24 10 255 https://repository.horizon.ac.id/files/original/520c2b48fe88fc4245cc666e699adde7.pdf 6536cddca0933547b788580d74748383 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Evaluation of road traffic injuries in the post- pandemic era: a two-and-a-half-year review of clinical characteristics and outcomes at a major trauma center Subject The topic of the resource Road injury, Major trauma, Motor Vehicle crashes, After COVID-19, Post pandemic Description An account of the resource Abstract Background Road traffic crash-related injuries (RTCs) pose a significant public health challenge. In Saudi Arabia, a notable decline in RTC-related injuries was observed from 2016 to 2020 during the pre-pandemic era. However, the status and outcomes of RTCs following the pandemic remain largely unexplored. This study aimed to review the first two and a half years of characteristics and outcomes of RTCs in the post-pandemic era in Riyadh, Saudi Arabia. Method Data was obtained from the Saudi TraumA Registry– STAR during the pre-pandemic period from August 2017 to March 2020 and the post-pandemic period from July 2020 to December 2022. Data were collected on patient demographics, injury details, prehospital and in-hospital vital signs, and in-hospital outcomes. Logistic regression analysis was performed to examine the association between different variables and in-hospital mortality. Results A total of 6,577 patients sustained a road injury during the study period, pre-pandemic phase n=2,809 (42.8%) and post-pandemic phase n=3,768 (57.2%). An increase in trauma cases by 14.4% was seen in the post- pandemic period (motor vehicle drivers 10.1%, motor vehicle passengers 1.9%, motorcycles 1.3%, and pedestrians 1.2%, p<0.001). In the post-pandemic period, there was an increase in head injuries by 3.3% (p=0.013), lower extremity injuries by 3.1% (p=0.003), and injuries to the upper extremity by 1.3% (p=0.018). There was a notable increase in the proportion of cases requiring intensive care unit admission by 5.6% (p=0.001) in the post-pandemic period. In-hospital mortality was 278 (4.2%), pre-pandemic 113 cases (1.7%), and post-pandemic 165 cases (2.5%), p=0.478. Conclusion This study revealed a shift in the distribution of cases across age groups, mechanism of injury, injury severity, and outcomes, with notable changes in percentages and varying degrees of increases in cases after the pandemic. It is worth investing in increasing road traffic safety and reducing injuries to minimise the burden of RTC- related injuries in Saudi Arabia. Keywords Road injury, Major trauma, Motor Vehicle crashes, After COVID-19, Post pandemic Creator An entity primarily responsible for making the resource Rayan Jafnan Alharbi1*, Ateeq Almuwallad1 , Ahmed Al-Wathinani2 , Abdulrhman Alghamdi3 , Elsie Maguen1 and Sharfuddin Chowdhury4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00817-3 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Road injury, Major trauma, Motor Vehicle crashes, After COVID-19, Post pandemic https://repository.horizon.ac.id/files/original/ba37407b151594d26b99695463300b97.pdf f998f87c8dfb7084c7827754415ea035 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Under the coconut palm – a retrospective analysis of trauma incidents caused by falling coconuts presenting to emergency department at a tertiary care centre in coastal India Subject The topic of the resource Falling coconuts, Coconut fall-related trauma, Coconut falls, Coastal India, Emergency medicine Description An account of the resource Background Injuries due to falling coconuts are a common yet underreported form of trauma in the tropical regions. Although these might appear insignificant at first glance, the physical forces involved are potentially fatal. Despite their global prevalence, research on this subject remains scarce, making it a neglected public health concern. This study seeks to bridge these gaps by analysing the affected demographics, contributing factors and injury patterns. By enhancing the understanding of coconut fall-related injuries, this research seeks to create awareness about dangers of falling coconuts and inform the development of effective public health strategies to mitigate their impact. Methods A retrospective study was conducted over a period of 3 years from January 2021 to December 2023 at a tertiary care centre on the southern coast of India. Patients who presented to emergency with coconut-fall related injuries were identified through a comprehensive review of nursing ledgers. Additional data including imaging, consultations & treatment details were retrieved from patient files and electronic medical records. Descriptive statistics of the recorded data like demographic variables, time of injury, injury patterns, injury severity score (ISS) and ED disposition were analysed by using Microsoft Excel 365. Results The study population included 17 males and 12 females. Most patients were within the age group of 40–60, which comprised 48% of the total participants. The months of September and October reported the highest frequency of cases. Out of the 29 patients, 14 were farm workers who sustained coconut fall-related injuries. Injury patterns