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                  <text>Volume 18 Issue 1 2025</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="135522">
                <text>Comprehensive management evaluation&#13;
of anaphylactic shock in dental clinics across&#13;
developing countries</text>
              </elementText>
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          <element elementId="49">
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                <text>Anaphylactic shock, Developing countries, Management</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="135524">
                <text>Abstract&#13;
Anaphylaxis shock is defined as a sudden, severe allergic reaction that can be life-threatening and typically occurs&#13;
within minutes to a few hours following exposure to a triggering substance. While anaphylaxis shock can be a&#13;
rare side effect of dental treatments, including sedation and anesthesia, dentists must be prepared to respond&#13;
promptly and appropriately to prevent complications such as airway obstruction and cardiac issues. In developing&#13;
countries, managing anaphylactic shock presents challenges, often due to low awareness among dentists and&#13;
a lack of necessary equipment. Immediate diagnosis and management are crucial in a dental setting when&#13;
anaphylaxis shock occurs. Therefore, dental practitioners must be trained to diagnose and manage such situations&#13;
effectively. A lack of comprehensive understanding of allergy testing, diagnosis, and management can have serious&#13;
consequences.&#13;
Keywords Anaphylactic shock, Developing countries, Management</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135525">
                <text>Maryam Kazempour1&#13;
&#13;
, Fariba Shokri2&#13;
&#13;
and Mehdi Shokri3*</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="135526">
                <text>https://doi.org/10.1186/s12245-025-00840-4</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="135527">
                <text>2025</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="135528">
                <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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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="135530">
                <text>english</text>
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        <name>Anaphylactic shock, Developing countries, Management</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
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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="135512">
                <text>Predictors of pre-hospital delay among stroke patients in Yekatit-12 hospital Addis Ababa, Ethiopia: unmatched case-control study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135513">
                <text>Stroke, Hospital delay, Adult stroke, Cerebrovascular accident, Low resource setting</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Abstract&#13;
Background Timely detection and early medical interventions are critical in reducing complications and mortality&#13;
related to stroke. The duration from onset to hospital presentation is an essential factor in determining the outcome&#13;
of stroke treatment. The sooner a stroke patient receives medical attention, the better the chances of preventing&#13;
long-term complications. Pre-hospitalization delays can significantly decrease the chances of successful therapy and&#13;
recovery from stroke.&#13;
Objective The study aims to assess predictors of delayed hospital presentation after a stroke attack.&#13;
Method An unmatched case-control study was conducted from September 2021 to November 2023 at Yekatit 12&#13;
Hospital Medical College. Descriptive statistics were used to describe study variables. Bivariable and multivariable&#13;
logistic regression were used to identify the predictors of delay hospital presentation after stroke attack. All statistical&#13;
tests were run with a significance threshold of 5%.&#13;
Result A total of 83 cases (presenting after four hours) and 166 controls (presenting within four or fewer hours) of&#13;
an acute stroke patients were included in this study. The median duration of symptoms from the onset of stroke to&#13;
hospital arrival were 24 h (IQR, 12 h) and 2 h(IQR,1 h) for cases and controls respectively. The study found that age 60&#13;
or less (AOR 1.75, 95% CI 1–3.09, p&lt;0.05), living outside of Addis Ababa (AOR 3.55, 95% CI 1.33–9.46, p&lt;0.011), onset&#13;
of stroke happening at night (AOR 1.75, 95% CI 1.2–3.1, p&lt;0.05) and not having health insurance (AOR 0.43, 95% CI&#13;
0.23–0.8,p&lt;0.007) were identified as predicting factors of late presentation to hospital in stroke patients.&#13;
Conclusion This study highlights key predictors of delayed hospital presentation in stroke patients. Specifically, age,&#13;
place of residence, health insurance, and stroke onset time were significantly influence the timeliness of seeking&#13;
medical care. Recognizing and addressing the predicting factors can improve the health care treatment outcome and&#13;
help to design targeted health policies that reduce barriers to timely presentation of stroke patients.&#13;
Keywords Stroke, Hospital delay, Adult stroke, Cerebrovascular accident, Low resource setting</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135515">
