1 10 43 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/ec0582f1ff22a7f0cb2d2a01f90d3ca1.pdf ac5f526d2285c463ab5a98dbae14c24e 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 direct qualitative content analysis on the design, implementation, and evaluation of prehospital earthquake exercises aligned with the HSEEP framework Subject The topic of the resource Preparedness, Prehospital, Earthquake, Exercise Description An account of the resource Abstract Introduction Disaster exercises are a vital strategy for enhancing Emergency Medical Services (EMS) operational preparedness. This study aimed to extract “Golden Keys” for Design, Implementation and Evaluation of earthquake exercises aligning these key components with the internationally recognized Homeland Security Exercise and Evaluation Program (HSEEP) Framework from the perspective of experienced Iranian prehospital technicians. Method A qualitative study was conducted using a directed content analysis. Data were systematically gathered through in-depth semi-structured interviews with 11 prehospital technician that purposefully selected based on their demonstrated expertise in prehospital exercise management. Data analysis was conducted in five steps following Granheim and Lundman’s approach and the study used Lincoln and Guba’s recommendations to assess data trustworthiness. Result After multiple rounds of data analysis and summarization 386 initial codes, 13 subcategories, and five main categories were identified. These main categories included “Exercise Foundation and Program Governance”, “Exercise Design, Coordination, and Control”, “Operational Implementation of the Exercise”, “Performance Evaluation and Capability Assessment” and “Learning, Workforce Empowerment”, and “System Improvement”. Conclusion Earthquake preparedness exercises must be sustained as an ongoing effort to enhance prehospital system resilience. The indicators identified in this study provide an actionable, evidence-based framework for EMS managers and policymakers to design, implement, and evaluate exercises aligned with system priorities. Translating exercise outcomes into actionable evidence facilitates informed decision-making targeted resource allocation and evidence-based policy formulation. Future research should focus on contextualizing this framework within localized programs and conducting quantitative validation of the proposed indicators. Keywords Preparedness, Prehospital, Earthquake, Exercise Creator An entity primarily responsible for making the resource Asiye Aminafshar1 , Ali Moradi Chaleshtori2 , Ali Khosravizad3 , Ali Sahebi3* and Hojjat Farahmandnia4* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-026-01135-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 Preparedness, Prehospital, Earthquake, Exercise https://repository.horizon.ac.id/files/original/81f2403a222077557650db4d0927046d.pdf 42745972b642c0ddb6e52506bfdc3e0c 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 Abdominal computed tomography use in the emergency department among children with abdominal pain: a retrospective analysis Subject The topic of the resource Abdominal pain, Abdominal computed tomography, Emergency department, Children Description An account of the resource Abstract Background Acute abdominal pain is a common cause of visits to the pediatric emergency departments (ED). In recent years, abdominal computed tomography (CT) has emerged as an increasingly used imaging modality due to its diagnostic value in the evaluation of abdominal pain. This study aimed to determine the frequency of CT use among children presenting to the ED with abdominal pain, and to identify the factors associated with CT use. Methods A single-center, retrospective review of medical records was conducted, including children aged 3 to 15 years who presented to the ED at the American University of Beirut Medical Center (AUBMC) with abdominal pain between January 1st and December 31, 2014. Demographic, clinical and laboratory data were collected and analyzed to assess predictors of CT use. Results A total of 451 patients were included in the study, of whom 11.8% underwent abdominal CT. Appendicitis was the most common abnormal finding (26%) seen on the abdominal CT scans followed by mesenteric adenitis (25%), while one-quarter of CT scans yielded normal findings. Older age, right lower quadrant (RLQ) pain, leukocytosis, and evaluation by an emergency medicine physician were significant predictors of CT use. Conclusion This study sheds the light on the potential overuse of abdominal CT scan in children presenting to ED with abdominal pain, exposing this vulnerable population to unnecessary radiation and adding financial burden. Thus, these findings underscore the importance of implementing institutional guidelines and promoting the use of non-ionizing imaging modalities. Keywords Abdominal pain, Abdominal computed tomography, Emergency