3 10 43 https://repository.horizon.ac.id/files/original/7ff4a4314b4e19b50070edc7edce4bb8.pdf 7e10a4b0a2315f1e3e3247d681295cb3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Vital signs as biomarkers of early clinical deterioration in pediatric emergency departments: physiology, interpretation, and innovations: a narrative review Subject The topic of the resource Pediatrics, Vital signs, Emergency, EHR-embedded alerts, Continuous surveillance, Wearable sensors Description An account of the resource Abstract Background Early recognition of pediatric deterioration is difficult because age-dependent physiology and compensation mask early shock and safety risks. This narrative review compares vital-sign (VS) biomarkers (heart rate, respiratory rate, blood pressure, oxygen saturation, temperature) with laboratory markers and clinical indicators. Methods We searched Embase, Pubmed, and guideline repositories to August 2025 for pediatric studies from emergency, inpatient, and critical-care settings. We summarized accuracy, timeliness, and implementation issues, prioritizing cohort and implementation evaluations. Results Age-adjusted, repeated, and continuous analyses of VS—especially multivariate approaches such as shock index pediatric age-adjusted and heart-rate-characteristics analytics—outperformed single thresholds, often anticipating ICU transfer or sepsis by hours. Laboratory biomarkers provided diagnostic specificity for defined syndromes but were slower and unsuitable for continuous surveillance. Composite scores (e.g., PEWS, ED-PEWS, National PEWS) showed moderate to high discrimination yet performed best when integrated with trends and standardized escalation pathways. Conclusion VS biomarkers, leveraged as dynamic trends and combined with context, enable earlier, safer detection of pediatric deterioration than static thresholds or isolated laboratory tests. Priorities include validating continuous models beyond NICUs, ensuring equity and calibration across different ages and comorbidities, and testing wearable sensors and EHR-embedded alerts in pragmatic trials that measure timeliness, unintended harms, and patient- centered outcomes. Clinical trial number Not applicable. Keywords Pediatrics, Vital signs, Emergency, EHR-embedded alerts, Continuous surveillance, Wearable sensors Creator An entity primarily responsible for making the resource Mohamed Alsabri1*, Marina Ramzy Mourid2 , Amr R. Saleh3 , Temitomi Jane Oyedele4 , Israa Magdy Ata5 , Sara M. Darawish6 , Aanal Patel7 , Faher AL Rouh2 and Lauren A. Carr8 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01107-8 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Pediatrics, Vital signs, Emergency, EHR-embedded alerts, Continuous surveillance, Wearable sensors https://repository.horizon.ac.id/files/original/507bb74cfbcecad70765683fa1661d2a.pdf d81f9366cf9f6c4069543685d7c604f3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource When subarachnoid hemorrhage mimics acute coronary syndrome in out-of-hospital cardiac arrest: a diagnostic challenge Subject The topic of the resource Out-of-hospital cardiac arrest, Like subarachnoid hemorrhage, Acute coronary syndrome, Computed tomography Description An account of the resource Abstract Background Out-of-hospital cardiac arrest (OHCA) is most often due to acute coronary syndrome (ACS), but less frequent causes like subarachnoid hemorrhage (SAH) may mimic cardiac disease through ECG changes and biomarker elevation, risking misdiagnosis and inappropriate interventions. The aim of this case was to present a case of a patient who experienced OHCA due to subarachnoid hemorrhage mimicking ACS leading to catastrophic results. Case presentation A 42-year-old woman with no cardiovascular risk factors suffered sudden cardiac arrest during exercise. Initial ECG and troponin levels suggested SCA, but coronary angiography was normal. Subsequent head CT revealed a massive subarachnoid hemorrhage. Despite supportive care, the patient died on day 5 from cerebral edema. Conclusion SAH can cause cardiac arrest with ECG changes mimicking ACS, highlighting the importance of cranial CT in comatose post–cardiac arrest patients. Keywords Out-of-hospital cardiac arrest, Like subarachnoid hemorrhage, Acute coronary syndrome, Computed tomography Creator An entity primarily responsible for making the resource Youssef Lahmouz1*, Jaouad Nguadi1 , Hanae EL Ghiati1 , Jihane Fagouri1 , Meryem Bennani1 , Abdelilah Ben EL Makki1 , Jamal Kheyi1 , Hicham Bouzelmat1 , Zouhair Lakhal1 , Aatif Benyass1 and Ali Chaib1 Out-of-hospital cardiac arrest, Like subarachnoid hemorrhage, Acute coronary syndrome, Computed tomography https://repository.horizon.ac.id/files/original/b1378ed7c3e4a231bb79e32e383be1ff.pdf 9d0d564557bb2f223778e392790a8f10 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Conservative management of spontaneous thoracolumbar epidural hematoma: a case report Subject The topic of the resource Spontaneous spinal epidural hematoma, Spontaneous absorption, Non-surgical treatment Description An account of the resource Abstract Background Spontaneous spinal epidural hematoma (SSEH) is an exceedingly rare clinical entity often associated with neurological deficits, for which surgical intervention remains the mainstay of treatment. We report a case successfully managed through complete conservative therapy. Case