Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=12900
{ "count": 39138, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=13000", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=12800", "results": [ { "pk": 54811, "title": "Who Really is a Noble?: The Constitutionality of American Samoa’s Matai System", "subtitle": null, "abstract": "n/a", "language": "en", "license": null, "keywords": [ { "word": "Matai" }, { "word": "American Samoa" }, { "word": "nobility clause" }, { "word": "manifest destiny" } ], "section": "Comments", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/52h8m2xn", "frozenauthors": [ { "first_name": "Ian", "middle_name": "Falefuafua", "last_name": "Tapu", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-05-12T09:33:32-07:00", "date_accepted": "2020-05-12T09:33:32-07:00", "date_published": "2020-05-15T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_apalj/article/54811/galley/41348/download/" } ] }, { "pk": 39893, "title": "Censorship and Self-Translation in the Era of the Latin American Boom", "subtitle": null, "abstract": "This piece focuses on an analysis of Guillermo Cabrera Infante's \nThree Trapped Tigers\n and the role that the author's condition of exile played in its publication history: first, the impact of Franco and censorship on the book's final published version and secondly the impact of the writer's changing political perspectives, along with the process of translation as a literary reflection of the political situation.", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/69n6d1wn", "frozenauthors": [ { "first_name": "Suzanne", "middle_name": "Jill", "last_name": "Levine", "name_suffix": "", "institution": "UC Santa Barbara", "department": "None" } ], "date_submitted": "2020-05-13T12:19:53-07:00", "date_accepted": "2020-05-13T12:19:53-07:00", "date_published": "2020-05-13T12:37:50-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/territories/article/39893/galley/30037/download/" } ] }, { "pk": 835, "title": "A Case Report of Acute Transverse Myelitis Following Novel Coronavirus Infection", "subtitle": null, "abstract": "Introduction:\n During the coronavirus disease 2019 (COVID-19) pandemic, emergency providers are not only seeing an increasing number of patients with COVID-19 infections, but also associated complications and sequelae of this viral illness.\nCase Report:\n We present the case of a 28-year-old female patient who presented after a confirmed COVID-19 infection with lower back pain, bilateral symmetric upper and lower extremity numbness, and urinary retention. The patient was diagnosed with acute transverse myelitis. She required intravenous corticosteroids and plasma exchange with significant improvement in symptoms and minimal residual effects.\nConclusion:\n This case illustrates the importance of prompt recognition and treatment of sequelae of COVID-19 infections.", "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" }, { "word": "transverse myelitis" }, { "word": "autoimmune" }, { "word": "coronavirus" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0mj588gb", "frozenauthors": [ { "first_name": "Deesha", "middle_name": "", "last_name": "Sarma", "name_suffix": "", "institution": "Harvard Medical School, Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Leslie", "middle_name": "A.", "last_name": "Bilello", "name_suffix": "", "institution": "Harvard Medical School, Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-05-12T17:10:29-07:00", "date_accepted": "2020-05-12T17:10:29-07:00", "date_published": "2020-05-12T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/835/galley/588/download/" } ] }, { "pk": 44956, "title": "Cytomegalovirus Associated Pouchitis", "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/37d034bh", "frozenauthors": [ { "first_name": "Laura", "middle_name": "", "last_name": "McEnerney", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Rajinder", "middle_name": "", "last_name": "Kaushal", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-11T12:24:24-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44956/galley/33749/download/" } ] }, { "pk": 44955, "title": "Hypercalcemia Secondary to Teriparatide in a Patient with Primary Hyperparathyroidism", "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/2762p6j6", "frozenauthors": [ { "first_name": "Pouyan", "middle_name": "", "last_name": "Famini", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "William", "middle_name": "", "last_name": "Martin", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-11T12:21:52-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44955/galley/33748/download/" } ] }, { "pk": 39888, "title": "Small and Large Cultures: Individuality, the Collective, Conformity and the Period of the Cold War", "subtitle": null, "abstract": "The Cold War is something I analyze in two parts. First, I examine its politics, including political literatures and cultures large and small that concentrate on central concerns of the Cold War. Second, I discuss small and minor literatures in the period of the Cold War in theory and practice, including examples from the Netherlands and Canada that are in the period of the Cold War but do not focus on it as its primary concern or theme. In these sections, I argue for the centrality of the tension between tyranny and liberty, individual and the group, conformity and nonconformity and related matters. The article ranges in the politics of the Cold War from the background of Marx and Mill though Churchill, Stalin, Truman, McCarthy to Russell, Grant and Ignatieff. In literature, that is the Cold War in ink, the essay analyzes Orwell’s essay on the nuclear bomb and his novels, \nNineteen Eighty-four\n and \nAnimal Farm\n as well as Miller’s play, \nThe Crucible \nand a poem by Einstein on Russell. I concentrate on examples of Dutch fiction and their translation into English and a Canadian novel, \nThe Weekend Man\n, by Richard B. Wright, because they are an element of “minority literatures.” Besides exploring the Cold War, I briefly examine theories of minor or small literatures, including some aspects of the views of Kafka, Deleuze and Guattari.", "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": "Cold War" }, { "word": "individualism, Collective, Communism, Capitalism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5vw2h0h8", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "Locke", "last_name": "Hart", "name_suffix": "", "institution": "University of Toronto", "department": "None" } ], "date_submitted": "2019-08-16T09:37:37-07:00", "date_accepted": "2019-08-16T09:37:37-07:00", "date_published": "2020-05-11T10:15:16-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/territories/article/39888/galley/30033/download/" } ] }, { "pk": 39886, "title": "Rethinking Minor Literature and Small Literature as Secondary Zone Literature", "subtitle": null, "abstract": "The aim of this article is to argue that both “minor literature” and “small literature” should be readdressed as Michel Ragon’s “secondary zone literature” from three perspectives. Firstly, it will be argued that “minor and small literature” began to lose its theoretical capacity with the advent of globalization after the new millennium. Secondly, the problems of “minor literature” and “small literature” will be updated. “Minor literature” mainly has two problems: 1) The first