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              <name>Title</name>
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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="137383">
                <text>Outcomes and drug-related admissions&#13;
of cardiovascular patients in the emergency&#13;
department at Tikur Anbessa Specialized&#13;
Hospital, Addis Ababa, Ethiopia</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137384">
                <text>Cardiovascular disease, Survival, Drug-related emergency admission, Drug-related problems</text>
              </elementText>
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            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="137385">
                <text>Abstract&#13;
Introduction Cardiovascular diseases (CVDs) are the leading cause of death globally, with a rising prevalence. The&#13;
increase in medications, recognized conditions, and polypharmacy has led to more drug-related problems and&#13;
emergency admissions among patients with CVD, negatively affecting healthcare outcomes and increasing morbidity&#13;
and mortality.&#13;
Objective This study aimed to assess outcomes of patients with CVD in the Emergency Department (ED) of&#13;
Tikur Anbessa Specialized Hospital (TASH), the frequency of drug-related admissions, and factors associated with&#13;
admissions and outcomes.&#13;
Methods This prospective observational study included all patients with cardiovascular disease who presented to&#13;
the Adult ED of TASH between September and December 2022, provided informed consent, and were taking at least&#13;
one medication for their cardiovascular condition. Admission outcomes and prevalence of drug-related emergency&#13;
admissions were calculated as percentages. Kaplan-Meier survival, Cox regression, and logistic regression analyses&#13;
were used to estimate ED survival, factors associated with survival, and factors related to drug-related emergency&#13;
admissions, respectively.&#13;
Results Among 401 patients with CVD admitted to the ED, 23% had drug-related emergency admissions (DREAs),&#13;
with non-adherence accounting for 58.4% of these cases. The overall ED mortality rate was 9.5%, with acute&#13;
decompensated heart failure (ADHF) being the leading cause of death. Smoking history, dilated cardiomyopathy,&#13;
gastrointestinal comorbidities, atrial fibrillation, and polypharmacy were significant predictors of early mortality.&#13;
The most common ED admission diagnoses were congestive heart failure/ADHF (37.4%) and hypertension (26.2%),&#13;
and diuretics, especially furosemide, were the most frequently prescribed medications. Additionally, polypharmacy,&#13;
smoking, younger age (&lt;18 years), longer disease duration, and marital status were significantly associated with a&#13;
higher risk of DREAs.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137386">
                <text>Hikma Husein1&#13;
&#13;
, Tamrat Assefa Tadesse1*, Alemu Belayneh1&#13;
&#13;
, Merahi Kefyalew2&#13;
&#13;
, Mesfin Ayalew Tsegaye3&#13;
,&#13;
&#13;
Elias Gashaw Endegnanew3&#13;
&#13;
, Matyas Wondwossen Elssa3&#13;
&#13;
and Eskinder Ayalew Sisay1</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="137387">
                <text>https://doi.org/10.1186/s12245-025-01029-5</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="137388">
                <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="137389">
                <text>Peri Irawan</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137391">
                <text>english</text>
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            <description>The nature or genre of the resource</description>
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      <tag tagId="15690">
        <name>Cardiovascular disease, Survival, Drug-related emergency admission, Drug-related problems</name>
      </tag>
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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="137373">
                <text>Emergency department point of care&#13;
ultrasound utility in diagnosing infective&#13;
endocarditis presenting as abdominal pain&#13;
with bilateral iliac occlusion</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137374">
                <text>Infective Endocarditis (IE) is a life threatening disease</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137375">
                <text>Abstract&#13;
Background Infective Endocarditis (IE) is a life threatening disease which is relatively rare especially in young healthy&#13;
adults, and patients can rapidly deteriorate due to valvular insufficiency; however diagnosis can be challenging in the&#13;
Emergency Department (ED).&#13;
Case presentation We present a case of a 37 year old male who attended the ED with fever, diarrhoea and&#13;
abdominal pain for one week. On arrival, he was febrile and tachycardic with right iliac fossa tenderness. Computed&#13;
Tomography scan of the Abdomen and Pelvis revealed splenic and left kidney infarcts with bilateral iliac artery&#13;
thrombi. Bedside Point Of Care Ultrasound (POCUS) showed a large Mitral Valve vegetation which supported the&#13;