presentation A 59-year-old Chinese male with a medical history of hypertension, chronic smoking, and alcohol use presented to our institution with acute-onset low back pain accompanied by bilateral lower limb weakness and hypoesthesia persisting for 30 min. Diagnostic imaging (CT and MRI) revealed a thoracolumbar epidural hematoma (T11-L1 distribution). Contrary to conventional surgical management paradigms, we implemented a comprehensive conservative management protocol. Remarkably, complete resolution of symptoms and spontaneous hematoma absorption were achieved within 20 days. Conclusion This case demonstrates that select SSEH cases may achieve favorable outcomes through conservative management without surgical decompression. Keywords Spontaneous spinal epidural hematoma, Spontaneous absorption, Non-surgical treatment Creator An entity primarily responsible for making the resource Menglong Jia1,2†, Shan Gao1†, Longtan Yu1 and Guangbin Ma1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01105-w Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Spontaneous spinal epidural hematoma, Spontaneous absorption, Non-surgical treatment https://repository.horizon.ac.id/files/original/254f776f833bb2d7887bc468813f2999.pdf cb803c2ee43503fdb648a128f784c273 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource A case report: reflections on the formation of acute thrombotic events after PCI in patients with acute ST-Segment elevation myocardial infarction Subject The topic of the resource Percutaneous coronary intervention (PCI), Thrombus, CYP2C19 Description An account of the resource Abstract Platelet gene resistance may result in acute thrombosis, although clinical reports are scarce.This article presents a classic case of acute in-stent thrombosis and discusses its diagnostic and therapeutic strategies.The patient, a 57-year-old male, was admitted due to chest pain that lasted for one hour. After a thorough examination, he was diagnosed with acute ST-segment elevation myocardial infarction. Acute thrombosis rapidly occurred within 30minutes following emergency coronary stent implantation. Keywords Percutaneous coronary intervention (PCI), Thrombus, CYP2C19 Creator An entity primarily responsible for making the resource Jiaqiang Yang1 , Jiaru Yang1 , Haigang Huang1 , Jing Wei1 and Puyue Tang1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01103-y Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Percutaneous coronary intervention (PCI), Thrombus, CYP2C19 https://repository.horizon.ac.id/files/original/c1cbd938a75da683b9bb3921cdece980.pdf 8113587950f15aa0c853cc632b2cef74 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Anaphylactic shock following intravenous ranitidine in rural Nepal: a case report Subject The topic of the resource Ranitidine, Anaphylaxis, Epinephrine, Shock Description An account of the resource Abstract Background Ranitidine, a histamine-2 (H2) receptor antagonist, is widely used for acid-peptic disorders. Although generally safe, it is a rare but recognized cause of drug-induced anaphylaxis, with an estimated incidence of 0.2–0.7% for H2 receptor blockers and proton pump inhibitors. We report a near-fatal case of ranitidine-induced anaphylactic shock successfully managed in a rural hospital. Case presentation A 35-year-old female developed sudden shortness of breath, hypotension, and drowsiness within minutes of receiving a 50 mg intravenous (IV) dose of ranitidine for epigastric discomfort at a local clinic. She had no prior exposure to ranitidine or known allergies. On arrival, her blood pressure was 60 mmHg systolic, pulse 130/min, and SpO2 60%. She had diffused urticaria and wheezing. A diagnosis of anaphylactic shock was made. Immediate management included high-flow oxygen, intramuscular epinephrine (0.5 mg, 1:1000), followed by intravenous hydrocortisone. Significant improvement occurred within 10 minutes and she was discharged after 24 hours of observation. Conclusion This case highlights that ranitidine, although commonly used, can rarely trigger severe anaphylactic shock even in patients without prior exposure or known allergies. Early recognition of the reaction and timely administration of intramuscular epinephrine were key to the patient’s rapid recovery. Awareness of this potential adverse reaction is important for all clinicians who administer H2-receptor antagonists. Keywords Ranitidine, Anaphylaxis, Epinephrine, Shock Creator An entity primarily responsible for making the resource Rojee Shrestha1*, Ashal Timalsina1*, Arjun Gaire1 , Roshan Acharya1 , Anupa Subedi1 and Aayusha Suwal1 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01101-0 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Ranitidine, Anaphylaxis, Epinephrine, Shock https://repository.horizon.ac.id/files/original/c4e9a2fea2b38181eff1cb8818deeef5.pdf 2a9ced5f9d01f73bcf5e9fcf32ad4754 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Injury epidemiology of inflatable amusement devices: a level I trauma center experience Subject The topic of the resource Pediatric trauma, Inflatable amusement device, Bounce house Description An account of the resource Abstract Objectives The incidence of pediatric injuries involving inflatable amusement devices (IADs) has increased. This study aimed to evaluate the epidemiology of these injuries treated at a level 1 trauma center. We