feature of “minor literature” runs the risk of not only dismissing all literature written by minorities in “minor languages”, but also diminishing the possible meanings of the term, “minority”; and 2) The second and third characteristics of “minor literature” are unable to explain why only non-European arts are perceived to be political and collective. “Small literature” also has two problems: a) it fails to explain why countries that hardly qualify as ‘small’, face problems similar to those of “small literature” in the international literary context; and b) it does not have the capacity to explain the literature of minority and marginal groups within a nation or country. Thirdly, “minor and small literature” will be reconsidered as “secondary zone literature”, not only in an attempt to emphasize cultural dynamics and power relations based on the visibility of various “minor & small” related literary works, but also to demonstrate that literature may be minor or small, but it always has quantitative implications.", "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": "Minor Literature, Small Literature, Secondary Zone Literature, Gilles Deleuze, Pascale Casanova, Michel Ragon" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6073c1c1", "frozenauthors": [ { "first_name": "Yanli", "middle_name": "", "last_name": "HE", "name_suffix": "", "institution": "Sichuan University", "department": "None" } ], "date_submitted": "2019-08-05T08:44:12-07:00", "date_accepted": "2019-08-05T08:44:12-07:00", "date_published": "2020-05-11T10:10:43-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/territories/article/39886/galley/30031/download/" } ] }, { "pk": 39883, "title": "Kundera and Ionesco on the Unmistakable Awareness of Being Minor", "subtitle": null, "abstract": "Deleuze and Guattari’s 1975 text, \nKafka, pour une littérature mineure\n, posited a theory concerning some groups of literary texts including those of Franz Kafka. Their theory was nevertheless highly connected to their own historical and geographical context in France, and much less so with that of Kafka who had himself previously attempted to theorize small literatures. By looking at the context of Kafka and of two other writers who might be considered as belonging to minor literary contexts, I argue that theorists of minor literature tend to view minor literature in a positive way when their own cultural context is further from nation-state building. On the other hand, those writers who are writing from inside nation-building contexts tend to emphasize minor literature’s limits on literary production. Interestingly, Milan Kundera and Eugene Ionesco who had first-hand experience of nation-building contexts, but then moved to France and wrote in French, take more nuanced views of minor literatures as they are further removed in time and space from their original minor contexts.", "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": "minor literature theory, empire, nation-state, identity, privilege, Kafka" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9f51316j", "frozenauthors": [ { "first_name": "Maria", "middle_name": "", "last_name": "Lupas", "name_suffix": "", "institution": "Sophia University Junior College Division", "department": "None" } ], "date_submitted": "2019-06-15T01:12:26-07:00", "date_accepted": "2019-06-15T01:12:26-07:00", "date_published": "2020-05-11T10:03:46-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/territories/article/39883/galley/30030/download/" } ] }, { "pk": 39889, "title": "From the Poetry of Late Socialism to the Dogmatism of Democracy: The Cinema of the Former Eastern Bloc before and after the Collapse of Communism", "subtitle": null, "abstract": "Using the examples of two films from the late socialist era, Roman Balayan’s \nFlights in Dream and Reality\n (1982) and Mircea Daneliuc’s \nGlissando \n(1982) and following Alexei Yurchak’s description of \nvnye \nas “deterritorialized milieus,” I plan to show how the entirety of the cultural space of late socialism amounted to what Foucault would term a heterotopic place featuring both simultaneity and juxtaposition. Finally, by further comparing this space to that created in the nonlinear postmodern era by Sergey Loznitsa in his documentary film \nDonbass\n, I will attempt to show that this cultural space, and by extension, the \naffective\n space of socialism right down to the everyday lives of the “masses,” unlike the totalitarian universe it is nowadays made out to appear, presented the early features of the very intermediality, non-linearity, and non-topicality we are celebrating in post-meta-narrative art cinema of the early 2000s. A home-bred version of magic realism, this Eastern European postmodern space should serve, due to its cohesive yet disparate nature, as a model of sorts for reconceptualizing contemporary views of post-narrative, transnational and, to employ Foucault’s powerful term, heterotopic media.", "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": "Daneliuc, Balayan, Loznitsa, socialism, film, nonlinear" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1ng4t499", "frozenauthors": [ { "first_name": "Lucian", "middle_name": "", "last_name": "Tion", "name_suffix": "", "institution": "Other\nNational University of Singapore", "department": "None" } ], "date_submitted": "2019-08-23T18:08:11-07:00", "date_accepted": "2019-08-23T18:08:11-07:00", "date_published": "2020-05-11T09:55:22-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/territories/article/39889/galley/30034/download/" } ] }, { "pk": 39882, "title": "Re-membering Armenian Literature in the Soviet Borderlands", "subtitle": null, "abstract": "This article focuses on Armenian literature during the Soviet period and engages with the varied responses of Armenian writers to the Soviet imperialism from its periphery, with a particular eye to poets like Hovhannes Shiraz and Eghishé Charents, who, despite the censor’s unrelenting efforts to silence national discourse and remembrance of the Armenian Genocide, sought to rekindle the Armenian sense of self. This article also attempts to highlight the poetic sensitivity and daringness of those Armenian literati, such as Derenik Demirchian, Gurgen Mahari, and Kostan Zarian, who believed it was their duty to faithfully depict the current historical moment, even in the face of its inhumanity, as under Stalin, in order to preserve and re-member their nation’s past. Although a nation with millennia of literary history, Armenian literature remains virtually unknown outside the small group of Armenian speakers within the country and in its diaspora. This article hopes to shed some light on twentieth-century Armenian literary development and in the process counter the continued monopoly of Russian literature on Soviet and post- Soviet literary discourse by expanding its imaginative territory.", "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": "Armenian literature" }, { "word": "Soviet literature" }, { "word": "memory" }, { "word": "Postcolonialism" }, { "word": "Soviet territories" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1nj20259", "frozenauthors": [ { "first_name": "Arpi", "middle_name": "", "last_name": "Movsesian", "name_suffix": "", "institution": "UC Santa