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{ "count": 39461, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=10800", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=10600", "results": [ { "pk": 66070, "title": "Invagination Appendico-Cecocolique", "subtitle": null, "abstract": "Garçon de 4 ans se présentant avec une histoire de douleurs abdominales et vomissements depuis 4 jours...", "language": "fra", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Anamika", "middle_name": "", "last_name": "Jha", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Sasmita", "middle_name": "", "last_name": "Tuladhar", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Bishnu", "middle_name": "", "last_name": "Gautam", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-25T15:52:10.097571+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66070/galley/50662/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66070/galley/50662/download/" } ] }, { "pk": 66073, "title": "Occlusion Intestinale Grêle due à la Tuberculose Intestinale", "subtitle": null, "abstract": "Un homme de 37 ans se présente avec une histoire de douleur abdominale généralisée modérée et de perte d'appétit ayant débuté 3 jours précédant la consultation...", "language": "fra", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Jonathan F", "middle_name": "", "last_name": "Swanson", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Akinniyi E", "middle_name": "", "last_name": "Fadipe", "name_suffix": "MCS (ECSA)", "institution": "", "department": "" }, { "first_name": "Samuel L", "middle_name": "", "last_name": "Burleson", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-24T15:14:26.408943+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66073/galley/50665/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66073/galley/50665/download/" } ] }, { "pk": 66065, "title": "Ascaridiose", "subtitle": null, "abstract": "Un garçon de 7 ans se présente avec fièvre, diarrhée, douleur abdominale diffuse s'aggravant progressivement et perte de poids, depuis 2 semaines, après un voyage en Honduras remontant à 3 semaines de la consultation...", "language": "fra", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Wayne", "middle_name": "", "last_name": "Fu", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Josh", "middle_name": "", "last_name": "Greenstein", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Amit", "middle_name": "", "last_name": "Ramjit", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-24T14:54:20.822749+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66065/galley/50657/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66065/galley/50657/download/" } ] }, { "pk": 66121, "title": "Biopsie Hépatique Dans le Carcinome Hépatocellulaire", "subtitle": null, "abstract": "Un agriculteur de 45 ans de la zone rurale d'Ethiopie s'est présenté avec une douleur progressive au quadrant supérieur droit accompagnée de léthargie et de perte d'appétit...", "language": "fra", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Amir", "middle_name": "", "last_name": "Sultan", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-24T14:30:36.152433+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66121/galley/50713/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66121/galley/50713/download/" } ] }, { "pk": 66066, "title": "Pericardite Tuberculosa", "subtitle": null, "abstract": "Um homem de 61 anos apresenta dificuldade para respirar. Sua doença atual começou com uma tosse não produtiva leve associada a uma leve dor no peito, sudorese noturna e perda de peso significativa nos últimos dois meses...", "language": "por", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Ecocardiografia", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "R.", "middle_name": "", "last_name": "Wahome", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "D.", "middle_name": "", "last_name": "Mirsch", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-24T12:44:15.986515+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66066/galley/50658/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66066/galley/50658/download/" } ] }, { "pk": 66071, "title": "Dispneia Indiferenciada na Era de COVID-19", "subtitle": null, "abstract": "Um homem de 45 anos chega à nossa clínica móvel após caminhar de sua aldeia a 20 km de distância, com histórico febre em piora gradual, mialgias e fadiga há três dias...", "language": "por", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "PULMONAR", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Rio", "middle_name": "", "last_name": "Beardsley", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Peter", "middle_name": "", "last_name": "Weimersheimer", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Katie", "middle_name": "", "last_name": "Wells", "name_suffix": "MD, MPH", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-24T08:38:15.303204+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66071/galley/50663/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66071/galley/50663/download/" } ] }, { "pk": 66072, "title": "Seguido por um caso de ultrassom à beira do leito no manejo de COVID-19 por Dr. Yale Tung-Chen, PhD", "subtitle": null, "abstract": "Um homem de 45 anos chega à nossa clínica móvel após caminhar de sua aldeia a 20 km de distância, com histórico febre em piora gradual, mialgias e fadiga há três dias...", "language": "por", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "PULMONAR", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Rio", "middle_name": "", "last_name": "Beardsley", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Peter", "middle_name": "", "last_name": "Weimersheimer", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Katie", "middle_name": "", "last_name": "Wells", "name_suffix": "MD, MPH", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-24T08:38:15.303204+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66072/galley/50664/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66072/galley/50664/download/" } ] }, { "pk": 39799, "title": "First record for the Palearctic region of a rare rotifer from the Ptygura elsteri group (Rotifera: Monogononta: Flosculariaceae: Flosculariidae) with description and biogeography of a new species: Ptygura innominata n. sp.", "subtitle": null, "abstract": "Here, I describe a new rotifer species within the \nPtygura elsteri\n group collected from Mallorca, Spain (Palearctic). Previously reported from the Nearctic, this form possesses anatomical and ecological characteristics that indicate it to be a separate species. While other morphotypes assigned to the \nP. elsteri\n group have cervical hooks, the hooks on this morphotype are clearly different. In this report, I discuss previously published observations of this form, describe its anatomical and ecological details, and discuss its taxonomic position within the genus \nPtygura\n. The name for this new species is \nPtygura innominata\n n. sp.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Mallorca" }, { "word": "new species" }, { "word": "Palearctic region" }, { "word": "Ptygura elsteri" }, { "word": "Ptygura innominata" }, { "word": "Rotifera" }, { "word": "sessile" }, { "word": "Spain" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6qh6z8dx", "frozenauthors": [ { "first_name": "Vicente", "middle_name": "", "last_name": "Franch", "name_suffix": "", "institution": "University of Murcia", "department": "None" } ], "date_submitted": "2021-04-11T19:19:43+08:00", "date_accepted": "2021-04-11T19:19:43+08:00", "date_published": "2021-11-22T15:33:45+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39799/galley/29974/download/" } ] }, { "pk": 5592, "title": "Deficient Play-Derived Experiences in Juvenile Long Evans Rats Reared with a Fischer 344 Partner: A Deficiency Shared by Both Sexes", "subtitle": null, "abstract": "Play fighting during the juvenile period has been shown to be an important experience for the development of sociocognitive skills and the underlying neural mechanisms that support them. Various paradigms have been used to deprive rats of play while still providing social contact. We used the paradigm of rearing a playful rat with a low-playing Fischer 344 (F344) partner to limit the play experienced by Long Evans (LE) rats during the juvenile period. This rearing paradigm has previously been shown to cause sociocognitive impairments in adulthood. In the present paper, we examined the play of same sex LE rats with LE or F344 partners at the peak juvenile period (around 35 days of age). F344 rats launched fewer playful attacks and when attacked, defended atypically compared to how LE do in LE-LE pairs. Playing with an F344 partner afforded LE rats fewer opportunities to engage in prolonged wrestling and fewer opportunities to ward off counterattacks (in which the defending rat becomes the attacker). In addition, there are fewer vocalizations emitted during the encounters in LE-F344 pairs and the types of calls most often emitted differed to those between LE-LE pairs. The altered play and communication experiences were equally present in male and female pairs. These findings are consistent with the hypothesis that, in such rearing paradigms, it is impoverished play experiences in the juvenile period that lead to impaired sociocognitive skills in adulthood.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "play deprivation" }, { "word": "Fischer 344 rats" }, { "word": "play fighting" }, { "word": "executive functions" }, { "word": "reciprocity" }, { "word": "sex differences" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6rx210j7", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "Anne Marie", "last_name": "Stark", "name_suffix": "", "institution": "University of Lethbridge", "department": "None" }, { "first_name": "Raksha", "middle_name": "", "last_name": "Ramkumar", "name_suffix": "", "institution": "University of Calgary", "department": "None" }, { "first_name": "Sergio", "middle_name": "M", "last_name": "Pellis", "name_suffix": "", "institution": "University of Lethbridge", "department": "None" } ], "date_submitted": "2021-03-12T12:37:57+08:00", "date_accepted": "2021-03-12T12:37:57+08:00", "date_published": "2021-11-20T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5592/galley/3386/download/" } ] }, { "pk": 61504, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/63c3719w", "frozenauthors": [ { "first_name": "Edward Kenneth", "middle_name": "Lazaro", "last_name": "Nadurata", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-19T00:05:50+08:00", "date_accepted": "2021-11-19T00:05:50+08:00", "date_published": "2021-11-19T00:06:01+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61504/galley/47459/download/" } ] }, { "pk": 61503, "title": "Contributors", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Contributors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4v76w22c", "frozenauthors": [ { "first_name": "Edward Kenneth", "middle_name": "Lazaro", "last_name": "Nadurata", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:39:05+08:00", "date_accepted": "2021-11-18T17:39:05+08:00", "date_published": "2021-11-18T17:39:18+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61503/galley/47458/download/" } ] }, { "pk": 61482, "title": "Book Review: Union By Law: Filipino American Labor Activists, Rights Radicalism, and Racial Capitalism (Michael McCann and George Lowell)", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [ { "word": "Labor History, Legal Studies, Racial Capitalism" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1x97b5hk", "frozenauthors": [ { "first_name": "MIchael", "middle_name": "", "last_name": "Schulze-Oechtering", "name_suffix": "", "institution": "Western Washington University", "department": "" } ], "date_submitted": "2021-05-21T01:24:11+08:00", "date_accepted": "2021-05-21T01:24:11+08:00", "date_published": "2021-11-18T17:30:53+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61482/galley/47440/download/" } ] }, { "pk": 61501, "title": "Film Review: Aswang", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6tr3f7jj", "frozenauthors": [ { "first_name": "stefan", "middle_name": "", "last_name": "torralba", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:29:52+08:00", "date_accepted": "2021-11-18T17:29:52+08:00", "date_published": "2021-11-18T17:30:08+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61501/galley/47456/download/" } ] }, { "pk": 61500, "title": "Leese Street Studio - Johanna Poethig", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Leese Street Studio", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2wc8w79t", "frozenauthors": [ { "first_name": "Johanna", "middle_name": "", "last_name": "Poethig", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:27:25+08:00", "date_accepted": "2021-11-18T17:27:25+08:00", "date_published": "2021-11-18T17:27:44+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61500/galley/47455/download/" } ] }, { "pk": 61494, "title": "Introduction: New Filipino American Scholarship on the Marcos Era", "subtitle": null, "abstract": "Introduction: New Filipino American Scholarship on the Marcos Era", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6pj718tj", "frozenauthors": [ { "first_name": "José", "middle_name": "B.", "last_name": "Capino", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Martin", "middle_name": "F.", "last_name": "Manalansan IV", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:08:57+08:00", "date_accepted": "2021-11-18T17:08:57+08:00", "date_published": "2021-11-18T17:22:31+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61494/galley/47449/download/" } ] }, { "pk": 61497, "title": "Chaos and Order in Lino Brocka’s Insiang (1976)", "subtitle": null, "abstract": "The Marcos regime’s seizure of culture® and the first couple’s promulgation of “truth, beauty, and goodness” as guiding cultural principles® was more than an act of political repression. It was the purposeful and incisive reimagining of Filipino subjectivity for the global capitalist paradigms of the cold war order. This essay analyzes Lino Brocka’s 1976 film \nInsiang \nas a visualization of authoritarian violence that acknowledges the insidiousness of Marcosian cultural reforms and their adamant demand to affect and seize Filipino sensibilities. The film illustrates the ways that Ferdinand and Imelda Marcos’s mandates for morality, beauty, and humanity were impossible within the impoverished conditions of Manila’s urbanity. More importantly, I argue that the film disrupts the coherency of the Marcoses’ renditions of Filipino subjectivity by making a case for lifemaking practices bred and cultivated by chaos itself.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3wd7k4gc", "frozenauthors": [ { "first_name": "Josen", "middle_name": "Masangkay", "last_name": "Diaz", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:14:15+08:00", "date_accepted": "2021-11-18T17:14:15+08:00", "date_published": "2021-11-18T17:20:11+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61497/galley/47452/download/" } ] }, { "pk": 61496, "title": "Masagana 99: Beyond Seeds, Grains, and Stalks", "subtitle": null, "abstract": "Alongside official policies and speeches declaring and steering official national identity, I turn to songs and dances as affective and performance archives that strategically rouse and structure our feelings of belonging to a cohesive and stable national culture. More broadly, I track the crafting of a Filipino/a national subject through state reliance on sedimented (and thus value-laden) forms such as ‘national traditions’ and ‘folk cultures’ to make possible the idea of a laboring and productive citizenry. I ask: How do traditional dances and songs sustain and indeed supplement the ambitions of government initiatives implemented during Ferdinand Marcos’s martial law, such as the rice production program Masagana 99? How do the timeless assemblages of performance shore up the edifice of an embattled and yet resilient nation-state? As we commemorate the afterlives of Martial Law, I return to such fragments of embodied memory with adjacent governmental policies of the time to underscore the complex scope and the scale of Marcos’s dictatorship, as well as relay these scenes as seeds of struggle, labor, and resistance.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2tj0m7d9", "frozenauthors": [ { "first_name": "Lucy Mae", "middle_name": "San Pablo", "last_name": "Burns", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:12:51+08:00", "date_accepted": "2021-11-18T17:12:51+08:00", "date_published": "2021-11-18T17:19:49+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61496/galley/47451/download/" } ] }, { "pk": 61495, "title": "Aurality and Power: Western Art Music and the Marcos Regime", "subtitle": null, "abstract": "Western classical music flourished under the patronage of Imelda Marcos. While this legacy is often touted as a positive one, the genre of music itself and its imbrication with colonialism and racism cannot be ignored. This essay illustrates how Marcos harnessed Western classical music and conceptions of the global and universal to access ideological capital and claim a place for the Philippine nation as an equal in the international community. While the New Society also heralded nativism as nationalism, Western classical music and its trappings of Whiteness and modernity paralleled the regime’s elite cosmopolitan aspirations.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2fk9d200", "frozenauthors": [ { "first_name": "Christi-Anne", "middle_name": "", "last_name": "Castro", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:10:21+08:00", "date_accepted": "2021-11-18T17:10:21+08:00", "date_published": "2021-11-18T17:17:53+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61495/galley/47450/download/" } ] }, { "pk": 61498, "title": "Radical House/work: Revolutionary Intimacies in the US-Based Anti-Marcos Movement", "subtitle": null, "abstract": "This essay examines the radical potential of shared living spaces as sites of revolutionary intimacies. Revolutionary intimacies, I argue, are close bonds, relationships, and social practices in the home and other private spaces that foster the creation of new political imaginings for democracy and liberation. Centering stories of activists involved in the US-based anti-Marcos movement during the 1970s and 1980s, I ask: How does one “work” the home, from a place that has traditionally reinforced heteropatriarchal violence, toward a space with liberatory intention?", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5004f5fg", "frozenauthors": [ { "first_name": "Karen", "middle_name": "Buenavista", "last_name": "Hanna", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:15:38+08:00", "date_accepted": "2021-11-18T17:15:38+08:00", "date_published": "2021-11-18T17:17:36+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61498/galley/47453/download/" } ] }, { "pk": 61499, "title": "Methodists against Martial Law: Filipino Chicagoans and the Church’s Role in a Global Crusade", "subtitle": null, "abstract": "During the 1970s and 1980s, the United Methodist Church in the Midwest prioritized recruiting people of color. This included Filipino immigrants whose population continued to grow across greater Chicago. Amid these recruitment efforts, Methodists took firm stances on matters related to social justice and international affairs using religious doctrine or reasoning to justify political mobilization. Filipino Methodists formed critical alliances with non-Filipino Methodists, other Christians, and leftist organizations to raise awareness about Ferdinand Marcos’s dictatorship and martial law order in the Philippines. Their grassroots activism helped sustain and bolster the efficacy of anti-Marcos and anti-martial law movements occurring worldwide.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6x92v3r6", "frozenauthors": [ { "first_name": "James", "middle_name": "", "last_name": "Zarsadiaz", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:17:02+08:00", "date_accepted": "2021-11-18T17:17:02+08:00", "date_published": "2021-11-18T17:17:13+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61499/galley/47454/download/" } ] }, { "pk": 61491, "title": "\"OUSTING ONE MAN IS NOT ENOUGH\"", "subtitle": null, "abstract": "\"Ousting One Man Is Not Enough\" looks at the cultural factors which enable dictatorships to re-surface again and again in Philippine politics. A very important study, considering that the son of the country's only formal dictator is now running for president. \"Ousting One Man...\" was presented at the September 21st webinar commemoration of the declaration of martial law by Activista/Dakila. 