                <text>Biniyam Tedla Mamo1* , Dawit Bekele Tefera1 , Makida Girma Altaye2&#13;
&#13;
, Ferehiwot Gebrehiwot Geram3&#13;
,&#13;
&#13;
Anteneh Mitiku Dano4&#13;
&#13;
, Yeteshaw Bekele Sana5&#13;
&#13;
, Feven Sahle Gebre6&#13;
&#13;
and Zelalem Tazu Bonger1,7</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="135516">
                <text>https://doi.org/10.1186/s12245-025-00839-x</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="135517">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135518">
                <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="135519">
                <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="135520">
                <text>english</text>
              </elementText>
            </elementTextContainer>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135521">
                <text>pdf</text>
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    <tagContainer>
      <tag tagId="15530">
        <name>Stroke, Hospital delay, Adult stroke, Cerebrovascular accident, Low resource setting</name>
      </tag>
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  <item itemId="12681" 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="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <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="135490">
                <text>Impaired consciousness due to hypermagnesemia associated with stercoral&#13;
colitis: report of a rare case</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135491">
                <text>Colitis, Constipation, Hypermagnesemia, Impaired consciousness, Intestinal dysfunction, Magnesium&#13;
containing cathartics, Obstructive colitis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135492">
                <text>Abstract&#13;
Background Hypermagnesemia is a rare electrolyte abnormality that is difficult to diagnose because its symptoms&#13;
are nonspecific. In addition to magnesium administration, renal dysfunction is often a major risk factor associated with&#13;
the condition; severe intestinal dysfunction is also a known risk factor. However, no cases of hypermagnesemia were&#13;
observed in the absence of magnesium administration.&#13;
Case presentation A 75-year-old woman with cognitive impairment presented to the emergency department&#13;
with impaired consciousness. The patient was comatose and hypotensive and had a markedly distended abdomen.&#13;
Her blood pressure was stabilized with infusion; however, the improvement in consciousness was insufficient&#13;
and somnolence continued. Abdominal computed tomography revealed marked colonic distension due to fecal&#13;
impaction in the rectum, with wall thickening and pericolonic fat stranding. Blood tests revealed elevated levels of&#13;
C-reactive protein (10.2 mg/dL), lactate (6.04 mmol/L), and magnesium (5.9 mg/dL). There was no history of ingestion&#13;
of magnesium-containing preparations; thus, the patient was diagnosed with hypermagnesemia associated with&#13;
stercoral colitis. Magnesium levels and consciousness improved with the administration of calcium preparations,&#13;
diuretics, antibiotics, and defecation control.&#13;
Conclusions Severe bowel dysfunction can cause hypermagnesemia, even in the absence of magnesium&#13;
administration.&#13;
Keywords Colitis, Constipation, Hypermagnesemia, Impaired consciousness, Intestinal dysfunction, Magnesium&#13;
containing cathartics, Obstructive colitis</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="135493">
                <text>Kana Yanagisawa1&#13;
&#13;
, Daisuke Mizu1*, Hidenori Higashi1&#13;
&#13;
, Masataka Miyamoto1&#13;
&#13;
and Mika Nagatomo1</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="135494">
                <text>https://doi.org/10.1186/s12245-025-00838-y</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="135495">
                <text>2025</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="135496">
                <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="135497">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135498">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135499">
                <text>text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
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    <tagContainer>
      <tag tagId="15526">
        <name>Colitis, Constipation, Hypermagnesemia, Impaired consciousness, Intestinal dysfunction, Magnesium containing cathartics, Obstructive colitis</name>
      </tag>
    </tagContainer>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
        </elementSet>
      </elementSetContainer>
    </collection>
    <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="135381">
                <text>Hepatic portal venous gas associated with ischemic colitis: a case report</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135382">
                <text>Hepatic portal venous gas, Colon ulcers, Case reports</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135383">
                <text>Abstract&#13;
Background Cases of Hepatic portal venous gas (HPVG) have been associated with high mortality rates and&#13;
frequently require emergency exploratory laparotomy. However, the widespread utilization of computed tomography&#13;
(CT) scans has revealed that HPVG is often connected to benign conditions, as demonstrated by numerous studies.&#13;