hypothesized that there would be a yearly increase in injuries across the study period. Methods After Institutional Review Board (IRB) approval, a retrospective chart review was conducted of pediatric patients (<18 years-old) treated at Loma Linda University Children’s Hospital (LLUCH) for IAD-related injury between January 1, 2014, and June 30, 2024. Results Forty-nine patients were treated. An average of 4.4 patients were treated for IAD-related injuries each year. A positive relationship between injury rate and year was not observed in the cohort (p=0.102). The median injury severity score (ISS) was 4. Forty-three patients suffered one or more bone fractures (88%) and 35 required surgical intervention (71%). Conclusions Our cohort did not show a significant increase in the incidence of pediatric IAD-related injuries over time. The injury burden in our study was high, with 71% of patients treated surgically. This might be due to the high proportion (78%) of patients transferred from outside institutions for definitive treatment. Keywords Pediatric trauma, Inflatable amusement device, Bounce house Creator An entity primarily responsible for making the resource Joseph Larson1 , Jacob Amann1 , Joyce McRae2 , Mark Kashtan2 , Amna Minhas2 , Benjamin A. Farber2 , Andrei Radulescu2 and Donald Moores2,3* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01100-1 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Pediatric trauma, Inflatable amusement device, Bounce house https://repository.horizon.ac.id/files/original/9163e032de0b9abd4aad0dbe9177aea2.pdf 188980f1e51726602f11c928e1e19e4c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Building medical toxicology capacity in Africa: a review and strategic perspective on the need for fellowship training programs Subject The topic of the resource Poisoning, Africa, Medical toxicology, Fellowship, Capacity building Description An account of the resource Abstract Introduction Toxic exposures and poisoning constitute a substantial but underestimated public health hazard throughout Africa, for which pesticides, drugs, traditional medicine, snake venom, and industrial chemicals are a disproportionate cause of avoidable disease and death. Methods This narrative review takes into account existing global models of toxicology education while considering African epidemiology and the constraints of its healthcare systems. Main findings Partly due to this disparity between burden and capacity, medical toxicology is not well established on the continent as a whole, with minimal diagnostic capability, few toxicovigilance programs, and no established fellowship training programs or poison centers. While there are advancements in global models of toxicology education, African researchers should work on a context and locally adapted solution that considers its epidemiology and the constraints of its healthcare system. Fellowship programs supported by governments, academia, and international donors can enhance patient outcomes, strengthen public health surveillance, and support health system resilience. Conclusion This review highlights the current toxicological landscape in Africa, the capacity gap in clinical and public health, and presents a strategic framework for setting up medical toxicology fellowship programs in response to the African reality. Keywords Poisoning, Africa, Medical toxicology, Fellowship, Capacity building Creator An entity primarily responsible for making the resource Belayneh Dessie Kassa1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01098-6 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Poisoning, Africa, Medical toxicology, Fellowship, Capacity building https://repository.horizon.ac.id/files/original/5eeef803e0673af50a51b73584aa1474.pdf 350dfacf6eab5b50d45a5cd81b73c913 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Ileo-ileal knotting causing gangrenous small bowel obstruction; a rare case report Subject The topic of the resource Ileo-ilea knot, Case report, Small intestine, Gangrenous bowel Description An account of the resource Abstract Background Ileo-ileal knotting was first described by Riverius in the 16th century and by Rokitansky in 1836. It is one of the rare causes of acute abdominal pain which mandates urgent surgical treatment. Preoperative investigations are usually nonspecific and high index of suspicion. Case presentation A 27-year- old male was admitted to Gondar University hospital with a preliminary diagnosis of intussusception and underwent emergency open laparotomy. Intraoperatively a small intestine gangrene caused by an ileo-ileal knot was found. Resection of the gangrenous segment followed by ileo-transverse colon anastomosis was done. Post- operative course was smooth and he was discharged improved. Conclusion Ileo-ileal knot should be highlighted as a rare cause of acute small bowel obstruction. that necessitates immediate surgical intervention, particularly in resource limited setups, and complications should be considered in the perioperative period. Keywords Ileo-ilea knot, Case report, Small intestine, Gangrenous bowel Creator An entity primarily responsible for making the resource Shimelis Seid3 , Haddis Birhanu1 , Getachew Yenus2 , Bewuketu Abate2 and Habtu Adane4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01097-7 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/3f9e8dc3102afb251abd1af6694bf60c.pdf 