900 registered for this webinar.", "language": "en", "license": null, "keywords": [ { "word": "Marcos, Martial Law, Philippines, authoritarianism" } ], "section": "Forum", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/00w7k6kx", "frozenauthors": [ { "first_name": "Ninotchka", "middle_name": "", "last_name": "Rosca", "name_suffix": "", "institution": "activist", "department": "" } ], "date_submitted": "2021-10-06T03:54:10+08:00", "date_accepted": "2021-10-06T03:54:10+08:00", "date_published": "2021-11-18T16:58:14+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61491/galley/47446/download/" } ] }, { "pk": 61490, "title": "The Power of the People", "subtitle": null, "abstract": "Reflections from Vice Preisdent Leni Robredo", "language": "en, fil", "license": null, "keywords": [ { "word": "Philipppines, Martial Law, Marcos, EDSA" } ], "section": "Forum", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/51g052p1", "frozenauthors": [ { "first_name": "Leni", "middle_name": "", "last_name": "Robredo", "name_suffix": "", "institution": "Vice President of the Republic of the Philippines", "department": "" } ], "date_submitted": "2021-10-05T02:43:00+08:00", "date_accepted": "2021-10-05T02:43:00+08:00", "date_published": "2021-11-18T16:57:57+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61490/galley/47445/download/" } ] }, { "pk": 61493, "title": "Editor's Preface", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Editor's Preface", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82r8j53k", "frozenauthors": [ { "first_name": "Rick", "middle_name": "", "last_name": "Bonus", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T16:55:07+08:00", "date_accepted": "2021-11-18T16:55:07+08:00", "date_published": "2021-11-18T16:56:03+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61493/galley/47448/download/" } ] }, { "pk": 61492, "title": "Front Matter", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8581b7td", "frozenauthors": [ { "first_name": "Edward Kenneth", "middle_name": "Lazaro", "last_name": "Nadurata", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T16:50:19+08:00", "date_accepted": "2021-11-18T16:50:19+08:00", "date_published": "2021-11-18T16:51:11+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61492/galley/47447/download/" } ] }, { "pk": 61502, "title": "Book Review: Women Against Marcos: Stories of Filipino and Filipino American Women Who Fought a Dictator", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7sh6v0v4", "frozenauthors": [ { "first_name": "Joy", "middle_name": "", "last_name": "Sales", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-18T17:32:41+08:00", "date_accepted": "2021-11-18T17:32:41+08:00", "date_published": "2021-11-18T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61502/galley/47457/download/" } ] }, { "pk": 39805, "title": "Aliens in their native country: the case of the Alpine marmot Marmota marmota (Linnaeus, 1758) (Mammalia, Rodentia) in the Apennine ridge", "subtitle": null, "abstract": "The distribution of the Alpine marmot released in the Northern Apennines has been largely unstudied. In this note, we summarise the current distribution and the altitude range of the Alpine marmot in the Apennine ridge, 80 years after their first releases. We searched for marmot occurrence on the Apennines (i) on citizen-science platforms and (ii) through a webmail on Sciuridae distribution in Italy. We collected 80 marmot records validated by photos and by field investigations. We showed that Alpine marmots are present on over 70,000 ha in the Apennines, between Emilia Romagna and Tuscany. Most occurrences were recorded between 1600 and 1700 m a.s.l., in lines with other works on this species. Although the introduction of the Alpine marmot in the Apennines appears to have been successful, further molecular and ecological data are needed to assess origins and potential environmental impacts (e.g. on soil stability) of these established populations. This work may represent a description of the current status of this species, to be compared with future monitoring. In turn, updating the distribution of the Alpine marmot in the Apennines in the next years may be useful to assess potential distribution shift towards higher altitudes as a response to local climatic change.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Alpine marmot" }, { "word": "distribution assessment" }, { "word": "Climatic Change" }, { "word": "mountain ecosystems" }, { "word": "species introduction" } ], "section": "Special Section: Citizen Science in Biogeography", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0zq4w9nn", "frozenauthors": [ { "first_name": "Andrea", "middle_name": "", "last_name": "Viviano", "name_suffix": "", "institution": "Università di Pisa", "department": "None" }, { "first_name": "Emiliano", "middle_name": "", "last_name": "Mori", "name_suffix": "", "institution": "National Research Council, Research Institute on Terrestrial Ecosystems, Italy", "department": "None" } ], "date_submitted": "2021-08-24T21:50:28+08:00", "date_accepted": "2021-08-24T21:50:28+08:00", "date_published": "2021-11-15T22:12:33+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39805/galley/29980/download/" } ] }, { "pk": 57188, "title": "[Tool] Designing Replicable Networking Experiments With Triscale", "subtitle": null, "abstract": "When designing their performance evaluations, networking researchers often encounter questions such as: How long should a run be? How many runs to perform? How to account for the variability across multiple runs? What statistical methods should be used to analyze the data? Despite their best intentions, researchers often answer these questions differently, thus impairing the replicability of their evaluations and the confidence in their results. \n \nIn this paper, we propose a concrete methodology for the design and analysis of performance evaluations. Our approach hierarchically partitions the performance evaluation into three timescales, following the principle of separation of concerns. The idea is to understand, for each timescale, the temporal characteristics of variability sources, and then to apply rigorous statistical methods to derive performance results with quantifiable confidence in spite of the inherent variability. We implement this methodology in a software framework called TriScale. For each performance metric, TriScale computes a variability score that estimates, with a given confidence, how similar the results would be if the evaluation were replicated; in other words, TriScale quantifies the replicability of evaluations. We showcase the practicality and usefulness of TriScale on four different case studies demonstrating that TriScale helps to generalize and strengthen published results. \n \nImproving the standards of replicability in networking is a complex challenge. This paper is an important contribution to this endeavor; it provides networking researchers with a rational and concrete experimental methodology rooted in sound statistical foundations. The first of its kind.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "networking" }, { "word": "Performance Evaluation" }, { "word": "Replicability" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/63n4s9w2", "frozenauthors": [ { "first_name": "Romain", "middle_name": "", "last_name": "Jacob", "name_suffix": "", "institution": "ETH Zurich", "department": "" }, { "first_name": "Marco", "middle_name": "", "last_name": "Zimmerling", "name_suffix": "", "institution": "TU Dresden", "department": "" }, { "first_name": "Carlo", "middle_name": "Alberto", "last_name": "Boano", "name_suffix": "", "institution": "TU Graz", "department": "" }, { "first_name": "Laurent", "middle_name": "", "last_name": "Vanbever", "name_suffix": "", "institution": "ETH Zurich", "department": "" }, { "first_name": "Lothar", "middle_name": "", "last_name": "Thiele", "name_suffix": "", "institution": "ETH Zurich", "department": "" } ], "date_submitted": "2021-11-15T11:52:22+08:00", "date_accepted": "2021-11-15T11:52:22+08:00", "date_published": "2021-11-15T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jsys/article/57188/galley/43385/download/" } ] }, { "pk": 54176, "title": "Commodified Justice and American Penal Form", "subtitle": null, "abstract": "This article seeks to analyze American penal law, ideology, and culture through the lens of Marxist theories of commodification and commodity fetishism. It first introduces the “first-order commodification of justice,” that is, the positing of a quantitative equivalence between offense and punishment. Next, it introduces the “second-order commodification of justice,” that is, the notion that the benefits of a particular penal regime can be reckoned alongside other social goods, mediated by the general currency of “utility.” It then considers some of the consequences of this commodification for the cultural meanings of justice and punishment in American culture. It pays particular attention to how the commodification of justice interacts in a mutually reinforcing way with racism. It concludes by arguing that commodified justice can perhaps be overcome through a transition to restorative/transformative justice paradigms, effectuated by an anti-capitalist, prison-industrial-complex abolitionist political praxis.", "language": "en", "license": null, "keywords": [ { "word": "criminal law" }, { "word": "Marxism" }, { "word": "commodity fetishism" }, { "word": "ideology" }, { "word": "restorative and transformative justice" }, { "word": "race and capitalism" }, { "word": "abolition" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/71r2d8dr", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Epstein", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-13T11:33:49+08:00", "date_accepted": "2021-11-13T11:33:49+08:00", "date_published": "2021-11-12T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54176/galley/40952/download/" } ] }, { "pk": 54179, "title": "Destin Jenkins and Justin Leroy (eds.), Histories of Racial Capitalism (Columbia University Press, 2021), 266 pages", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4758t3v8", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Platt", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-13T11:48:07+08:00", "date_accepted": "2021-11-13T11:48:07+08:00", "date_published": "2021-11-12T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54179/galley/40955/download/" } ] }, { "pk": 54173, "title": "Introduction: The 2021 Law and Political Economy Writing Prize", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1nj2j8nk", "frozenauthors": [ { "first_name": "Katie", "middle_name": "", "last_name": "Super", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Miriam", "middle_name": "", "last_name": "Shestack", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Anna", "middle_name": "", "last_name": "Saunders", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Kurt", "middle_name": "", "last_name": "Walters", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-13T11:24:01+08:00", "date_accepted": "2021-11-13T11:24:01+08:00", "date_published": "2021-11-12T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54173/galley/40949/download/" } ] }, { "pk": 54175, "title": "Roma Workers under Czech Racial Capitalism: A Post-Socialist Case Study", "subtitle": null, "abstract": "This article contributes to the theory of racial capitalism by focusing on racialization of labor in the post-socialist context. Drawing on fieldwork conducted with Roma workers in the city of Ostrava, the Czech Republic, the paper investigates the role of the Czech state in confining Roma to low-paid, precarious and informal work—and how dynamics of racialization figure in this relationship. State policies like job placement programs, I claim, explicitly target Roma workers, channelling them into stigmatized and low paying positions, reproducing racial prejudices and confining them to precarious and often dangerous work. Using the category of “racialized surplus population,” I examine the functionalist relationship between racialization and capitalism in the Czech Republic, which I argue is manifest both economically—enabling capital to rely on racialized workers as a reserve army of labor—and politically, as the exclusion of Roma from the white proletariat mediates class conflict.", "language": "en", "license": null, "keywords": [ { "word": "racialized labor, surplus population, racial capitalism, ethnography, post-socialism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25m7j1t0", "frozenauthors": [ { "first_name": "Barbora", "middle_name": "", "last_name": "Černušáková", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-13T11:30:30+08:00", "date_accepted": "2021-11-13T11:30:30+08:00", "date_published": "2021-11-12T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54175/galley/40951/download/" } ] }, { "pk": 54177, "title": "Situating the Inter-American Human Rights System in the Oscillation of International Law", "subtitle": null, "abstract": "This article considers the Inter-American Human Rights System (IAHRS) as a response to the general assessments of some critical scholarship on international law. It employs the concept of “oscillation of international law” to organize different views of the international human rights and environmental law (IHREL) scholarship, two legal regimes that speak loudest to the IAHRS’ interests. These views are distributed within a spectrum that goes from \nutopian\n demands placed on IHREL, to \napologist\n defenses of these legal regimes. I put forward a third strand of critical intervention by framing the IAHRS as a space of political and legal contention that promises to address some of the IHREL’s shortcomings. I caution, however, that, although the IAHRS functions as an enabling platform for subaltern polities that redraw the boundaries of legal meanings, the system may fall short in tackling challenges that are contingent on global capitalist logics.", "language": "en", "license": null, "keywords": [ { "word": "Inter-American Human Rights System, oscillation, international human rights law, international environmental law, utopia, apology" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43944568", "frozenauthors": [ { "first_name": "Juan", "middle_name": "", "last_name": "Auz", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-13T11:36:01+08:00", "date_accepted": "2021-11-13T11:36:01+08:00", "date_published": "2021-11-12T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54177/galley/40953/download/" } ] }, { "pk": 54178, "title": "Stephanie Kelton, The Deficit Myth: Modern Monetary Theory and How to Build a Better Economy (John Murray Press, 2020), 336 pages", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rd759x8", "frozenauthors": [ { "first_name": "Jeremy", "middle_name": "", "last_name": "Leaman", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-13T11:46:29+08:00", "date_accepted": "2021-11-13T11:46:29+08:00", "date_published": "2021-11-12T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54178/galley/40954/download/" } ] }, { "pk": 54174, "title": "Stripping the Gears of White Supremacy: A Call to Abate Reliance on Court Fines and Fees and Revitalize Local Taxation", "subtitle": null, "abstract": "In recent decades, states and municipalities have increasingly relied on court fines and fees to overcome budget shortfalls. Existing literature underscores the varied and adverse impacts of court debt, as well as the disproportionate incidence of such debt on people of color and poor people of all races. Yet, few pieces of scholarship directly link increased imposition of court fines and fees to decreased dependence on traditional progressive taxes. This article aims to fill the gap. Using the Law and Political Economy (LPE) framework, I argue that increased imposition of court debt derives from heightened antitax sentiment and the erosion of the state and local tax bases. In the process, I contend, the tax and court debt systems reflect and exacerbate racial inequality. I conclude by proposing a conceptual framework to abate reliance on court debt, advancing the LPE mission.", "language": "en", "license": null, "keywords": [ { "word": "fines, fees, tax, court debt, racial justice" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/96d823sf", "frozenauthors": [ { "first_name": "Hayley", "middle_name": "", "last_name": "Hahn", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-11-13T11:27:19+08:00", "date_accepted": "2021-11-13T11:27:19+08:00", "date_published": "2021-11-12T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54174/galley/40950/download/" } ] }, { "pk": 39803, "title": "Caveat lector; or, the Linnean origin of the myth of Tournefort as a precursor of von Humboldt", "subtitle": null, "abstract": "Joseph Pitton de Tournefort (1656-1708) is frequently mentioned in biogeography and ecology among those who, before von Humboldt, paralleled the elevational organization of vegetation to its latitudinal zonation on the basis of observations made on Mount Ararat and presented in his \nRelation d'un voyage du Levant\n (1717). However, as already noticed in overlooked notes by Hooker (1881) and Hemsley (1896), there is no hint to this correspondence in Tournefort’s description of his ascent of Mount Ararat. Linnaeus (1744) was the first author who, without any plausible reason, attributed the idea of this parallelism to Tournefort. Based on Linnaeus’ work, Mirbel (1815), von Humboldt (1816), Schouw (1823) and Forbes (1846) repeated this wrong credit. Works by these early authors have in turn generated an intricate pathway of repetition of original Linnaeus’ error until nowadays. Along with Tournefort, Linnaeus cited Cesalpino (1583), as one who found floral similarities between northern lowlands (Sweden) and southern mountains (Tuscany). However, there is no passage in Cesalpino that might suggest that he made any comparison between the Italian and Swedish floras, although it is possible that Linnaeus used Cesalpino’s observations on the Italian flora to make a parallelism with the Swedish one. Cesalpino’s recognition of the existence of allied species placed at different elevations may suggest that he has anticipated, by centuries, the concept of vicariance.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Elevational gradient, latitudinal gradient, vegetation zones, vicariance, history of science, Humboldt, Linnaeus, Tournefort, Cesalpino" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7nf2j08j", "frozenauthors": [ { "first_name": "Simone", "middle_name": "", "last_name": "Fattorini", "name_suffix": "", "institution": "University of L'Aquila", "department": "None" } ], "date_submitted": "2021-07-18T01:53:19+08:00", "date_accepted": "2021-07-18T01:53:19+08:00", "date_published": "2021-11-11T16:26:37+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39803/galley/29978/download/" } ] }, { "pk": 1107, "title": "CPC-EM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "CPC-EM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6xg0d84c", "frozenauthors": [ { "first_name": "Trina", "middle_name": "", "last_name": "Nguyen", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2021-11-10T07:07:05+08:00", "date_accepted": "2021-11-10T07:07:05+08:00", "date_published": "2021-11-10T07:14:07+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1107/galley/848/download/" } ] }, { "pk": 7174, "title": "Editorial", "subtitle": null, "abstract": "Editorial", "language": "en", "license": null, "keywords": [], "section": "Editorials", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3db0d4pq", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "", "last_name": "Ash-Cervantes", "name_suffix": "", "institution": "California State University Los Angeles", "department": "None" } ], "date_submitted": "2021-11-09T05:56:50+08:00", "date_accepted": "2021-11-09T05:56:50+08:00", "date_published": "2021-11-09T06:01:46+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/7174/galley/4302/download/" } ] }, { "pk": 7173, "title": "Extending Applied Linguistics for Social Impact: Cross-Disciplinary Collaborations in Diverse Spaces of Public Inquiry.", "subtitle": null, "abstract": "Book Review", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/73k2z1ft", "frozenauthors": [ { "first_name": "Mathijs", "middle_name": "", "last_name": "Arens", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2021-11-09T05:53:19+08:00", "date_accepted": "2021-11-09T05:53:19+08:00", "date_published": "2021-11-09T05:54:40+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/7173/galley/4301/download/" } ] }, { "pk": 45133, "title": "Statin Avoidance and Primary Prevention of CAD", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2xx3z50v", "frozenauthors": [ { "first_name": "Nazanin", "middle_name": "", "last_name": "Gunn", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Peyman", "middle_name": "", "last_name": "Azadani", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "David", "middle_name": "", "last_name": "Gunn", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-09T03:59:30+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45133/galley/33926/download/" } ] }, { "pk": 6801, "title": "Linguistic Features of Formative Feedback on ESL Argumentative Writing: Comparing Pre-service and Experienced Teachers", "subtitle": null, "abstract": "This experimental study investigated pre-service and experienced teachers’ formative feedback responding to upper-secondary English as a Second Language (ESL) argumentative essays. It examined differences in feedback quality and linguistic features regarding teaching experience and text quality (high/low). We developed holistic criteria of effective formative feedback based on empirical findings in order to rate comments by 26 experienced and 41 pre-service teachers. Natural language processing tools were then applied to evaluate linguistic features of these comments. Results indicate that teachers provided more high-quality feedback to stronger essays than to weaker texts. No significant difference was found between pre-service and experienced teachers in terms of feedback quality. Further, comment length and absence of negative adjectives seem to predict feedback quality. Implications for research and practice are discussed.", "language": "en", "license": null, "keywords": [ { "word": "formative feedback, second language writing, natural language processing, teacher education" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3pv279vw", "frozenauthors": [ { "first_name": "Cristina", "middle_name": "", "last_name": "Voegelin", "name_suffix": "", "institution": "University of Basel\nInstitute for Educational