Given the intricate nature of the underlying causes of HPVG, there remains a lack of consensus regarding the necessity&#13;
of emergency surgical exploration for patients with HPVG.&#13;
Case Report An octogenarian female patient was admitted to the emergency department due to abdominal pain,&#13;
accompanied by symptoms of nausea and vomiting. A CT scan of the abdomen and pelvis revealed a significant&#13;
presence of radiolucency in the peripheral branching of the liver, indicating the existence of portal venous&#13;
gas. Subsequently, the patient was transferred to the Emergency Intensive Care Unit for further management.&#13;
Colonoscopy of the patient reveals features consistent with ischemic colitis, characterized by mucosal congestion,&#13;
edema, erosion, ulcers, with some ulcers covered by pseudomembranes. After undergoing a series of conservative&#13;
treatments, the patient’s condition improved, as confirmed by a follow-up CT scan of the abdomen and pelvis&#13;
conducted 8 days later, which showed complete absorption of the gas. Consequently, the patient was discharged&#13;
from the hospital.&#13;
Conclusions The management of HPVG should take into account the pathophysiology and clinical manifestation,&#13;
and should be tailored towards addressing the root cause. The selection of surgical or conservative intervention&#13;
should be guided by the underlying etiology, while the prognosis and outcome of HPVG are contingent upon the&#13;
underlying cause.&#13;
Keywords Hepatic portal venous gas, Colon ulcers, Case reports</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="135384">
                <text>Lian Lin1&#13;
, Qianqian Zhou1&#13;
&#13;
, Junlong Gao1&#13;
&#13;
and Hong Zhang1*</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="135385">
                <text>https://doi.org/10.1186/s12245-025-00837-z</text>
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            </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="135386">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135387">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
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            <description>A language of the resource</description>
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                <text>english</text>
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      <tag tagId="15522">
        <name>Hepatic portal venous gas, Colon ulcers, Case reports</name>
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                  <text>Volume 18 Issue 1 2025</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="135371">
                <text>Primary subdural lymphoma mimicking chronic subdural hematoma: a case reportand a narrative review of some recent similarcases in the literature</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
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              <elementText elementTextId="135372">
                <text>Primary subdural lymphoma, Chronic subdural hematoma, Diagnosis, Treatment</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135373">
                <text>Abstract&#13;
Background Chronic subdural hematoma (CSDH) is a common condition in elderly patients, typically diagnosed&#13;
through neuroimaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI).&#13;
Cases of subdural lymphoma mimicking chronic subdural hematoma are exceedingly rare and present significant&#13;
diagnostic challenges for emergency physicians.&#13;
Case presentation A 71-year-old female patient with subdural lymphoma was initially diagnosed with CSDH based&#13;
on her medical history, clinical presentation, and neuroimaging findings. However, postoperative pathology revealed&#13;
diffuse subdural lymphoma. Although the patient’s symptoms initially improved following standard lymphoma&#13;
treatment, the disease recurred within 14 months of follow-up. The patient ultimately succumbed to malignant&#13;
intracranial hypertension 15 months after discharge.&#13;
Conclusions This article discusses the neuroimaging findings, histological features, and treatment strategies of&#13;
this case, while reviewing the limited number of similar cases reported since 2000. Based on the diagnostic and&#13;
therapeutic experience of this case, it is recommended that when a patient’s clinical presentation deviates from&#13;
that of typical chronic subdural hematoma, supplementary MRI with diffusion-weighted imaging (DWI) should be&#13;
considered to aid in differential diagnosis.&#13;
Keywords Primary subdural lymphoma, Chronic subdural hematoma, Diagnosis, Treatment</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="135374">
                <text>Yibo Han1,2†, Bin Chen1,3†, Meiyu Zeng5†, Dong Liang1,4, Yibao Wang1&#13;
&#13;
and Yong Wang1*</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="135375">
                <text>https://doi.org/10.1186/s12245-025-00836-0</text>
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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>
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              <elementText elementTextId="135376">
                <text>2025</text>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135377">
                <text>Peri Irawan</text>
              </elementText>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135379">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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      <tag tagId="15521">