varied from mild soft tissue injuries to severe TBIs which include SDH and SAH. There were 3 patients who required surgery, and 7 patients were admitted. There were no fatalities reported, and average hospital stay was 4.5 days. Conclusion Coconut fall-related injuries in tropical regions is a significant but less recognised public health issue. Our study shows the necessity of seasonal preventive strategies, public awareness and safety measures for high-risk Creator An entity primarily responsible for making the resource A. Sai Deepak1 , Aaditya Katyal1*, Neeraja A Nair1 , Tanvee Walia2 and Rachana Bhat1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00816-4 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Falling coconuts, Coconut fall-related trauma, Coconut falls, Coastal India, Emergency medicine https://repository.horizon.ac.id/files/original/a7d8ca1bd02b1529fc16f7305a305300.pdf 30637823b80ab49c2a05069182992fb2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Oakland score to identify low-risk patients with lower gastrointestinal bleeding performs well among emergency department patients Subject The topic of the resource Lower gastrointestinal bleeding, Risk stratification, Emergency medicine Description An account of the resource Abstract Background The Oakland Score predicts risk of 30-day adverse events among hospitalized patients with lower gastrointestinal bleeding (LGIB) possibly identifying patients who may be safe for discharge. The Oakland Score has not been studied among emergency department (ED) patients with LGIB. The Oakland Score composite outcome includes re-bleeding, defined as additional blood transfusion requirements and/or a further decrease in hematocrit (Hct) >/= 20% after 24 h in clinical stability; red blood cell transfusion; therapeutic intervention to control bleeding, including surgery, mesenteric embolization, or endoscopic hemostasis; in-hospital death, all cause; and re-admission with further LGIB within 28 days. Prediction variables include age, sex, previous LGIB admission, systolic blood pressure, heart rate, and hemoglobin concentration, and scores range from 0 to 35 points, with higher scores indicating greater risk. Methods Retrospective cohort study of adult (≥18 years old) patients with a primary ED diagnosis of LGIB across 21 EDs from March 1st, 2018, through March 1st, 2020. We excluded patients who were more likely to have upper gastrointestinal bleeding (esophago-gastroduodenoscopy without LGIB evaluation), patients who left against medical advice or prior to ED provider evaluation, ED patients without active health plan membership, and patients with incomplete Oakland Score variables. We assessed predictive accuracy by reporting the area under the receiver operator curve (AUROC) and sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios at multiple clinically relevant thresholds. Results We identified 8,283 patients with LGIB, 52% were female, mean age was 68, 49% were non-White, and 27% had an adverse event. The AUROC for predicting an adverse event was 0.85 (95% CI 0.84–0.86). There were 1,358 patients with an Oakland Score of </=8; 4.9% had an adverse event, and sensitivity of the Oakland Score at this threshold was 97% (95% CI 96%−98%). Creator An entity primarily responsible for making the resource Daniel D. DiLena1*, Sean C. Bouvet2 , Madeline J. Somers1 , Maqdooda A. Merchant1 , Theodore R. Levin1,3, Adina S. Rauchwerger1 and Dana R. Sax1,4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00815-5 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Lower gastrointestinal bleeding, Risk stratification, Emergency medicine https://repository.horizon.ac.id/files/original/c50f2a515c7a05004cd2148c4edf3ec5.pdf 30637823b80ab49c2a05069182992fb2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Oakland score to identify low-risk patients with lower gastrointestinal bleeding performs well among emergency department patients Subject The topic of the resource Lower gastrointestinal bleeding, Risk stratification, Emergency medicine Description An account of the resource Abstract Background The Oakland Score predicts risk of 30-day adverse events among hospitalized patients with lower gastrointestinal bleeding (LGIB) possibly identifying patients who may be safe for discharge. The Oakland Score has not been studied among emergency department (ED) patients with LGIB. The Oakland Score composite outcome includes re-bleeding, defined as additional blood transfusion requirements and/or a further decrease in hematocrit (Hct) >/= 20% after 24 h in clinical stability; red blood cell transfusion; therapeutic intervention to control bleeding, including surgery, mesenteric embolization, or endoscopic hemostasis; in-hospital death, all cause; and re-admission with further LGIB within 28 days. Prediction variables include age, sex, previous LGIB admission, systolic blood pressure, heart rate, and hemoglobin concentration, and scores range from 0 to 35 points, with higher scores indicating greater risk. Methods Retrospective cohort study of adult (≥18 years old) patients with a primary ED diagnosis of LGIB across 21 EDs from March 1st, 2018, through March 1st, 2020. We excluded patients