Barbara", "department": "None" } ], "date_submitted": "2019-06-12T23:52:49-07:00", "date_accepted": "2019-06-12T23:52:49-07:00", "date_published": "2020-05-11T09:39:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/territories/article/39882/galley/30029/download/" } ] }, { "pk": 52776, "title": "Front Matter", "subtitle": null, "abstract": "", "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": "Undergraduate Historical and Critical Race &" }, { "word": "Ethnic Studies Journal at UC Merced" } ], "section": "Forematter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8qc5n0g8", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2020-05-08T17:50:06-07:00", "date_accepted": "2020-05-08T17:50:06-07:00", "date_published": "2020-05-08T17:51:35-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52776/galley/39809/download/" } ] }, { "pk": 52775, "title": "Diversity for Whom?: Interrogating California’s Racial Diversity Through California Literature", "subtitle": null, "abstract": "", "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": "California, Diversity, California Literature, Race" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/235627j1", "frozenauthors": [ { "first_name": "Omar", "middle_name": "", "last_name": "González", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-05-06T19:14:29-07:00", "date_accepted": "2020-05-06T19:14:29-07:00", "date_published": "2020-05-08T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52775/galley/39808/download/" } ] }, { "pk": 52771, "title": "Possessing Polynesians: The Science of Settler Colonial Whiteness in Hawai’i and Oceania By Maile Arvin. (Durham: Duke University Press, 2019).", "subtitle": null, "abstract": "", "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": "Polynesia, Indigenity, Colonialism, Whiteness, Hawai'i" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/36v5583k", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-05-06T15:35:34-07:00", "date_accepted": "2020-05-06T15:35:34-07:00", "date_published": "2020-05-08T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52771/galley/39804/download/" } ] }, { "pk": 52773, "title": "Preventing the American Front: A Transnational Examination of the U.S. Border Patrol, 1908-1924", "subtitle": null, "abstract": "", "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": "Mexico, Mexican-American Border, U.S. Border Patrol," } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5pd1v5p9", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "", "last_name": "Paniagua", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-05-06T19:03:39-07:00", "date_accepted": "2020-05-06T19:03:39-07:00", "date_published": "2020-05-08T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52773/galley/39806/download/" } ] }, { "pk": 52774, "title": "Shifting Gender Norms Through Cinema: Physical Spaces and Cultural Ideals of 1920s Shanghai Cinema", "subtitle": null, "abstract": "", "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": "Shanghai, Shanghai Cinema, Gender, China, Chinese Cinema" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/387259rn", "frozenauthors": [ { "first_name": "Parker", "middle_name": "", "last_name": "Bovée", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-05-06T19:08:35-07:00", "date_accepted": "2020-05-06T19:08:35-07:00", "date_published": "2020-05-08T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52774/galley/39807/download/" } ] }, { "pk": 52772, "title": "The Injustice Never Leaves You: Anti-Mexican Violence in Texas. By Monica Muñoz Martinez. (Harvard University Press, 2018).", "subtitle": null, "abstract": "", "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": "Texas, Texas Rangers, Anti-Mexican Violence, Lynching" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0791f147", "frozenauthors": [ { "first_name": "Madelyn", "middle_name": "", "last_name": "Lara", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-05-06T15:39:22-07:00", "date_accepted": "2020-05-06T15:39:22-07:00", "date_published": "2020-05-08T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52772/galley/39805/download/" } ] }, { "pk": 52777, "title": "THE UNDERGRADUATE HISTORICAL AND CRITICAL RACE & ETHNIC STUDIES JOURNAL", "subtitle": null, "abstract": "", "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": "Undergraduate, History, Critical Race, Ethic Studies" } ], "section": "Full Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4z76k0ht", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-05-08T17:48:35-07:00", "date_accepted": "2020-05-08T17:48:35-07:00", "date_published": "2020-05-08T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52777/galley/39810/download/" } ] }, { "pk": 834, "title": "48-year-old with Coronavirus Disease 2019", "subtitle": null, "abstract": "Case Presentation:\n A 48-year-old male who presented with signs and symptoms suggestive of an upper respiratory infection was seen at an urgent care, he had a negative chest radiograph and was discharged. With no other cases of coronavirus disease 2019 (COVID-19) in the state, the patient presented to the emergency department two days later with worsening shortness of breath.\nDiscussion:\n There are a variety of findings on both chest radiograph and computed tomography of the chest that suggests COVID-19.", "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" }, { "word": "imaging" }, { "word": "Xray (radiograph)" }, { "word": "CT (computed tomography)" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2cp9s8st", "frozenauthors": [ { "first_name": "Holly", "middle_name": "", "last_name": "Gil", "name_suffix": "", "institution": "Brown University, Department of Radiology, Providence, Rhode Island", "department": "None" }, { "first_name": "Ryan", "middle_name": "M.", "last_name": "Finn", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Neha", "middle_name": "P.", "last_name": "Raukar", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2020-05-07T19:17:55-07:00", "date_accepted": "2020-05-07T19:17:55-07:00", "date_published": "2020-05-07T19:55:15-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/834/galley/587/download/" } ] }, { "pk": 44954, "title": "Intermittent Colonic Obstruction: A Delayed Complication of Traumatic Diaphragmatic Hernia", "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/8c4716rb", "frozenauthors": [ { "first_name": "Rajinder", "middle_name": "", "last_name": "Kaushal", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Michael", "middle_name": "G.", "last_name": "Quon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-06T13:18:52-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44954/galley/33747/download/" } ] }, { "pk": 44953, "title": "End-Stage Achalasia Complicated by Massive Esophageal Bezoar Saved by Rigid Esophagoscopy", "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/8jh6w9ms", "frozenauthors": [ { "first_name": "Kareem", "middle_name": "", "last_name": "Sassi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Carlin", "middle_name": "", "last_name": "Nordstrom", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-06T13:13:24-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44953/galley/33746/download/" } ] }, { "pk": 44952, "title": "Not a Benign Chief Complaint: A Description of Medication “Refill” Visits at an Urban Emergency Department/Urgent Care Clinic", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9sx7n3tg", "frozenauthors": [ { "first_name": "Carlin", "middle_name": "", "last_name": "Rooke", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Enessa", "middle_name": "", "last_name": "Kalontar", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mark", "middle_name": "", "last_name": "Richman", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-06T13:09:51-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44952/galley/33745/download/" } ] }, { "pk": 44951, "title": "Atypical First Presentation of Gout as Flexor Tenosynovitis", "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/4k45n21n", "frozenauthors": [ { "first_name": "Stephanie", "middle_name": "", "last_name": "Wang", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Reece", "middle_name": "", "last_name": "Doughty", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-04T14:53:02-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44951/galley/33744/download/" } ] }, { "pk": 44950, "title": "Cavitary Lung Lesion in a 70-Year-Old Male", "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/6535c0sq", "frozenauthors": [ { "first_name": "Edward", "middle_name": "K.", "last_name": "Hui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-04T14:51:07-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44950/galley/33743/download/" } ] }, { "pk": 44949, "title": "Pneumocystis Jiroveci Pneumonia in a Patient with Occult Myelodysplastic 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/0zv22251", "frozenauthors": [ { "first_name": "Sina", "middle_name": "", "last_name": "Shafiei", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Brian", "middle_name": "", "last_name": "Yu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-04T14:48:52-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44949/galley/33742/download/" } ] }, { "pk": 44948, "title": "35-Year-Old Female with Sjögren Syndrome and Chronic Kidney Disease", "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/71w675vr", "frozenauthors": [ { "first_name": "William", "middle_name": "", "last_name": "Martin", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Michael", "middle_name": "", "last_name": "Shye", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-05-04T14:46:49-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44948/galley/33741/download/" } ] }, { "pk": 5494, "title": "Preliminary study of discrimination of human vocal commands in walrus (Odobenus rosmarus divergens)", "subtitle": null, "abstract": "Walruses seem to use various acoustic signals in social context. So, the auditory faculty is seems to be important for walruses. Can walruses understand another animals' vocal information using auditory sense? This study tested whether a male walrus could discriminate human vocal words and perform different actions corresponding to each one under various conditions. The subject, a male walrus (\nOdobenus rosmarus\n) named Pou, was set on the ground, and the experimenter spoke one of the ten words to the subject under the following conditions; (1) The experimenter stood close to the subject and spoke each vocal stimulus wearing a black cloak and goggles so that the experimenter's eye and body movements would not influence the subject's behavior, (2) A wooden board was placed between the experimenter and the subject so that the subject could not see the experimenter, (3) A wooden board was placed between the experimenter and the subject so that the subject could not to see the experimenter, and the experimenter uttered each vocal stimulus through an audio speaker. Under each condition, when the subject performed the correct action corresponding to the vocal stimulus, he was rewarded with a piece of fish. As a result, the subject responded correctly to almost all the human vocal stimuli in every condition, including when the speaker was not visible. This means that he was indeed responding to the vocal words and not the experimenter's cues. This study demonstrated that walruses can hear and identify human vocal words using their auditory sense and can form correspondence between vocal words and their meanings.", "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": "human vocal command, walrus" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gq7d1hw", "frozenauthors": [ { "first_name": "Shiho", "middle_name": "", "last_name": "Endo", "name_suffix": "", "institution": "Toba Aquarium", "department": "None" }, { "first_name": "Naoki", "middle_name": "", "last_name": "Kawaguchi", "name_suffix": "", "institution": "Toba Aquarium", "department": "None" }, { "first_name": "Yusuke", "middle_name": "", "last_name": "Shimizu", "name_suffix": "", "institution": "Toba Aquarium", "department": "None" }, { "first_name": "Asuka", "middle_name": "", "last_name": "Imagawa", "name_suffix": "", "institution": "Toba Aquarium", "department": "None" }, { "first_name": "Tomohiro", "middle_name": "", "last_name": "Suzuki", "name_suffix": "", "institution": "Toba Aquarium", "department": "None" }, { "first_name": "Harumasa", "middle_name": "", "last_name": "Ashikari", "name_suffix": "", "institution": "Toba Aquarium", "department": "None" }, { "first_name": "Yoshihito", "middle_name": "", "last_name": "Wakai", "name_suffix": "", "institution": "Toba Aquarium", "department": "None" }, { "first_name": "Tsukasa", "middle_name": "", "last_name": "Murayama", "name_suffix": "", "institution": "Tokai University", "department": "None" } ], "date_submitted": "2018-06-11T22:37:59-07:00", "date_accepted": "2018-06-11T22:37:59-07:00", "date_published": "2020-05-03T13:05:35-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5494/galley/3320/download/" } ] }, { "pk": 4459, "title": "Emotions", "subtitle": null, "abstract": "Emotions have been extensively studied across disciplines, but are best defined within specific cultural contexts. In ancient Egypt, they are presented both as visceral experiences that may be “contained” within or transmitted from the heart or stomach, and as socially constructed strands of personhood. Emotions manifest in gestures, postures, and, to a lesser extent, facial expressions in Egyptian art; the presence or absence of their markers in humans may be connected to decorum and status. Animals are used both in art and script to represent emotional states. Various expressive terms exist to describe emotions linguistically, many of them compounds involving the heart, and emotional states are described in diverse genres of texts throughout time, particularly in New Kingdom love poetry. This discussion presents an overview of how emotions have been identified and studied in ancient Egypt and suggests possible future avenues and domains for research.", "language": "en", "license": null, "keywords": [ { "word": "Art, expression, gestures, postures" } ], "section": "Individual and Society", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1t5224vj", "frozenauthors": [ { "first_name": "Angela", "middle_name": "", "last_name": "McDonald", "name_suffix": "", "institution": "University of Glasgow", "department": "None" } ], "date_submitted": "2009-02-11T18:51:02-08:00", "date_accepted": "2009-02-11T18:51:02-08:00", "date_published": "2020-05-02T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/4459/galley/2639/download/" } ] }, { "pk": 65365, "title": "Addressing Gender & Sexuality in the Classroom and the Effects on Adolescents", "subtitle": null, "abstract": "This literature review presents research examining the school environment for LGBTQ students and the type of effects a positively and negatively perceived environment can have on these students as well as on educators and peers. Bullying and harassment are still a concern in schools despite there having been advancements in anti-bullying programs and policies (Poteat & Vecho, 2016). This is especially true for LGBTQ students. There have been recent changes in the sociopolitical climate and the movement to support this group of students but still, they continue to face harassment and lack of support from the educators and school administrations (Dragowski, McCabe, & Rubinson, 2016).