        <name>Primary subdural lymphoma, Chronic subdural hematoma, Diagnosis, Treatment</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
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          </elementContainer>
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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="135361">
                <text>Aspirin increases the risk of acute kidney injury in critical patients with chest trauma: a retrospective cohort study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135362">
                <text>NSAIDs, Chest trauma, AKI, Aspirin, Ibuprofen, Ketorolac</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135363">
                <text>Abstract&#13;
Purpose Non-steroidal anti-inflammatory drugs (NSAIDs) are increasingly utilized in trauma patients, particularly&#13;
those with critical chest trauma who are susceptible to significant blood loss, leading to renal hypoperfusion. Acute&#13;
kidney injury (AKI) is known to carry a poor prognosis in chest trauma patients. Therefore, investigating the potential&#13;
association between NSAID use and AKI risk in critical patients with chest trauma is crucial.&#13;
Methods We selected patients admitted to the intensive care unit (ICU) with chest trauma from the Medical&#13;
Information Mart for Intensive Care III (MIMIC-III) dataset (2001–2012) and the Medical Information Mart for Intensive&#13;
Care IV (MIMIC-IV) dataset (2013–2019). Propensity score matching (PSM) was used to match patients receiving&#13;
NSAIDs with those not receiving treatment. Logistic regression was employed to assess the association between&#13;
different types of NSAIDs and AKI in these patients.&#13;
Results In MIMIC-IV, NSAID use significantly increased the risk of AKI in critical patients with chest trauma (OR 1.99;&#13;
95% CI 1.04 to 3.85). Subgroup analysis revealed that aspirin significantly increased AKI risk in both MIMIC-III (OR&#13;
1.81; 95% CI 1.02 to 3.2) and MIMIC-IV (OR 2.47; 95% CI 1.26 to 4.85). However, ibuprofen and ketorolac use were not&#13;
associated with AKI in these patients.&#13;
Conclusion We observed a significant association between aspirin use and an elevated risk of AKI in critical patients&#13;
with chest trauma. These findings suggest that pain management strategies involving ibuprofen and ketorolac may&#13;
be more appropriate for this patient population.&#13;
Keywords NSAIDs, Chest trauma, AKI, Aspirin, Ibuprofen, Ketorolac</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135364">
                <text>Yu Huang1† , Hongchun Xu1†, Feng Xiang1†, Wei Feng1&#13;
&#13;
, Yuchao Ma1* and Longyu Jin1*</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="135365">
                <text>https://doi.org/10.1186/s12245-025-00835-1</text>
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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="135366">
                <text>2025</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="135367">
                <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="135368">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135369">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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      <tag tagId="15520">
        <name>NSAIDs, Chest trauma, AKI, Aspirin, Ibuprofen, Ketorolac</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
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          </elementContainer>
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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="135351">
                <text>Pelvic extramedullary hematopoiesis with life‐threatening hemorrhage: a case report</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135352">
                <text>Extramedullary hematopoiesis, Thalassemia major, Pelvic mass, Chronic anemia, Blood transfusion, Splenic&#13;
artery embolization, Hemorrhagic shock</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135353">
                <text>Abstract&#13;
Background Thalassemia is an inherited blood disorder characterized by defective hemoglobin production, leading&#13;
&#13;
to chronic anemia and the necessity for lifelong blood transfusions. Extramedullary hematopoiesis is a compensa-&#13;
tory mechanism in which blood-producing tissue forms outside the bone marrow. The occurrence of extramedul-&#13;
lary hematopoiesis as a pelvic mass is rare.&#13;
&#13;
Case Presentation We report the case of a 44-year-old woman with β-thalassemia major who was found to have&#13;
&#13;
a pelvic fat-containing mass incidentally on imaging. A diagnostic laparotomy revealed a highly vascular mass. Com-&#13;
plete resection was not feasible due to significant hemorrhage, necessitating postoperative embolization for hemo-&#13;
stasis. Histopathological examination confirmed the diagnosis of extramedullary hematopoiesis. Postoperatively,&#13;
&#13;
the patient developed severe anemia, requiring frequent transfusions. To reduce transfusion dependency, splenic&#13;
artery embolization was performed.&#13;
Conclusion This case underscores the rare presentation of extramedullary hematopoiesis as a pelvic mass. Accurate&#13;
&#13;
diagnosis is critical, as surgical removal can result in severe hemorrhage and worsening anemia. Splenic artery emboli-&#13;