diagnosis of infective endocarditis with septic emboli. The patient was given intravenous antibiotics, crystalloids&#13;
and antipyretics. He was urgently referred to Cardiology and Cardiothoracic surgeons for definitive surgical&#13;
management, and was subsequently intubated due to worsening hypoxia from acute valvular insufficiency&#13;
complicated by heart failure. The same night, he underwent emergency mitral valve replacement and embolectomy&#13;
of bilateral iliac arteries. Blood cultures grew Group B Streptococcus. During his stay, he developed multiple mycotic&#13;
pseudoaneurysms and a left insular cortex infarct as complications from the septic emboli.&#13;
Conclusions This patient had an atypical presentation of infective endocarditis in the ED, and bedside POCUS was&#13;
one of the keys to the diagnosis. Although infective endocarditis is rare, emergency physicians should be aware of the&#13;
diagnosis and its potential complications, and consider it in prolonged fever without a clear source. Bedside POCUS&#13;
can be a valuable first-line imaging tool in the ED to rule in the diagnosis of IE, and to look for complications as well&#13;
as indications for surgical intervention. Further research needs to be done to look at the sensitivity and specificity of&#13;
POCUS compared to routine Transthoracic Echocardiogram/ Transoesophageal Echocardiogram.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137376">
                <text>Elizabeth Ming Jing Tan1*, Yee Kent Liew2&#13;
&#13;
, Zhi-Yang Darren Low1&#13;
&#13;
, Helen Yuan Zhang1&#13;
&#13;
and Ivan Si Yong Chua1</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="137377">
                <text>https://doi.org/10.1186/s12245-025-01028-6</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="137378">
                <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="137379">
                <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="137380">
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          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137381">
                <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="15689">
        <name>Infective Endocarditis (IE) is a life threatening disease</name>
      </tag>
    </tagContainer>
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          <name>Dublin Core</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>
            </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="137363">
                <text>Developing a conceptual framework&#13;
to facilitate inter-organizational partnership&#13;
in disasters and public health emergencies</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137364">
                <text>Collaboration, Disaster, Emergency, Integration, Multiagency</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137365">
                <text>Abstract&#13;
Introduction Disasters and public health emergencies can overwhelm healthcare systems, requiring rapid increase&#13;
in capacity, inter-agency collaboration, and the quick deployment of emergency medical teams. An effective&#13;
response to these crises requires a structured approach that integrates multiple entities, including healthcare, military,&#13;
and community organizations. Current frameworks often lack structured methods for optimizing collaboration, which&#13;
can lead to redundancy and inefficiency. This study aims to address this gap by developing a conceptual framework&#13;
combining collaboration and integration theories to improve inter-organizational partnerships in emergency&#13;
management.&#13;
Methods To develop this framework, a comprehensive literature review was conducted identifying gaps in existing&#13;
theoretical models of integration and collaboration. We examined integration theory at five distinct levels: structural,&#13;
functional, normative, interpersonal, and process. Simultaneously, we explored collaboration theory, focusing on&#13;
socio-cognitive, intersubjectivity, and distributed cognition frameworks. The study then synthesized these theories&#13;
into a new, combined framework. This framework aligns integration components with key collaborative principles&#13;
such as shared decision-making, effective communication, and adaptability. To make this framework a practical tool,&#13;
we incorporated the CSCATTT model (Command and Control, Safety, Communication, Assessment, Triage, Treatment,&#13;
Transport). This model typically used in collaborative exercises, serves as a practical guide for implementing and&#13;
evaluating collaboration in real-world scenarios.&#13;
Results The proposed framework provides a structured approach for responding to disasters and public health&#13;
emergencies by identifying key points where integration and collaboration can effectively be combined. It&#13;
demonstrates that integration theory ensures system cohesion and operational efficiency, while collaboration theory&#13;
fosters adaptability and stakeholder engagement. By aligning these two theories, the framework facilitates more&#13;
effective multi-agency partnerships. The inclusion of the CSCATTT model enhances structured decision-making,&#13;
