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                  <text>Volume 17 Issue 1 2024</text>
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                  <text>peri irawan</text>
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                <text>Learning Urogenital Diseases in Oddity (LUDO)—a gamification‐based innovation for learning urogenital diseases in emergency medicine</text>
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                <text>Gamification, Emergency medicine, LUDO, Urogenital diseases, Teamwork</text>
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                <text>Urogenital emergencies demand immediate attention within the field of emergency medicine, encompassing&#13;
a range of critical conditions from ectopic pregnancies to kidney stones. Timely diagnosis and treatment are vital&#13;
to prevent potential mortality and morbidity. However, due to the sensitive nature of these disorders and the cultural&#13;
&#13;
taboos surrounding them, accessing prompt medical care can be challenging. To bridge this gap, innovative gamifi-&#13;
cation-based learning techniques, such as the Learning Urogenital Diseases in Oddity (LUDO), have been introduced&#13;
&#13;
for emergency medicine residents (Chou, What is gamification? Yukai Chou: Gamification and behavioral design, n.d.;&#13;
Gamification ’13: Proceedings of the first international conference on gameful design, research, and applications,&#13;
2013).&#13;
LUDO is a timed, gamified exercise that offers residents an interactive and engaging platform to enhance their clinical&#13;
&#13;
knowledge related to urogenital disorders. Adapted from the well-known board game, LUDO fosters learning, collabo-&#13;
ration, and cooperation among residents. This format is highly customizable and can be utilized by various learning&#13;
&#13;
groups.&#13;
Participants, emergency medicine residents from different academic years, formed four teams, each distinguished&#13;
&#13;
by a unique color. The exercise utilized simple and accessible materials, including a LUDO board, LED stopwatch, lap-&#13;
top, colored hats, and a desk bell. Teams advanced their tokens through the board by correctly answering urogenital&#13;
&#13;
disorder-related questions within a specified time frame.&#13;
&#13;
LUDO’s objectives extended beyond token movement, assessing essential skills such as teamwork, time manage-&#13;
ment, resource utilization, and strategic decision-making. The option to seek external resources, limited to five&#13;
&#13;
times per team, added an element of strategy. Facilitators evaluated participants’ performance through questionnaires&#13;
and Likert scales.&#13;
The results revealed that LUDO effectively promoted teamwork, communication, leadership, and problem-solving&#13;
among emergency medicine residents. Resident feedback was overwhelmingly positive, with interest in adopting this&#13;
&#13;
format for other educational modules. The gamified approach encouraged engagement and motivation, with imme-&#13;
diate feedback ensuring continuous learning.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130917">
                <text>Asjad Mallick1* and Shahan Waheed2</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="130918">
                <text>https://doi.org/10.1186/s12245-023-00567-0</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="130919">
                <text>2024</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130920">
                <text>Peri Irawan</text>
              </elementText>
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            <name>Format</name>
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              <elementText elementTextId="130921">
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              <elementText elementTextId="130922">
                <text>english</text>
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        <name>Gamification, Emergency medicine, LUDO, Urogenital diseases, Teamwork</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>
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                <text>Emergency department contribution to HCV elimination in the Iberian Peninsula</text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130925">
                <text>HCV, Emergency department, Screening, Diagnosis</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130926">
                <text>Background Undiagnosed cases of hepatitis C virus (HCV) infection result in significant morbidity and mortality,&#13;
further transmission, and increased public health costs. Testing in emergency departments (EDs) is an opportunity&#13;
to expand HCV screening. The goal of this project was to increase the proportion of eligible patients screened for HCV&#13;
in urban areas.&#13;
Methods An opportunistic automated HCV screening program was implemented in the EDs of 4 public hospitals&#13;
in Spain and Portugal at different periods between 2018 and 2023. HCV prevalence was prospectively evaluated,&#13;
and single-step or reflex testing was used for confirmation in the same sample.&#13;
Results More than 90% of the population eligible for testing were screened in the participating centers. We found&#13;
HCV antibody seroprevalence rates ranging from 0.6 to 3.9%, with between 19 and 53% of viremic individuals.&#13;
Conclusions Opportunistic HCV screening in EDs is feasible, does not disrupt ED activities, is highly effective&#13;
in increasing diagnosis, and contributes to WHO’s HCV elimination goals.&#13;
Keywords HCV, Emergency department, Screening, Diagnosis</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="130927">