Sciences", "department": "None" }, { "first_name": "Stefan", "middle_name": "Daniel", "last_name": "Keller", "name_suffix": "", "institution": "University of Basel\nInstitute for Educational Sciences", "department": "None" } ], "date_submitted": "2020-07-28T04:14:59+08:00", "date_accepted": "2020-07-28T04:14:59+08:00", "date_published": "2021-11-08T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/6801/galley/3901/download/" } ] }, { "pk": 7167, "title": "Observations of an Exceptional Pandemic-Era ESL Class", "subtitle": null, "abstract": "N/A", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1px7x5sq", "frozenauthors": [ { "first_name": "Dyan", "middle_name": "", "last_name": "Collings Ralph", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2021-07-17T10:21:31+08:00", "date_accepted": "2021-07-17T10:21:31+08:00", "date_published": "2021-11-08T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/7167/galley/4299/download/" } ] }, { "pk": 7168, "title": "Teaching Imperatives: Both Moral and Superfluous", "subtitle": null, "abstract": "N/A", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0sq0r2r9", "frozenauthors": [ { "first_name": "Mathijs", "middle_name": "", "last_name": "Arens", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2021-07-17T10:23:20+08:00", "date_accepted": "2021-07-17T10:23:20+08:00", "date_published": "2021-11-08T16:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/7168/galley/4300/download/" } ] }, { "pk": 41921, "title": "Embodied Justice in Yoga for People of Color Sangha", "subtitle": null, "abstract": "", "language": "English", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "community organizing, people of color, anti-racism, anti/de-coloniailsm, social movements, spiritual justice, healing, empowerment" } ], "section": "Personal Narratives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1j60g8h2", "frozenauthors": [ { "first_name": "Farah", "middle_name": "", "last_name": "Nousheen", "name_suffix": "", "institution": "University of New Mexico", "department": "None" }, { "first_name": "Raquel", "middle_name": "Andrea", "last_name": "González Madrigal", "name_suffix": "", "institution": "Mount Holyoke College", "department": "None" } ], "date_submitted": "2021-05-08T12:33:58+08:00", "date_accepted": "2021-05-08T12:33:58+08:00", "date_published": "2021-11-08T08:25:44+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/raceandyoga/article/41921/galley/31309/download/" } ] }, { "pk": 16098, "title": "WestJEM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "WestJEM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7mh75152", "frozenauthors": [ { "first_name": "Cassandra", "middle_name": "", "last_name": "Saucedo", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Nathan", "middle_name": "", "last_name": "Do", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2021-11-06T04:40:30+08:00", "date_accepted": "2021-11-06T04:40:30+08:00", "date_published": "2021-11-06T04:42:51+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16098/galley/8075/download/" } ] }, { "pk": 16067, "title": "This Article Corrects: “The Effects of Implementing a “Waterfall” Emergency Physician Attending Schedule”", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Erratum (Staff Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4v0198zs", "frozenauthors": [ { "first_name": "Lindsey", "middle_name": "", "last_name": "Spiegelman", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Maxwell", "middle_name": "", "last_name": "Jen", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Danielle", "middle_name": "", "last_name": "Matonis", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Gibney", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Soheil", "middle_name": "", "last_name": "Saadat", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Sangeeta", "middle_name": "", "last_name": "Sakaria", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Alisa", "middle_name": "", "last_name": "Wray", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shannon", "middle_name": "", "last_name": "Toohey", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2021-10-28T04:47:08+08:00", "date_accepted": "2021-10-28T04:47:08+08:00", "date_published": "2021-11-06T03:51:07+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16067/galley/8060/download/" } ] }, { "pk": 14645, "title": "Accuracy of Landmark-guided Glenohumeral Joint Injections as Assessed by Ultrasound in Anterior Shoulder Dislocations", "subtitle": null, "abstract": "Introduction:\n To determine the accuracy of landmark-guided shoulder joint injections (LGI) with point-of-care ultrasound for patients with anterior shoulder dislocations.\nMethods: \nPatients with anterior shoulder dislocations who underwent LGI were enrolled at our tertiary-care and trauma center. LGI attempts were recorded by an ultrasound fellowship-trained ED physician who determined if they were placed successfully. Pain and satisfaction scores were recorded. \nResults:\n A total of 34 patients with anterior shoulder dislocation and their treating ED physicians were enrolled. 41.1% of all LGI were determined to be misplaced (n=14). Patients with successful LGI had a greater decrease in mean pain scores post-LGI. \nConclusions: \nLGI had a substantial failure rate in our study. Using ultrasound-guidance to assist intra-articular injections may increase its accuracy and thus reduce pain and the need for subsequent procedural sedation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "anterior shoulder dislocation, emergency point-of-care ultrasound, landmark-guided, dislocation reduction, intra-articular lidocaine, procedural sedation, emergency department" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/68710340", "frozenauthors": [ { "first_name": "Talib", "middle_name": "", "last_name": "Omer", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Perez", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Kristin", "middle_name": "", "last_name": "Berona", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Chun Nok", "middle_name": "", "last_name": "Lam", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Dana", "middle_name": "", "last_name": "Sajed", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Caroline", "middle_name": "", "last_name": "Brandon", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "", "last_name": "Falkenstein", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Tarina", "middle_name": "", "last_name": "Kang", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Mailhot", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2020-10-15T03:23:39+08:00", "date_accepted": "2020-10-15T03:23:39+08:00", "date_published": "2021-11-06T03:39:46+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14645/galley/7469/download/" } ] }, { "pk": 15299, "title": "Clinical Characteristics Associated with Return Visits to the Emergency Department after COVID-19 Diagnosis", "subtitle": null, "abstract": "Introduction:\n Patients diagnosed with coronavirus disease 2019 (COVID-19) require significant healthcare resources. While published research has shown clinical characteristics associated with severe illness from COVID-19, there is limited data focused on the emergency department (ED) discharge population. \nMethods:\n We performed a retrospective chart review of all ED-discharged patients from Wake Forest Baptist Health and Wake Forest Baptist Health Davie Medical Center between April 25-August 9, 2020, who tested positive for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) from a nasopharyngeal swab using real-time reverse transcription polymerase chain reaction (rRT-PCR) tests. We compared the clinical characteristics of patients who were discharged and had return visits within 30 days to those patients who did not return to the ED within 30 days. \nResults:\n Our study included 235 adult patients who had an ED-performed SARS-CoV-2 rRT-PCR positive test and were subsequently discharged on their first ED visit. Of these patients, 57 (24.3%) had return visits to the ED within 30 days for symptoms related to COVID-19. Of these 57 patients, on return ED visits 27 were admitted to the hospital and 30 were not admitted. Of the 235 adult patients who were discharged, 11.5% (27) eventually required admission for COVID-19-related symptoms. With 24.3% patients having a return ED visit after a positive SARS-CoV-2 test and 11.5% requiring eventual admission, it is important to understand clinical characteristics associated with return ED visits. We performed multivariate logistic regression analysis of the clinical characteristics with independent association resulting in a return ED visit, which demonstrated the following: diabetes (odds ratio [OR] 2.990, 95% confidence interval [CI, 1.21-7.40, P = 0.0179); transaminitis (OR 8.973, 95% CI, 2.65-30.33, P = 0.004); increased pulse at triage (OR 1.04, 95% CI, 1.02-1.07, P = 0.0002); and myalgia (OR 4.43, 95% CI, 2.03-9.66, P = 0.0002). \nConclusion:\n As EDs across the country continue to treat COVID-19 patients, it is important to understand the clinical factors associated with ED return visits related to SARS-CoV-2 infection. We identified key clinical characteristics associated with return ED visits for patients initially diagnosed with SARS-CoV-2 infection: diabetes mellitus; increased pulse at triage; transaminitis; and complaint of myalgias.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID-19" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31d0j57w", "frozenauthors": [ { "first_name": "Iltifat", "middle_name": "", "last_name": "Husain", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "O'Neill", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Mudge", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Alicia", "middle_name": "", "last_name": "Bishop", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "K.", "middle_name": "Alexander", "last_name": "Soltany", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Jesse", "middle_name": "", "last_name": "Heinen", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Chase", "middle_name": "", "last_name": "Countryman", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Dillon", "middle_name": "", "last_name": "Casey", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Cline", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2021-04-16T00:22:56+08:00", "date_accepted": "2021-04-16T00:22:56+08:00", "date_published": "2021-11-06T03:27:26+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15299/galley/7755/download/" } ] }, { "pk": 15246, "title": "A Retrospective Cohort Study of Acute Epiglottitis in Adults", "subtitle": null, "abstract": "Introduction:\n Adult epiglottitis is a disease process distinct from pediatric epiglottitis in microbiology, presentation, and clinical course. While traditionally considered more indolent and benign than in children, adult epiglottitis remains a cause of acute airway compromise with a mortality rate from 1-20%. Our objective was to characterize the disease course and evaluate the rate and type of airway management in this population at a tertiary, academic referral center. \nMethods:\n We conducted a retrospective chart review of all adult patients (age ≥ 18) who were definitively diagnosed with infectious “epiglottitis,” “supraglottitis,” or “epiglottic abscess” by direct or indirect laryngoscopy during a nine-year period. Double data abstraction and a standardized data collection form were used to assess patient demographic characteristics, presenting features, and clinical course. The primary outcome was airway intervention by intubation, cricothyroidotomy, or tracheostomy, and the secondary outcome was mortality related to the disease. \nResults:\n Seventy patients met inclusion criteria. The mean age was 50.2 years (standard deviation ± 16.7), 60% of the patients were male, and 14.3% were diabetic. Fifty percent had symptoms that were present for ≥ 48 hours; 38.6% had voice changes, 13.1% had stridor, 12.9% had fever, 45.7% had odynophagia, and 47.1% had dysphagia noted in the ED. Twelve patients (17.1%) received an acute airway intervention including three who underwent emergent cricothyroidotomy, and one who had a tracheostomy. Two patients died and one suffered anoxic brain injury related to complications following difficult airway management. \nConclusion:\n In this case series the majority of patients (82.9%) did not require airway intervention, but a third of those requiring intervention (5.7% of total) had a surgical airway performed with two deaths and one anoxic brain injury. Clinicians must remain vigilant to identify signs of impending airway compromise in acute adult epiglottitis and be familiar with difficult and failed airway algorithms to prevent morbidity and mortality in these patients.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "epiglottitis, supraglottitis, cricothyroidotomy, tracheostomy, cric, trach, infectious epiglottitis, Haemophilus influenzae, adult epiglottitis, emergency airway, stridor, crash airway, surgical air.." } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zw4v8f4", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "", "last_name": "Felton", "name_suffix": "", "institution": "University of Massachusetts Medical School-Baystate, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Lucienne", "middle_name": "", "last_name": "Lutfy-Clayton", "name_suffix": "", "institution": "University of Massachusetts Medical School-Baystate, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Liza", "middle_name": "Gonen", "last_name": "Smith", "name_suffix": "", "institution": "University of Massachusetts Medical School-Baystate, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Visintainer", "name_suffix": "", "institution": "University of Massachusetts Medical School-Baystate, Department of Epidemiology and Biostatistics, Springfield, Massachusetts", "department": "None" }, { "first_name": "Niels", "middle_name": "K.", "last_name": "Rathlev", "name_suffix": "", "institution": "University of Massachusetts Medical School-Baystate, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" } ], "date_submitted": "2021-04-02T01:42:44+08:00", "date_accepted": "2021-04-02T01:42:44+08:00", "date_published": "2021-11-06T02:59:13+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15246/galley/7738/download/" } ] }, { "pk": 15291, "title": "“Friction by Definition”: Conflict at Patient Handover Between Emergency and Internal Medicine Physicians at an Academic Medical Center", "subtitle": null, "abstract": "Introduction:\n Patient handoffs from emergency physicians (EP) to internal medicine (IM) physicians may be complicated by conflict with the potential for adverse outcomes. The objective of this study was to identify the specific types of, and contributors to, conflict between EPs and IM physicians in this context. \nMethods:\n We performed a qualitative focus group study using a constructivist grounded theory approach involving emergency medicine (EM) and IM residents and faculty at a large academic medical center. Focus groups assessed perspectives and experiences of EP/IM physician interactions related to patient handoffs. We interpreted data with the matrix analytic method.\nResults:\n From May to December 2019, 24 residents (IM = 11, EM = 13) and 11 faculty (IM = 6, EM = 5) from the two departments participated in eight focus groups and two interviews. Two key themes emerged: 1) disagreements about disposition (ie, whether a patient needed to be admitted, should go to an intensive care unit, or required additional testing before transfer to the floor); and 2) contextual factors (ie, the request to discuss an admission being a primer for conflict; lack of knowledge of the other person and their workflow; high clinical workload and volume; and different interdepartmental perspectives on the benefits of a rapid emergency department workflow). \nConclusions:\n Causes of conflict at patient handover between EPs and IM physicians are related primarily to disposition concerns and contextual factors. Using theoretical models of task, process, and relationship conflict, we suggest recommendations to improve the EM/IM interaction to potentially reduce conflict and advance patient care.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "emergency medicine, internal medicine, hospital medicine, interdisciplinary communication" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3d8864db", "frozenauthors": [ { "first_name": "Zahir", "middle_name": "", "last_name": "Kanjee", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Hospital Medicine Program, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts", "department": "None" }, { "first_name": "Christine", "middle_name": "P.", "last_name": "Beltran", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Carl J. Shapiro Institute for Education and Research, Boston, Massachusetts", "department": "None" }, { "first_name": "C.", "middle_name": "Christopher", "last_name": "Smith", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Hospital Medicine Program, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Internal Medicine Residency Program, Boston, Massachusetts", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Lewis", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Matthew", "middle_name": "M.", "last_name": "Hall", "name_suffix": "", "institution": "Providence Regional Medical Center, Department of Emergency Medicine, Everett, Washington; Washington State University, Pullman, Washington", "department": "None" }, { "first_name": "Carrie", "middle_name": "D.", "last_name": "Tibbles", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Carl J. Shapiro Institute for Education and Research, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Emergency Medicine Residency Program, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Office of Graduate Medical Education, Boston, Massachusetts", "department": "None" }, { "first_name": "Amy", "middle_name": "M.", "last_name": "Sullivan", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Carl J. Shapiro Institute for Education and Research, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2021-04-12T22:44:29+08:00", "date_accepted": "2021-04-12T22:44:29+08:00", "date_published": "2021-11-06T02:27:18+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15291/galley/7753/download/" } ] }, { "pk": 15348, "title": "Survey-based Evaluation of Resident and Attending Financial Literacy", "subtitle": null, "abstract": "Introduction:\n Physician finances are linked to wellness and burnout. However, few physicians receive financial management education. We sought to determine the financial literacy and educational need of attending and resident physician at an academic emergency medicine (EM) residency. \nMethods:\n We performed a cross-sectional, survey study at an academic EM residency. We devised a 49-question survey with four major domains: demographics (16 questions); Likert-scale questions evaluating value placed on personal finances (3 questions); Likert-scale questions evaluating perceived financial literacy (11 questions); and a financial literacy test based on previously developed and widely used financial literacy questions (19 questions). We administered the survey to EM attendings and residents. We analyzed the data using descriptive statistics and compared attending and resident test question responses. \nResults:\n A total of 44 residents and 24 attendings responded to the survey. Few (9.0% of residents, 12.5% of attendings) reported prior formal financial education. However, most respondents (70.5% of residents and 79.2% of attendings) participated in financial self-learning. On a five-point Likert scale (not at all important: very important), respondents felt that financial independence (4.7 ± 0.8) and their finances (4.7±0.8) were important for their well-being. Additionally, they valued being prepared for retirement (4.7±0.9). Regarding perceived financial literacy (very uncomfortable: very comfortable), respondents had the lowest comfort level with investing in the stock market (2.7±1.5), applying for a mortgage (2.8±1.6), and managing their retirement (3.0±1.4). Residents scored significantly lower than attendings on the financial literacy test (70.8% vs 79.6%, P<0.01), and residents scored lower on questions pertaining to investment (78.8% v 88.9%, P<0.01) and insurance and taxes (47.0% v 70.8%, P<0.01). Overall, respondents scored lower on questions about retirement (58.8%, P<0.01) and insurance and taxes (54.7%, P<0.01).\nConclusion:\n Emergency physicians’ value of financial literacy exceeded confidence in financial literacy, and residents reported poorer confidence than attendings. We identified deficiencies in emergency physicians’ financial literacy for retirement, insurance, and taxes.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Finance, education, wellness" } ], "section": "Emergency Medicine Workforce", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/74r8h11q", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "M.", "last_name": "Huebinger", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Rahat", "middle_name": "", "last_name": "Hussain", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Internal Medicine, Houston, Texas", "department": "None" }, { "first_name": "Keegan", "middle_name": "", "last_name": "Tupchong", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Internal Medicine, Houston, Texas", "department": "None" }, { "first_name": "Shabana", "middle_name": "", "last_name": "Walia", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Hilary", "middle_name": "", "last_name": "Fairbrother", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "Rogg", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas", "department": "None" } ], "date_submitted": "2021-05-03T22:50:19+08:00", "date_accepted": "2021-05-03T22:50:19+08:00", "date_published": "2021-11-06T02:02:10+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15348/galley/7770/download/" } ] }, { "pk": 15053, "title": "Assessment and Diagnosis of Mental Illness in EDs Among Individuals Without a Home: Findings from the National Hospital Ambulatory Care Survey", "subtitle": null, "abstract": "Introduction:\n Homeless individuals lack resources for primary healthcare and as a result use the emergency department (ED) as a social safety net. Our primary objective in this study was to identify the differences between features of visits to United States (US) EDs made by patients without a home and patients who live in a private residence presenting with mental health symptoms or no mental health symptoms at triage.