department, Children Creator An entity primarily responsible for making the resource Sarah Khafaja1 , Sarah Salam Rizk1 , Samer El Hayek1 and Nadine Yazbeck1,2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01087-9 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 Abdominal pain, Abdominal computed tomography, Emergency department, Children https://repository.horizon.ac.id/files/original/68fd0baff56c8609341d63defff010e0.pdf e53c2ad327398ec9d21d223f9125f12f 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 Accuracy of ultrasound for intussusception in pediatric emergency presentations: a systematic review and diagnostic meta- analysis Subject The topic of the resource Intussusception, Emergency department, Pediatrics, Surgery, Point-of-care ultrasound Description An account of the resource Abstract Introduction Intussusception is a common cause of acute abdominal emergencies in children. This systematic review and diagnostic meta-analysis aimed to determine the diagnostic accuracy of ultrasound for intussusception in pediatric emergency presentations, providing pooled estimates for sensitivity, specificity, predictive values, and diagnostic odds ratios to inform clinical practice. Methods Adhering to PRISMA-DTA guidelines, a comprehensive search was conducted in PubMed, Scopus, Cochrane Library, and Web of Science up to July 2025. Bayesian bivariate random-effects meta-analyses were performed to estimate pooled sensitivity, specificity, and other measures, with subgroup and meta-regression analyses to explore heterogeneity. Results A total of 44 studies comprising 4,142 pediatric patients were included in the quantitative synthesis. The pooled sensitivity of ultrasound for diagnosing intussusception was 96.3% (95% credible interval [CrI] 94.9–97.5%), and the pooled specificity was 95.7% (95% CrI 93.3–97.5%). The area under the hierarchical summary receiver operating characteristic curve (AUC) was 0.81–0.82, indicating good discriminative ability. Positive predictive value (PPV) ranged from 54.1% at 5% prevalence to 99.8% at 95% prevalence, while negative predictive value (NPV) decreased from 99.8% to 57.7% across the same prevalence range. The overall certainty of evidence for sensitivity and specificity was rated as high, with moderate certainty for prevalence due to substantial heterogeneity. Conclusion Ultrasound demonstrates excellent diagnostic performance for pediatric intussusception in emergency settings, with high sensitivity and specificity maintained across patient subgroups and operator backgrounds. These findings support the continued use of ultrasound as the first-line diagnostic modality in both high- and low-resource environments and highlight the importance of structured training to optimize its accuracy. Future research should focus on multicenter prospective studies, standardization of ultrasound protocols, and the integration of artificial intelligence to further enhance diagnostic reliability. Creator An entity primarily responsible for making the resource Mohammed Alsabri1,2* , Shree Rath3 , Mohamed Amr Elkarargy4 , Amira A. Aboali5 , Khaled Abouelmagd6 , Abdelaziz Abdelaziz Abdelftah Ramadan7 , Luis L. Gamboa8 , Patrick Yoo9 and Yisha Cheng9 Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-026-01134-z 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 Intussusception, Emergency department, Pediatrics, Surgery, Point-of-care ultrasound https://repository.horizon.ac.id/files/original/f3a16924a291ab58c262d5923e472796.pdf 6f82e5d7e44e5d1c5f872a6cfd494a5d 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 Acute management of spontaneous intracerebral hemorrhage (ICH) in the emergency department Subject The topic of the resource Acute intracerebral hemorrhage, Blood pressure management, Anticoagulation reversal Description An account of the resource Background Spontaneous intracerebral hemorrhage (ICH) is a catastrophic form of stroke affecting more than 3.3 million individuals worldwide each year and accounting for approximately 10–20% of all strokes globally. Although less common than acute ischemic stroke, ICH carries a disproportionate burden of morbidity and mortality, with 30-day case fatality rates approaching 40–50%. Therapeutic advances for ICH have progressed more slowly than for ischemic stroke, and management remains largely supportive. Patients frequently present to the emergency department (ED) in critical condition, making early recognition and rapid, guideline-concordant intervention essential to improving outcomes. Review This narrative review summarizes the most recent American Heart Association/American Stroke Association (AHA/ASA) guidelines for the acute management of spontaneous ICH, with emphasis on practical ED application. Hypertension remains the most important modifiable risk factor, particularly in younger patients, while cerebral amyloid angiopathy predominates in older