                <text>Maria Buti1*, Inês Vaz‐Pinto2&#13;
&#13;
, Vítor Magno Pereira3&#13;
&#13;
, Marta Casado4&#13;
&#13;
, Jordi Llaneras5&#13;
&#13;
, Ana Barreira1&#13;
,&#13;
&#13;
Catarina Esteves2&#13;
&#13;
, Mafalda Guimarães2&#13;
&#13;
, Ana Gorgulho2&#13;
&#13;
, Tomás Mourão2&#13;
&#13;
, Elisa Xavier3&#13;
&#13;
, Luís Jasmins3&#13;
,&#13;
&#13;
Ana Paula Reis3&#13;
&#13;
, Nancy Faria3&#13;
&#13;
, Bruno Freitas3&#13;
&#13;
, Graça Andrade3&#13;
&#13;
, Anny Camelo‐Castillo4&#13;
,&#13;
&#13;
Manuel Ángel Rodríguez‐Maresca4&#13;
&#13;
, Alba Carrodeguas6&#13;
&#13;
, Diogo Medina6 and Rafael Esteban1</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="130928">
                <text>https://doi.org/10.1186/s12245-023-00570-5</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="130929">
                <text>2023</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="130930">
                <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="130931">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130932">
                <text>english</text>
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            <elementTextContainer>
              <elementText elementTextId="130933">
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    <tagContainer>
      <tag tagId="15120">
        <name>HCV, Emergency department, Screening, Diagnosis</name>
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              <description>A name given to the resource</description>
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                  <text>Volume 17 Issue 1 2024</text>
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              <elementTextContainer>
                <elementText elementTextId="130913">
                  <text>peri irawan</text>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130934">
                <text>Prediction of major adverse cardiac events in the emergency department using an artificial neural network with a systematic grid search</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130935">
                <text>Artificial intelligence, Emergency medicine, Cardiac arrest, Major adverse cardiovascular events, Validation&#13;
study</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130936">
                <text>Background The aim of our research was to design and evaluate an Artificial Neural Network (ANN) model using&#13;
a systemic grid search for the early prediction of major adverse cardiac events (MACE) among patients presenting&#13;
to the triage of an emergency department.&#13;
&#13;
Methods This is a single-center, cross-sectional study using electronic health records from January 2017 to Decem-&#13;
ber 2020. The research population consists of adults coming to our emergency department triage at Aga Khan&#13;
&#13;
University Hospital. The MACE during hospitalization was the main outcome. To enhance the architecture of an ANN&#13;
&#13;
using triage data, we used a systematic grid search strategy. Four hidden ANN layers were used, followed by an out-&#13;
put layer. Following each hidden layer was back normalization and a dropout layer. MACE was predicted using three&#13;
&#13;
binary classifiers: ANN, Random Forests (RF), and logistic regression (LR). The overall accuracy, sensitivity, specificity,&#13;
&#13;
precision, and recall of these models were examined. Each model was evaluated using the receiver operating charac-&#13;
teristic curve (ROC) and an F1-score with a 95% confidence interval.&#13;
&#13;
Results A total of 97,333 emergency department visits were recorded during the study period, with 33% of patients&#13;
having cardiovascular symptoms. The mean age was 54.08 (19.18) years old. The MACE was observed in 23,052 (23.7%)&#13;
of the patients, in-hospital (up to 30 days) mortality in 10,888 (11.2%) patients, and cardiac arrest in 5483 (5.6%)&#13;
patients. The data used for training and validation were 77,866 and 19,467 in an 80:20 ratio, respectively. The AUC&#13;
score for MACE with ANN was 0.97, which was greater than RF (0.96) and LR (0.96). Similarly, the precision-recall curve&#13;
for MACE utilizing ANN was greater (0.94 vs. 0.93 for RF and 0.93 for LR). The sensitivity for MACE prediction using ANN,&#13;
RF, and LR classifiers was 99.3%, 99.4%, and 99.2%, respectively, with the specificities being 94.5%, 94.2%, and 94.2%,&#13;
respectively.&#13;
Conclusion When triage data is used to predict MACE, death, and cardiac arrest, ANN with systemic grid search gives&#13;
precise and valid outcomes and will benefit in predicting MACE in emergency rooms with limited resources that have&#13;
to deal with a substantial number of patients.&#13;
Keywords Artificial intelligence, Emergency medicine, Cardiac arrest, Major adverse cardiovascular events, Validation&#13;
study</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130937">
                <text>Ahmed Raheem1&#13;
&#13;
, Shahan Waheed1*, Musa Karim2&#13;
&#13;
, Nadeem Ullah Khan1 and Rida Jawed1</text>
              </elementText>
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="130938">
                <text>https://doi.org/10.1186/s12245-023-00573-2</text>
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            <name>Date</name>
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            <elementTextContainer>
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                <text>Peri Irawan</text>
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            <description>A language of the resource</description>
            <elementTextContainer>
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                <text>english</text>