\nMethods:\n Data for this study come from the 2009-2017 National Health and Ambulatory Medical Care Survey, a nationally representative cross-sectional survey of ED visits in the US. We examined differences in waiting time, length of visit, and triage score among homeless patients, and privately housed and nursing home residents. We used logistic regression to determine the odds of receiving a mental health diagnosis. Residence, age, gender, race, urgency, and whether the person was seen in the ED in the previous 72 hours were controlled. \nResults:\n Homeless individuals made up less than 1% of all ED visits during this period. Of these visits, 47.2% resulted in a mental health diagnosis compared to those who live in a private residence. Adjusting for age, race, gender, triage score, and whether the person had been seen in the prior 72 hours, homeless individuals were still six times more likely to receive a mental health diagnosis despite reporting no mental health symptoms compared to individuals who lived in a private residence. Homeless individuals reporting mental health symptoms were two times more likely to receive a mental health diagnosis compared to privately housed and nursing home residents. \nConclusions:\n Homeless individuals are more likely to receive a mental health diagnosis in the ED whether or not they present with mental health symptoms at triage. This study suggests that homelessness as a status impacts how these individuals receive care in the ED. Community coordination is needed to expand treatment options for individuals experiencing emergent mental health symptoms.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "homelessness" }, { "word": "ED" }, { "word": "NHAMCS" }, { "word": "Mental Illness" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0g29p7f4", "frozenauthors": [ { "first_name": "Hijab", "middle_name": "", "last_name": "Ahmed", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center School of Medicine, Department of Emergency Medicine, Lubbock, Texas; Texas Tech University Health Sciences Center, Department of Public Health, Lubbock, Texas", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "A.", "last_name": "Dennis", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Public Health, Lubbock, Texas", "department": "None" } ], "date_submitted": "2021-01-26T00:59:03+08:00", "date_accepted": "2021-01-26T00:59:03+08:00", "date_published": "2021-11-06T01:38:57+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15053/galley/7687/download/" } ] }, { "pk": 1874, "title": "Building Interactive Tutorials for Teaching Psychological Statistics Online with learnr", "subtitle": null, "abstract": "Faculty are increasingly tasked with online teaching duties. This paper provides a how-to guide to using the \nlearnr\n package for R. This package allows instructors to create seamless interactive tutorials that can use video, quizzes, and exercises run in R to foster student engagement and learning of statistics. Since the beginning of the Covid-19 pandemic, more faculty than ever are teaching online. learnr tutorials provide a format that allows for greater student engagement with materials by providing opportunities to test knowledge and practice after viewing short videos on topics. I provide concrete instructions for developing learnr tutorials for teaching introductory statistics and provide insights from having applied these technologies for over a year. learnr is a tool that can assist instructors in leveraging valuable teaching opportunities afforded by the technology is a manner that requires only small changes in their more prevalent approaches to teaching online.", "language": "en", "license": null, "keywords": [ { "word": "statistics" }, { "word": "R" }, { "word": "Interactive Tutorial" }, { "word": "learnr" } ], "section": "Notes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7w20x1p2", "frozenauthors": [ { "first_name": "Chris", "middle_name": "", "last_name": "Aberson", "name_suffix": "", "institution": "Humboldt State University", "department": "None" } ], "date_submitted": "2021-06-24T08:57:20+08:00", "date_accepted": "2021-06-24T08:57:20+08:00", "date_published": "2021-11-02T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/tise/article/1874/galley/1264/download/" } ] }, { "pk": 1106, "title": "Bilateral Cranial Nerve VI Palsies in Cryptococcal Meningitis, HIV, and Syphilis: A Case Report", "subtitle": null, "abstract": "Introduction:\n Cranial nerve (CN) VI palsy is a common complaint seen in the emergency department (ED) and has a wide range of causes. Bilateral CN VI palsies are uncommon and appear to be associated with more severe complications.\nCase Report:\n A 29-year-old male presented to the ED from an ophthalmology office for diplopia, headache, and strabismus. He was found to have bilateral CN VI palsies and new-onset seizure in the ED. A lumbar puncture revealed cryptococcal meningitis. Additional tests revealed a new diagnosis of human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), and syphilis.\nConclusion:\n Cryptococcal meningitis remains a life-threatening complication of HIV/AIDS. Coinfections with HIV, particularly syphilis, further complicate a patient’s prognosis as both can lead to devastating neurological sequelae. In cryptococcal meningitis, elevated intracranial pressure is a complication that can manifest as seizures, altered mental status, and cranial nerve palsies.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "bilateral cranial nerve VI palsies" }, { "word": "cryptococcal meningitis" }, { "word": "HIV/AIDS" }, { "word": "Syphilis" }, { "word": "case report" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9nr7735g", "frozenauthors": [ { "first_name": "Germaine", "middle_name": "", "last_name": "Rival", "name_suffix": "", "institution": "Jefferson Health Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Onyi", "middle_name": "", "last_name": "Okorji", "name_suffix": "", "institution": "Jefferson Health Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Rachael", "middle_name": "", "last_name": "Kern", "name_suffix": "", "institution": "Jefferson Health Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Preya", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "Jefferson Health Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Kate", "middle_name": "", "last_name": "Fradeneck", "name_suffix": "", "institution": "Jefferson Health Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Darragh", "middle_name": "", "last_name": "Cullen", "name_suffix": "", "institution": "Jefferson Health Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2021-11-02T14:10:39+08:00", "date_accepted": "2021-11-02T14:10:39+08:00", "date_published": "2021-11-02T14:11:31+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1106/galley/847/download/" } ] }, { "pk": 1105, "title": "Needle Decompression of Tension Pneumoperitoneum: A Case Report", "subtitle": null, "abstract": "Introduction:\n Tension pneumoperitoneum is rarely encountered in the emergency department but can have disastrous effects on the body when it is. However, an emergency physician has skills that can be readily applied to needle decompress the abdomen for rapid stabilization.\nCase Report:\n A 42-year-old male arrived via ambulance after a likely overdose with mental status improvement following naloxone administration. He was found to be in respiratory distress due to a rigid, distended abdomen that required intubation for stabilization. Computed tomography imaging showed significant pneumoperitoneum with tension physiology. Surgery consultation was unable to intervene immediately, and needle decompression with an angiocatheter was performed at the bedside with immediate ventilatory improvement.\nConclusion: \nTension pneumoperitoneum is a rare but potentially disastrous consequence of overdose secondary to emesis and rupture of the gastric wall. Needle decompression is a skillset already in the emergency physician’s toolbox and can be applied for emergency stabilization of a tension pneumoperitoneum with proper forethought and technique.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "tension pneumoperitoneum" }, { "word": "needle decompression" }, { "word": "overdose" }, { "word": "gastric perforation" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4zr548wk", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "Ray", "name_suffix": "", "institution": "AdventHealth East Orlando, Department of Emergency Medicine, Orlando, Florida", "department": "None" }, { "first_name": "Nadin", "middle_name": "", "last_name": "Exantus", "name_suffix": "", "institution": "AdventHealth East Orlando, Department of Emergency Medicine, Orlando, Florida", "department": "None" } ], "date_submitted": "2021-11-02T13:58:23+08:00", "date_accepted": "2021-11-02T13:58:23+08:00", "date_published": "2021-11-02T13:59:08+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1105/galley/846/download/" } ] }, { "pk": 1104, "title": "Disseminated Kaposi Sarcoma", "subtitle": null, "abstract": "Case Presentation:\n A 28-year-old male with a recent diagnosis of human immunodeficiency virus presented to the emergency department with odynophagia and dysphagia for a month. Physical exam revealed Kaposi sarcoma partially occluding the airway. Point-of-care ultrasound was used to assist with the diagnosis of reactive lymphadenopathy, and computed tomography revealed systemic disease. Otolaryngology was urgently consulted, and the patient was admitted for prompt tracheostomy the following day.\nDiscussion:\n Kaposi sarcoma is a violaceous vascular neoplasm that is an acquired immuno-deficiency syndrome (AIDS)-defining illness. Mucocutaneous membranes should be thoroughly evaluated with patients suspected of AIDS. This case demonstrates the vital evaluation of the patient’s airway to assess patency. Highly active antiretroviral therapy should be initiated promptly, as well as chemotherapy in severe systemic cases.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Kaposi sarcoma" }, { "word": "acquired immunodeficiency syndrome (AIDS)" }, { "word": "violaceous" }, { "word": "adenopathy" }, { "word": "point-of-care ultrasound (POCUS)" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7mt699h1", "frozenauthors": [ { "first_name": "Laura", "middle_name": "", "last_name": "Goyack", "name_suffix": "", "institution": "University of Alabama – Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Heimann", "name_suffix": "", "institution": "University of Alabama – Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" } ], "date_submitted": "2021-11-02T13:31:39+08:00", "date_accepted": "2021-11-02T13:31:39+08:00", "date_published": "2021-11-02T13:32:14+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1104/galley/845/download/" } ] }, { "pk": 1103, "title": "Carpometacarpal Dislocation with Third Metacarpal Fracture", "subtitle": null, "abstract": "Case Presentation\n: A 17-year-old male presented to the emergency department (ED) due to trauma to the right hand and wrist after punching a locker at school. He had significant soft tissue swelling. Radiographs demonstrated intra-articular metacarpal fractures with associated carpometacarpal dislocations. The dislocation was reduced bedside in the ED and ultimately underwent closed reduction surgical management with orthopedic surgery.\nDiscussion: \nMetacarpal fractures result from high-force impact injuries and account for 30-40% of all hand injuries. The most common sites of second through fifth metacarpal fractures are at the neck and the shaft, with the majority involving the fifth metacarpal neck (commonly coined “boxer’s fractures”). Carpometacarpal (CMC) dislocations are a rare injury associated with high-force impact trauma to the wrist. These injuries account for as little as 1% of all acute hand and wrist injuries. Carpometacarpal dislocations are often difficult to diagnose on physical examination due to significant soft tissue swelling, and they can easily be missed on anterior-posterior views of the hand. Lateral and oblique plain radiograph views are essential in the diagnosis as they are more likely to show dislocations. Despite appropriate plain radiographic views, subtle CMC dislocations may be difficult to discern dependent on the level of dislocation or subluxation and overlapping of joints. These injuries are rare due to otherwise highly stable ligamentous and muscular attachments within the wrist. Because of these attachments, dislocations are often associated with concomitant metacarpal fractures.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "carpometacarpal dislocation" }, { "word": "metacarpal fracture" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3762c2cm", "frozenauthors": [ { "first_name": "Colin", "middle_name": "", "last_name": "Jorgensen", "name_suffix": "", "institution": "AMITA Health Resurrection Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Steve", "middle_name": "", "last_name": "Christos", "name_suffix": "", "institution": "AMITA Health Resurrection Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2021-11-02T03:57:20+08:00", "date_accepted": "2021-11-02T03:57:20+08:00", "date_published": "2021-11-02T03:59:17+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1103/galley/844/download/" } ] }, { "pk": 1102, "title": "73-year-old Female with Syncope and Motor Vehicle Collision", "subtitle": null, "abstract": "Introduction:\n Patients with traumatic injuries can be difficult to assess, and their evaluation often evolves in the emergency department (ED). We describe how an ED attending physician member developed a differential diagnosis for this presentation, arrived at a suspected diagnosis, and what test he proposed to prove his hypothesis.\nCase Presentation:\n This clinicopathological case presentation details the initial assessment and management of a 73-year-old female who presented to the ED following a motor vehicle collision precipitated by a syncopal episode.\nConclusion: \nThe final surprising diagnosis is then revealed.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "syncope, Takotsubo, CPC" } ], "section": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9q51v1vr", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "Flanagan", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Zachary", "middle_name": "", "last_name": "Dezman", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine and Department of Epidemiology and Public Health, Baltimore, Maryland", "department": "None" }, { "first_name": "Karl", "middle_name": "", "last_name": "Dachroeden", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Bontempo", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2021-11-02T03:14:35+08:00", "date_accepted": "2021-11-02T03:14:35+08:00", "date_published": "2021-11-02T03:15:45+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1102/galley/843/download/" } ] }, { "pk": 31585, "title": "Corporate Family Matters", "subtitle": null, "abstract": "<p><em>Corporate groups dominate the American economy. Known publicly by a single name—Chevron, Apple, McDonald’s, or Google—these companies are a web of affiliated entities, each with its own separate legal identity. Yet, corporate laws have failed to develop a statutory scheme that acknowledges these relationships among entities. While corporate personhood, separateness, and the accompanying liability protection are the primary reasons for using the corporate form, or business entities in general, form can be exploited by bad actors who seek to take advantage of the natural legal silos that define each legal entity in a corporate group as a stand-alone person. These legal silos enable bad actors to hide in plain sight, or to give the perception of a full disclosure without consequence, making some of the most egregious conduct either fraud that is difficult to unravel or behavior that is disturbing but legal. This oversight leaves the system vulnerable to market manipulation through complex business structure. As a result, consumers and investors, many concerned with corporate social responsibility and impact investing, and motivated to do business with companies that support their social causes, can be manipulated into investing and spending by the silos and veils of separateness. </em></p>\n<p><em>When individuals act in a way that defrauds the market or causes harm, criminal law, securities law, and even tort and contract law provide remedies. When companies manipulate the market across business sectors, the antitrust laws intervene. When an individual corporation manipulates the market or engages in fraud, shareholder derivative litigation in conjunction with securities regulation provide a remedy. What is missing is a solution for market manipulation using corporate groups and, in particular, the corporate family. A system is needed for acknowledging entities that work for a common good, as the current structure enables these entities to manipulate what is known to investors and consumers for purposes of altering stock price, either intentionally or incidentally. This approach is the first to distinguish corporate groups by merging substantive corporate law with procedural protocols. </em></p>\n<p><em>This Article proposes a definition and governance regime for a particular type of corporate group—the corporate family. It defines the family as an enterprise formed by weaving corporations, partnerships, and LLCs together into a mix of public and private entities acting for the benefit of a parent corporation or for the personal gain of one or more leaders of the enterprise. A corporation should be treated like a family when (1) there is more than one entity with shared ownership or management, or when an entity is wholly owned by another entity, and (2) that entity operates for the promotion of the parent’s business purposes or the manager or owner’s business interests. When businesses meet the standard for corporate family treatment, they are required to acknowledge influence and look to the real party in interest when determining what is material, what should be reported to shareholders, and conflicts of interest. This proposed corporate family structure acknowledges influence, while maintaining principles of corporate personhood by taking a procedural approach to determining when an entity should be deemed a family. To disregard all groups and in particular families leaves a gap in the regulatory regime that is easy to manipulate and exploit. By acknowledging influence and treating applicable corporations as a family, the market can gain a clearer and more accurate picture of business operations.</em></p>", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/06h271cg", "frozenauthors": [ { "first_name": "Carliss", "middle_name": "N", "last_name": "Chatman", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31585/galley/22654/download/" } ] }, { "pk": 31586, "title": "Cover", "subtitle": null, "abstract": "", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/39x7d7hh", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31586/galley/22655/download/" } ] }, { "pk": 31587, "title": "Emotional Distress and the Psychotherapist-Patient Privilege: Establishing a Certain and Principled Implied-Waiver Rule for Civil Rights Litigants", "subtitle": null, "abstract": "<p><em>Making the promise of confidentiality contingent upon a trial judge’s later evaluation of the relative importance of the patient’s interest in privacy and the evidentiary need for disclosure would eviscerate the effectiveness of the privilege. As we explained in Upjohn, if the purpose of the privilege is to be served, the participants in the confidential conversation “must be able to predict with some degree of certainty whether particular discussions will be protected. An uncertain privilege, or one which purports to be certain but results in widely varying applications by the courts, is little better than no privilege at all.”</em></p>\n<p><em>[W]e reject respondents’ contentions that anybody who requests damages for pain and suffering has waived the psychiatric privilege because the psychiatric records might conceivably disprove the experiencing of the pain and suffering, that any claim of even . . . “garden variety” injury waives the psychotherapist-patient privilege, and that a plaintiff’s mental health is placed in issue whenever the plaintiff’s claim for unspecified damages may include[] some sort of mental injury.