enabling coordinated and efficient action during emergencies.&#13;
Conclusion By integrating collaboration and integration theories, this study offers a robust model for enhancing&#13;
partnerships during disasters and public health emergencies. The proposed framework improves resource utilization,&#13;
inter-agency coordination, cooperation, and overall effectiveness of collaborative responses, all while maintaining</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="137366">
                <text>Jonas Zimmerman1,2*, Amir Khorram-Manesh1,2,3, Eric Carlström1,2,3, Yohan Robinson1,2 and Joakim Björås1,2</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="137367">
                <text>https://doi.org/10.1186/s12245-025-01027-7</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="137368">
                <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="137369">
                <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="137370">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137371">
                <text>english</text>
              </elementText>
            </elementTextContainer>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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                <text>text</text>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="15688">
        <name>Collaboration, Disaster, Emergency, Integration, Multiagency</name>
      </tag>
    </tagContainer>
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          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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      </elementSetContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137353">
                <text>Aniline-induced refractory&#13;
methemoglobinemia&#13;
in polytrauma: successful management&#13;
with erythrocytapheresis</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137354">
                <text>Methemoglobinemia, Tissue hypoxia, Erythrocytapheresis, Methylene blue, Aniline dyes, Polytrauma</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137355">
                <text>Abstract&#13;
Background Methemoglobinemia is a life-threatening condition characterized by the inability of hemoglobin to&#13;
transport oxygen efficiently. This case report describes acquired methemoglobinemia caused by exposure to aniline&#13;
dye, which was successfully treated with erythrocytapheresis following the insufficient effect of methylene blue.&#13;
Case presentation A 39-year-old male suffered multiple injuries, including burns and fractures, after falling into&#13;
a barrel containing aniline. On site, emergency medical services (EMS) intubated the patient, performed chest&#13;
decompression for pneumothorax, and decontaminated him before transferring him to a trauma centre. In the&#13;
emergency unit, imaging revealed multiple rib, scapula, and pelvic fractures, retroperitoneal bleeding, and 15% total&#13;
body surface area (TBS) burns. He was hemodynamically unstable, with metabolic acidosis, an oxygen saturation&#13;
gap, and an initial methemoglobin level (MetHb) of 19%. Despite methylene blue treatment, the MetHb levels rose&#13;
to undetectable levels (&gt;20%), and severe hemodynamic instability, refractory hypoxia, and metabolic derangement&#13;
required the use of erythrocytapheresis.&#13;
Conclusion Aniline exposure leads to the oxidation of ferrous iron (Fe2+) in hemoglobin to ferric iron (Fe3+),&#13;
resulting in methemoglobinemia and impaired oxygen delivery. While methylene blue remains the first-line&#13;
treatment, erythrocytapheresis proved effective in restoring tissue oxygenation in refractory methemoglobinemia&#13;
complicated by hemorrhagic and traumatic shock.&#13;
Keywords Methemoglobinemia, Tissue hypoxia, Erythrocytapheresis, Methylene blue, Aniline dyes, Polytrauma</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137356">
                <text>Karolína Lečbychová1,2, Marcela Káňová1,3*, Paula Dzurňáková1,2, Šárka Blahutová5&#13;
&#13;
, Tereza Romanová2,3,4 and&#13;
&#13;
Denis Buršík1,4,6</text>
              </elementText>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="137357">
                <text>https://doi.org/10.1186/s12245-025-01026-8</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="137358">
                <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="137359">
                <text>Peri Irawan</text>
              </elementText>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="137361">
                <text>english</text>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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                <text>text</text>
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          </element>
        </elementContainer>
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    <tagContainer>
      <tag tagId="15687">
        <name>Methemoglobinemia, Tissue hypoxia, Erythrocytapheresis, Methylene blue, Aniline dyes, Polytrauma</name>
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    </tagContainer>
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  <item itemId="12863" public="1" featured="1">
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="134588">