\n \nNot only do LGBTQ students face difficulty with their peers and even teachers but also with their education. There is pushback against more inclusive sexual education that addresses sexuality beyond heteronormativity and gender nonconformity (Gegenfurtner & Gebhardt, 2017). However, we see that it is this lack of education that can result in LGBTQ students not feeling safe in schools because uneducated students may harass them and teachers may not know how to respond when a student is being harassed or is in need of someone to talk to (Dragowski et al., 2016).\n \nThis literature review will look at what LGBTQ students face at school in regard to bullying from their peers as well as discussions for and against discussing gender and sexuality in the classroom and what affects both having and not having school support has on the LGBTQ students. Literature that discussed elementary aged children or college aged students were excluded. Research was limited between the years of 2013 and 2018 with the exception of \nHeteronormativity, school climates, and perceived safety for gender nonconforming peers \nby Toomey, R. B., McGuire, J. K., & Russell, S. T., 2012.\n \nFor this literature review, “adolescence” has been defined as: being between the ages of 13 and 19; being of middle school and high school age. “Heteronormativity” has been defined in the Oxford English Dictionary (OED) as “[t]he property or quality of being heteronormative; the privileging of biologically determined gender roles and heterosexuality”. “Gender nonconformity” has been defined by Merriam Webster as “a state in which a person has physical and behavioral characteristics that do not correspond with those typically associated with the person's sex”.\n \nThe databases used to find the literature were: Science Direct, specifically looking in the \nJournal of School Psychology; \nWiley Online Library database, specifically in the journal \nPsychology for the Schools; \nand psychARTICLES in ProQuest. The key words used were: “gender”, “sexuality”, “LGBTQ”, and “gender” AND “sexuality”.", "language": "en", "license": null, "keywords": [ { "word": "adolescents" }, { "word": "LGBTQ+" }, { "word": "gender and sexuality" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5bh6t0rd", "frozenauthors": [ { "first_name": "Maya", "middle_name": "Cecilia", "last_name": "Mendez", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-04-07T23:59:20-07:00", "date_accepted": "2019-04-07T23:59:20-07:00", "date_published": "2020-05-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65365/galley/50080/download/" } ] }, { "pk": 65390, "title": "Analysis on the Possibility of RISC-V Adoption", "subtitle": null, "abstract": "As the interface between hardware and software, Instruction Set Architectures (ISAs) play a key role in the operation of computers. While both hardware and software have continued to evolve rapidly over time, ISAs have undergone minimal change. Since its release in 2010, RISC-V has begun to erode the industry aversion to ISA innovation. Established on the principals of the Reduced Instruction Set Computer (RISC), and as an open source ISA, RISC-V offers many benefits over popular ISAs like Intel’s x86 and Arm Holding’s Advanced RISC Machine (ARM). \nIn this literature review I evaluate the literature discussing: \nWhat makes changing Instruction Set Architectures difficult\nWhy might the industry choose to implement RISC-V \nWhen researching this topic I visited the IEEE (Institute of Electrical and Electronics Engineers), INSPEC (Engineering Village), and ACM (Association for Computing Machinery) Digital Library databases. I used the search terms, “RISC-V”, “Instruction Set Architecture”, “RISC-V” AND “x86”, and “RISC-V” AND “Instruction Set Architecture”. This literature review evaluates 10 papers on implementation of RISC-V. As this paper was intended to cover recent developments in the field, publication dates were limited to from 2015 to present.", "language": "en", "license": null, "keywords": [ { "word": "RISC-V" }, { "word": "ISA" }, { "word": "Instruction Set Architecture" }, { "word": "RISC" } ], "section": "Natural Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5fg7c9gm", "frozenauthors": [ { "first_name": "Ian", "middle_name": "", "last_name": "Scott", "name_suffix": "", "institution": "University of California Merced", "department": "" } ], "date_submitted": "2020-01-20T13:09:15-08:00", "date_accepted": "2020-01-20T13:09:15-08:00", "date_published": "2020-05-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65390/galley/50092/download/" } ] }, { "pk": 61786, "title": "Evaluating Disparities Affecting Time from Emergency Department Door to Electrocardiogram in Chest Pain Patients", "subtitle": null, "abstract": "Introduction: For patients presenting to an emergency department with a chief complaint of chest pain, current American Heart Association guidelines recommend that time from emergency department arrival to completion of electrocardiogram be 10 minutes or less. The aim of this study is to evaluate if differences still exist amongst a diverse patient population presenting to a busy urban emergency department with a chief complaint of chest pain. Methods: This retrospective study looked at 3,419 patients who presented to the Emergency Department with any complaint of chest pain during the medical screening examination. Arrival time and time of first electrocardiogram along with age, gender, race, ethnicity and primary language were extracted from electronic health records. Results: For all patients, the mean time to electrocardiogram was 12.5 minutes (95% CI: 12.1-12.7) and 49.9% of all patients received an electrocardiogram within 10 minutes of arrival. Mean time for men was 11.6 minutes and for women 13.3 minutes (P<0.0001); in addition 54% of men and 44.4% of women had electrocardiogram done within 10 minutes of arrival (P<0.0001). No differences were found with regards to primary language, race or ethnicity of patients. Mean time to electrocardiogram for patients less than 40 years old was 14.6 minutes, which was significantly longer than patients equal or older than 40 years, who’s mean time was 11.9 minutes (p<0.0001). The effect of age was observed across gender, race, ethnicity and primary language spoken by the patients. Conclusions: Patient presenting to the emergency department with chest pain are subject to several biases that potentially create health disparities. In this study we show that younger patients and women had a delay in time to electrocardiogram showing biases are still an issue.", "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": [], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/79m397mn", "frozenauthors": [ { "first_name": "Laurie A.", "middle_name": "", "last_name": "Boge", "name_suffix": "", "institution": "Mount Sinai Medical Center, Miami Beach, Florida, United States\nFlorida International University Herbert Wertheim College of Medicine, Miami, Florida, United State", "department": "" }, { "first_name": "Charles", "middle_name": "", "last_name": "Wyatt", "name_suffix": "", "institution": "Florida International University Herbert Wertheim College of Medicine, Miami, Florida, United States", "department": "" }, { "first_name": "Dana R.", "middle_name": "", "last_name": "Sherman", "name_suffix": "", "institution": "Mount Sinai Medical Center, Miami Beach, Florida, United States\nNicole Wertheim College of Nursing and Health Sciences, Florida, United State", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Cecilia", "name_suffix": "", "institution": "Mount Sinai Medical Center, Miami Beach, Florida, United States", "department": "" }, { "first_name": "Luigi X.", "middle_name": "", "last_name": "Cubeddu", "name_suffix": "", "institution": "Mount Sinai Medical Center, Miami Beach, Florida, United States \nNova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida, United States", "department": "" }, { "first_name": "Robert C.", "middle_name": "", "last_name": "Goldszer", "name_suffix": "", "institution": "Mount Sinai Medical Center, Miami Beach, Florida, United States", "department": "" }, { "first_name": "David A.", "middle_name": "", "last_name": "Farcy", "name_suffix": "", "institution": "Mount Sinai Medical Center, Miami Beach, Florida, United States\nFlorida International University Herbert Wertheim College of Medicine, Miami, Florida, United States", "department": "" } ], "date_submitted": "2020-03-24T09:06:52-07:00", "date_accepted": "2020-03-24T09:06:52-07:00", "date_published": "2020-05-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61786/galley/47670/download/" } ] }, { "pk": 65388, "title": "Hispanic Men's Perceptions About Depression and Attitudes Toward Mental Health Treatment", "subtitle": null, "abstract": "Abstract\n \nThe following literature review analyzes different studies concerning the views and beliefs of Hispanic men regarding depression and their attitudes toward help-seeking behaviors. Men are less likely to be diagnosed with depression and utilize mental health services, compared to women, yet the suicide rates conflict with the previous statement (Rochlen et al., 2010). The purpose of this paper is to identify and discuss potential factors contributing to the underdiagnosis of depression in the Latino men population and the underutilization of mental health treatments. Factors discussed include stigma, masculine norms, male gender role conflict, cultural/religious beliefs, and treatment preference; they will be treated as perceived barriers to help-seeking behaviors. Coping strategies and protective factors will be discussed as an alternative to professional treatment. Conclusions suggest a need for further research and examination of each subgroup individually to address differences. The findings of this paper can be used to improve services and encourage Hispanic men to seek professional mental health treatment.\nKeywords\n: depression, Hispanic/Latino men, stigma, help-seeking behaviors, protective factors", "language": "en", "license": null, "keywords": [ { "word": "depression, Hispanic/Latino men, stigma, help-seeking behaviors, protective factors" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93x0104f", "frozenauthors": [ { "first_name": "Roxana", "middle_name": "", "last_name": "Martinez", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-04T23:35:47-08:00", "date_accepted": "2019-12-04T23:35:47-08:00", "date_published": "2020-05-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65388/galley/50090/download/" } ] }, { "pk": 65364, "title": "Necessary Reconstruction: The Child Welfare System", "subtitle": null, "abstract": "This research has been composed of both primary and secondary research aimed to shine light on the most pressing issues within the child welfare system. It not only demonstrates the detrimental tolls the system has had on the children but also the tolls it has had on the public servants working within the system. This research is a gateway to awareness of the realities and necessary changes the system so desperately needs.", "language": "en", "license": null, "keywords": [ { "word": "Child Welfare System" }, { "word": "Social Reform" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9r0089tf", "frozenauthors": [ { "first_name": "Esperanza", "middle_name": "A", "last_name": "Lemus", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-04-06T21:34:56-07:00", "date_accepted": "2019-04-06T21:34:56-07:00", "date_published": "2020-05-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65364/galley/50079/download/" } ] }, { "pk": 65396, "title": "The Cognitive Conditions Associated with Academic Dishonesty in University Students and Its Effect on Society", "subtitle": null, "abstract": "The problem of cheating in universities has existed as long as education itself; however, the problem has gotten exponentially worse in recent years. While consequences of cheating are not as noticeable today, the growing numbers of students cheating will have detrimental effects to the society of humans. The act of cheating to complete course work creates a mentality deprived of life satisfaction through hard work as well as incentives to live a dishonest life after college. The future society of the earth will depend upon competent innovators and strong leaders, of which are currently in college getting the education required to do so. Students who have cheated to get through college will be unprepared and unmotivated to continue leading the world on its current path towards a progressive future. It is up to current students to reduce the numbers of students cheating, such that, their graduating class will be full of intelligent innovators and motivational leaders instead of slackers that are desensitized to any form of satisfaction.", "language": "en", "license": null, "keywords": [ { "word": "Academic Dishonesty, Cheating" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34g527n1", "frozenauthors": [ { "first_name": "Zachary", "middle_name": "Alexander", "last_name": "von Jena", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2020-03-07T15:11:16-08:00", "date_accepted": "2020-03-07T15:11:16-08:00", "date_published": "2020-05-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65396/galley/50095/download/" } ] }, { "pk": 65389, "title": "Virtual Reality: The Next American Meta-Medium", "subtitle": null, "abstract": "This research paper parallels Neil Postman's\n Amusing Ourselves to Death: Public Discourse in the Age of Showbusiness\n by exploring how virtual reality would affect America based on the current development for virtual reality.", "language": "en", "license": null, "keywords": [ { "word": "Virtual Reality" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5qb2w3x7", "frozenauthors": [ { "first_name": "Patricia", "middle_name": "", "last_name": "Dimaandal", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-26T17:07:47-08:00", "date_accepted": "2019-12-26T17:07:47-08:00", "date_published": "2020-05-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65389/galley/50091/download/" } ] }, { "pk": 