</em></p>", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5k98t9vb", "frozenauthors": [ { "first_name": "Armen", "middle_name": "H", "last_name": "Merjian", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31587/galley/22656/download/" } ] }, { "pk": 31588, "title": "Masthead", "subtitle": null, "abstract": "", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3vb4k7p0", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31588/galley/22657/download/" } ] }, { "pk": 31589, "title": "Mission Statement", "subtitle": null, "abstract": "", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/98d9p92g", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31589/galley/22658/download/" } ] }, { "pk": 31590, "title": "Public Health and Racial Inequality: Why the Opportunity Zone Program Fails Low-Income Communities and Costs Lives", "subtitle": null, "abstract": "<p><em>“The rich man’s dog gets more in the way of vaccination, medicine and medical care than do the workers upon whom the rich man’s wealth is built.\" </em></p>\n<p><em>Poor health outcomes are linked to long-standing wealth disparities for people of color in the United States. Wealth inequality has gotten worse over the past decades, despite attempts to improve it. The 2017 Opportunity Zone (OZ) tax program is the federal government’s most recent economic-development intervention. The OZ program provides for low-income census tracts in each state to be designated as “Opportunity Zones” and offers tax benefits for people who make investments in certain types of businesses and properties in OZs. Notwithstanding the bipartisan popularity of the OZ program, this Note reveals why it is largely symbolic and will fall short of its policy goals. Specifically, this Note argues that the OZ program will not increase the income or wealth of OZ community members. In addition to describing the flaws of the program, this Note explains why it should be replaced with economic-development policy that makes direct cash payments to low-income community members. The disparate infection and death rates of COVID-19 on communities of color demonstrate the need for substantive, rather than symbolic, federal economic-development interventions.</em></p>", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Note", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67s1g88q", "frozenauthors": [ { "first_name": "Katie", "middle_name": "", "last_name": "Raitz", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31590/galley/22659/download/" } ] }, { "pk": 31591, "title": "Solving the Pandemic Vaccine Product Liability Problem", "subtitle": null, "abstract": "<p><em>The global rollout of COVID-19 vaccines is underway, and with it the inevitable occurrence of severe side effects that accompany, rarely, even the safest and most effective vaccines. Governments have invested billions of dollars in supporting research, development, logistics, and supply chains, as well as supporting the creation of networks of healthcare providers to deliver vaccines to recipients all over the world. The European Commission and several international organizations have established the COVAX Facility to pool resources in promising vaccine candidates and to subsidize their procurement by low- and middle-income countries. Yet up-front investment in vaccine development and delivery solves only half the problem with respect to vaccine access. Risks of legal liabilities, particularly product liability for severe side effects, will serve as an important, if not decisive, factor in how vaccine manufacturers participate in the response with Emergency Use Authorized and recently-licensed COVID-19 vaccines. If manufacturers do not receive sufficient assurance against legal liability, especially product liability, they will not ship vaccines. There is limited experience with developing coronavirus vaccines, and severe side effects following immunization are inevitable, as evidenced from Phase III trials and strongly suggested by early administration of Emergency Use Authorized vaccines. Therefore, there is a critical need to balance the risk calculations of manufacturers with justice for immunization recipients who become seriously ill or die in order to contribute to herd immunity in the community. This Article outlines the components of a global no-fault liability, indemnification, and compensation system that includes leveraging current no-fault systems in thirty-nine countries, a World Health Organization insurance mechanism, and a combination of insurance and compensation fund construction based on claims-processing precedents from the Deepwater Horizon Oil Spill and Boeing 737 Max crashes—both of which had tens of thousands of claims originating from dozens of countries and processed in at least six languages. The proposed system will be essential for vaccine manufacturer response and to address vaccine hesitancy and injury in populations across the globe.</em></p>", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7v3064t8", "frozenauthors": [ { "first_name": "Sam", "middle_name": "F", "last_name": "Halabi", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31591/galley/22660/download/" } ] }, { "pk": 31592, "title": "Subsidizing Gentrification: A Spatial Analysis of Place-Based Tax Incentives", "subtitle": null, "abstract": "<p><em>Place-based tax incentives, such as the New Markets Tax Credit (NMTC) and Opportunity Zones incentives, are often used to promote investment in low-income neighborhoods. However, not all low-income neighborhoods have an equal need for investment subsidies. Subsidies for investment in already gentrifying neighborhoods, for example, may reflect inefficient inframarginal investment, and they may lead to inequitable outcomes. Critics fear that when gentrifying neighborhoods are eligible for tax incentives, they will draw investment away from the neighborhoods that need it most. However, few studies have provided empirical analysis to assess whether these concerns have merit. Through a novel geospatial analysis of the location patterns of tax-subsidized projects, this Article provides new evidence that critics’ concerns are justified. </em></p>\n<p><em>This Article analyzes fifteen years of NMTC data to explore the location patterns of tax-subsidized projects in twenty U.S. cities. It employs two spatial analysis methods, quadrat density analysis and negative binomial regression analysis, to describe the location patterns of NMTC projects and their relationship to two variables known to correlate with gentrification: high vacancy rates and increasing rental rates. The quadrat density analysis reveals that, in most cities, NMTC project density is highest in eligible census tracts that had high vacancy rates, increasing rents, or both. The results of the negative binomial regression analysis confirmed that, in many cities, high vacancy rates or rent increases were statistically significant predictors of NMTC investment. Together, these results provide new evidence that gentrifying census tracts may draw tax-subsidized investment away from other eligible areas. They also suggest that a commonly proposed Opportunity Zones reform—to add statutory safeguards modeled after those in the NMTC—would fail to prevent tax-subsidized investment in places that are already gentrifying. </em></p>\n<p><em>The observed spatial patterns reflect inefficient allocations, limit the NMTC program’s ability to promote equitable change, and cast doubt about whether federal regulators can effectively shape program outcomes. Opportunity Zones are likely to have similarly inefficient and inequitable outcomes. Therefore, this Article argues that statutory and administrative reforms are necessary to reduce the frequency at which tax incentives are used to subsidize investment in neighborhoods that are already gentrifying. This study has profound implications for the five-billion-dollar-per-year federal NMTC program, the $3.5 billion per year federal Opportunity Zones program, and state-level tax incentives modeled after these federal tax laws.</em></p>", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3v300761", "frozenauthors": [ { "first_name": "Michelle", "middle_name": "D", "last_name": "Layser", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31592/galley/22661/download/" } ] }, { "pk": 31593, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8tn3j1nw", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31593/galley/22662/download/" } ] }, { "pk": 31594, "title": "The Right to Delete: Protecting Consumer Autonomy in Direct-to-Consumer Genetic Testing", "subtitle": null, "abstract": "<p><em>We often think of DNA as a unique personal identifier. Yet, as of 2019, direct-to-consumer (DTC) genetic testing companies have amassed the genetic data of more than twenty-six million consumers. This raises the concern that companies do not uniformly protect consumers’ genetic privacy. Substantiating such concerns are complaints that companies permit law enforcement access to their databases, sell consumer genetic information to third parties, pursue drug development, and suffer data breaches. </em></p>\n<p><em>Regulators have been slow to respond to this emerging privacy issue. The current legal framework is largely inadequate: there is no federal data-privacy law; courts and agencies are ill-equipped or lack directive to tackle a privacy issue of this magnitude; and current genetic-related laws focus on notice, informed consent, and antidiscrimination. However, recently enacted state data-privacy laws like the California Consumer Privacy Act (CCPA) and California Privacy Rights Act (CPRA) may serve as a legal framework to address privacy in the DTC genetic testing context. </em></p>\n<p><em>Under the CCPA and CPRA, the right to delete promises to give control back to consumers over their genetic information. However, further genetic-specific regulations under the CCPA and CPRA, or a separate genetic-privacy statute, are needed to protect privacy in the DTC genetic testing context while balancing against legitimate business and governmental interests. This Note attempts to delineate how such a balance can be achieved.</em></p>", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Note", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/94c86365", "frozenauthors": [ { "first_name": "Angela", "middle_name": "S", "last_name": "Gassner", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31594/galley/22663/download/" } ] }, { "pk": 31595, "title": "Trafficking and the Shallow State", "subtitle": null, "abstract": "<p><em>More than two decades ago, the Trafficking Victims Protection Act (TVPA) established new, robust protections for immigrant victims of trafficking. In particular, Congress created the T visa, a special form of immigration status, to protect immigrant victims from deportation. Despite lofty ambitions, the annual cap of 5,000 T visas has never been reached, with fewer than 1,200 approved each year. In recent years, denial rates also have climbed. For example, in fiscal year 2020, U.S. Citizenship and Immigration Services denied 42.79% of the T visa applications that the agency adjudicated, compared with just 28.12% in fiscal year 2015. These developments came as former president Donald J. Trump proclaimed a deep commitment to end the “epidemic” of human trafficking and to protect “innocent” victims. </em></p>\n<p><em>Though scholars have critiqued the general protection framework for immigrant victims of trafficking, this Article unearths an understudied problem: the often-unseen role of the “shallow state.” In contrast to the much-discussed “deep state” of career bureaucrats, this Article suggests that low-level administrative actors adjudicating humanitarian immigration cases have subtly worked to undermine protections for immigrant victims of trafficking. This Article demonstrates how administrative actors through a range of tactics, including delay, rejection, and heightened stakes, have contorted the T visa application process to make it more difficult for immigrant victims to navigate. The Article explores how these actions—often diffuse and obscured—have been hard to identify and subject to judicial review. It warns that these bureaucratic tendencies have resulted in declining approval rates with the potential to erode protections for immigrant victims of trafficking for years to come. It, thus, prescribes not only greater attention to such practices but also administrative and judicial remedies.</em></p>", "language": null, "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7jq9r6k7", "frozenauthors": [ { "first_name": "Julie", "middle_name": "", "last_name": "Dahlstrom", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-11-01T08:00:00+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/31595/galley/22664/download/" } ] }, { "pk": 46387, "title": "Optimism in the Face of Advanced Melanoma", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9pw1j3r4", "frozenauthors": [ { "first_name": "Erin", "middle_name": "", "last_name": "Chamberlain", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-10-30T00:00:38+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/46387/galley/35118/download/" } ] }, { "pk": 46386, "title": "A Case of Severe Iron Deficiency Anemia in a Toddler", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9185x680", "frozenauthors": [ { "first_name": "Emma", "middle_name": "", "last_name": "Burdekin", "name_suffix": "BA", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gifty-Maria", "middle_name": "", "last_name": "Ntim", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-10-29T23:56:52+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/46386/galley/35117/download/" } ] }, { "pk": 46385, "title": "A Case of Breakthrough COVID-19 Requiring Hospitalization", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gk464hh", "frozenauthors": [ { "first_name": "Joan", "middle_name": "", "last_name": "Chung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-10-29T23:50:31+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/46385/galley/35116/download/" } ] }, { "pk": 46384, "title": "Emergent Considerations for Tumor Lysis Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37j108q2", "frozenauthors": [ { "first_name": "Joah", "middle_name": "", "last_name": "Lee", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Thomas", "middle_name": "E.", "last_name": "Blair", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2021-10-29T23:47:31+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/46384/galley/35115/download/" } ] }, { "pk": 1101, "title": "Whirlpool No More: A Case of Misdiagnosed Malrotation with Midgut Volvulus", "subtitle": null, "abstract": "Introduction:\n Adult intestinal malrotation with midgut volvulus is rare and most often diagnosed on abdominal imaging. Once the diagnosis is made, prompt surgical intervention is necessary. A finding suggestive of malrotation with midgut volvulus on abdominal imaging is the “whirlpool” sign where the superior mesenteric vein and superior mesenteric artery twist at the root of the abdominal mesentery. This sign was once thought to be pathognomonic, but recent studies have shown that it can be seen in asymptomatic patients.\nCase Report:\n A 20-year-old female presented to our emergency department with diffuse abdominal pain. Computed tomography demonstrated the “whirlpool” sign with a concern for malrotation with midgut volvulus. Surgical consultation was obtained and the patient was rushed to the operating room for an exploratory laparotomy. Normal mesenteric attachments were seen and no significant pathology was identified during the laparotomy. The patient was eventually diagnosed with gastritis and discharged in stable condition.\nConclusion:\n Emergency physicians and surgeons alike should be cautious in confirming malrotation with midgut volvulus solely due to the “whirlpool” sign on abdominal imaging. Premature diagnostic closure can lead to unnecessary procedures and interventions for patients as in the case we report here.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "malrotation" }, { "word": "midgut volvulus" }, { "word": "whirlpool sign" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z8583tc", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Fogam", "name_suffix": "", "institution": "Mount Sinai St. Luke’s and Mount Sinai West, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Natasha", "middle_name": "", "last_name": "Leigh", "name_suffix": "", "institution": "Mount Sinai St. Luke’s and Mount Sinai West, Department of Surgery, New York, New York", "department": "None" }, { "first_name": "Trent", "middle_name": "", "last_name": "She", "name_suffix": "", "institution": "Mount Sinai St. Luke’s and Mount Sinai West, Department of Emergency Medicine, New York, New York", "department": "None" } ], "date_submitted": "2021-10-29T12:32:07+08:00", "date_accepted": "2021-10-29T12:32:07+08:00", "date_published": "2021-10-29T12:33:28+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1101/galley/842/download/" } ] }, { "pk": 1100, "title": "Push-Dose Pressors During Peri-intubation Hypotension in the Emergency Department: A Case Series", "subtitle": null, "abstract": "Introduction:\n Emergency physicians frequently encounter critically ill patients in circulatory shock requiring definitive airway procedures. Performing rapid sequence intubation in these patients without blood pressure correction has lethal complications. Questioning the efficacy and fearing side effects of push-dose pressors (PDP) has created an obstacle for their use in the emergency department (ED) setting. In this case series we describe the efficacy and side effects of PDP use during peri-intubation hypotension in the ED.\nCase series:\n We included 11 patients receiving PDPs in this case series. The mean increase in systolic blood pressure was 41.3%, in diastolic blood pressure 44.3%, and in mean arterial pressure 35.1%. No adverse events were documented in this case series.\nConclusion: \nThe use of push-dose pressors during peri-intubation hypotension may potentially improve hemodynamic status when used carefully in the ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Push-dose pressors" }, { "word": "peri-intubation hypotension" }, { "word": "push-dose epinephrine" }, { "word": "push-dose phenylephrine" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1b68w3f6", "frozenauthors": [ { "first_name": "Abdullah", "middle_name": "", "last_name": "Bakhsh", "name_suffix": "", "institution": "The King Abdulaziz University, Department of Emergency Medicine, Jeddah, Saudi Arabia", "department": "None" }, { "first_name": "Leena", "middle_name": "", "last_name": "Alotaibi", "name_suffix": "", "institution": "The King Abdulaziz University, Faculty of Medicine, Jeddah, Saudi Arabia", "department": "None" } ], "date_submitted": "2021-10-29T12:16:32+08:00", "date_accepted": "2021-10-29T12:16:32+08:00", "date_published": "2021-10-29T12:17:24+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1100/galley/841/download/" } ] }, { "pk": 41754, "title": "Arcoid bivalve biodiversity during Eocene doubthouse cooling: Contrasting the active Cascadia Margin coldspot with the intracratonic Paris Basin hotspot", "subtitle": null, "abstract": "Response to the Eocene doubthouse interval of global climate cooling (53–33.5 Ma) is explored in arcoid bivalves of the families Parallelodontidae, Cucullaeidae, Arcidae, and Noetiidae. An anomalous biodiversity hotspot in the intracontinental Paris Basin of Northern Europe is contrasted with an equally anomalous coldspot at comparable latitude on the tectonically active Cascadia Margin of western North America. Reevaluation of arcoid shell morphology and an annotated glossary of shell features accompanies illustration and discussion of eight exemplar species, identifying new characters and distinguishing those with a strong phyletic signal from those representing functional convergence or developmental differences specific to size or age. Biodiversity anomalies cannot be attributed to any single factor. However, contributing factors include tectonic setting, correlates of bathymetric and sedimentary setting, sediment geochemistry, ocean gateway events, reorganization of current systems and water masses, deepening of the calcium carbonate compensation depth, patterns in the development of sea ice and polar ice storage, changes in sea level, and changes in atmospheric carbon dioxide and the carbon cycle. Opening of the Tasman Gateway and Drake Passage, thermal isolation of Antarctica, and evolution of a Pacific psychrosphere are correlated with the early appearance of cold-water molluscan taxa on the active Cascadia Margin along with the unrelated onset of arc volcanism, subduction, and geochemical changes associated with methane and sulfide seepage. Persistence of a shallow carbonate platform and proliferation of molluscan diversity in spite of global cooling is more difficult to explain, and understanding biogeographic anomalies requires additional climate proxy records. History of the western margin of North America includes an earlier Mesozoic volcanic arc and forearc basin in central and northern California with abundant basal arcoids, negating the need for westward migration out of the Tethyan region to the Cascadia Margin during the Paleogene.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-ShareAlike 4.0", "short_name": "CC BY-NC-SA 4.0", "text": "<p><!-- x-tinymce/html --></p>\n<p>Readers are free to:</p>\n<ul>\n<li><strong>Share</strong> — copy and redistribute the material in any medium or format</li>\n<li><strong>Adapt</strong> — remix, transform, and build upon the material<br><br>The licensor cannot revoke these freedoms as long as you follow the license terms.</li>\n</ul>\n<p>Under the following terms:</p>\n<ul>\n<li><strong>Attribution</strong> — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li>\n<li><strong>NonCommercial</strong> — You may not use the material for commercial purposes .</li>\n<li><strong>ShareAlike</strong> — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.<br><br>No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</li>\n</ul>\n<p>Notices:</p>\n<p>You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.