who were more likely to have upper gastrointestinal bleeding (esophago-gastroduodenoscopy without LGIB evaluation), patients who left against medical advice or prior to ED provider evaluation, ED patients without active health plan membership, and patients with incomplete Oakland Score variables. We assessed predictive accuracy by reporting the area under the receiver operator curve (AUROC) and sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios at multiple clinically relevant thresholds. Results We identified 8,283 patients with LGIB, 52% were female, mean age was 68, 49% were non-White, and 27% had an adverse event. The AUROC for predicting an adverse event was 0.85 (95% CI 0.84–0.86). There were 1,358 patients with an Oakland Score of </=8; 4.9% had an adverse event, and sensitivity of the Oakland Score at this threshold was 97% (95% CI 96%−98%). Creator An entity primarily responsible for making the resource Daniel D. DiLena1*, Sean C. Bouvet2 , Madeline J. Somers1 , Maqdooda A. Merchant1 , Theodore R. Levin1,3, Adina S. Rauchwerger1 and Dana R. Sax1,4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00815-5 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Lower gastrointestinal bleeding, Risk stratification, Emergency medicine https://repository.horizon.ac.id/files/original/066a6d20b2713bd22d22f929c8ae7f5d.pdf c915f5084332577badee59b4028c83d4 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A case of stroke as a unique sign of subclinical infective endocarditis by Abiotrophia defectiva: a case report Subject The topic of the resource Abiotrophia defectiva, Infective endocarditis, Valve replacement, Blood cultures, MALDI-TOF, Case report Description An account of the resource Abstract Purpose Here we describe a patient admitted for a stroke that was unexpectedly correlated with subclinical infective endocarditis attributable to a rarely opportunistic pathogen, Abiotrophia defectiva. Case report A 75-year-old man presented with a stroke. Transesophageal echocardiography suggested vegetation on all aortic valve cusps, despite the absence of clinical or laboratory signs of infection. Surprisingly, three sets of blood cultures collected without fever were positive for A. defectiva. Although the patient did not exhibit classic signs of infection during hospitalization, the severity of the valve condition necessitated replacement with a bioprosthesis. Conclusions This clinical case underscores the importance of investigating the infective origin of endocarditis, even in the absence of clinical or laboratory evidence. Physicians should maintain a high level of suspicion, especially in patients with highly suggestive anamnestic characteristics. Keywords Abiotrophia defectiva, Infective endocarditis, Valve replacement, Blood cultures, MALDI-TOF, Case report Creator An entity primarily responsible for making the resource Silvia Puxeddu1 , Valeria Virdis2 , Daniele Sacco2 , Mario Depau2*, Alessandro M. Atzei3 , Lorella Pisano4 , Marcello Di Rosa2 , Stefania Vacquer2 , Giorgio Accardi5 , Emiliano M. Cirio4 , Aldo Manzin1 , Cristiana Marinelli2 and Fabrizio Angius1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00814-6 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Abiotrophia defectiva, Infective endocarditis, Valve replacement, Blood cultures, MALDI-TOF, Case report https://repository.horizon.ac.id/files/original/51ecb592ca651ac52768fecaaaa64ab3.pdf d4b06d53a3d3ad817512969161165840 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Acute aortic dissection on CT: is D-dimer determination useful for a timely and correct diagnosis? A case report Subject The topic of the resource D-dimer, Thoracic Aorta Dissection, Chest Pains Description An account of the resource Abstract Background Chest pain is a common reason patients are admitted to the hospital. The most clinically significant cases are those in which the pain is due to an immediate life-threatening condition, such as acute aortic dissection (AAD). A prompt and correct diagnosis is crucial to patient survival. This case report of a patient who presented with chest pain confirms the appropriateness of urgent imaging tests e.g. POCUS when AAD is suspected in high-risk patients, regardless of the results of additional laboratory tests such as the D-dimer (DD) assay. Case report A 72-year-old female patient was brought by the emergency medical team to the emergency room due to fainting without loss of consciousness and severe chest pain. Owing to worsening hypotonia and recurrent chest pain, a thoracic computed tomography (CT scan) was performed and subsequently revealed aortic dissection within the ascending segment with bleeding into the pericardial sac. The results of previously ordered laboratory tests, including the DD assay, were unremarkable and were obtained only after the thoracic CT scan had been acquired. Despite prompt medical intervention, the patient died. Conclusion Vigilance is required when diagnosing chest pain in high-risk patients who are suspected of having AAD. The case presented in this report confirms the importance of a thorough history and physical examination as well as prompt diagnostic imaging e.g. POCUS or CT scan. Dedicated