805, "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/1w26g44f", "frozenauthors": [ { "first_name": "Cassandra", "middle_name": "", "last_name": "Saucedo", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2020-04-01T15:08:33-07:00", "date_accepted": "2020-04-01T15:08:33-07:00", "date_published": "2020-04-30T16:56:53-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/805/galley/558/download/" } ] }, { "pk": 34785, "title": "Capítulo 2: Donde Los Mexicanos Encajan En El Nuevo Orden Racial", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Translations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85x5k1fm", "frozenauthors": [ { "first_name": "Laura", "middle_name": "E.", "last_name": "Gómez", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T10:48:52-07:00", "date_accepted": "2020-05-08T10:48:52-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34785/galley/25928/download/" } ] }, { "pk": 61785, "title": "Characteristics of Attempted Suicide in the Middle East and North Africa Region: The Mediating Role of Arab Culture and Religion", "subtitle": null, "abstract": "The general lack of awareness of mental health in the Middle East and North Africa (MENA) region, particularly within its Arab countries, accounts for limited mental health services and stigmatization of psychiatric conditions in the region. Suicide is a drastic consequence of mental health neglect. Suicidal attempts are one form of presentation to emergency departments (ED) in healthcare centers across the Arab countries in the MENA region. We collected data from various research studies in the region to narrate such presentations. This epidemiological country-by-country summary includes the characteristics of suicidal attempts in the Arab region, with a focus on methods, causes, and management of cases. The summary demonstrates that suicidal attempts in this part of the world share sociocultural and logistic grounds. The prominent archetypes of suicidal attempts are middle-aged Arab women ingesting poisonous substances secondary to familial or interpersonal stressors. We also link these presentations to the Arab culture and its associated beliefs, which at times can dictate privacy and stigmatization of mental health and suicide. Even though religion plays a role in mollifying suicidal attempts, it might exacerbate stigma regarding suicide among Arab societies. Lastly, we recommend management measures that enhance suicide risk detection in the ED and provide an ameliorated understanding of suicidal ideations and behaviors of patients in the Arab countries of the MENA region.", "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": "Suicide" }, { "word": "emergency" }, { "word": "Middle East and North Africa" }, { "word": "Arab" }, { "word": "Culture" }, { "word": "Religion" } ], "section": "Review Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65t9v795", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "El Halabi", "name_suffix": "", "institution": "Columbia University, College of Physicians and Surgeons", "department": "" }, { "first_name": "Rawad", "middle_name": "", "last_name": "El Hayek", "name_suffix": "", "institution": "American University of Beirut", "department": "" }, { "first_name": "Karine", "middle_name": "", "last_name": "Kahil", "name_suffix": "", "institution": "American University of Beirut", "department": "" }, { "first_name": "Marwa", "middle_name": "", "last_name": "Nofal", "name_suffix": "", "institution": "Helwan Mental Health Hospital", "department": "" }, { "first_name": "Samer", "middle_name": "", "last_name": "El Hayek", "name_suffix": "", "institution": "American University of Beirut", "department": "" } ], "date_submitted": "2020-03-15T07:41:43-07:00", "date_accepted": "2020-03-15T07:41:43-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61785/galley/47669/download/" } ] }, { "pk": 34779, "title": "Front Matter", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0bk3d27x", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T10:02:18-07:00", "date_accepted": "2020-05-08T10:02:18-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34779/galley/25922/download/" } ] }, { "pk": 34784, "title": "Imagining Alternatives? Latin American Scholarship on International Economic Law and the Global Economic Order", "subtitle": null, "abstract": "This Article analyzes the role of Latin American international economic law scholarship within the global economic order. Many of the problems that Latin Americans face today relate to the global economy, such as labor conditions, access to medicine, and the use of natural resources, among others. The discussion of these problems, however, seldom recognizes the role of international economic law scholarship. Although the knowledge created by this scholarship may not completely explain why States actively behave in a certain way, it can serve to explain why they may refrain from certain actions. This Article argues that scholarship on international economic law plays a crucial role in the creation and reproduction of the current global economic order. If this claim is correct, regional scholarship can do more for Latin America than serving the advisory and litigation needs of States. By recognizing its role in constituting the global economic order, international economic law scholarship can promote alternative theories and practices that may help Latin America and its people find their place in the global economy.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "International Economics" }, { "word": "Latin American scholarship" }, { "word": "global economy" } ], "section": "Translations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7b40n1df", "frozenauthors": [ { "first_name": "Nicolás", "middle_name": "M.", "last_name": "Perrone", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T10:31:34-07:00", "date_accepted": "2020-05-08T10:31:34-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34784/galley/25927/download/" } ] }, { "pk": 34782, "title": "O’odham Niok? In Indigenous Languages, U.S. “Jurisprudence” Means Nothing", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "indigenous rights" }, { "word": "Indigenous Languages" }, { "word": "U.S. jurisprudence" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2495r4h7", "frozenauthors": [ { "first_name": "Blake", "middle_name": "", "last_name": "Gentry", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T10:15:33-07:00", "date_accepted": "2020-05-08T10:15:33-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34782/galley/25925/download/" } ] }, { "pk": 34781, "title": "Riding the Plessy Train: Tracking in the Lower Courts", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Plessy vs Ferguson" }, { "word": "Brown vs Board of Education" }, { "word": "Civil Rights" }, { "word": "Desegregation" }, { "word": "microdesegregation" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5v92261d", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "O.", "last_name": "Oluwole", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Preston", "middle_name": "C.", "last_name": "Green III", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T10:12:35-07:00", "date_accepted": "2020-05-08T10:12:35-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34781/galley/25924/download/" } ] }, { "pk": 