adults. Additional risk factors include anticoagulant and antiplatelet therapy, alcohol and illicit drug use, smoking, advanced age, and genetic predisposition. Primary brain injury results from hematoma mass effect and elevated intracranial pressure, followed by secondary injury driven by edema, inflammation, and oxidative stress. Because hematoma expansion commonly occurs within the first hours after symptom onset and strongly predicts mortality, early ED management prioritizes rapid neuroimaging, controlled blood pressure reduction, timely anticoagulation reversal, seizure management, metabolic and temperature control, and prompt neurosurgical consultation when indicated. Emerging evidence supports bundled, time-sensitive care pathways to reduce delays and optimize outcomes. Conclusion Optimal ICH outcomes depend on rapid, structured, guideline-concordant ED care focused on limiting hematoma expansion and secondary injury. Standardized workflows and bundled interventions represent effective strategies for improving survival and functional outcomes while avoiding premature prognostication in the acute phase. Keywords Acute intracerebral hemorrhage, Blood pressure management, Anticoagulation reversal Creator An entity primarily responsible for making the resource Madeleine Puissant1 and Latha Ganti2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-026-01126-z 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 Acute intracerebral hemorrhage, Blood pressure management, Anticoagulation reversal https://repository.horizon.ac.id/files/original/dcbf068a5fe60b266d24fced404f1245.pdf 6f82e5d7e44e5d1c5f872a6cfd494a5d 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 Acute management of spontaneous intracerebral hemorrhage (ICH) in the emergency department Subject The topic of the resource Acute intracerebral hemorrhage, Blood pressure management, Anticoagulation reversal Description An account of the resource Background Spontaneous intracerebral hemorrhage (ICH) is a catastrophic form of stroke affecting more than 3.3 million individuals worldwide each year and accounting for approximately 10–20% of all strokes globally. Although less common than acute ischemic stroke, ICH carries a disproportionate burden of morbidity and mortality, with 30-day case fatality rates approaching 40–50%. Therapeutic advances for ICH have progressed more slowly than for ischemic stroke, and management remains largely supportive. Patients frequently present to the emergency department (ED) in critical condition, making early recognition and rapid, guideline-concordant intervention essential to improving outcomes. Review This narrative review summarizes the most recent American Heart Association/American Stroke Association (AHA/ASA) guidelines for the acute management of spontaneous ICH, with emphasis on practical ED application. Hypertension remains the most important modifiable risk factor, particularly in younger patients, while cerebral amyloid angiopathy predominates in older adults. Additional risk factors include anticoagulant and antiplatelet therapy, alcohol and illicit drug use, smoking, advanced age, and genetic predisposition. Primary brain injury results from hematoma mass effect and elevated intracranial pressure, followed by secondary injury driven by edema, inflammation, and oxidative stress. Because hematoma expansion commonly occurs within the first hours after symptom onset and strongly predicts mortality, early ED management prioritizes rapid neuroimaging, controlled blood pressure reduction, timely anticoagulation reversal, seizure management, metabolic and temperature control, and prompt neurosurgical consultation when indicated. Emerging evidence supports bundled, time-sensitive care pathways to reduce delays and optimize outcomes. Conclusion Optimal ICH outcomes depend on rapid, structured, guideline-concordant ED care focused on limiting hematoma expansion and secondary injury. Standardized workflows and bundled interventions represent effective strategies for improving survival and functional outcomes while avoiding premature prognostication in the acute phase. Keywords Acute intracerebral hemorrhage, Blood pressure management, Anticoagulation reversal Creator An entity primarily responsible for making the resource Madeleine Puissant1 and Latha Ganti2* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-026-01126-z 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 Acute intracerebral hemorrhage, Blood pressure management, Anticoagulation reversal https://repository.horizon.ac.id/files/original/cebdefd022a57b9a236ca510aa68e697.