patient&#13;
responded positively to corticosteroid and hemodialysis treatment.&#13;
Discussion Caution is necessary in the use of herbal medicines and traditional treatments. A thorough evaluation&#13;
of factors such as patients’ nutritional status, herbal product usage, medication history, and genetic background&#13;
is crucial. Chenopodium album can cause tubulointerstitial nephritis, resulting in kidney damage. Similarly, heavy&#13;
metal poisoning through herbal products can lead to kidney damage. Adopting a multidisciplinary approach in the&#13;
diagnosis and treatment process can contribute to better patient management.&#13;
Conclusion This case presents a rare instance of tubulointerstitial nephritis developed due to the use of&#13;
herbal products. Physicians should inquire about patients’ history of exogenous substance use and conduct a&#13;
comprehensive assessment, keeping such situations in mind. Conscious use of herbal medicines and traditional&#13;
treatments can help prevent serious complications like kidney damage.&#13;
Keywords Chenopodium album, Acute tubulointerstitial nephritis, Herbal supplements, Renal dysfunction, Side&#13;
effects</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="134052">
                <text>Alparslan Demiray1*, Tuğba Yılmaz3&#13;
&#13;
, Sevil Demiray2&#13;
&#13;
, Hülya Akgün2&#13;
&#13;
and İsmail Koçyiğit3</text>
              </elementText>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="134053">
                <text>https://doi.org/10.1186/s12245-024-00790-3</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="134054">
                <text>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="134055">
                <text>Peri Irawan</text>
              </elementText>
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            <name>Format</name>
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            <name>Language</name>
            <description>A language of the resource</description>
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                <text>ENGLISH</text>
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        <name>Chenopodium album, Acute tubulointerstitial nephritis</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <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>
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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="132862">
                <text>A case of convexity non‐aneurysmal subarachnoid hemorrhage caused by cerebral sinus thrombosis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132863">
                <text>Subarachnoid hemorrhage, Cerebral sinus thrombosis, Case report, Convexity SAH</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132864">
                <text>Abstract&#13;
Background Convexity subarachnoid hemorrhage (cSAH) is an uncommon presentation of subarachnoid bleeding,&#13;
&#13;
referring to bleeding more localized to the convexities of the brain. The diagnosis of cerebral venous sinus thrombo-&#13;
sis (CVST) can be difficult especially when patients initially present with cSAH. The authors present a case and then&#13;
&#13;
discuss the pathophysiology and management.&#13;
&#13;
Case presentation A 56-year-old woman with a previous history of hypertension and ischemic heart disease pre-&#13;
sented to the emergency department after experiencing it. Two seizures following a severe headache. The patient’s&#13;
&#13;
history was negative for recent illnesses, head trauma, history of migraines, smoking, alcohol consumption, or intra-&#13;
venous drug use. The patient was diagnosed with CVST based on magnetic resonance venography (MRV). Genetic&#13;
&#13;
studies further identified homozygous mutations in the Prothrombin and MTHFR genes. Anticoagulant therapy&#13;
was initiated with 60 mg of Enoxaparin twice daily and subsequently transitioned to Warfarin after 48 h continued&#13;
for 3 months, and then replaced by rivaroxaban.&#13;
Conclusions This study highlights the importance of considering CVST as a cause of SAH, emphasizes the role&#13;
of advanced imaging in diagnosis, and demonstrates a successful treatment approach using both traditional&#13;
and direct oral anticoagulants. The insights provided in this article can contribute to improving the management&#13;
of patients with CVST-related SAH.&#13;
Keywords Subarachnoid hemorrhage, Cerebral sinus thrombosis, Case report, Convexity SAH</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="132865">
                <text>Ali Abasi1&#13;
, Asra Moradkhani1&#13;
&#13;
, Shiva Rahimi2 and Hannah Magrouni2*</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Source</name>
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              <elementText elementTextId="132866">
                <text>https://doi.org/10.1186/s12245-024-00712-3</text>
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            <name>Date</name>