zation provides a valuable therapeutic approach to managing transfusion burden in such cases.&#13;
&#13;
Keywords Extramedullary hematopoiesis, Thalassemia major, Pelvic mass, Chronic anemia, Blood transfusion, Splenic&#13;
artery embolization, Hemorrhagic shock</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135354">
                <text>Zainab Habbash1†, Ali Hassan1*† , Sawsan Kadhem1&#13;
&#13;
, Nawra Mujbel1 and Mahdi Aljawad2</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="135355">
                <text>https://doi.org/10.1186/s12245-025-00834-2</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="135356">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135357">
                <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="135358">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135359">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <description>The nature or genre of the resource</description>
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    <tagContainer>
      <tag tagId="15519">
        <name>Extramedullary hematopoiesis</name>
      </tag>
    </tagContainer>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
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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="135330">
                <text>The status of emergency medicine in the state of Kuwait</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135331">
                <text>State of Kuwait, Emergency medicine, Emergency care</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135332">
                <text>Abstract&#13;
Background and Objective of the review There is limited literature on the emergency medicine (EM) specialty&#13;
in Kuwait, and this paper evaluated the development status of the specialty under Arnold’s classification.&#13;
Discussion In Kuwait, the EM specialty is recognized with an existing professional society and structured residency&#13;
&#13;
training program with post post-board-certification exam. The emergency departments are directed by board-&#13;
certified emergency physicians with existing emergency medical services and transfer systems. However, there is still&#13;
&#13;
a huge demand for trained emergency physicians and a further need to advance the existing trauma system. The aca-&#13;
demic EM in the country needs further progress in research and developing a specialty journal, databases, and sub-&#13;
specialty training. The management systems within the emergency departments are well developed.&#13;
&#13;
Conclusion The EM status is its way to reaching maturity if we overcome a few deficits and challenges in the sys-&#13;
tem. Lastly, two great achievements were made through the establishment of‘the Kuwait Poison Control Center’&#13;
&#13;
and the simulation training in EM.&#13;
Keywords State of Kuwait, Emergency medicine, Emergency care</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135333">
                <text>Feras Husain Abuzeyad1*, Abdulaziz Alburaidi1&#13;
&#13;
, Hanan H. AlRazzuqi1&#13;
&#13;
, Fatema M. Alkandari2,3,&#13;
&#13;
Leena Alqasem4 and Sara Ahmad Al Qabandy5</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="135334">
                <text>https://doi.org/10.1186/s12245-025-00833-3</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="135335">
                <text>2025</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="135336">
                <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>
            <elementTextContainer>
              <elementText elementTextId="135337">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135338">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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    <tagContainer>
      <tag tagId="15518">
        <name>State of Kuwait, Emergency medicine, Emergency care</name>
      </tag>
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                  <text>Volume 18 Issue 1 2025</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="135320">
                <text>Severe hypertension after atropine administration a case report:</text>
              </elementText>
            </elementTextContainer>
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            <name>Subject</name>
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                <text>Atropine, Case report, Hypertension</text>
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            <description>An account of the resource</description>
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                <text>Abstract Atropine, a cholinergic receptor antagonist, counteracts the parasympathetic nervous system’s inhibitory&#13;
effects on the sinus node, thereby increasing heart rate. It is frequently used to manage atrioventricular block,&#13;
organophosphate and beta-blocker poisoning, and sinus bradycardia. This case report highlights a rare instance&#13;
of hypertensive urgency induced by atropine administration, emphasizing the clinical significance of this adverse&#13;
effect. We present a case report involving a 48-year-old male patient scheduled for right inguinal hernia surgery. The&#13;
patient was administered atropine prior to the procedure and subsequently experienced severe hypertension and&#13;
a headache, which were treated with labetalol. After 24 h of monitoring, the patient was discharged without further&#13;