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        <name>Artificial intelligence, Emergency medicine, Cardiac arrest, Major adverse cardiovascular events, Validation study</name>
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                  <text>Volume 17 Issue 1 2024</text>
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                  <text>peri irawan</text>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="130944">
                <text>Latrodectus envenomation in Ethiopia</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130945">
                <text>Black Widow, Spider, Envenomation, Widow</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="130946">
                <text>Black widows, one of the few spiders that can sting humans with poison, are members of the spider genus Latrodec-&#13;
tus and are well-known for the extraordinary potency of their neurotoxic venom. Latrodectism, a symptom marked&#13;
&#13;
by excruciating muscular pain, stomach pain, and diaphoresis after envenomation, is very typical. We described&#13;
a black widow envenomation case that produced a significant reaction, including diaphoresis and excruciating pain&#13;
throughout the left thigh that later spread to the lower leg, lower back, belly, and chest. Because of the patient’s&#13;
description of the spider that bit him and his typical clinical state, it was assumed that Latrodectus envenomation&#13;
was the cause of his symptoms. The patient received 3 days of observation in the ED while receiving opioid analgesic&#13;
pain management and muscle relaxant treatment with diazepam. The patient’s pain and symptoms were satisfactorily&#13;
managed, and he was sent home. This case report will help further research be done in the area where it was reported&#13;
to see if there are cases with similar presentations misdiagnosed as other illnesses. Finally, immediate pain relief&#13;
is the most critical goal for all patients.&#13;
Keywords Black Widow, Spider, Envenomation, Widow</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="130947">
                <text>Shimelis Korbu1* , Mosisa Olika2 and Getu Alemayehu2</text>
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            <name>Source</name>
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            <elementTextContainer>
              <elementText elementTextId="130948">
                <text>https://doi.org/10.1186/s12245-023-00576-z</text>
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            <name>Contributor</name>
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            <elementTextContainer>
              <elementText elementTextId="130950">
                <text>Peri Irawan</text>
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            <elementTextContainer>
              <elementText elementTextId="130952">
                <text>english</text>
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      <tag tagId="15122">
        <name>Black Widow, Spider, Envenomation, Widow</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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              <elementText elementTextId="130954">
                <text>Incidence and outcome of laryngeal edema and rhabdomyolysis after ingestion of black rock</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
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            <elementTextContainer>
              <elementText elementTextId="130955">
                <text>Black rock, Laryngeal edema, Rhabdomyolysis, Acute liver injury, ECG changes</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130956">
                <text>Background Black rock, Kala Pathar or ParaPhenyleneDiamine (PPD), is an aromatic amine widely used as a hair dye&#13;
ingredient and is also used in textile industries. However, when ingested, PPD is highly toxic resulting in angioneurotic&#13;
edema, rhabdomyolysis, acute kidney injury, toxic hepatitis, and myocarditis with a high mortality rate. This study&#13;
aimed to evaluate the incidence and outcome of laryngeal edema and rhabdomyolysis after ingestion of PPD.&#13;
Patients and methods The current research was a cross-sectional study that was conducted at Aswan University&#13;
Hospital, Aswan, Egypt, from December 2021 to December 2022. It consisted of 100 people who attempted suicide&#13;
by ingesting black rock. All patients underwent general examinations and investigations, including complete blood&#13;
count, urea, creatinine, creatine phospho kinase, alanine aminotransferase, aspartate aminotransferase, calcium, uric&#13;
acid, phosphorus, urine analysis, and electrocardiography.&#13;
Results The current study consisted of 15 males and 85 females; the most common presentation was stridor (88%)&#13;
followed by muscle weakness (50%). Twelve percent of patients with stridor required tracheostomy while 14%&#13;
required tracheal intubation. Regarding the complications of PPD ingestion, the incidence of hepatic injury was (97%)&#13;
and acute kidney injury (14%) five of them required hemodialysis, with a mortality rate of 13%. Cardiac arrhythmias&#13;
&#13;
were noticed in the form of sinus tachycardia (24%), sinus bradycardia (3%), atrial fibrillation (5%), ventricular fibrilla-&#13;
tion (6%), and ventricular tachycardia (7%). Our study found a significant positive correlation between creatine phos-&#13;
phokinase, muscle weakness, and acute kidney injury (P = 0.005). Whereas a significant positive correlation was noted&#13;
&#13;
between stridor, hospital stay, and mortality rate (P = 0.000), (P = 0.003), respectively. Moreover, a significant positive&#13;
correlation was found between tracheotomy, mortality rate, and hospital stay (P = 0.000).&#13;