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              <elementText elementTextId="132867">
                <text>2024</text>
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              <elementText elementTextId="132868">
                <text>Peri Irawan</text>
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            <elementTextContainer>
              <elementText elementTextId="132870">
                <text>english</text>
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      <tag tagId="15298">
        <name>Subarachnoid hemorrhage, Cerebral sinus thrombosis, Case report, Convexity SAH</name>
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                  <text>Volume 17 Issue 1 2024</text>
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                  <text>peri irawan</text>
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                <text>A case report of an accidental iatrogenic dexmedetomidine overdose in an adult</text>
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          <element elementId="49">
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                <text>Alpha2-agonists, Medication error, Adverse effect, Oversedation, Case report</text>
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            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131562">
                <text>Abstract&#13;
Background Dexmedetomidine is a sedative drug with a wide safety margin.&#13;
Case presentation We present a case of accidental iatrogenic dexmedetomidine overdose in an adult patient&#13;
during high-intensity focused ultrasound (HIFU) treatment. This is the first case report of an adult patient receiving&#13;
an intravenous push of dexmedetomidine. Overdose resulted in severe oversedation, but symptoms receded&#13;
spontaneously over time.&#13;
Conclusions Dexmedetomidine overdoses are infrequent, and they are usually the result of an administration error.&#13;
Keywords Alpha2-agonists, Medication error, Adverse effect, Oversedation, Case report</text>
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          <element elementId="39">
            <name>Creator</name>
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              <elementText elementTextId="131563">
                <text>Suvi-Maria Tiainen1,2,3, Jonni Unga4&#13;
&#13;
and Panu Uusalo1,2*</text>
              </elementText>
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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="131564">
                <text>https://doi.org/10.1186/s12245-024-00613-5</text>
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            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="131565">
                <text>2024</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131566">
                <text>Peri Irawan</text>
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            <elementTextContainer>
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    <tagContainer>
      <tag tagId="15191">
        <name>Alpha2-agonists, Medication error, Adverse effect, Oversedation, Case report</name>
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                  <text>Volume 17 Issue 1 2024</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131173">
                <text>A case report on ultrasound‐guided pericardiocentesis with a right parasternal approach: a novel in‐plane lateral‐to‐medial technique</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131174">
                <text>Pericardiocentesis, Ultrasound-guided pericardiocentesis, High-frequency probe, In-plane technique,&#13;
Lateral-to-medial approach, Right parasternal access, Point-of-care ultrasound</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
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            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="131175">
                <text>Introduction Emergency pericardiocentesis is a life-saving procedure that is performed to aspirate fluid&#13;
from the pericardial space in patients who have severe pericardial effusion that is causing hemodynamic compromise.&#13;
The current gold standard for pericardial fluid aspiration is ultrasound-guided pericardiocentesis. Echocardiography&#13;
with a low-frequency transducer has generally been used in pericardiocentesis, but this method lacks real-time&#13;
&#13;
visualization of the needle trajectory, leading to complications. Therefore, we describe a case involving an ultrasound-&#13;
guided pericardiocentesis method using a novel in-plane technique with a lateral-to-medial approach via the right&#13;
&#13;
parasternal and a high-frequency probe. The method was performed for an infant with cardiac tamponade.&#13;
Case presentation We present a case of a 14-month-old male infant who was brought to the emergency room&#13;
with a history of cough, shortness of breath, and fever following recurrent chest infections. Despite prior treatments,&#13;
&#13;