                  <text>Volume 18 Issue 1 2025</text>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137343">
                <text>An unusual triad: tuberculomas, tubercular&#13;
meningitis, and hydrosyringomyelia in a child&#13;
from a suburban region</text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137344">
                <text>Tuberculomas, Tubercular meningitis, Hydrosyringomyelia, Magnetic resonance imaging, Suburban region</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137345">
                <text>Abstract&#13;
Central nervous system (CNS) tuberculosis is a rare but serious manifestation of Mycobacterium tuberculosis&#13;
infection, especially in the paediatric population.&#13;
We report a rare case of an eight year old male child from a suburban region presenting with intracranial&#13;
tuberculomas, tubercular meningitis, and spinal hydrosyringomyelia (HSM). Magnetic Resonance Imaging (MRI)&#13;
revealed multiple brain tuberculomas, basal exudates, abnormal meningeal enhancement, spinal HSM with features&#13;
&#13;
of arachnoiditis. The patient was operated for removal of tuberculomas and placement of ventriculo-peritoneal (V-&#13;
P) shunt and responded well to antitubercular therapy and corticosteroids.&#13;
&#13;
Tuberculosis should be considered in the differential diagnosis in children presenting with unexplained&#13;
neurological symptoms in endemic regions. Early neuroimaging is critical in avoiding morbidity and permanent&#13;
neurological damage.&#13;
Keywords Tuberculomas, Tubercular meningitis, Hydrosyringomyelia, Magnetic resonance imaging, Suburban region</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137346">
                <text>Anand Hatgaonkar1* and Kajal Hatgaonkar2</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="137347">
                <text>https://doi.org/10.1186/s12245-025-01025-9</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="137348">
                <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="137349">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137350">
                <text>pdf</text>
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            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137351">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137352">
                <text>text</text>
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          </element>
        </elementContainer>
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    <tagContainer>
      <tag tagId="15686">
        <name>Tuberculomas, Tubercular meningitis, Hydrosyringomyelia, Magnetic resonance imaging, Suburban region</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12862" 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>
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          </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="137336">
                <text>Factors contributing to bleeding&#13;
and perforated peptic ulcers in Syria: findings&#13;
from a multicenter cohort study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137337">
                <text>Keywords Peptic‐ulcer, Bleeding, Perforation, Syria, Conflict‐zone, Epidemiology, Gastric, Duodenal</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137338">
                <text>Abstract&#13;
Background Peptic ulcer disease (PUD) is a common gastrointestinal disorder characterized by the formation of&#13;
open lesions in the stomach or duodenum, leading to potentially life-threatening complications such as bleeding,&#13;
perforation, and obstruction. Despite advances in understanding its pathophysiology and management, PUD&#13;
continues to present significant health challenges, particularly in conflict-affected regions like Syria. This study&#13;
investigates clinical presentation, demographic factors, and risk profiles associated with bleeding and perforated&#13;
&#13;
ulcers, aiming to contribute to evidence-based strategies for improving diagnosis and management in resource-&#13;
limited settings.&#13;
&#13;
Methods A multicenter cohort study was conducted across five major hospitals in Syria from 2018 to 2023, enrolling&#13;
242 patients diagnosed with bleeding or perforated ulcers. Demographic data, clinical histories, lifestyle factors, and&#13;
medical interventions were collected from hospital records. Statistical analyses, including Chi-square tests, t-tests, and&#13;
logistic regression, were performed to identify associations between ulcer types, demographic variables, and clinical&#13;
outcomes.&#13;
Results Significant demographic differences were found between patients with bleeding and perforated ulcers. The&#13;
bleeding group was older (mean age=60.4±18.7 years) compared to the perforation group (mean age=49.4±16.9&#13;
years), with rural residents more likely to experience bleeding ulcers (57.3%). Patients with a past history of peptic&#13;
ulcer disease, gastritis, or other upper‐GI disorders were more likely to develop perforated ulcers, while those with&#13;
multiple comorbidities were predisposed to bleeding ulcers. Lifestyle factors, such as occupation and smoking status,&#13;
