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                <text>A novel scoring algorithm for chest pain can&#13;
effectively support the diagnosis of acute&#13;
coronary syndrome in prehospital settings:&#13;
a cross-sectional study</text>
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                <text>Acute coronary syndrome, Chest pain, Emergency medical technicians, Optimizing patient transport, Risk&#13;
assessment</text>
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                <text>Abstract&#13;
Background Early identification of acute coronary syndrome (ACS) in prehospital settings is crucial for optimal&#13;
patient outcomes. However, existing risk assessment tools require laboratory data, making them unsuitable for&#13;
prehospital use. Therefore, emergency medical technicians (EMTs) lack appropriate tools for prehospital ACS&#13;
assessment and must rely on individual diagnostic skills, despite the importance of reducing prehospital time.&#13;
To address this issue, a novel scoring system—Nagasaki Prehospital Chest Pain Assessment &amp; Risk Determination&#13;
(N-CARD)—was developed using only prehospital information and validated for use by EMTs, with the aim of&#13;
improving patient outcomes and optimizing healthcare resource utilization.&#13;
Methods In total, 584 participants with chest pain or suspected cardiac etiology who underwent a prehospital&#13;
12-lead electrocardiogram (ECG) between April 2023 and March 2024 were analyzed. The prehospital diagnostic score&#13;
for ACS, N-CARD score, was developed using logistic regression based on the following variables: age, pain location,&#13;
&#13;
pain type, pain duration, coronary risk factors, and 12-lead ECG findings. Modeling was performed separately for high-&#13;
risk and low-risk groups based on prior coronary artery disease (CAD) history. The model’s performance was internally&#13;
&#13;
validated using bootstrap methods.&#13;
Results The N-CARD scoring system was developed separately for participants without (N=433) and with (N=151)&#13;
a history of CAD. The score ranged from −1 to 10 for those without a history of CAD and 0 to 32 for those with a&#13;
history of CAD. For participants without a history of CAD, scores≥6 suggested ACS (specificity&gt;90%), whereas&#13;
scores≤3 suggested non-ACS (sensitivity&gt;90%), with an optimism-corrected area under the curve (AUC) of 0.90.&#13;
For participants with a history of CAD, scores≥24 suggested ACS, whereas scores≤6 suggested non-ACS, with an&#13;
optimism-corrected AUC of 0.69.</text>
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                <text>Keita Iyama1*† , Shuntaro Sato2†, Ryohei Akashi3&#13;
&#13;
, Kensho Baba4&#13;
&#13;
, Koichi Hayakawa1,5, Satoshi Ikeda3&#13;
&#13;
, Koji Maemura3&#13;
&#13;
and Osamu Tasaki1</text>
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                <text>https://doi.org/10.1186/s12245-025-01019-7</text>
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                <text>2025</text>
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                <text>Peri Irawan</text>
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                <text>english</text>
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                  <text>Volume 18 Issue 1 2025</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Visualizing the landscape of ocular melanoma research: a bibliometric analysis</text>
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                <text>Uveal, Ocular, Melanoma, Ocular melanoma</text>
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                <text>Abstract&#13;
Introduction Ocular melanoma is a type of malignancy affecting the eye. Symptoms can include dark spots near or&#13;
around the iris or the mucous membrane of the eyes. Treatments include radiation, laser therapy, and enucleation or&#13;
evisceration of the eye.&#13;
Method A bibliometric analysis was conducted using the database Web of Science. VosViewer version 1.6.20 was&#13;
utilized to import tab-delimited files and visualize the data from Web of Science.&#13;
Results Data was collected from 1990 to 2024, with 2021 being the highest publication year (258). The U.S. (1,950),&#13;
Germany (405), and England (205) released the greatest number of publications. From those countries, Thomas&#13;
Jefferson University and Leiden University released the largest number of articles written about ocular melanoma.&#13;
Conclusion Ocular melanoma is a rare type of cancer affecting people worldwide. As medicinal research advances&#13;
over time, the ability to prevent and treat ocular melanoma steadily improves. Over the past years (1990–2024), there&#13;
has been a general increase in the number of publications regarding ocular melanoma. There have been gaps in&#13;
the research in South Asian and African demographics, showing that these communities have not brought enough&#13;
attention to this disease.&#13;
Keywords Uveal, Ocular, Melanoma, Ocular melanoma</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Maya Lee1 , Ethan Nichols2 , Vindhya N. Reddy3 and Latha Ganti4*</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="137280">
                <text>https://doi.org/10.1186/s12245-025-01018-8</text>
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                <text>2025</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137282">