his condition deteriorated, and signs of cardiac tamponade were evident upon examination. Cardiopulmonary point-&#13;
of-care ultrasound confirmed the presence of a large pericardial effusion with tamponade. Emergency pericardio‐&#13;
&#13;
centesis was performed using the novel in-plane technique, resulting in successful fluid aspiration and stabilization&#13;
of the patient’s condition.&#13;
Technique description The proposed technique involves positioning a high-frequency ultrasound probe&#13;
over the right parasternal area to obtain real-time visualization of the needle trajectory and surrounding structures,&#13;
including the sternum, right internal thoracic vessels, pleural sliding end point, pericardial effusion, and myocardium.&#13;
The needle is inserted laterally to medially at a 45-degree angle, ensuring safe passage between the pleural sliding&#13;
endpoint and the right internal thoracic vessels while reaching the pericardial effusion.&#13;
Conclusion The presented technique provides real-time visualization of the needle and surrounding struc‐&#13;
tures, which may potentially help to avoid complications and improve accuracy. The proposed technique may&#13;
potentially enable access for emergency pericardiocentesis and for loculated pericardial effusion that has formed&#13;
around the right atrium. Nevertheless, further studies with large patient populations are needed.&#13;
Keywords Pericardiocentesis, Ultrasound-guided pericardiocentesis, High-frequency probe, In-plane technique,&#13;
Lateral-to-medial approach, Right parasternal access, Point-of-care ultrasound</text>
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            <elementTextContainer>
              <elementText elementTextId="131176">
                <text>Najem Abdullah Mohammed1,2,3*, Tanweer A. Al‐zubairi1,2 and Moad H. Al‐soumai1,2</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="131177">
                <text>https://doi.org/10.1186/s12245-024-00592-7</text>
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            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="131178">
                <text>2024</text>
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            <name>Contributor</name>
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            <elementTextContainer>
              <elementText elementTextId="131179">
                <text>Peri Irawan</text>
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        <name>Pericardiocentesis, Ultrasound-guided pericardiocentesis</name>
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                <elementText elementTextId="130912">
                  <text>Volume 17 Issue 1 2024</text>
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              <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>
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              <elementText elementTextId="132331">
                <text>A diagnostic dilemma: distinguishing a sulfasalazine induced DRESS hypersensitivity syndrome from a CD30+lymphoma in a young patient</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132332">
                <text>Dress syndrome, Drug hypersensitivity, Sulfasalazine, RegiSCAR, CD30+lymphoma</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
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            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132333">
                <text>Abstract&#13;
Drug reaction with eosinophilia and systemic symptoms (DRESS) is a severe hypersensitivity reaction characterized&#13;
by cutaneous rash, lymphadenopathy, fever, eosinophilia, leukocytosis, and life-threatening organ dysfunctions.&#13;
We describe the case of a 26 year old patient admitted to the Emergency Department for DRESS syndrome after&#13;
sulfasalazine treatment for rheumatoid arthritis in the right knee. Whole body computer tomography showed&#13;
multiple neck, chest, and abdominal lymphadenopathy with splenomegaly, massive ascites and severe hepatic&#13;
cytolysis. Serology results for Epstein-Barr Virus (EBV), influenza, measles, rubella, hepatitis A and B were negative.&#13;
The histologic analysis of skin, lymph node and bone marrow biopsies could not indicate a classical Hodgkin’s&#13;
Disease or iatrogenic immunodeficiency/EBV-associated lymphoproliferative disorder (LPD), Hodgkin type. The&#13;
relatively small caliber of the CD30+immunoreactive blastoid cells in the lymph nodes suggested reactive&#13;
immunoblasts rather than Hodgkin cells. The morphologic aspects of the lymph node biopsies with predominance&#13;
of T-cells were compatible with the diagnosis of a sulfasalazine-induced DRESS syndrome as the patient had a high&#13;
RegiSCAR score for DRESS. [DRESS Syndrome Foundation: Diagnosis and Treatment. (2023)] The patient’s complex&#13;
clinical course, marked by two hospital admissions, highlights the challenges in diagnosing and managing DRESS.&#13;