</p>\n<p>No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.</p>", "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "climate change, greenhouse, icehouse, Parallelodontidae, Cucullaeidae, Arcidae, Noetiidae" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0670875m", "frozenauthors": [ { "first_name": "Carole", "middle_name": "S.", "last_name": "Hickman", "name_suffix": "", "institution": "Department of Integrative Biology and Museum of Paleontology\nUniversity of California, Berkeley, CA 94720–4780.", "department": "None" } ], "date_submitted": "2021-10-29T06:49:05+08:00", "date_accepted": "2021-10-29T06:49:05+08:00", "date_published": "2021-10-28T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41754/galley/31222/download/" } ] }, { "pk": 15443, "title": "Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19", "subtitle": null, "abstract": "Introduction:\n The coronavirus disease 2019 (COVID-19) pandemic has been shown to increase levels of psychological distress among healthcare workers. Little is known, however, about specific positive and negative individual and organizational factors that affect the mental health of emergency physicians (EP) during COVID-19. Our objective was to assess these factors in a broad geographic sample of EPs in the United States. \n \nMethods: \nWe conducted an electronic, prospective, cross-sectional national survey of EPs from October 6–December 29, 2020. Measures assessed negative mental health outcomes (depression, anxiety, post-traumatic stress, and insomnia), positive work-related outcomes, and strategies used to cope with COVID-19. After preliminary analyses and internal reliability testing, we performed four separate three-stage hierarchical multiple regression analyses to examine individual and organizational predictive factors for psychological distress. \nResults:\n Response rate was 50%, with 517 EPs completing the survey from 11 different sites. Overall, 85% of respondents reported negative psychological effects due to COVID-19. Participants reported feeling more stressed (31%), lonelier (26%), more anxious (25%), more irritable (24%) and sadder (17.5%). Prevalence of mental health conditions was 17% for depression, 13% for anxiety, 7.5% for post-traumatic stress disorder (PTSD), and 18% for insomnia. Regular exercise decreased from 69% to 56%, while daily alcohol use increased from 8% to 15%. Coping strategies of behavioral disengagement, self-blame, and venting were significant predictors of psychological distress, while humor and positive reframing were negatively associated with psychological distress. \nConclusion:\n Emergency physicians have experienced high levels of psychological distress during the COVID-19 pandemic. Those using avoidant coping strategies were most likely to experience depression, anxiety, insomnia, and PTSD, while humor and positive reframing were effective coping strategies.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID, mental health, coping" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6ft1r7rc", "frozenauthors": [ { "first_name": "Erin", "middle_name": "", "last_name": "Dehon", "name_suffix": "", "institution": "Other", "department": "None" }, { "first_name": "Kori", "middle_name": "S.", "last_name": "Zachrison", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Peltzer-Jones", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Ramin", "middle_name": "R.", "last_name": "Tabatabai", "name_suffix": "", "institution": "Keck School of Medicine of USC, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Clair", "name_suffix": "", "institution": "University of Mississippi Medical Center, Department of Emergency Medicine, Jackson, Mississippi", "department": "None" }, { "first_name": "Michael", "middle_name": "A.", "last_name": "Puskarich", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Ondeyka", "name_suffix": "", "institution": "Inspira Health Network, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Dixon-Gordon", "name_suffix": "", "institution": "University of Massachusetts, Psychological and Brain Sciences, Amherst, Massachusetts", "department": "None" }, { "first_name": "Lauren", "middle_name": "A.", "last_name": "Walter", "name_suffix": "", "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "Elaine", "middle_name": "H.", "last_name": "Situ-LaCasse", "name_suffix": "", "institution": "Banner University Medical Center – Tucson, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Megan", "middle_name": "L.", "last_name": "Fix", "name_suffix": "", "institution": "University of Utah School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah", "department": "None" } ], "date_submitted": "2021-05-28T00:25:49+08:00", "date_accepted": "2021-05-28T00:25:49+08:00", "date_published": "2021-10-28T03:36:34+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15443/galley/7795/download/" } ] }, { "pk": 15147, "title": "Surgical Treatment of Pediatric Dog-bite Wounds: A 5-year Retrospective Review", "subtitle": null, "abstract": "Introduction: \nDog bites are a significant health concern in the pediatric population. Few studies published to date have stratified the injuries caused by dog bites based on surgical severity to elucidate the contributing risk factors. \nMethods:\n We used an electronic hospital database to identify all patients ≤17 years of age treated for dog bites from 2013–2018. Data related to patient demographics, injury type, intervention, dog breed, and payer source were collected. We extracted socioeconomic data from the American Community Survey. Data related to dog breed was obtained from public records on dog licenses. We calculated descriptive statistics as well as relative risk of dog bite by breed.\nResults:\n Of 1,252 injuries identified in 967 pediatric patients, 17.1% required consultation with a surgical specialist for repair. Bites affecting the head/neck region were most common (61.7%) and most likely to require operating room intervention (P = 0.002). The relative risk of a patient being bitten in a low-income area was 2.24, compared with 0.46 in a high-income area. Among cases where the breed of dog responsible for the bite was known, the dog breed most commonly associated with severe bites was the pit bull (relative risk vs German shepherd 8.53, relative risk vs unknown, 3.28). \nConclusion: \nThe majority of injuries did not require repair and were sufficiently handled by an emergency physician. Repair by a surgical specialist was required <20% of the time, usually for bites affecting the head/neck region. Disparities in the frequency and characteristics of dog bites across socioeconomic levels and dog breeds suggest that public education efforts may decrease the incidence of pediatric dog bites.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "dog bite" }, { "word": "pediatric emergency medicine" }, { "word": "plastic surgery" } ], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/103520z2", "frozenauthors": [ { "first_name": "Christine", "middle_name": "J.", "last_name": "Lee", "name_suffix": "", "institution": "University of California – Irvine School of Medicine, Department of Plastic Surgery, Orange, California; Children’s Hospital Orange County, Division of Plastic Surgery, Orange, California", "department": "None" }, { "first_name": "Ekaterina", "middle_name": "", "last_name": "Tiourin", "name_suffix": "", "institution": "University of California – Irvine School of Medicine, Department of Plastic Surgery, Orange, California", "department": "None" }, { "first_name": "Sawyer", "middle_name": "", "last_name": "Schuljak", "name_suffix": "", "institution": "University of California - Riverside, School of Medicine, Riverside, California", "department": "None" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "Phan", "name_suffix": "", "institution": "University of California - Riverside, School of Medicine, Riverside, California", "department": "None" }, { "first_name": "Theodore", "middle_name": "W.", "last_name": "Heyming", "name_suffix": "", "institution": "Children’s Hospital Orange County, Department of Emergency Medicine, Orange, California; University of California – Irvine School of Medicine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Schomberg", "name_suffix": "", "institution": "Children’s Hospital Orange County, Department of Nursing, Orange, California", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Wallace", "name_suffix": "", "institution": "Children’s Hospital Orange County, CHOC Research Institute, Orange, California", "department": "None" }, { "first_name": "Yigit", "middle_name": "S.", "last_name": "Guner", "name_suffix": "", "institution": "University of California – Irvine Medical Center, Department of Surgery, Irvine, California; Children’s Hospital Orange County, Division of Pediatric Surgery, Orange, California", "department": "None" }, { "first_name": "Raj", "middle_name": "M.", "last_name": "Vyas", "name_suffix": "", "institution": "University of California – Irvine School of Medicine, Department of Plastic Surgery, Orange, California; Children’s Hospital Orange County, Division of Plastic Surgery, Orange, California", "department": "None" } ], "date_submitted": "2021-02-23T04:09:37+08:00", "date_accepted": "2021-02-23T04:09:37+08:00", "date_published": "2021-10-28T02:44:27+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15147/galley/7716/download/" } ] }, { "pk": 15220, "title": "A Dispatch Screening Tool to Identify Patients at High Risk for COVID-19 in the Prehospital Setting", "subtitle": null, "abstract": "Introduction:\n Emergency medical services (EMS) dispatchers have made efforts to determine whether patients are high risk for coronavirus disease 2019 (COVID-19) so that appropriate personal protective equipment (PPE) can be donned. A screening tool is valuable as the healthcare community balances protection of medical personnel and conservation of PPE. There is little existing literature on the efficacy of prehospital COVID-19 screening tools. The objective of this study was to determine the positive and negative predictive value of an emergency infectious disease surveillance tool for detecting COVID-19 patients and the impact of positive screening on PPE usage. \nMethods:\n This study was a retrospective chart review of prehospital care reports and hospital electronic health records. We abstracted records for all 911 calls to an urban EMS from March 1–July 31, 2020 that had a documented positive screen for COVID-19 and/or had a positive COVID-19 test. The dispatch screen solicited information regarding travel, sick contacts, and high-risk symptoms. We reviewed charts to determine dispatch-screening results, the outcome of patients’ COVID-19 testing, and documentation of crew fidelity to PPE guidelines. \nResults:\n The sample size was 263. The rate of positive COVID-19 tests for all-comers in the state of Massachusetts was 2.0%. The dispatch screen had a sensitivity of 74.9% (confidence interval [CI], 69.21-80.03) and a specificity of 67.7% (CI, 66.91-68.50). The positive predictive value was 4.5% (CI, 4.17-4.80), and the negative predictive value was 99.3% (CI, 99.09-99.40). The most common symptom that triggered a positive screen was shortness of breath (51.5% of calls). The most common high-risk population identified was skilled nursing facility patients (19.5%), but most positive tests did not belong to a high-risk population (58.1%). The EMS personnel were documented as wearing full PPE for the patient in 55.7% of encounters, not wearing PPE in 8.0% of encounters, and not documented in 27.9% of encounters.\nConclusion:\n This dispatch-screening questionnaire has a high negative predictive value but moderate sensitivity and therefore should be used with some caution to guide EMS crews in their PPE usage. Clinical judgment is still essential and may supersede screening status.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "prehospital care, infectious disease, dispatch, communications" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/02s1f8bb", "frozenauthors": [ { "first_name": "Amy", "middle_name": "", "last_name": "Albright", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Karen", "middle_name": "", "last_name": "Gross", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Hunter", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Laurel", "middle_name": "", "last_name": "O'Connor", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" } ], "date_submitted": "2021-03-24T09:20:03+08:00", "date_accepted": "2021-03-24T09:20:03+08:00", "date_published": "2021-10-28T02:21:07+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15220/galley/7733/download/" } ] }, { "pk": 15206, "title": "Food Insecurity in a Pediatric Emergency Department and the Feasibility of Universal Screening", "subtitle": null, "abstract": "Introduction:\n Children with food insecurity (FI) experience adverse health outcomes due to inadequate quantity or quality of food. Food insecurity may be high among families seeking emergency care. The Hunger Vital Sign (HVS) is a two-question validated tool used to screen families for FI. Our goal in this study was to assess prevalence of FI among emergency department (ED) patients, patient-level risk factors for FI, and the feasibility of screening. \nMethods:\n This was a cross-sectional analysis of FI in the ED. Parents or guardians of ED patients and adult patients (18 years or older) were approached for screening using the HVS during screening periods spanning weekdays/weekends and days/evenings. All ED patients were eligible, excluding siblings, repeat visits, critically ill patients, minors without a guardian, and families that healthcare staff asked us not to disturb. Families answered the HVS questions verbally or in writing, based on preference. Families with positive screens received information about food resources. We summarized patient and visit characteristics and defined medical complexity using a published algorithm. Multivariable logistic regression was used to assess FI risk factors.\nResults:\n In July-August 2019, 527 patients presented during screening periods: 439 agreed to screening, 18 declined, 19 met exclusions, and 51 were missed. On average the screening tool required five minutes (range 3-10 minutes) to complete. Most families (328; 75%) preferred to answer in writing rather than verbally. Overall, 77 participants (17.5%) screened positive for FI. In regression analyses, FI was associated with self-reported race/ethnicity (combined variable) of African American or Black (odds ratio [OR] 5.21, 95% confidence interval [CI], 2.13-12.77), Hispanic (OR 3.47, 95% CI, 1.48-8.15), or mixed/other (OR 3.81, 95% CI, 1.54-9.39), compared to non-Hispanic white. FI was also associated with public insurance type (OR 5.74, 95% CI, 2.52-13.07, reference: private insurance), and each year of increasing patient age (OR 1.05, 95% CI, 1.01-1.09). There were no associations between FI and medical complexity or preferred language. \nConclusion:\n Food insecurity was common among our ED patients. Race and ethnicity, insurance status, and increasing patient age were associated with increased odds of FI. Efforts to include universal FI screening for ED patients with immediate connection to resources will enhance overall care quality and address important health needs.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "pediatric emergency medicine" }, { "word": "Food Insecurity" }, { "word": "social determinants of health" } ], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1gv1v01s", "frozenauthors": [ { "first_name": "Jaqueline", "middle_name": "", "last_name": "Valdez Gonzalez", "name_suffix": "", "institution": "Seattle Children’s Research Institute, Emergency Department Research Team, Seattle, Washington", "department": "None" }, { "first_name": "Emily", "middle_name": "A.", "last_name": "Hartford", "name_suffix": "", "institution": "University of Washington, Department of Pediatrics, Division of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Moore", "name_suffix": "", "institution": "University of Washington, Department of Pediatrics, Seattle, Washington", "department": "None" }, { "first_name": "Julie", "middle_name": "C.", "last_name": "Brown", "name_suffix": "", "institution": "University of Washington, Department of Pediatrics, Division of Emergency Medicine, Seattle, Washington", "department": "None" } ], "date_submitted": "2021-03-19T02:35:19+08:00", "date_accepted": "2021-03-19T02:35:19+08:00", "date_published": "2021-10-28T02:11:12+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15206/galley/7729/download/" } ] }, { "pk": 14637, "title": "The Association of Demographic, Socioeconomic, and Geographic Factors with Potentially Preventable Emergency Department Utilization", "subtitle": null, "abstract": "Introduction:\n Prevention quality indicators (PQI) are a set of measures used to characterize healthcare utilization for conditions identified as being potentially preventable with high quality ambulatory care. These indicators have recently been adapted for emergency department (ED) patient presentations. In this study the authors sought to identify opportunities to potentially prevent emergency conditions and to strengthen systems of ambulatory care by analyzing patterns of ED utilization for PQI conditions.\nMethods:\n Using multivariable logistic regression, the authors analyzed the relationship of patient demographics and neighborhood-level socioeconomic indicators with ED utilization for PQI conditions based on ED visits at an urban, academic medical center in 2017. We also used multilevel modeling to assess the contribution of these variables to neighborhood-level variation in the likelihood of an ED visit for a PQI condition.\nResults:\n Of the included 98,522 visits, 17.5% were categorized as potentially preventable based on the ED PQI definition. On multivariate analysis, age < 18 years, Black race, and Medicare insurance had the strongest positive associations with PQI visits, with adjusted odds ratios (aOR) of 1.41 (95% confidence interval [CI], 1.29, 1.56), 1.40 (95% CI, 1.22, 1.61), and 1.40 (95% CI, 1.28, 1.54), respectively. All included neighborhood-level socioeconomic variables were significantly associated with PQI visit likelihood on univariable analysis; however; only level of education attainment and private car ownership remained significantly associated in the multivariable model, with aOR of 1.13 (95% CI, 1.10, 1.17) and 0.96 (95% CI, 0.93, 0.99) per quartile increase, respectively. This multilevel model demonstrated significant variation in PQI visit likelihood attributable to neighborhood, with interclass correlation decreasing from 5.92% (95% CI, 5.20, 6.73) in our unadjusted model to 4.12% (95% CI, 3.47, 4.87) in our fully adjusted model and median OR similarly decreasing from 1.54 to 1.43.\nConclusion:\n Demographic and local socioeconomic factors were significantly associated with ED utilization for PQI conditions. Future public health efforts can bolster efforts to target underlying social drivers of health and support access to primary care for patients who are Black, Latino, pediatric, or Medicare-dependent to potentially prevent emergency conditions (and the need for emergency care). Further research is needed to explore other factors beyond demographics and socioeconomic characteristics driving spatial variation in ED PQI visit likelihood.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "geographic information systems, emergency medicine, population health, social determinants of health, preventative medicine" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0f10n26w", "frozenauthors": [ { "first_name": "Lucas", "middle_name": "C.", "last_name": "Carlson", "name_suffix": "", "institution": "Partners HealthCare, Population Health Management, Somerville, Massachusetts; Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Kori", "middle_name": "S.", "last_name": "Zachrison", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Brian", "middle_name": "J.", "last_name": "Yun", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Gia", "middle_name": "", "last_name": "Ciccolo", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Benjamin", "middle_name": "A.", "last_name": "White", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo Jr", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Margaret", "middle_name": "E.", "last_name": "Samuels-Kalow", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-10-13T00:36:14+08:00", "date_accepted": "2020-10-13T00:36:14+08:00", "date_published": "2021-10-28T01:59:31+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14637/galley/7463/download/" } ] }, { "pk": 13767, "title": "Role of Creatine Kinase in the Troponin Era: A Systematic Review", "subtitle": null, "abstract": "Introduction:\n The diagnosis of non-ST-elevated myocardial infarction (NSTEMI) depends on a combination of history, electrocardiogram, and cardiac biomarkers. The most sensitive and specific biomarkers for cardiac injury are the troponin assays. Many hospitals continue to automatically order less sensitive and less specific biomarkers such as creatine kinase (CK) alongside cardiac troponin (cTn) for workup of patients with chest pain. The objective of this systematic review was to identify whether CK testing is useful in the workup of patients with NSTEMI symptoms.