also influence ulcer type, with retired individuals more likely to develop bleeding ulcers and heavy smokers more&#13;
often diagnosed with perforation. Clinical outcomes varied, with interventions predominantly consisting of open&#13;
surgeries for perforated ulcers and laparoscopic approaches for bleeding ulcers.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137339">
                <text>Jamal Ataya1* , Yaman Haj Hasan1† , Rawan Daboul2† , Hamdah Hanifa3 , Nour Bannoud4 ,&#13;
Nour Alhuda Abd Alnabi5&#13;
&#13;
, Masa Watfa6 , Mohammed Jomaa7&#13;
&#13;
, Hamoud Hamed8&#13;
&#13;
and Ahmad Alhaj9</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="137340">
                <text>https://doi.org/10.1186/s12245-025-01024-w</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137341">
                <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="137342">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="15685">
        <name>Keywords Peptic‐ulcer, Bleeding, Perforation, Syria, Conflict‐zone, Epidemiology, Gastric, Duodenal</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12861" public="1" featured="1">
    <fileContainer>
      <file fileId="12916">
        <src>https://repository.horizon.ac.id/files/original/6da9c346b4121d60f0e75988d983204b.pdf</src>
        <authentication>94a883fd205548da17c7b1e84d3921e7</authentication>
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        <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="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="137326">
                <text>Two simultaneous cases of exertional heat&#13;
stroke during a trail run in Guadeloupe&#13;
(French West Indies): exceptional&#13;
presentations or emerging trend?</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137327">
                <text>Heat stroke, Exercise, Tropical climate, Emergency, Multivisceral</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137328">
                <text>Abstract&#13;
Background Exertional heat stroke is a potentially fatal condition that can affect individuals performing intensive&#13;
physical activity, particularly in hot environments. We report two simultaneous cases of EHS that occurred during&#13;
the same outdoor sporting event in Guadeloupe (French West Indies) in April, in two unrelated young athletes with&#13;
similar profiles but different clinical pictures. At the time of the event, the apparent temperature was 29.6 °C with a&#13;
relative humidity of 85%.&#13;
Cases presentation Patient 1: A 22-year-old man with no known medical history collapsed during an endurance test&#13;
after running for one hour and 40 minutes. Pre-hospital medical care was immediately initiated and the onsite clinical&#13;
assessment revealed deep coma and major hyperthermia (41.7°C). The patient was rehydrated, cooled using ice&#13;
packs, and intubated onsite before being medically transferred to an intensive care unit. On admission, he presented&#13;
with multi-organ dysfunction syndrome affecting neurological, hemodynamic, renal, and hepatic functions. Intensive&#13;
care management included external cooling, vasopressor support with noradrenaline, extrarenal purification,&#13;
antibiotic therapy and continuous administration of N-acetylcysteine. After more than 16 days in intensive care, the&#13;
patient was discharged home without sequelae.&#13;
Patient 2: A 19-year-old man with no known medical history collapsed in the same morning, at almost the same&#13;
time, during that endurance test after running for one hour and 35 minutes. Unlike the first case, no pre-hospital&#13;
medical care was provided. The patient was evacuated to an emergency department. On admission, clinical&#13;
examination revealed confusion and hyperthermia (39.2°C). Blood tests revealed rhabdomyolysis associated with&#13;
acute renal failure yet was treated with intravenous fluid therapy. He eventually recovered and was discharged on&#13;
the same day.&#13;
Conclusions The tropical climate is an extrinsic risk factor for exertional heat stroke, which can lead to diverse clinical&#13;
presentations of varying severity when combined with other factors such as intrinsic factors. This risk is likely to</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137329">
                <text>Mathilde Monpierre1,2,3* , Delphine Delta1&#13;
&#13;
, Patrick Portecop2&#13;
&#13;
, Marc Valette4&#13;
&#13;
, Frederic Martino4&#13;
&#13;
and Olivier Hue3</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="137330">
                <text>https://doi.org/10.1186/s12245-025-01023-x</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137331">
                <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="137332">
                <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="137333">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137334">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137335">
                <text>text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="15684">
        <name>Heat stroke, Exercise, Tropical climate, Emergency, Multivisceral</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12860" public="1" featured="1">
    <fileContainer>
      <file fileId="12915">