This case underscores the need for individualized care, close patient monitoring, and further research to better&#13;
understand DRESS’s underlying mechanisms and optimal therapeutic strategies.&#13;
Keywords Dress syndrome, Drug hypersensitivity, Sulfasalazine, RegiSCAR, CD30+lymphoma</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132334">
                <text>Natalija Aleksandrova1&#13;
&#13;
, Jonas De Rop2,3, Frederic Camu1&#13;
&#13;
, Ives Hubloue4&#13;
&#13;
and Katleen Devue1*</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="132335">
                <text>https://doi.org/10.1186/s12245-024-00665-7</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132336">
                <text>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="132337">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="132338">
                <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="132339">
                <text>english</text>
              </elementText>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="15247">
        <name>Dress syndrome, Drug hypersensitivity, Sulfasalazine, RegiSCAR, CD30+lymphoma</name>
      </tag>
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  </item>
  <item itemId="12499" public="1" featured="1">
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          <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>
            </element>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="133518">
                <text>A novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="133519">
                <text>Communication, Education, Interdisciplinary, Collaboration, Mentorship</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="133520">
                <text>Abstract&#13;
Background Communication between nurses and physicians is essential to providing patient care in the emergency&#13;
department. The American College of Graduate Medical Education includes interpersonal and communication&#13;
skills as one of six core competencies for residents. There is a known correlation between poor communication&#13;
and negative patient outcomes. Yet, formalized training programs in doctor-nurse communication are lacking and&#13;
literature reports that physicians may view collaboration as less important than nurses. To address this gap, we&#13;
developed and implemented a novel, pilot “Nurse-InteRN Mentorship Program”. The program aimed to improve&#13;
trainees’ communication with nurses and enhance emergency department collaboration. We then evaluated the&#13;
impact of this program on participant perception of nurse-physician communication, efficacy and overall benefit.&#13;
Methods We used Kern’s Six-step approach to develop and implement this program. We then evaluated the&#13;
program’s impact with a pre-program and post-program 12-question survey to evaluate participation, perceived&#13;
benefit, and efficacy of the program using a 1–5 Likert scale. Nurse vs. intern responses were compared using Fisher’s&#13;
exact and Wilcoxon rank sum tests. Pre- and post- intervention responses were paired by respondent and compared&#13;
using marginal homogeneity tests.&#13;
&#13;
Results 13 interns and 22 nurses participated in the program. All 13 interns and 19 of 22 nurses completed the pre-&#13;
program survey. 10 of 13 interns and 11 of 22 nurse mentors completed the post-program survey. Nurses showed&#13;
&#13;
greater interest in providing feedback on communication skills than interns showed in receiving feedback (p&lt;0.001).&#13;
Interns rated themselves higher in communication skills with patients than nurses rated them (p=0.004). Perceived&#13;
benefit among nurses and interns decreased after completion of the program.&#13;
Conclusion We were able to successfully implement a one-year nurse-intern mentorship program aiming to&#13;
promote communication, collaboration and professional development. Our results show differing attitudes between&#13;
nurses and interns around interns’ communication skills. There was some perceived benefit, but unfortunately this&#13;
decreased over the course of the program. Further studies are needed to determine how this program impacts&#13;
communication, teamwork, and patient care. We hope that given the novelty of such a nurse-intern mentorship&#13;
program, this study may serve as a pilot for future programs.</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="133521">
                <text>Amanda Doodlesack1*, Nicole Dubosh1&#13;
&#13;
, Anne Grossestreuer1&#13;
&#13;
, Lorian de Oliveira2&#13;
&#13;
and Leslie Bilello1</text>
              </elementText>
            </elementTextContainer>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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                <text>A novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department</text>
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                <text>Abstract&#13;
Background Communication between nurses and physicians is essential to providing patient care in the emergency&#13;