\n \nMethods:\n We undertook a systematic review to ascertain whether CK ordered as part of the workup for NSTEMI was useful in screening patients with cardiac chest pain. The MEDLINE, Embase, and Cochrane databases were searched from January 1995–September 2020. Additional papers were added after consultation with experts. We screened a total of 2,865 papers, of which eight were included in the final analysis. These papers all compared CK and cTn for NSTEMI diagnosis. \n \nResults:\n In each of the eight papers included in the analysis, cTn showed a greater sensitivity and specificity than CK in the diagnosis of NSTEMI. Furthermore, none of the articles published reliable evidence that CK is useful in NSTEMI diagnosis when troponin was negative. \nConclusion:\n There is no evidence to continue to use CK as part of the workup of NSTEMI acute coronary syndrome in undifferentiated chest pain patients. We conclude that CK should not be used to screen patients presenting to the emergency department with chest pain.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "acute coronary syndrome" }, { "word": "Cardiac Troponin I" }, { "word": "creatine kinase" }, { "word": "NSTEMI" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1950b7rs", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Beamish", "name_suffix": "", "institution": "University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada", "department": "None" }, { "first_name": "Tetyana", "middle_name": "", "last_name": "Maniuk", "name_suffix": "", "institution": "University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada", "department": "None" }, { "first_name": "Muhammad", "middle_name": "", "last_name": "Mukarram", "name_suffix": "", "institution": "The Ottawa Hospital, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; University of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada", "department": "None" }, { "first_name": "Venkatesh", "middle_name": "", "last_name": "Thiruganasambandamoorthy", "name_suffix": "", "institution": "University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada; The Ottawa Hospital, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; University of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada", "department": "None" } ], "date_submitted": "2020-04-16T21:08:25+08:00", "date_accepted": "2020-04-16T21:08:25+08:00", "date_published": "2021-10-28T01:25:13+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13767/galley/7175/download/" } ] }, { "pk": 14938, "title": "A Scoping Review of Current Social Emergency Medicine Research", "subtitle": null, "abstract": "Introduction:\n Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed.\nMethods:\n We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator.\nResults:\n Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. \nConclusion:\n Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "social emergency medicine, social determinants of health" } ], "section": "Societal Impact on Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5z7715v3", "frozenauthors": [ { "first_name": "Ruhee", "middle_name": "", "last_name": "Shah", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, New York, New York", "department": "None" }, { "first_name": "Alessandra", "middle_name": "", "last_name": "Della Porta", "name_suffix": "", "institution": "University of Miami Miller School of Medicine, Miami, Florida", "department": "None" }, { "first_name": "Sherman", "middle_name": "", "last_name": "Leung", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, New York, New York", "department": "None" }, { "first_name": "Margaret", "middle_name": "", "last_name": "Samuels-Kalow", "name_suffix": "", "institution": "Massachusetts General Hospital/Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "M.", "last_name": "Schoenfeld", "name_suffix": "", "institution": "University of Massachusetts Medical School-Baystate, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Lynne", "middle_name": "D.", "last_name": "Richardson", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York; Icahn School of Medicine at Mount Sinai, Department of Population Health Science and Policy, New York, New York; Icahn School of Medicine at Mount Sinai, Institute for Health Equity Research, New York, New York", "department": "None" }, { "first_name": "Michelle", "middle_name": "P.", "last_name": "Lin", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York; Icahn School of Medicine at Mount Sinai, Department of Population Health Science and Policy, New York, New York; Icahn School of Medicine at Mount Sinai, Institute for Health Equity Research, New York, New York", "department": "None" } ], "date_submitted": "2021-01-08T06:38:11+08:00", "date_accepted": "2021-01-08T06:38:11+08:00", "date_published": "2021-10-28T01:00:47+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14938/galley/7612/download/" } ] }, { "pk": 14721, "title": "Estimated Cost Effectiveness of Influenza Vaccination for Emergency Medical Services Professionals", "subtitle": null, "abstract": "Introduction:\n Because of their frequent contact with compromised patients, vaccination against influenza is recommended for all healthcare workers. Recent studies suggest that vaccination decreases influenza transmission to patients and reduces worker illness and absenteeism. However, few emergency medical services (EMS) agencies provide annual vaccination, and the vaccination rate among EMS personnel remains low. Reticence among EMS agencies to provide influenza vaccination to their employees may be due in part to the unknown fiscal consequences of implementing a vaccination program. In this study, we sought to estimate the cost effectiveness of an employer-provided influenza vaccination program for EMS personnel.\n \nMethods:\n Using data from published reports on influenza vaccination, we developed a cost-effectiveness model of vaccination for a hypothesized EMS system of 100 employees. Model inputs included vaccination costs, vaccination rate, infection rate, costs associated with absenteeism, lost productivity due to working while ill (presenteeism), and medical care for treating illness. To assess the robustness of the model we performed a series of sensitivity analyses on the input variables.\nResults:\n The proportion of employees contracting influenza or influenza-like illness (ILI) was estimated at 19% among vaccinated employees compared to 26% among non-vaccinated employees. The costs of the vaccine, consumables, and employee time for vaccination totaled $44.19 per vaccinated employee, with a total system cost of $4,419. Compared to no vaccination, a mandatory vaccination program would save $20,745 in lost productivity and medical costs, or $16,325 in net savings after accounting for vaccination costs. The savings were 3.7 times the cost of the vaccination program and were derived from avoided absenteeism ($7,988), avoided presenteeism productivity losses ($10,303), and avoided medical costs of treating employees with influenza/ILI ($2,454). Through sensitivity analyses the model was verified to be robust across a wide range of input variable assumptions. The net monetary benefits were positive across all ranges of input assumptions, but cost savings were most sensitive to the vaccination uptake rate, ILI rate, and presenteeism productivity losses.\nConclusion:\n This cost-effectiveness analysis suggests that an employer-provided influenza vaccination program is a financially favorable strategy for reducing costs associated with influenza/ILI employee absenteeism, presenteeism, and medical care.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "vaccination, influenza, emergency medical services, paramedic, cost-effectiveness, absenteeism" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0hn9b7jh", "frozenauthors": [ { "first_name": "Michael", "middle_name": "W.", "last_name": "Hubble", "name_suffix": "", "institution": "Wake Technical Community College, Department of Emergency Medical Science, Raleigh, North Carolina", "department": "None" }, { "first_name": "Ginny", "middle_name": "K.", "last_name": "Renkiewicz", "name_suffix": "", "institution": "Wake Technical Community College, Department of Emergency Medical Science, Raleigh, North Carolina", "department": "None" } ], "date_submitted": "2020-11-04T06:46:53+08:00", "date_accepted": "2020-11-04T06:46:53+08:00", "date_published": "2021-10-27T08:17:24+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14721/galley/7496/download/" } ] }, { "pk": 1099, "title": "Atypical Presentation of Haemophilus influenzae Septic Arthritis: A Case Report", "subtitle": null, "abstract": "Introduction:\n Septic arthritis is a destructive form of acute arthritis that requires expeditious recognition. as delayed treatment yields significant morbidity and mortality.\nCase Report:\n A 40-year-old male presented to the emergency department with right elbow pain. Examination revealed tachycardia, swelling, redness, tenderness, and decreased range of motion of the right humeroulnar joint. Synovial fluid analysis was consistent with an inflammatory etiology, but blood and joint cultures ultimately revealed Haemophilus influenzae.\nDiscussion:\n This case highlights the importance of trusting clinical findings over laboratory evidence in patients with suspected septic arthritis.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Haemophilus influenza, septic arthritis, HIV, synovial fluid white cell count, human immunodeficiency virus" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3p67c3fk", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "Steven", "last_name": "Tadych", "name_suffix": "", "institution": "Department of Clinical Education, Midwestern University – Chicago College of Osteopathic Medicine, Downers Grove, Illinois", "department": "None" }, { "first_name": "David", "middle_name": "Enrique", "last_name": "Catano", "name_suffix": "", "institution": "Department of Emergency Medicine, Midwestern University, Franciscan Health Olympia Fields, Olympia Fields, Illinois", "department": "None" }, { "first_name": "April", "middle_name": "Lynn", "last_name": "Brill", "name_suffix": "", "institution": "Department of Emergency Medicine, Midwestern University, Franciscan Health Olympia Fields, Olympia Fields, Illinois", "department": "None" } ], "date_submitted": "2021-10-27T07:07:30+08:00", "date_accepted": "2021-10-27T07:07:30+08:00", "date_published": "2021-10-27T07:09:25+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1099/galley/840/download/" } ] }, { "pk": 1098, "title": "Diagnosis of Bladder Diverticula with Point-of-Care Ultrasound", "subtitle": null, "abstract": "Case Presentation:\n A 65-year-old male presented to the emergency department with symptoms including fever, abnormal urinalysis, and elevated post-void residual. Point-of-care ultrasound was used to rapidly diagnose a bladder diverticulum. The patient was subsequently seen by urology for outpatient bladder repair.\nDiscussion: \nBladder diverticula, an out-pouching of the bladder, may occur congenitally or as a result of various bladder conditions and/or surgery. Although bladder diverticula are rare and often asymptomatic, severe complications including frequent recurring urinary tract infections may arise depending on the patient.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "bladder diverticulum" }, { "word": "laparoscopy" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5f5736rn", "frozenauthors": [ { "first_name": "Shadi", "middle_name": "", "last_name": "Lahham", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Salvador", "middle_name": "", "last_name": "Gutierrez", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2021-10-27T06:54:06+08:00", "date_accepted": "2021-10-27T06:54:06+08:00", "date_published": "2021-10-27T06:54:52+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1098/galley/839/download/" } ] }, { "pk": 1097, "title": "Case Series of Three Patients with Disseminated Gonococcal Infection and Endocarditis", "subtitle": null, "abstract": "Introduction: \nThe increasing incidence of Neisseria gonorrhoeae infections and emergence of cephalosporin-resistant strains means the threat of disseminated gonococcal infection and endocarditis needs to be reimagined into the differential diagnosis for patients treated in the emergency department (ED) for sexually transmitted infections and for endocarditis itself. Only 70 cases of disseminated gonococcal infection (DGI) with endocarditis had been reported through 2014.1-4 In 2019, however, an outbreak of DGI with one case of endocarditis was reported.5 This case series of three patients with DGI and endocarditis, in addition to the recent outbreak, may represent a warning sign for reemergence of this threat.\nCase Report:\n We describe three cases within a recent three-year period of gonococcal endocarditis as seen and treated at our institution. These cases show divergent presentations of this insidious disease with both classical and atypical features. One case displayed a classic migratory rash with positive urine testing and a remote history of sexually transmitted infections, while another patient developed isolated culture-confirmed endocarditis with negative cervical testing and imaging, and the final case was a male patient who presented to the ED with fulminant endocarditis as the first ED presentation of infection.\nConclusion:\n Secondary to an overall rise in incidence and possibly due to increasing antibiotic- resistance patterns, gonococcal endocarditis should be included in the differential diagnosis of any case of endocarditis. Reciprocally, increased vigilance should surround the evaluation of any patient for sexually transmitted diseases while in the ED for both the development of DGI and endocarditis.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Neisseria gonorrhoeae" }, { "word": "gonococcal endocarditis" }, { "word": "disseminated gonococcal infection" }, { "word": "case report" }, { "word": "case series" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5df0k5b5", "frozenauthors": [ { "first_name": "Phillip", "middle_name": "", "last_name": "Moschella", "name_suffix": "", "institution": "Prisma Health-Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Hannah", "middle_name": "", "last_name": "Shull", "name_suffix": "", "institution": "Prisma Health-Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Pittman", "name_suffix": "", "institution": "Prisma Health-Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Gleason", "name_suffix": "", "institution": "Prisma Health-Upstate, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Prerana", "middle_name": "", "last_name": "Roth", "name_suffix": "", "institution": "Prisma Health-Upstate, Department of Infectious Diseases, Greenville, South Carolina", "department": "None" } ], "date_submitted": "2021-10-27T06:31:33+08:00", "date_accepted": "2021-10-27T06:31:33+08:00", "date_published": "2021-10-27T06:33:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1097/galley/838/download/" } ] }, { "pk": 5599, "title": "Humans Discriminate Individual Large-Billed Crows and Individual Cats by Their Respective Vocalizations", "subtitle": null, "abstract": "Previous research has shown that human adults can easily discriminate two individual zebra finches (\nTaeniopygia guttata\n) by their signature songs, struggle to discriminate two individual rhesus monkeys (\nMacaca mulatta\n) by their calls, and are unable to discriminate two individual dogs (\nCanis familiaris\n) by their barks. The purpose of the present experiment was to examine whether acoustic discrimination of individual non-primate heterospecifics is limited to species producing stereotyped signature songs, or whether it is possible with the vocalizations of other species as well. This was tested here with the calls of individual large-billed crows (\nCorvus macrorhynchos\n) and the meows of individual domestic cats (\nFelis catus\n) using a forced-choice Same-Different Paradigm. Results show a high discrimination accuracy without prior training, although the scores obtained here for both species were lower than those in the zebra finch discrimination task. Discrimination accuracy of cat voices decreased when mean pitch was equalized between individuals, but was still possible without this cue. The removal of formant frequencies did not influence the discrimination, and there was no significant performance improvement across trials. These experiments suggest that individual acoustic discrimination is possible not only with species producing signature songs, but also with unlearned vocalizations of both birds and non-human mammals.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "voice perception" }, { "word": "large-billed crow" }, { "word": "Cat" }, { "word": "voice discrimination" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/304034cn", "frozenauthors": [ { "first_name": "Sabrina", "middle_name": "", "last_name": "Schalz", "name_suffix": "", "institution": "Middlesex University", "department": "None" }, { "first_name": "Sophie", "middle_name": "", "last_name": "Meekings", "name_suffix": "", "institution": "Newcastle University", "department": "None" }, { "first_name": "Thomas", "middle_name": "E.", "last_name": "Dickins", "name_suffix": "", "institution": "Middlesex University", "department": "None" } ], "date_submitted": "2021-06-08T02:00:30+08:00", "date_accepted": "2021-06-08T02:00:30+08:00", "date_published": "2021-10-27T04:49:11+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5599/galley/3390/download/" } ] }, { "pk": 15089, "title": "A Positive Depression Screen Is Associated with Emergency Medicine Resident Burnout and Is not Affected by the Implementation of a Wellness Curriculum", "subtitle": null, "abstract": "Introduction:\n While burnout is occupation-specific, depression affects individuals comprehensively. Research on interventions for depression in emergency medicine (EM) residents is limited. \nObjectives:\n We sought to obtain longitudinal data on positive depression screens in EM residents, assess their association with burnout, and determine whether implementation of a wellness curriculum affected the rate of positive screens.\nMethods:\n In February 2017, we administered the Maslach Burnout Inventory and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire two-question depression screen at 10 EM residencies. At five intervention sites, a year-long wellness curriculum was then introduced while five control sites agreed not to introduce new wellness initiatives during the study period. Study instruments were re-administered in August 2017 and February 2018.\nResults:\n Of 382 residents, 285 participated in February 2017; 40% screened positive for depression. In August 2017, 247/386 residents participated; 27.9% screened positive for depression. In February 2018, 228/386 residents participated; 36.2% screened positive. A positive depression screen was associated with higher burnout. There were similar rates of positive screens at the intervention and control sites. \nConclusion:\n Rates of positive depression screens in EM residents ranged between 27.9% and 40%. Residents with a positive screen reported higher levels of burnout. Rates of a positive screen were unaffected by introduction of a wellness curriculum.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Burnout and Depression" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9vn5c2nm", "frozenauthors": [ { "first_name": "Kelly", "middle_name": "", "last_name": "Williamson", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Patrick", "middle_name": "M.", "last_name": "Lank", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Adriana", "middle_name": "", "last_name": "Olson", "name_suffix": "", "institution": "University of Chicago, Pritzker School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Navneet", "middle_name": "", "last_name": "Cheema", "name_suffix": "", "institution": "University of Chicago, Pritzker School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Elise", "middle_name": "", "last_name": "Lovell", "name_suffix": "", "institution": "University of Illinois at Chicago, Advocate Christ Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2021-02-03T04:43:59+08:00", "date_accepted": "2021-02-03T04:43:59+08:00", "date_published": "2021-10-27T03:41:25+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15089/galley/7701/download/" } ] }, { "pk": 15496, "title": "Viral Coinfection is Associated with Improved Outcomes in Emergency Department Patients with SARS-CoV-2", "subtitle": null, "abstract": "Introduction:\n Coinfection with severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) and another virus may influence the clinical trajectory of emergency department (ED) patients. However, little empirical data exists on the clinical outcomes of coinfection with SARS-CoV-2\nMethods:\n In this retrospective cohort analysis, we included adults presenting to the ED with confirmed, symptomatic coronavirus 2019 who also underwent testing for additional viral pathogens within 24 hours. To investigate the association between coinfection status with each of the outcomes, we performed logistic regression.\nResults:\n Of 6,913 ED patients, 5.7% had coinfection. Coinfected individuals were less likely to experience index visit or 30-day hospitalization (odds ratio [OR] 0.57; 95% confidence interval [CI], 0.36-0.90 and OR 0.39; 95% CI, 0.25–0.62, respectively).\nConclusion:\n Coinfection is relatively uncommon in symptomatic ED patients with SARS-CoV-2 and the clinical short- and long-term outcomes are more favorable in coinfected individuals.