        <src>https://repository.horizon.ac.id/files/original/31d760794f348ac01cc922e8b2427935.pdf</src>
        <authentication>01c54bdcd622f64feffc8932532e400f</authentication>
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          <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="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="137316">
                <text>Clinical presentation and management&#13;
outcome of abdominal stab wounds in a&#13;
low-resource setting: experience of a central&#13;
hospital in Sudan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137317">
                <text>Abdominal stab wounds, Abdominal trauma, Exploratory laparotomy, Bowel injury, Solid organ injury</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137318">
                <text>Abstract&#13;
Background Abdominal stab injuries are a major public health concern worldwide, especially in African countries.&#13;
This study aimed to examine the presentation patterns and management outcomes of abdominal stab wounds.&#13;
Methods This descriptive, prospective, cross-sectional, hospital-based study was conducted at Wad Medani&#13;
Teaching Hospital, including all patients with abdominal stab wounds from January 2022 to December 2022. Patient&#13;
characteristics and clinical presentations were documented. Factors influencing management outcomes were&#13;
analyzed and correlated.&#13;
Result The total number of patients admitted to the hospital with abdominal stab wounds is 47. The most common&#13;
age group is between 20 and 29 years (38.3%), with the majority being male (97.9%). They are mainly from Gezira&#13;
State (61.7%) and live in rural areas (38.3%). The most common occupation among them is labor, making up 51.1%.&#13;
Patients were admitted within the first two hours in 57.5% of cases. The organs most often involved in this study&#13;
include the small bowel, large bowel, and mesentery, affecting 27.7%, 23.4%, and 17.0% of patients, respectively.&#13;
Additionally, 25.4% of patients sustained associated injuries. Of the 40 patients treated, 30 (60.8%) underwent a&#13;
laparotomy. From a total of 30 laparotomies, 14 patients (46.6%) underwent resection and anastomosis, while&#13;
7 patients (23.3%) had their small bowel injuries repaired. Most patients recovered, while four (8.5%) developed&#13;
complications.&#13;
Conclusion In our setting, abdominal stab wounds predominantly affect young males in their productive years. The&#13;
small intestine is the most frequently injured organ, and most patients require an exploratory laparotomy as part of&#13;
their treatment.&#13;
Keywords Abdominal stab wounds, Abdominal trauma, Exploratory laparotomy, Bowel injury, Solid organ injury</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137319">
                <text>Mohamed Soud Mohamed Saadeldien1&#13;
&#13;
, Mohamed Daffalla Awadalla Gismalla1,2*, Adam Mohamed Ibrahim Adam1&#13;
,&#13;
&#13;
Aimen Elsheikh Khalil Abuelnour2&#13;
&#13;
and Mustafa Abdullah Alhamed1</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="137320">
                <text>https://doi.org/10.1186/s12245-025-01022-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="137321">
                <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="137322">
                <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="137323">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137324">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <elementTextContainer>
              <elementText elementTextId="137325">
                <text>text</text>
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            </elementTextContainer>
          </element>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="15683">
        <name>Abdominal stab wounds, Abdominal trauma, Exploratory laparotomy, Bowel injury, Solid organ injury</name>
      </tag>
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                  <text>Volume 18 Issue 1 2025</text>
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                <text>Inserting a venoarterial extracorporeal&#13;
membrane oxygenation drainage cannula&#13;
into the inferior vena cava through the&#13;
internal jugular vein in a patient with an&#13;
inferior vena cava filter</text>
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                <text>Inferior vena cava filter, VA-ECMO, Obstructive shock, VTE</text>
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                <text>Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a critical treatment for patients with massive&#13;
pulmonary embolism (PE) complicated by refractory cardiogenic shock. In this case, an inferior vena cava (IVC) filter&#13;
and iliac vein thrombosis posed a risk of filter migration with conventional femoral venous access, necessitating an&#13;
alternative drainage approach. We treated an 18-year-old male with hereditary thrombophilia due to a prothrombin&#13;
gene (F2) mutation who presented with acute massive PE and cardiogenic shock. Following emergency pulmonary&#13;
artery thrombectomy and IVC filter placement, VA-ECMO was initiated using right internal jugular vein cannulation&#13;