                <text>Peri Irawan</text>
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            <name>Format</name>
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            <description>A language of the resource</description>
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                  <text>Volume 18 Issue 1 2025</text>
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                <text>Use of artificial intelligence in diagnosis&#13;
and prognosis of traumatic brain injury:&#13;
a scoping review</text>
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                <text>Traumatic Brain Injury (TBI) has been increasingly recognized</text>
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                <text>Abstract&#13;
Traumatic Brain Injury (TBI) has been increasingly recognized as a leading cause of death and disability worldwide.&#13;
Objective To summarize clinical applications of artificial intelligence, including machine learning and deep&#13;
learning, in the diagnosis and prognosis of traumatic brain injury.&#13;
Methods The authors conducted a scoping review of original clinical research studies on humans published in&#13;
English after January 1, 2014. A search was performed using PubMed, including PMC, MEDLINE, and Bookshelf. The&#13;
search terms were applied to the title field and included: (TBI) AND (Artificial Intelligence OR Machine Learning OR&#13;
Deep Learning). Studies meeting inclusion criteria were screened and selected for review. The reference lists of the&#13;
included studies were also screened to identify any additional eligible articles.&#13;
Results Of 493 studies identified, seven met the inclusion criteria and were included in the analysis, which&#13;
summarizes study title, publication year, study objective, key findings, and conclusions.&#13;
Conclusion Artificial intelligence shows promise in aiding diagnosis and improving prognostic insights in traumatic&#13;
brain injury. Although few clinical trials have been conducted, early results are encouraging. Future progress will&#13;
require more clinical studies and efforts to address the current limitations of AI tools in medicine.</text>
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                <text>Cecily May1,2, Murdoc Gould3&#13;
&#13;
and Sreeja Natesan4*</text>
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                <text>https://doi.org/10.1186/s12245-025-01017-9</text>
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                <text>Peri Irawan</text>
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        <name>Traumatic Brain Injury (TBI) has been increasingly recognized</name>
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                <text>Vascular access for initial treatment of adult&#13;
emergency patients in the resuscitation room:&#13;
short summary of recommendations from the&#13;
German national S1 guideline</text>
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short summary of recommendations from the&#13;
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                <text>Manuel Florian Struck1*, Dan Bieler2&#13;
&#13;
, Anett Henck3,4, Carsten Hermes5,6, Michael Kegel7&#13;
&#13;
, Matthias Klein8&#13;
,&#13;
&#13;
Philipp Kümpers9&#13;
&#13;
, Dominik Michalski10 and Michael Bernhard11</text>
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            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137245">
                <text>Gunshot injury to chest, Gunshot injury to heart, Gunshot injury to pericardium, Russo-Ukrainian war,&#13;
Gunshot injury and VATS</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137246">
                <text>Abstract&#13;
Background Russia-Ukraine war is associated with various kinds of ballistic injuries because of the application of all&#13;
&#13;
kinds of weapons. Gunshot injury to the heart and pericardium is rare and associated with high mortality. The video-&#13;
assisted thoracoscopy surgery (VATS) is rarely performed in combat settings. The aim of the report was to investigate&#13;
&#13;
and demonstrate the approach to manage severe gunshot injury to the heart with damage to the pericardium by&#13;
using VATS and surgical magnets in a combat patient injured in the battlefield area of the Russo-Ukrainian war.&#13;
Case presentation A 43-year-old male patient received a gunshot injury to the chest in a battlefield area in East&#13;
Ukraine. 60 min after the injury, the patient was evacuated to the forward surgical team. The patient was evaluated&#13;
at the Role 3 hospital in Kharkiv. VATS pericardial window (fenestration) was performed, followed by removal of&#13;
the bullet from the pericardial sac as well as chest re-draining by Bulau under general anesthesia. The patient was&#13;
discharged on the 12th day after the injury.&#13;
Conclusions The ballistic injuries in the ongoing Russo-Ukrainian war are severe and associated with rare wounds&#13;
to the pericardium. The CT scan and X-ray under a C-arc machine are useful diagnostic tools for the identification of&#13;
bullets or other projectiles. VATS and surgical magnets might be considered for selected patients for the management&#13;
of gunshot injuries to the heart in combat patients.&#13;
Keywords Gunshot injury to chest, Gunshot injury to heart, Gunshot injury to pericardium, Russo-Ukrainian war,&#13;