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "SARS-CoV-2, COVID-19, coinfection, viral testing, hospitalization, emergency department" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9wv508tr", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "M.", "last_name": "Goldberg", "name_suffix": "", "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Kohei", "middle_name": "", "last_name": "Hasegawa", "name_suffix": "", "institution": "Massachusetts General Hospital/Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Alexis", "middle_name": "", "last_name": "Lawrence", "name_suffix": "", "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "A.", "last_name": "Kline", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo, Jr", "name_suffix": "", "institution": "Massachusetts General Hospital/Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2021-06-10T21:57:22+08:00", "date_accepted": "2021-06-10T21:57:22+08:00", "date_published": "2021-10-27T03:05:41+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15496/galley/7802/download/" } ] }, { "pk": 15380, "title": "Centralized Ambulance Destination Determination: A Retrospective Data Analysis to Determine Impact on EMS System Distribution, Surge Events, and Diversion Status", "subtitle": null, "abstract": "Introduction:\n Emergency medical services (EMS) systems can become impacted by sudden surges that can occur throughout the day, as well as by natural disasters and the current pandemic. Because of this, emergency department crowding and ambulance “bunching,” or surges in ambulance-transported patients at receiving hospitals, can have a detrimental effect on patient care and financial implications for an EMS system. The Centralized Ambulance Destination Determination (CAD-D) project was initially created as a pilot project to look at the impact of an active, online base hospital physician and paramedic supervisor to direct patient destination and distribution, as a way to improve ambulance distribution, decrease surges at hospitals, and decrease diversion status. \nMethods:\n The project was initiated March 17, 2020, with a six-week baseline period; it had three additional study phases where the CAD-D was recommended (Phase 1), mandatory (Phase 2), and modified (Phase 3), respectively. We used coefficients of variation (CV) statistical analysis to measure the relative variability between datasets (eg, CAD-D phases), with a lower variation showing better and more even distribution across the different hospitals. We used analysis of co-variability for the CV to determine whether level loading was improved systemwide across the three phases against the baseline period. The primary outcomes of this study were the following: to determine the impact of ambulance distribution across a geographical area by using the CV; to determine whether there was a decrease in surge rates at the busiest hospital in this area; and the effects on diversion.\nResults:\n We calculated the CV of all ratios and used them as a measure of EMS patient distribution among hospitals. Mean CV was lower in Phase 2 as compared to baseline (1.56 vs 0.80 P < 0.05), and to baseline and Phase 3 (1.56 vs. 0.93, P <0.05). A lower CV indicates better distribution across more hospitals, instead of the EMS transports bunching at a few hospitals. Furthermore, the proportion of surge events was shown to be lower between baseline and Phase 1 (1.43 vs 0.77, P <0.05), baseline and Phase 2 (1.43 vs. 0.33, P < 0.05), and baseline and Phase 3 (1.43 vs 0.42, P < 0.05). Diversion was shown to increase over the system as a whole, despite decreased diversion rates at the busiest hospital in the system. \nConclusion:\n In this retrospective study, we found that ambulance distribution increased across the system with the implementation of CAD-D, leading to better level loading. The surge rates decreased at some of the most impacted hospitals, while the rates of hospitals going on diversion paradoxically increased overall. Specifically, the results of this study showed that there was an improvement when comparing the CAD-D implementation vs the baseline period for both the ambulance distribution across the system (level loading/CV), and for surge events at three of the busiest hospitals in the system.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Ambulance Transport, EMS, Diversion, Distribution" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5b63w8tj", "frozenauthors": [ { "first_name": "Gurvijay", "middle_name": "", "last_name": "Bains", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Amelia", "middle_name": "", "last_name": "Breyre", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Seymour", "name_suffix": "", "institution": "San Francisco Emergency Medical Services Agency, San Francisco, California", "department": "None" }, { "first_name": "Juan Carlos", "middle_name": "", "last_name": "Montoy", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Mary", "middle_name": "", "last_name": "Mercer", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Chris", "middle_name": "", "last_name": "Colwell", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2021-05-13T04:01:45+08:00", "date_accepted": "2021-05-13T04:01:45+08:00", "date_published": "2021-10-27T02:42:53+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15380/galley/7780/download/" } ] }, { "pk": 15300, "title": "Gender-based Barriers in the Advancement of Women Leaders in Emergency Medicine: A Multi-institutional Qualitative Study", "subtitle": null, "abstract": "Introduction:\n Leadership positions occupied by women within academic emergency medicine have remained stagnant despite increasing numbers of women with faculty appointments. We distributed a multi-institutional survey to women faculty and residents to evaluate categorical characteristics contributing to success and differences between the two groups.\nMethods:\n An institutional review board-approved electronic survey was distributed to women faculty and residents at eight institutions and were completed anonymously. We created survey questions to assess multiple categories: determination; resiliency; career support and obstacles; career aspiration; and gender discrimination. Most questions used a Likert five-point scale. Responses for each question and category were averaged and deemed significant if the average was greater than or equal to 4 in the affirmative, or less than or equal to 2 in the negative. We calculated proportions for binary questions. \nResults:\n The overall response rate was 55.23% (95/172). The faculty response rate was 54.1% (59/109) and residents’ response rate was 57.1% (36/63). Significant levels of resiliency were reported, with a mean score of 4.02. Childbearing and rearing were not significant barriers overall but were more commonly reported as barriers for faculty over residents (P <0.001). Obstacles reported included a lack of confidence during work-related negotiations and insufficient research experience. Notably, 68.4% (65/95) of respondents experienced gender discrimination and 9.5% (9/95) reported at least one encounter of sexual assault by a colleague or supervisor during their career.\nConclusion:\n Targeted interventions to promote female leadership in academic emergency medicine include coaching on negotiation skills, improved resources and mentorship to support research, and enforcement of safe work environments. Female emergency physician resiliency is high and not a barrier to career advancement.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine" }, { "word": "Medical Education" }, { "word": "physician wellness" }, { "word": "women in academic medicine" }, { "word": "Academic Emergency Medicine" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/53c707nt", "frozenauthors": [ { "first_name": "Emily", "middle_name": "M.", "last_name": "Graham", "name_suffix": "", "institution": "University of Utah School of Medicine, Salt Lake City, Utah", "department": "None" }, { "first_name": "Meganne", "middle_name": "N.", "last_name": "Ferrel", "name_suffix": "", "institution": "University of Utah School of Medicine, Salt Lake City, Utah", "department": "None" }, { "first_name": "Katie", "middle_name": "M.", "last_name": "Wells", "name_suffix": "", "institution": "University of Vermont, Division of Emergency Medicine, Department of Surgery, Burlington, Vermont", "department": "None" }, { "first_name": "Daniel", "middle_name": "J.", "last_name": "Egan", "name_suffix": "", "institution": "Massachusetts General Hospital/Brigham and Women’s Hospital, Departments of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Casey", "middle_name": "Z.", "last_name": "MacVane", "name_suffix": "", "institution": "Maine Medical Center, Department of Emergency Medicine, Portland, Maine", "department": "None" }, { "first_name": "Michael", "middle_name": "A.", "last_name": "Gisondi", "name_suffix": "", "institution": "Stanford University, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Boyd", "middle_name": "D.", "last_name": "Burns", "name_suffix": "", "institution": "University of Oklahoma School of Community Medicine, Department of Emergency Medicine, Tulsa, Oklahoma", "department": "None" }, { "first_name": "Troy", "middle_name": "E.", "last_name": "Madsen", "name_suffix": "", "institution": "University of Utah, Division of Emergency Medicine, Department of Surgery, Salt Lake City, Utah", "department": "None" }, { "first_name": "Megan", "middle_name": "L.", "last_name": "Fix", "name_suffix": "", "institution": "University of Utah, Division of Emergency Medicine, Department of Surgery, Salt Lake City, Utah", "department": "None" } ], "date_submitted": "2021-04-16T04:37:27+08:00", "date_accepted": "2021-04-16T04:37:27+08:00", "date_published": "2021-10-27T02:33:38+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15300/galley/7756/download/" } ] }, { "pk": 39804, "title": "An updated checklist and biogeography of the Sardinian large branchiopods, with a focus on Spinicaudata (Crustacea, Branchiopoda)", "subtitle": null, "abstract": "The large branchiopod fauna of Sardinia is reviewed based both on literature and newly collected data. Based on the available evidence, 13 taxa are present on the island (8 Anostraca, 2 Notostraca, and 3 Spinicaudata). Among them, the finding of the spinicaudatan \nLeptestheria dahalacensis\n is new for Sardinia, while the spinicaudatans \nCyzicus bucheti \nand \nEulimnadia \nsp. were overlooked in the most recent synopses on the fauna of the island due to misidentifications. Conversely, \nCyzicus tetracerus\n and \nLimnadia lenticularis\n, previously erroneously reported based on misidentifications, must be excluded from the fauna of Sardinia. The finding of \nEulimnadia\n sp. is the first record in Europe and the northernmost record of the genus. The occurrence of \nLeptestheria dahalacensis\n in Sardinia is rather unexpected and probably due to its accidental introduction linked with rice cultures. At least four of the 13 Sardinian large branchiopod species are absent from the Italian mainland and Sicily, stressing the uniqueness of its fauna and its significant contribution to the Mediterranean inland water crustacean diversity.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Anostraca" }, { "word": "Notostraca" }, { "word": "Eulimnadia sp." }, { "word": "Cyzicus bucheti" }, { "word": "Leptestheria dahalacensis" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/80s80581", "frozenauthors": [ { "first_name": "Federico", "middle_name": "", "last_name": "Marrone", "name_suffix": "", "institution": "University of Palermo", "department": "None" }, { "first_name": "Giuseppe", "middle_name": "", "last_name": "Alfonso", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Vezio", "middle_name": "", "last_name": "Cottarelli", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Marco", "middle_name": "Massimo", "last_name": "Botta", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Christian", "middle_name": "", "last_name": "Koepp", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Fabio", "middle_name": "", "last_name": "Stoch", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2021-08-23T00:56:42+08:00", "date_accepted": "2021-08-23T00:56:42+08:00", "date_published": "2021-10-26T16:09:22+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39804/galley/29979/download/" } ] }, { "pk": 1096, "title": "Kinetic Projectile Injuries Treated During Civil Protests in Los Angeles: A Case Series", "subtitle": null, "abstract": "Introduction:\n During protests following the death of George Floyd, kinetic impact projectiles (KIP) were used by law enforcement as a method of crowd control. We describe the injuries seen at a single Level 1 trauma center in Los Angeles over a two-day period of protests to add to the collective understanding of the public health ramifications of crowd-control weapons used in the setting of protests.\nCase Series:\n We reviewed the emergency department visits of 14 patients who presented to our facility due to injuries sustained from KIPs over a 48-hour period during civil protests after the death of George Floyd.\nConclusion:\n Less lethal weapons can cause significant injuries and may not be appropriate for the purposes of crowd control, especially when used outside of established guidelines.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "case series, kinetic projectile, crowd control, less lethal weapons, protests" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1jh024zq", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "C.", "last_name": "Pearl", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Sam", "middle_name": "", "last_name": "Torbati", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Joel", "middle_name": "M.", "last_name": "Geiderman", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2021-10-20T06:23:44+08:00", "date_accepted": "2021-10-20T06:23:44+08:00", "date_published": "2021-10-20T06:24:48+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1096/galley/837/download/" } ] }, { "pk": 1095, "title": "Didelphys Uterus in Pregnancy, an Uncommon Mullerian Duct Anomaly: A Case Report", "subtitle": null, "abstract": "Introduction: \nDidelphys uterus, or “double uterus,” is one of the rarest Müllerian duct anomalies (MDA). Due to its rarity, data are sparse on overall outcomes associated with this congenital defect, but it may be associated with several complications, both pregnancy and non-pregnancy related.\nCase Report:\n In this case, a pregnant 35-year-old female with vaginal bleeding was subsequently diagnosed with uterus didelphys by transvaginal ultrasound imaging.\nConclusion:\n Despite its rarity, clinicians should be aware of MDAs and their associated compli-cations with pregnancy.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "didelphys uterus" }, { "word": "Mullerian duct anomalies" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6193p2vm", "frozenauthors": [ { "first_name": "Colin", "middle_name": "", "last_name": "Jorgensen", "name_suffix": "", "institution": "AMITA Health Resurrection Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Monika", "middle_name": "", "last_name": "Lusiak", "name_suffix": "", "institution": "AMITA Health Resurrection Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2021-10-20T06:09:50+08:00", "date_accepted": "2021-10-20T06:09:50+08:00", "date_published": "2021-10-20T06:11:04+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1095/galley/836/download/" } ] }, { "pk": 1094, "title": "A Case Report of Opisthotonos Associated with Administration of Intramuscular Ketamine", "subtitle": null, "abstract": "Introduction:\n Ketamine, a commonly used medication to treat agitation, has known adverse effects such as emergence reactions, vomiting, and laryngospasm. Opisthotonos has not been a commonly reported adverse reaction.\nCase Report:\n We report a case of opisthotonos brought on by administration of ketamine. A 24-year-old male with a history of schizophrenia was brought in by emergency medical services with opisthotonos shortly after treatment with 250 milligrams intramuscular ketamine by paramedics. He had become increasingly paranoid after being off his aripiprazole for a few weeks, and his family had become afraid for his and their safety. Paramedics administered ketamine to control his combative agitation, per protocol. The patient’s extreme neck and back extension rapidly resolved with the administration of midazolam. Further history and workup did not reveal another cause for opisthotonos.\nConclusion:\n This is the first reported case to our knowledge of ketamine-associated opisthotonos in the emergency setting. Emergency care providers should be aware of this potential side effect.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "case report" }, { "word": "ketamine" }, { "word": "opisthotonos" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5j5059sx", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "W.", "last_name": "Morgan", "name_suffix": "", "institution": "Regions Hospital, Department of Emergency Medicine, St. Paul, Minnesota", "department": "None" }, { "first_name": "Ellen", "middle_name": "", "last_name": "Dore", "name_suffix": "", "institution": "Regions Hospital, Department of Emergency Medicine, St. Paul, Minnesota", "department": "None" } ], "date_submitted": "2021-10-20T05:44:12+08:00", "date_accepted": "2021-10-20T05:44:12+08:00", "date_published": "2021-10-20T05:45:12+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1094/galley/835/download/" } ] }, { "pk": 38320, "title": "Reframing Comparative Perspectives on Long-Term Change: A Review of Social Complexity and Complex Systems in Archaeology by Dries Daems (Routledge, 2021)", "subtitle": null, "abstract": "A review of Social Complexity and Complex Systems in Archaeology by Dries Daems (Routledge, 2021)", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Complex Systems" }, { "word": "social complexity" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0sp0m65s", "frozenauthors": [ { "first_name": "Gary", "middle_name": "M.", "last_name": "Feinman", "name_suffix": "", "institution": "Field Museum of Natural History", "department": "None" } ], "date_submitted": "2021-05-08T00:51:45+08:00", "date_accepted": "2021-05-08T00:51:45+08:00", "date_published": "2021-10-18T20:46:23+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38320/galley/28821/download/" } ] }, { "pk": 57896, "title": "A Message from the Editors", "subtitle": null, "abstract": "This issue of Pacific Arts, which includes five contributions to a discussion roundtable, three articles, and one research note, is guest-edited by Anne E. Guernsey Allen. The discussion forum on “Art Education in Oceania” reflects Anne’s passion for, and dedication to, education.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "art, education, pacific island, oceania" } ], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6f62t2gf", "frozenauthors": [ { "first_name": "Stacy", "middle_name": "L.", "last_name": "Kamehiro", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Maggie", "middle_name": "", "last_name": "Wander", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-10-18T00:37:43+08:00", "date_accepted": "2021-10-18T00:37:43+08:00", "date_published": "2021-10-18T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/pacificarts/article/57896/galley/44072/download/" } ] }, { "pk": 57898, "title": "An Evolution of Teaching Art in Sāmoa", "subtitle": null, "abstract": "This article traces the history and evolution of art education in independent Sāmoa from the perspective of personal experience, while also considering numerical data. It discusses art as a discipline taught in Sāmoan secondary schools and focuses on the development of the creative arts at the tertiary level. The essay reflects on the history and challenges of teaching visual art in Sāmoa, including successes and setbacks. Also considered are the struggles for students pursuing visual art as a career interest in Sāmoa. Examples of works of art created at the Leulumoega Fou School of Fine Arts are included, as are pieces by current National University of Sāmoa art students.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Sāmoa, art, education" } ], "section": "Discussion Forum", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1ws3x76f", "frozenauthors": [ { "first_name": "Leua", "middle_name": "", "last_name": "Latai", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-10-18T00:43:52+08:00", "date_accepted": "2021-10-18T00:43:52+08:00", "date_published": "2021-10-18T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/pacificarts/article/57898/galley/44074/download/" } ] }, { "pk": 57902, "title": "Angels in West Papua. In Memoriam Donatus Moiwend", "subtitle": null, "abstract": "Obituary for Donatus Moiwend, West Papuan artist.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Pacific Art, Donatus Moiwend, West Papua" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gf8616w", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Cookson", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Stuart", "middle_name": "", "last_name": "Kirsch", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Jason", "middle_name": "", "last_name": "Macleod", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-10-18T00:56:59+08:00", "date_accepted": "2021-10-18T00:56:59+08:00", "date_published": "2021-10-18T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/pacificarts/article/57902/galley/44078/download/" } ] }, { "pk": 57906, "title": "Announcements", "subtitle": null, "abstract": "Calls for papers & participation, PAA membership, advertisements, new publications, position announcements", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Art, Pacific Islands, Oceania" } ], "section": "News & Events", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/24h1k1vw", "frozenauthors": [ { "first_name": "Pacific Arts", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2021-10-18T01:07:52+08:00", "date_accepted": "2021-10-18T01:07:52+08:00", "date_published": "2021-10-18T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/pacificarts/article/57906/galley/44082/download/" } ] } ] }