complications. Documenting such cases is crucial for enhancing our understanding of atropine’s safety profile and&#13;
refining management strategies to mitigate associated risks.&#13;
Clinical trial number Not applicable.&#13;
Keywords Atropine, Case report, Hypertension</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135323">
                <text>Sara Timerga1* and Aynalem Befkadu1</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="135324">
                <text>https://doi.org/10.1186/s12245-025-00832-4</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="135325">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135326">
                <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="135327">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135328">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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      <tag tagId="15517">
        <name>Atropine, Case report, Hypertension</name>
      </tag>
    </tagContainer>
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        <src>https://repository.horizon.ac.id/files/original/2f91372e9e5fe2fe6dd1d4754bd7de0f.pdf</src>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
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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>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135299">
                <text>Characterizing stroke presenting to a regional referral hospital before and during the COVID-19 pandemic in Uganda: a retrospective analysis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
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              <elementText elementTextId="135300">
                <text>Stroke, Sub-saharan Africa, COVID-19, Pandemic, Uganda</text>
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            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135301">
                <text>Abstract&#13;
&#13;
Introduction Stroke, a leading cause of global morbidity and mortality, disproportionately impacts low and middle-&#13;
income countries, particularly in sub-Saharan Africa (SSA) which reports the highest stroke burden. The COVID-19&#13;
&#13;
pandemic further complicated this situation, emerging as a significant stroke risk factor. The pandemic also disrupted&#13;
healthcare systems worldwide, affecting stroke management and care accessibility, and leading to deteriorated&#13;
conditions in stroke patients upon hospital admission. In this pre/during COVID-19 pandemic analysis of acute stroke&#13;
cases presenting to a Ugandan hospital, we investigated the relationship between stroke admissions, management&#13;
and treatment outcomes.&#13;
Methods This was a retrospective medical record review in which we analyzed medical charts of stroke patients&#13;
&#13;
admitted to Mbarara Regional Referral Hospital in 2019 (pre-COVID-19) and 2020 (during COVID-19). Socio-&#13;
demographic data, stroke subtypes, medical history, and physical examination findings were extracted from the&#13;
&#13;
hospital records. Data analysis was performed using R-Studio, employing descriptive statistics and inferential analyses&#13;
to compare stroke characteristics and outcomes across the two periods.&#13;
Results Data from 175 stroke patients was analyzed, with higher admission numbers in 2020 (69.7%), but a slightly&#13;
higher mortality rate in 2019 as compared to 2020 (22.6% versus 18.9%, p=0.711). A significant increase in acute&#13;
ischemic stroke cases was observed in 2020, with no significant differences in stroke severity or functional ability&#13;
between the two years. Clinical parameters such as admission oxygen saturation, blood sugar, temperature, and&#13;
Glasgow Coma Scale (GCS) score, along with complications like aspiration pneumonia and infections, correlated with&#13;
mortality. There was no significant difference in survival probability between pre- and during-pandemic periods.&#13;
Admission GCS, pulse rate, and aspiration pneumonia were significant predictors of 14-day in-hospital mortality.&#13;
Conclusions The surge in acute ischemic stroke cases during the pandemic highlights the need for robust stroke&#13;
care systems, especially in high-burden regions like SSA. Some key predictors of mortality are potentially modifiable,</text>
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              <elementText elementTextId="135302">
                <text>Josephine Nambi Najjuma1&#13;
&#13;
, Timothy Mwanje Kintu1*, Jane Nakibuuka2&#13;
&#13;
, Mark Kaddumukasa2&#13;
&#13;
, Scovia N. Mbalinda4&#13;
,&#13;
&#13;
Martin Kaddumukasa2&#13;
&#13;
, Christopher Burant5&#13;
&#13;
, Shirley Moore5&#13;
&#13;
, Martha Sajatovic3&#13;
&#13;
and Edwin Nuwagira1</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="135303">
                <text>https://doi.org/10.1186/s12245-025-00830-6</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="135304">
                <text>2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135305">
                <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="135306">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="135307">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
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    <tagContainer>
      <tag tagId="15516">
        <name>Stroke, Sub-saharan Africa, COVID-19, Pandemic, Uganda</name>
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