for venous drainage and femoral artery cannulation for arterial return. Hemodynamic stability was rapidly achieved,&#13;
allowing successful weaning and decannulation within 96 h. The patient was discharged on postoperative day&#13;
11 without neurological complications. This case demonstrates that jugular-to-IVC cannulation is a feasible and&#13;
effective VA-ECMO drainage strategy for patients with existing IVC filters, avoiding mechanical complications&#13;
associated with filter traversal.&#13;
Keywords Inferior vena cava filter, VA-ECMO, Obstructive shock, VTE</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="137309">
                <text>Xin Zhao1,2,3, Jiaxin Xu1,2,3, Zhizhong Yu1,2,3, Dan Xu1,2,3, Hong Liu1,2,3* and Jiancheng Zhang1,2,3,4*</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="137310">
                <text>https://doi.org/10.1186/s12245-025-01021-z</text>
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            <name>Date</name>
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                <text>2025</text>
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            <elementTextContainer>
              <elementText elementTextId="137312">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>pdf</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137314">
                <text>english</text>
              </elementText>
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            <description>The nature or genre of the resource</description>
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      <tag tagId="15682">
        <name>Inferior vena cava filter, VA-ECMO, Obstructive shock, VTE</name>
      </tag>
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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>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137296">
                <text>Bioelectrical impedance analysis&#13;
for evaluation of adverse cardiovascular&#13;
events in patients with acute coronary&#13;
syndromes: a prospective cohort study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="137297">
                <text>Bioelectrical impedance analysis, Acute coronary syndromes, Major adverse cardiac event, Troponin, Left&#13;
ventricular ejection fraction</text>
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                <text>Abstract&#13;
Background Bioelectrical impedance analysis (BIA) is a noninvasive method for assessing body fluid composition&#13;
and may offer prognostic value in patients with acute coronary syndrome (ACS).&#13;
Materials In this longitudinal cohort study, we enrolled 467 patients with ACS to investigate the association between&#13;
BIA-derived parameters and 1-year major adverse cardiac events (MACE), including all-cause mortality, reinfarction, or&#13;
heart failure (HF) requiring rehospitalization. BIA focused on measuring the electrodynamic properties of intracellular&#13;
and extracellular fluids.&#13;
Results Patients who developed MACE had significantly higher impedance (Z, calculated as the vector sum of&#13;
resistance [R] and reactance [Xc]) compared to those without MACE. A Z value of 417.5 was identified as the optimal&#13;
cutoff for predicting MACE risk (log-rank test, p&lt;0.001). Using this cutoff, the sensitivity and specificity for predicting&#13;
MACE were 24.8% and 91.5%, respectively, with an area under the curve (AUC) of 0.60. Elevated Z remained an&#13;
independent predictor of MACE after adjustment for baseline confounders in both univariate (HR 2.93, 95% CI 1.98–&#13;
4.35, p&lt;0.001) and multivariate cox regression analyses (HR 3.95, 95% CI 2.55–6.10, p&lt;0.001). Incorporating BIA with&#13;
conventional measures such as LVEF significantly enhanced prognostic accuracy (p&lt;0.05). Moreover, the Z threshold&#13;
allowed for refined risk stratification.&#13;
Conclusion In ACS patients with elevated troponin, Z showed potential prognostic value for MACE. Combining BIA&#13;
with LVEF improved prognostic discrimination, suggesting Z may complement LVEF for more comprehensive risk&#13;
stratification.&#13;
Keywords Bioelectrical impedance analysis, Acute coronary syndromes, Major adverse cardiac event, Troponin, Left&#13;
ventricular ejection fraction</text>
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              <elementText elementTextId="137299">
                <text>Hanchi Xu1†, Lin Wang1†, Yinghui Wang2&#13;
&#13;
, Bingbing Ran3&#13;
&#13;
, Manli Wang4&#13;
&#13;
and Lu Gao1*</text>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="137300">
                <text>https://doi.org/10.1186/s12245-025-01020-0</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="137301">
                <text>2025</text>
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          <element elementId="37">
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137302">
                <text>Peri Irawan</text>
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          <element elementId="42">
            <name>Format</name>
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      <tag tagId="15681">
        <name>Bioelectrical impedance analysis,</name>
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