Conclusion PDD toxicity is more frequent in younger females. The intoxication from the black rock is increasingly&#13;
used in suicide attempts and vital organs are usually affected especially the kidney, liver, and heart causing morbidity&#13;
and mortality.&#13;
Keywords Black rock, Laryngeal edema, Rhabdomyolysis, Acute liver injury, ECG changes</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130957">
                <text>Aml Ahmed Sayed1*, Abdelrahman Hamdy Abdelrahman1&#13;
&#13;
, Zein Elabdeen Ahmed Sayed2 and&#13;
&#13;
Marwa Ahmed Abdelhameid1</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="130958">
                <text>https://doi.org/10.1186/s12245-023-00577-y</text>
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            <name>Date</name>
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              <elementText elementTextId="130959">
                <text>2023</text>
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            <elementTextContainer>
              <elementText elementTextId="130960">
                <text>Peri Irawan</text>
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                <text>english</text>
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    <tagContainer>
      <tag tagId="15123">
        <name>Black rock, Laryngeal edema, Rhabdomyolysis, Acute liver injury, ECG changes</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
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                  <text>Volume 17 Issue 1 2024</text>
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              <elementTextContainer>
                <elementText elementTextId="130913">
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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="130964">
                <text>Stercoral colitis in the emergency department: a review of the literature</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130965">
                <text>Stercoral colitis, Constipation, Fecal impaction, CT imaging, Stercoral ulceration, Perforation</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130966">
                <text>Background Stercoral colitis (SC) is a rare but potentially life-threatening inflammatory colitis caused by the accu-&#13;
mulation of impacted fecal material. Despite reported associations with bowel perforation and high mortality rates,&#13;
&#13;
stercoral colitis remains a poorly defined and underrecognized diagnosis in the emergency department (ED).&#13;
&#13;
Objective of the review This review aims to summarize and synthesize existing literature on SC to guide its recogni-&#13;
tion and management in the ED.&#13;
&#13;
Discussion SC primarily occurs in elderly or bedbound patients with chronic constipation; however, it does occur&#13;
&#13;
in younger patients with comorbidities at increased risk for fecal impaction. Patients may present acutely with abdom-&#13;
inal pain and distension, but clinical presentation is often nonspecific and varied, and there are no established&#13;
&#13;
diagnostic criteria for SC to date. CT is therefore crucial for diagnosis, revealing key findings such as fecaloma, colonic&#13;
dilatation, and fat stranding. Treatment depends on severity of illness, ranging from manual disimpaction and other&#13;
conservative measures for most cases, to surgical intervention for complicated cases, such as stercoral perforation.&#13;
Conclusions SC can be a challenging diagnosis in the ED, often requiring multidisciplinary collaboration. Timely&#13;
recognition and appropriate treatment are essential to reduce morbidity and mortality associated with this condition.&#13;
Further research is needed to establish diagnostic criteria and clear management algorithms.</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="130967">
                <text>Emily Bae1*, Jacqueline Tran2 and Kaushal Shah2</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="130968">
                <text>https://doi.org/10.1186/s12245-023-00578-x</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="130969">
                <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="130970">
                <text>Peri Irawan</text>
              </elementText>
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          </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="130971">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130972">
                <text>english</text>
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            <description>The nature or genre of the resource</description>
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    <tagContainer>
      <tag tagId="15124">
        <name>Stercoral colitis, Constipation, Fecal impaction, CT imaging, Stercoral ulceration, Perforation</name>
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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>
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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>
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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="130974">
                <text>Ruptured abdominal aortic aneurysm discovered by pocket‐sized ultrasound in a low resource setting: a case report</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130975">
                <text>POCUS, Point-of-care ultrasound, Pocket-sized ultrasound, Ruptured abdominal aortic aneurism</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130976">
                <text>Background Abdominal aortic aneurysm (AAA) is a life-threatening condition characterized by the weakening&#13;