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 Acute toxic encephalopathy induced by organic solvent exposure: a case report of diagnostic challenges and occupational health implications Subject The topic of the resource Acute toxic encephalopathy induced by organic solvent exposure: a case report of diagnostic challenges and occupational health implications Description An account of the resource Abstract Background Toxic encephalopathy, which results from exposure to neurotoxic substances, poses a considerable clinical challenge, especially for occupational groups like painters and construction workers. Case presentation This case report describes a 35-year-old female painter who experienced acute toxic encephalopathy, presenting with severe headache, nausea, and vomiting. Initially, her condition was misdiagnosed as cervical spondylosis. However, recognizing her occupational exposure to organic solvents was essential for arriving at the correct diagnosis. This case highlights the importance of thorough evaluations, particularly detailed occupational histories, to avoid misdiagnosis and ensure timely management of such conditions. Neuroimaging results showed bilateral symmetric white matter changes, which supported the diagnosis of organic solvent toxicity. This finding aligns with existing literature that discusses how lipid solubility can disrupt neuronal function. The patient's positive outcome following prompt treatment underscores the critical need for early recognition of toxic encephalopathy, as it can significantly improve recovery chances. Conclusion This case enhances our understanding of the complexities associated with diagnosing acute encephalopathy caused by organic solvents and underscores the urgent need for healthcare providers to be more aware of occupational hazards. Keywords Acute toxic encephalopathy, Neurotoxic substance exposure, Organic solvent exposure Creator An entity primarily responsible for making the resource Mengfei Han1 , Yi Ren1 , Kongbo Lv1 , Li Wang2 and Zhizhou Yang1* Source A related resource from which the described resource is derived https://doi.org/10.1186/s12245-025-01092-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 Acute toxic encephalopathy induced by organic solvent exposure: a case report of diagnostic challenges and occupational health implications https://repository.horizon.ac.id/files/original/73d9fa3c735986238c53d1d47a720cdb.pdf 1c0f0e40bf08e25ee92a03c3c04fe22f 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 Adapting a novel emergency triage tool to a resource-limited hospital in Nepal Subject The topic of the resource Triage, Emergency department, Quality improvement, Nepal, Global health Description An account of the resource Abstract Background Effective triage is critical for prioritizing emergency care. However, many low- and middle-income countries lack standardized triage systems. Nepal has been working to introduce the WHO’s Interagency Integrated Triage Tool (IITT) into emergency departments nationwide. Still, successful implementation requires context-specific adaptations to address operational realities and resource constraints. Objective This study aimed to collaboratively adapt the IITT for use in the Dhulikhel Hospital Emergency Department by incorporating frontline staff insights to develop a feasible, sustainable triage workflow. Methods Five focus groups composed of doctors, nurses, and paramedics were conducted. Through semi-structured discussions, we explored staff perceptions of areas for improvement in the existing triage processes. Participants then generated site-specific workflow models through iterative brainstorming sessions, progressively refining the design into a final consensus-based model. Results Participants, representing over 80% of clinical staff, identified key barriers to effective triage, including inconsistent communication, unclear handoff responsibilities, and insufficient training. The final triage workflow addressed many critical challenges raised in discussion sessions, provided a standardized and customized triage process, and resulted in high reported confidence in its utility. Conclusion This study demonstrates the value of a bottom-up, staff-centered approach to triage system development and implementation. Our focus group design offers a practical, replicable framework for low-resource emergency departments seeking to implement the IITT or similar protocols into their ED operations. Future efforts should focus on validating the workflow’s impact on patient outcomes and triage efficiency and investing in thorough and longitudinal training to support sustained adoption. Keywords Triage, Emergency department, Quality improvement, Nepal, Global health Creator An entity primarily responsible for making the resource Yael Weiner1*, Claire Therriault1*, Tina Duwal2 , Samjhana Basnet2 , Roshana Shrestha2 and Sanu Krishna Shrestha2* Date A point or period of time associated with an event in the lifecycle of the resource 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Triage, Emergency department, Quality improvement, Nepal, Global health 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/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