Gunshot injury and VATS</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137247">
                <text>Igor Lurin1,2 , Eduard Khoroshun3,4, Vitalii Makarov3,4, Volodymyr Nehoduiko3,4, Yurii Bunin3&#13;
&#13;
, Sumeet Kumar Behera6&#13;
,&#13;
&#13;
Maksym Gorobeiko1,5 and Andrii Dinets1,5,6*</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="137248">
                <text>https://doi.org/10.1186/s12245-025-01013-z</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="137249">
                <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="137250">
                <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="137251">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137252">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137253">
                <text>text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="15676">
        <name>Gunshot injury to chest, Gunshot injury to heart, Gunshot injury to pericardium, Russo-Ukrainian war, Gunshot injury and VATS</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12851" public="1" featured="1">
    <fileContainer>
      <file fileId="12906">
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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>
        </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="137234">
                <text>Serial electrical cardioversion for refractory&#13;
atrial fibrillation with rapid ventricular&#13;
response post ablation</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137235">
                <text>Atrial fibrillation, Catheter ablation, Recurrent atrial fibrillation, Electrical cardioversion, Serial electrical&#13;
cardioversion, Antiarrhythmic drugs, Rapid ventricular response</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137236">
                <text>Abstract&#13;
The authors present the case of a man in his 50s who arrived at the ED with palpitations and persistent tachycardia&#13;
a month after undergoing catheter ablation (CA) for atrial fibrillation with rapid ventricular response, and a week&#13;
after electrical cardioversion in our ED. He was once again successfully cardioverted in our ED. The unique aspect of&#13;
this case is how refractory his case was.&#13;
This case highlights the limitations of current AF management strategies in achieving durable rhythm control,&#13;
particularly following ablation. It underscores the importance of timely follow-up, individualized treatment&#13;
planning, and consideration of additional interventions such as repeat ablation or atrioventricular nodal ablation&#13;
with pacemaker placement in refractory cases. Serial ECV can provide temporary relief but should be viewed&#13;
as a bridge to more definitive therapy. Serial Electrical Cardioversion for Refractory Atrial Fibrillation with Rapid&#13;
Ventricular Response Post Ablation.&#13;
Keywords Atrial fibrillation, Catheter ablation, Recurrent atrial fibrillation, Electrical cardioversion, Serial electrical&#13;
cardioversion, Antiarrhythmic drugs, Rapid ventricular response</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137237">
                <text>Katherine Liu1,2, Nofel Iftikhar3&#13;
&#13;
and Latha Ganti4*</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="137238">
                <text>https://doi.org/10.1186/s12245-025-01012-0</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="137239">
                <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="137240">
                <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="137241">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137242">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137243">
                <text>text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="15675">
        <name>Atrial fibrillation, Catheter ablation,</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12849" public="1" featured="1">
    <fileContainer>
      <file fileId="12904">
        <src>https://repository.horizon.ac.id/files/original/3cdee5b37b6b9728b07f0c2e52547cd5.pdf</src>
        <authentication>e31811f63a1e196c89457445fdfb7234</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="137214">
                <text>Segmental spleen and left kidney infarction induced by vasoconstriction in a methamphetamine abuser patient: a case report</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137215">
                <text>Methamphetamine, Vasoconstriction, Vasospasm, Infarction</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137216">
                <text>Abstract&#13;
Background Methamphetamine is one of the most used illicit drugs worldwide that affects different systems of the&#13;
body by an immediate and sustained increase of monoamines. Its effect on the central nervous system (CNS) and&#13;
neurotoxic effects are best known. There are also many reports of its effects on vasoconstriction in some peripheral&#13;
and large caliber arteries, which results in different organ and limb disturbances.&#13;
Case presentation We report a rare case of a man with simultaneous spleen and left kidney infarction captured&#13;
on contrast-enhanced computed tomographyeffects, without evidence of thrombosis or atherosclerosis, findings&#13;
strongly suggestive of methamphetamine-induced vasospasm. The patient’s abdominal pain improved under&#13;
observation within days without apparent tissue loss or organ failure. Unfortunately, the patient passed away as a&#13;