laboratory tests such as the DD assay, while often helpful, may fail to reveal remarkable abnormalities in time for medical intervention. Keywords D-dimer, Thoracic Aorta Dissection, Chest Pains Creator An entity primarily responsible for making the resource Alicja Stankiewicz1*, Beata Moczulska1 , Wiktoria Izdebska2 , Aleksandra Wińska3 and Leszek Gromadziński1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00811-9 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text D-dimer, Thoracic Aorta Dissection, Chest Pains https://repository.horizon.ac.id/files/original/90f968f570df4cee18685b2aa7bfb11f.pdf 29640abfaf4be6c934e93e2e8cf69dba Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Trends in psychiatric emergency visits: insights from France’s largest psychiatric emergency department Subject The topic of the resource Psychiatric emergencies, Emergency department, Psychiatric hospitalization, COVID-19, Psychiatric disorders Description An account of the resource Abstract Introduction Psychiatric emergency departments (EDs) in France have been under pressure from several factors, exacerbated by the COVID-19 pandemic. The pandemic led to an increase in psychiatric disorders, particularly anxi- ety and depression, with younger people and women being most affected. The aim of this study was to provide a comprehensive description of the trends in the number of visits to the largest psychiatric emergency department in France, with a particular focus on the period preceding and following the advent of COVID-19 pandemic. Methods This retrospective study analyzed data from 69,764 visits to the Centre Psychiatrique d’Orientation et d’Accueil (CPOA) in Paris from 2016 to 2023. Patient data, including demographics, reasons for visit, and diagnoses, were collected and analyzed to identify trends over this period. Results The study observed a 28.5% increase in ED visits from 2016 to 2023. The increase was primarily driven by mood and anxiety disorders, which showed increases of 38.6% and 75.4%, respectively. The average age of patients decreased, reflecting a younger population increasingly affected by psychiatric problems. Interestingly, despite the increase in ED visits, hospital admissions decreased by 11.9%, with a notable decrease in involuntary commitment. Discussion The findings highlight a paradox where increased psychiatric ED visits are not accompanied by an increase in hospital admissions. This suggests a shift toward outpatient care due to systemic factors, includ- ing reduced hospital bed availability and challenges in accessing timely outpatient services. This study underscores the need to strengthen outpatient mental health services to effectively manage the growing demand. Further research, especially multicenter studies, is recommended to validate these findings and inform policy changes. Keywords Psychiatric emergencies, Emergency department, Psychiatric hospitalization, COVID-19, Psychiatric disorders Creator An entity primarily responsible for making the resource Marine Ambar Akkaoui1,2*, David Barruel3 , Valérie Dauriac‐Le Masson3 , Raphael Gourevitch1 and Alexandra Pham‐Scottez1,4 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00810-w Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/6c3434772e346fbae9225457b37173cf.pdf 3c59d9dad6650432e2b77b0756cfc886 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Unusual presentation of a patient with partial anomalous pulmonary venous connections without a septal defect: a case report and literature review Subject The topic of the resource Case report, Congenital heart disease, Cardiac surgery, Pulmonary veins Description An account of the resource Abstract Introduction Partial anomalous pulmonary vein connections (PAPVC) are rare congenital abnormalities in which one or more pulmonary veins drain into the right atrium. This pathological condition may present in various ways, such as chest pain and dyspnea, or it may be diagnosed incidentally. Consequently, missed or late diagnoses are common, highlighting the importance of optimal diagnostic modalities. This study presents a case of PAPVC that remained undiagnosed despite two years of symptomatic evaluations. Case Presentation The patient was a 58-year-old woman who presented with chest pain and dyspnea, New York Heart Association Functional Class (NYHA FC) II, which had started 2 years before. She had been evaluated with a transthoracic echocardiogram, coronary angiography, and chest imaging, none of which resulted in a diagnosis or effective treatment. After being referred for evaluation by a cardiac imaging specialist, the diagnosis of PAPVC was revealed. The patient underwent corrective surgery, resulting in complete recovery and symptom improvement. Post-surgical cardiac overload caused pleural effusion and dyspnea, which were managed with diuretics. Four- and six-month follow-ups showed no abnormal findings on examination and imaging, and the patient reported no new complaints. Conclusion The findings in this structural cardiac abnormality are nonspecific and can be missed, and misdiagnosis is relatively common. However, patients with symptoms such as chest pain, dyspnea, increased pulmonary artery