department. The American College of Graduate Medical Education includes interpersonal and communication&#13;
skills as one of six core competencies for residents. There is a known correlation between poor communication&#13;
and negative patient outcomes. Yet, formalized training programs in doctor-nurse communication are lacking and&#13;
literature reports that physicians may view collaboration as less important than nurses. To address this gap, we&#13;
developed and implemented a novel, pilot “Nurse-InteRN Mentorship Program”. The program aimed to improve&#13;
trainees’ communication with nurses and enhance emergency department collaboration. We then evaluated the&#13;
impact of this program on participant perception of nurse-physician communication, efficacy and overall benefit.&#13;
Methods We used Kern’s Six-step approach to develop and implement this program. We then evaluated the&#13;
program’s impact with a pre-program and post-program 12-question survey to evaluate participation, perceived&#13;
benefit, and efficacy of the program using a 1–5 Likert scale. Nurse vs. intern responses were compared using Fisher’s&#13;
exact and Wilcoxon rank sum tests. Pre- and post- intervention responses were paired by respondent and compared&#13;
using marginal homogeneity tests.&#13;
&#13;
Results 13 interns and 22 nurses participated in the program. All 13 interns and 19 of 22 nurses completed the pre-&#13;
program survey. 10 of 13 interns and 11 of 22 nurse mentors completed the post-program survey. Nurses showed&#13;
&#13;
greater interest in providing feedback on communication skills than interns showed in receiving feedback (p&lt;0.001).&#13;
Interns rated themselves higher in communication skills with patients than nurses rated them (p=0.004). Perceived&#13;
benefit among nurses and interns decreased after completion of the program.&#13;
Conclusion We were able to successfully implement a one-year nurse-intern mentorship program aiming to&#13;
promote communication, collaboration and professional development. Our results show differing attitudes between&#13;
nurses and interns around interns’ communication skills. There was some perceived benefit, but unfortunately this&#13;
decreased over the course of the program. Further studies are needed to determine how this program impacts&#13;
communication, teamwork, and patient care. We hope that given the novelty of such a nurse-intern mentorship&#13;
program, this study may serve as a pilot for future programs.</text>
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                <text>Amanda Doodlesack1*, Nicole Dubosh1&#13;
&#13;
, Anne Grossestreuer1&#13;
&#13;
, Lorian de Oliveira2&#13;
&#13;
and Leslie Bilello1</text>
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                <text>Peri Irawan</text>
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                <text>A penetrating aortic ulcer rapidly evolving into aortic dissection in a patient presenting with respiratory tract infection to the emergency department: an acute aortic&#13;
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                <text>Penetrating atherosclerotic ulcer, Aortic dissection, Acute aortic syndrome, Intramural hematoma, Aortic&#13;
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Background Penetrating aortic ulcers (PAU) are life-threatening conditions which derive from severely advanced&#13;
atherosclerotic lesions of the aorta. The clinical course is unpredictable; thus clinical vigilance should be maintained. It&#13;
is very challenging to separate PAU from co-existing AAS as predisposing factors and findings overlap.&#13;
Case presentation Case of 58-year-old gentleman, who presented for atypical chest pain in the setting of respiratory&#13;
tract infection. Computed Tomographic angiography (CTA) of the chest showed a large PAU and intramural&#13;
hematoma which rapidly progressed into an acute aortic dissection in the emergency department. Close follow up&#13;
with cardiac point of care ultrasound one hour later detected an intimal flap which was not initially present on CTA.&#13;
Patient underwent surgical aortic graft replacement and had an uneventful in-hospital stay.&#13;
Discussion This case underlines the importance of broadening differential diagnoses in atypical presentations in&#13;
patients with risk factors. Prompt intervention and careful management are imperative to optimize patient outcomes&#13;
and prevent complications of aortic lesions. Cardiac point of care ultrasound can help in detecting progression of&#13;
dynamic atherosclerotic diseases such as acute aortic syndrome.&#13;
Keywords Penetrating atherosclerotic ulcer, Aortic dissection, Acute aortic syndrome, Intramural hematoma, Aortic&#13;
lesion, Emergency medicine</text>
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                <text>Victoria Al Karaki1* and Aed Saab1</text>
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