613305f7dc45f0601fd73f1f01bce2fd Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Piperacillin-tazobactam caused post- trauma patient’s postoperative leukopenia, hypokalemia, and periodic fever: a case report Subject The topic of the resource Piperacillin-tazobactam, Periodic fever, Leukopenia, Hypokalemia, Post-trauma surgery. Description An account of the resource Abstract Background Piperacillin-tazobactam (PT), a broad-spectrum β-lactam/β-lactamase inhibitor combination, is clinically used to treat infections caused by Gram-positive and Gram-negative aerobic and anaerobic bacteria. While gastrointestinal adverse effects, skin reactions, and fever have been previously reported during PT therapy, its association with periodic fever, leukopenia, and hypokalemia specifically in post-trauma surgical patients has not been documented. Case presentation We report the case of a 55-year-old male trauma patient who received PT for 17 days pre- operatively for suspected infection. He then underwent surgical procedures including rib fracture open reduction and internal fixation, along with thoracic closed drainage. Post-operatively, on day 2, the patient developed periodic fever, occurring specifically between 20:00 and 23:00 hours each night, with normal daytime temperatures. Concurrently, during PT administration, the patient exhibited leukopenia and hypokalemia. Notably, cessation of PT led to an immediate resolution of the periodic fever, gradual normalization of leukocyte counts, and restoration of potassium levels. Although PT can cause fever, diagnosis can be challenging in the post-operative setting due to the potential for confounding factors. Conclusions This case suggests that in surgical patients presenting with periodic fever, particularly when accompanied by leukopenia and hypokalemia after exposure to PT, the drug should be considered a potential causative agent, even if other post-operative complications are being investigated. Keywords Piperacillin-tazobactam, Periodic fever, Leukopenia, Hypokalemia, Post-trauma surgery. Creator An entity primarily responsible for making the resource Hong Luo1,2†, Xu Zhang3†, Fei Zhang1* and Wuxun Peng1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01096-8 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Piperacillin-tazobactam, Periodic fever, Leukopenia, Hypokalemia, Post-trauma surgery. https://repository.horizon.ac.id/files/original/34892706e57325f1de3c411455f94869.pdf 430f068e3db81390d57afe14e6dd8ea2 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Volume 19 Issue 1 2026 Contributor An entity responsible for making contributions to the resource PERI IRAWAN Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Anti-NMDA receptor encephalitis with coexisting autoimmune GFAP astrocytopathy presenting with psychiatric symptoms leading to a suicide attempt: a case report Subject The topic of the resource Glial fibrillary acidic protein astrocytopathy (GFAP-A), Autoimmune encephalitis, Psychiatric symptoms, Suicide attempt, Hyponatremia Description An account of the resource Abstract Background Distinguishing altered consciousness owing to an underlying organic disorder from a psychiatric etiology can be challenging in patients presenting at the emergency department after a suicide attempt. Case presentation The patient was a 52-year-old woman who jumped from the third floor of her house. She sustained a small subdural hematoma in the left cerebellar tentorium and a fracture of the right first rib. She was admitted to our tertiary emergency and critical care center for further evaluation of the head injury and remained clinically stable. On hospital day 2, the patient was diagnosed with severe depression by a psychiatrist and was transferred to a psychiatric ward. However, she developed disturbances of consciousness and cognitive impairment that could not be explained by psychiatric illness thereafter. Further workup revealed anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis and autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy as the etiology. High-dose intravenous methylprednisolone therapy together with high-dose intravenous immunoglobulin was initiated. Disturbances of consciousness and cognitive impairment did not fully recover; however, she was transferred to another hospital on day 149. Conclusion Apart from psychiatric causes, organic etiologies should be considered in patients who have attempted suicide if psychiatric interventions cannot explain cognitive abnormalities. This approach facilitates timely diagnosis and management of treatable diseases such as coexisting anti-NMDAR encephalitis and autoimmune GFAP astrocytopathy. Keywords Glial fibrillary acidic protein astrocytopathy (GFAP-A), Autoimmune encephalitis, Psychiatric symptoms, Suicide attempt, Hyponatremia Creator An entity primarily responsible for making the resource Soichiro Kano1 , Ryo Kamidani1,2*, Takahito Miyake1 , Tomohide Ando3 , Yuto Tamaoki1,4, Yoya Ono3 , Masato Shiba1,5, Akio Kimura3 , Shozo Yoshida1 , Takayoshi Shimohata3 and Hideshi Okada1,6 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01095-9 Date A point or period of time associated with an event in the lifecycle of the resource 2026 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Glial fibrillary acidic protein astrocytopathy (GFAP-A), Autoimmune