pressure, and right ventricle dilation should undergo surgical treatment to avoid more serious complications, such as heart failure. Key clinical point Detection of PAPVC is not straightforward in many cases and often requires evaluation with various imaging techniques for accurate diagnosis. Therefore, physicians encountering undefined causes of chest pain or dyspnea should consider multiple imaging modalities. Follow-up is also important, as certain groups of patients may require surgical treatment to prevent complications. Creator An entity primarily responsible for making the resource Pouya Ebrahimi1 , Mohammad Hossein Mandegar2 , Mehrdad Jafari Fesharaki3 , Negar Ghasemloo4 , Pedram Ramezani1 , Tooba Akbari3,6* and Fatemeh Naderi5 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-00809-3 Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource englsih Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/21bc1324fbc33519a0d16b4707084dfa.pdf 0cabfa0bf75def73d27f76c906d98e02 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Traumatic head injuries in children: demographics, injury patterns, and outcomes in Saudi Arabia Subject The topic of the resource Children head injury, Trauma, Mortality, Public health Description An account of the resource Abstract Background Traumatic head injuries (THIs) are among the leading cause of mortality and intensive care unit (ICU) admission in children worldwide. Most of the published literature concerning THIs arises predominantly from North America and Europe. However, only limited data about the incidence, characteristics and impact on children in Saudi Arabia exists. Methods We conducted a retrospective analysis of THIs in children (≤18 years of age) using data from the Saudi TraumA Registry (STAR) from August 2017 to December 2022. Data included patient demographic characteristics, the mechanism, type and severity of injury. We used multivariable logistic regression to assess the association between outcomes and clinical factors. Results We identified 466 children with THI. Most children were over six years of age (69.5%) and male (76.6%). Motor vehicle crashes (MVCs) were the most common cause of THIs (51.9%), with falls being more common in infants (69.8%). Over half of the children required ICU admission. Children with higher injury severity score, heart rate at presentation to the ED, hospital stay duration, respiratory assistance and need for surgery were more likely to require ICU admission. The overall mortality rate was 7.7%, with schoolchildren (age: 6–12 years) having the highest mortality rate (10.8%). Higher rates of ICU admission were associated with increases in the injury severity score (ISS), hospital stay duration, respiratory assistance and the need for surgery. Conclusions Children in the 6–12 year age-group had the highest mortality rate, reflecting high injury severities associated with increased ICU admissions. These findings highlight the importance of targeting preventive measures for MVCs in older children and improving trauma care for severe cases. Clinical trial number Not applicable. Keywords Children head injury, Trauma, Mortality, Public health Creator An entity primarily responsible for making the resource Hussin Albargi1*, Rayan Jafnan Alharbi1 , Ateeq Almuwallad1 , Naif Harthi1 , Yahya Khormi2,3, Hari Krishnan Kanthimathinathan4 and Sharfuddin Chowdhury5,6 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00808-w Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Children head injury, Trauma, Mortality, Public health https://repository.horizon.ac.id/files/original/6653079abd14d136a78394183a190e5a.pdf 3e7fc01f94d0b1e75cfcf03cad7b82a9 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 18 Issue 1 2025 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Early diagnosis and treatment of Ramsay Hunt syndrome: a case report Subject The topic of the resource Ramsay Hunt syndrome, Peripheral facial palsy, Herpes zoster oticus, Geniculate ganglion reactivation Description An account of the resource Abstract Background Ramsay Hunt syndrome (RHS), a rare complication of varicella-zoster virus (VZV) reactivation, presents with ipsilateral facial paralysis, ear pain, and vesicular rash. Early recognition is crucial for prompt treatment and optimal outcomes. Case presentation We report a case of a 67-year-old woman with RHS who presented with right-sided facial palsy, severe ear pain, and fluid-filled blisters. Prompt diagnosis and initiation of antiviral and glucocorticoid therapy led to significant symptom improvement. Conclusions Healthcare providers should consider RHS in patients with facial palsy, especially when accompanied by ear pain and vesicular rash, to facilitate early intervention and prevent long-term complications. Keywords Ramsay Hunt syndrome, Peripheral facial palsy, Herpes zoster oticus, Geniculate ganglion reactivation Creator An entity primarily responsible for making the resource Chen Yu1 , Haw-Yu Lee1 and Yen-Chia Chen1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-024-00807-x Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Ramsay Hunt syndrome, Peripheral facial palsy, Herpes zoster oticus, Geniculate ganglion reactivation