result of bradycardia and cardiac arrest.&#13;
Conclusion This very rare case highlights the potentially severe vasospastic complications of methamphetamine&#13;
abuse, which may result in multiorgan infarction. The fatal outcome in this patient was primarily due to underlying&#13;
cardiac disease and endocarditis, although methamphetamine-associated cardiovascular strain could not be&#13;
excluded as a contributor. Clinicians should consider vascular events in methamphetamine users presenting with&#13;
atypical abdominal pain or any signs of organ dysfunction.&#13;
Keywords Methamphetamine, Vasoconstriction, Vasospasm, Infarction</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137217">
                <text>Alireza Javidan1&#13;
&#13;
, Mahdi Rezai1&#13;
&#13;
, Reza Mosaddegh1&#13;
&#13;
, Najmeh Zarei Jelyani2&#13;
&#13;
and Raha Latifaltojar3*</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="137218">
                <text>https://doi.org/10.1186/s12245-025-01011-1</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="137219">
                <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="137220">
                <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="137221">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137222">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137223">
                <text>text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="15674">
        <name>Methamphetamine, Vasoconstriction, Vasospasm, Infarction</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12848" public="1" featured="1">
    <fileContainer>
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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>
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      </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="137204">
                <text>Improving patient outcomes through quality&#13;
improvement and safety culture interventions&#13;
in pediatric emergency care: a systematic&#13;
review of best practices</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137205">
                <text>Pediatric emergency departments (PEDs)</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137206">
                <text>Abstract&#13;
Pediatric emergency departments (PEDs) are high-risk environments where patient injury can result from&#13;
delays, unclear diagnoses, and poor communication. Quality improvement (QI) and safety culture initiatives are&#13;
increasingly being used to improve outcomes, but their interaction in PEDs remains underexplored. This systematic&#13;
review and meta-analysis evaluated how safety culture and QI initiatives impact clinical and functional outcomes in&#13;
PEDs. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines,&#13;
we systematically searched PubMed, Cochrane, Scopus, and Web of Science through December 2024. We included&#13;
31 studies, most of which used pre/post designs; one was a randomized controlled trial. Most interventions aimed&#13;
to improve care in PEDs by focusing on protocol standardization, safety checklists, simulation-based training and&#13;
leadership engagement tailored to the pediatric emergency department (PED) setting. Meta-analyses showed a&#13;
significant decrease in unnecessary radiation exposure (6.45%-20.55%; p&lt;0.0001) and PED length of stay (LOS)&#13;
(~25 minutes; p&lt;0.05). Additional findings included decreased healthcare expenses, unnecessary interventions,&#13;
and better patient flow. Most studies were at moderate risk of bias across the assessed domains with ROBINS-I&#13;
tool. . These findings suggest that QI techniques can significantly improve the quality and efficiency of care when&#13;
supported by a strong safety culture. These results show how essential it is to bring together both practical&#13;
processes and cultural changes to build reliable, lasting systems that truly meet the unique needs of PEDs.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137207">
                <text>Chibuike Daniel Onyejesi1 , Sarah Makram Elsayed2 , John Magdy Daniel Isaac3 , Eslam Moumen Abady4 ,&#13;
Wafaa Shehada5&#13;
&#13;
, Joseph Alhaddad6 and Mohammed Alsabri7*</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="137208">
                <text>https://doi.org/10.1186/s12245-025-01010-2</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137209">
                <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="137210">
                <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="137211">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137212">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137213">
                <text>texk</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
    <tagContainer>
      <tag tagId="15673">
        <name>ediatric emergency departments (PEDs)</name>
      </tag>
    </tagContainer>
  </item>
  <item itemId="12847" public="1" featured="1">
    <fileContainer>
      <file fileId="12902">
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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="137194">
                <text>AI-enhanced crowdsourcing for disaster&#13;
management: strengthening community&#13;
resilience through social media</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137195">
                <text>Disaster management, Community resilience, Social media analytics, Artificial intelligence, Crowdsourcing,&#13;