and dilation of the abdominal aorta. AAA primarily affects men, smokers, and the elderly, with rupture being a fatal&#13;
complication. While point-of-care ultrasound (POCUS) is valuable in diagnosing AAA, the role of using pocket-sized&#13;
ultrasound in a low resource setting remains less explored. This case report presents a unique instance of a suspected&#13;
ruptured AAA diagnosed using pocket-sized ultrasound in an emergency department (ED) situated in a low resource&#13;
setting where ultrasound machines are absent, and emergency physicians lack proficiency in ultrasound usage.&#13;
Case presentation A 78-year-old man with a history of hypertension and bladder cancer presented to the ED&#13;
with suprapubic pain. Initial evaluation showed no concerning findings. However, the next day, he collapsed, became&#13;
unconscious, and experienced a cardiac arrest. Despite resuscitation efforts, the patient’s condition deteriorated.&#13;
POCUS revealed an 8-cm dilated abdominal aorta with an intimal flap, indicative of a dissecting AAA and a substrate&#13;
for AAA rupture. Unfortunately, the patient died despite resuscitation efforts.&#13;
Conclusion This case highlights the importance of considering AAA in patients with risk factors and abdominal pain&#13;
in a low resource setting. POCUS using a pocket-sized ultrasound can aid in early AAA detection, potentially prevent‐&#13;
ing rupture through preemptive vascular intervention. Emergency departments should prioritize ultrasound availabil‐&#13;
ity, and emergency physicians should be proficient in its use.&#13;
Keywords POCUS, Point-of-care ultrasound, Pocket-sized ultrasound, Ruptured abdominal aortic aneurism</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130977">
                <text>Ihab Alasasfeh1*, Rawan Abudawood1&#13;
&#13;
, Bayan E.Hwidi2 and Raghad Al‐Shami2</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="130978">
                <text>https://doi.org/10.1186/s12245-023-00579-w</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="130979">
                <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="130980">
                <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="130981">
                <text>pdf</text>
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            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130982">
                <text>english</text>
              </elementText>
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          </element>
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            <description>The nature or genre of the resource</description>
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              <elementText elementTextId="130983">
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    <tagContainer>
      <tag tagId="15125">
        <name>POCUS, Point-of-care ultrasound, Pocket-sized ultrasound, Ruptured abdominal aortic aneurism</name>
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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>
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          </elementContainer>
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      </elementSetContainer>
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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="130984">
                <text>The utility of the abdominal series in the emergency setting: a retrospective review</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130985">
                <text>Abdominal radiology, Emergency radiology, Emergency medicine, Resource utilization</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="130986">
                <text>Purpose The abdominal series (AXR) remains a frequently ordered test in the emergency department (ED),&#13;
despite existing literature questioning its utility. The aim of this study was to characterize the use of the AXR in the ED&#13;
by quantifying how often it is ordered and the frequency of subsequent imaging. Additionally, a time estimate&#13;
in ED associated with the AXR was quantified. We hypothesized that there would be a low clinical utility of the AXR,&#13;
and long associated time period spent in the ED.&#13;
Methods A retrospective audit of AXRs performed in the ED from January to December 2019 was performed.&#13;
The local picture archiving and communication system (PACS) and electronic medical record were used to collect&#13;
the variables.&#13;
Results Of 701 AXRs, 438 (62.4%) were reported normal, and 263 (37.6%) were abnormal. A Chi Squared test&#13;
showed that the two variables (abdominal series result and follow up imaging completion) were significantly related,&#13;
with p&lt;0.001. However, the effect size was small (Nagelkerke R square=0.022). The average time spent in the ED&#13;
for these patients was 7.27 h, and the average time between the AXR being ordered and interpreted was 1.31 h.&#13;
&#13;
Conclusion The majority of AXRs were reported as normal. Our results showed that AXR had a statistically signifi-&#13;
cant, but low clinically significant predictive ability on subsequent imaging ordering. This supports our hypothesis&#13;
&#13;
that the AXR is of low clinical utility with respect to the rate of ordering follow up imaging. The AXR also translated&#13;
to a quantifiable time interval during the patient’s stay in ED. Minimizing overuse of the AXR may result in a decrease&#13;
in patient duration in the ED.&#13;
Keywords Abdominal radiology, Emergency radiology, Emergency medicine, Resource utilization</text>
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Marcus Ong Eng Hock1,2,3 and Anantharaman Venkataraman1,3</text>
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