AI-enhanced crowdsourcing</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="137196">
                <text>Abstract&#13;
As disasters become more frequent and complex, the integration of artificial intelligence (AI) with crowdsourced&#13;
data from social media is emerging as a powerful approach to enhance disaster management and community&#13;
resilience. This study investigates the potential of AI-enhanced crowdsourcing to improve emergency preparedness&#13;
and response. A systematic review was conducted using both qualitative and quantitative methodologies, guided&#13;
by the PRISMA framework, to identify and evaluate relevant literature. The findings reveal that AI systems can&#13;
effectively process real-time social media data to deliver timely alerts, coordinate emergency actions, and engage&#13;
communities. Key themes explored include the effectiveness of community participation, AI’s capacity to manage&#13;
large-scale information flows, and the challenges posed by misinformation, data privacy, and infrastructural&#13;
limitations. The results suggest that when strategically implemented, AI-enhanced crowdsourcing can play a critical&#13;
role in building adaptive and sustainable disaster management frameworks. The paper concludes with practical&#13;
and policy-level recommendations for integrating these technologies into Pakistan’s disaster management systems.&#13;
Keywords Disaster management, Community resilience, Social media analytics, Artificial intelligence, Crowdsourcing,&#13;
AI-enhanced crowdsourcing</text>
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                <text>Sheikh Kamran Abid1*, Ruhizal Roosli1&#13;
&#13;
, Umber Nazir2&#13;
&#13;
and Nur Shazwani Kamarudin2</text>
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                <text>https://doi.org/10.1186/s12245-025-01009-9</text>
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                <text>Peri Irawan</text>
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                  <text>Volume 18 Issue 1 2025</text>
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                <text>Domain validation of the CRASH prognostic model for predicting 14-day mortality among patients with traumatic brain injury with intracranial hemorrhage in a Thai emergency department</text>
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                <text>The original CRASH prediction model demonstrates strong discriminative ability for predicting 14-day&#13;
mortality in TBI patients; however, significant miscalibration was observed.</text>
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                <text>Abstract&#13;
Background Traumatic brain injury (TBI) is a significant health concern, with intracranial haemorrhage (ICH) being&#13;
a common complication following injury. The CRASH prediction model plays a crucial role in clinical prognostication&#13;
and decision-making within this patient group. However, external validation is critical to ensure the model’s validity&#13;
and applicability across different populations and settings beyond those in which it was originally developed. This&#13;
study aimed to validate the CRASH prediction model for 14-day mortality among TBI patients with ICH presenting to a&#13;
Thai emergency department.&#13;
Methods This retrospective study included adult TBI patients with ICH who visited the emergency department (ED)&#13;
at Ramathibodi Hospital, Thailand, between 2020 and 2022. The Basic model, which incorporates age, Glasgow Coma&#13;
Scale (GCS) score (3–15), pupillary reaction, and major extracranial injury, and the CT model, which extends the Basic&#13;
model by including CT findings, were evaluated for their discriminative ability and calibration.&#13;
Results A total of 232 patients were included in the validation dataset. Significant differences in clinical&#13;
characteristics were observed between the datasets, including older age, predominance of mild TBI, subarachnoid&#13;
hemorrhage, and non-evacuated hematoma in the validation dataset. The observed 14-day mortality rate in&#13;
this cohort was 9.1%, compared to 20.7% in the development dataset. The area under the receiver operating&#13;
characteristics curve (AuROC) was 0.92 (95% CI: 0.84, 1.00) for the Basic model and 0.93 (95% CI: 0.86, 1.00) for the&#13;
CT model. However, the calibration for both models was fair. Recalibration achieved better predictive accuracy and&#13;
reduced overestimation in high-risk groups.&#13;
Conclusion The original CRASH prediction model demonstrates strong discriminative ability for predicting 14-day&#13;
mortality in TBI patients; however, significant miscalibration was observed. Recalibration was therefore undertaken to</text>
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                <text>Welawat Tienpratarn1,2,3, Phichayut Phinyo2,3*, Chaiyaporn Yuksen1&#13;
&#13;
, Sirote Wongwaisayawan4&#13;
&#13;
, Jiraporn Khorana2,3,5&#13;
&#13;
and Jayanton Patumanond3</text>
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            <elementTextContainer>
              <elementText elementTextId="137188">
                <text>https://doi.org/10.1186/s12245-025-01008-w</text>
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                <text>2025</text>
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                <text>Peri Irawan</text>
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