34780, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85z0f7h2", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T10:03:14-07:00", "date_accepted": "2020-05-08T10:03:14-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34780/galley/25923/download/" } ] }, { "pk": 34783, "title": "The 1986 Immigration Reform and Control Act as Antecedent to Contemporary Latina/o/x Migration", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Immigration reform and control act" }, { "word": "IRCA" }, { "word": "migration trends" }, { "word": "Latinx migration" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0rm94651", "frozenauthors": [ { "first_name": "Mariela", "middle_name": "", "last_name": "Olivares", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-05-08T10:21:58-07:00", "date_accepted": "2020-05-08T10:21:58-07:00", "date_published": "2020-04-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_cllr/article/34783/galley/25926/download/" } ] }, { "pk": 833, "title": "An Unusual Case Report of COVID-19 Presenting with Meningitis Symptoms and Shingles", "subtitle": null, "abstract": "Introduction:\n As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads across the globe, physicians face the challenges of a contagious pandemic including which patients to isolate, how to conserve personal protective equipment, and who to test. The current protocol at our hospital is to place anyone with new cough, dyspnea, or fever into airborne and contact precautions and consider them for testing. Unfortunately, the symptomatic presentations of coronavirus disease 2019 (COVID-19) are proving more variable than previously thought. \nCase Report:\n Our case of COVID-19 presented with headache and then progressed to a meningitis-like illness with co-existing shingles rash.\n \nConclusion:\n COVID-19 can have a variety of initial presentations that are not the classic respiratory symptoms and fever. These presenting symptoms of COVID-19 can include a meningitis-like illness, as our case report indicates. The wide variety of presentations of COVID-19 may warrant widespread testing to identify cases, protect healthcare workers, and prevent the spread of this pandemic", "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" }, { "word": "novel coronavirus" }, { "word": "meningitis" }, { "word": "shingles" }, { "word": "presenting symptoms" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jm2d6g6", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "", "last_name": "Packwood", "name_suffix": "", "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Gayle", "middle_name": "", "last_name": "Galletta", "name_suffix": "", "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Tennyson", "name_suffix": "", "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" } ], "date_submitted": "2020-04-29T10:10:52-07:00", "date_accepted": "2020-04-29T10:10:52-07:00", "date_published": "2020-04-29T10:11:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/833/galley/586/download/" } ] }, { "pk": 832, "title": "A 45-year-old Female with an Atypical Presentation of Pharyngitis", "subtitle": null, "abstract": "Introduction: Emergency physicians are trained to treat a variety of ailments in the emergency department (ED), some of which are emergent, while others are not. A common complaint seen in the ED is a sore throat. While most sore throats are easily diagnosed and treated, less common causes are often not considered in the differential diagnoses. Therefore, the purpose of this case study was to present an atypical case of sore throat and discuss differential diagnoses.\nCase Presentation: The patient was a 45-year-old female who presented to the ED with a three-day history of sore throat that was exacerbated by eating and drinking. The patient was not on any prescription medications, but tried over-the-counter medications for the sore throat without any improvement in symptoms. Review of systems was positive for sore throat, fevers, and chills. Physical examination of her oropharynx revealed mildly dry mucous membranes with confluent plaques and white patchy ulcerative appearance involving the tongue, tonsils, hard palate, and soft palate. Rapid streptococcal antigen, mononucleosis spot test, and KOH test were performed and found to be negative.\nDiscussion: After initial testing was negative, a follow-up complete blood count with differential and complete metabolic profile were ordered. The patient was found to have decreased lymphocytes and platelets. Based upon those results, a diagnosis was made in the ED, the patient was started on medication, and further laboratory workup was ordered to confirm the diagnosis. ED providers should consider non-infectious as well as infectious causes for a sore throat, as this might lead to a diagnosis of an underlying condition.", "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": "HIV" }, { "word": "AIDS" }, { "word": "oral hairy leukoplakia" }, { "word": "oral lesion" } ], "section": "ACOEP Clinicopathological Cases (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0zg089px", "frozenauthors": [ { "first_name": "Artur", "middle_name": "", "last_name": "Schander", "name_suffix": "", "institution": "Sacred Heart Hospital, Department of Emergency Medicine, Pensacola, Florida", "department": "None" }, { "first_name": "Andrew", "middle_name": "A.", "last_name": "Glickman", "name_suffix": "", "institution": "HCA/USF Morsani College of Medicine GME Consortium: Brandon Regional Hospital, Department of Emergency Medicine, Brandon, Florida", "department": "None" }, { "first_name": "Nancy", "middle_name": "", "last_name": "Weber", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas; Paul L. Foster School of Medicine, Department of Emergency Medicine, El Paso, Texas", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Rodgers", "name_suffix": "", "institution": "Dallas Ear Institute, Dallas, Texas", "department": "None" }, { "first_name": "Michael", "middle_name": "B.", "last_name": "Carney", "name_suffix": "", "institution": "Reynold’s Memorial Hospital, Department of Emergency Medicine, Glen Dale, West Virginia", "department": "None" } ], "date_submitted": "2020-04-28T13:17:00-07:00", "date_accepted": "2020-04-28T13:17:00-07:00", "date_published": "2020-04-28T13:18:28-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/832/galley/585/download/" } ] }, { "pk": 40782, "title": "East Coast/West Coast: The Long Tradition of Italian Immigrant Performers", "subtitle": null, "abstract": "This article discusses the role of the immigrant stage in representing, imagining, exporting and importing, the Italian identity. In particular the essay examines the differences between the Italian Diasporic communities on the east Coast and in California and the diverse \nculture dello spettacolo\n they proposed to both American and Italian audiences.", "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": "Italian diaspora, spettacolo, New York, California" } ], "section": "Border Imaginaries: Genre", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4x94q9wd", "frozenauthors": [ { "first_name": "Giuliana", "middle_name": "", "last_name": "Muscio", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2019-01-17T04:44:37-08:00", "date_accepted": "2019-01-17T04:44:37-08:00", "date_published": "2020-04-28T11:42:13-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40782/galley/30562/download/" } ] }, { "pk": 44947, "title": "Scombroid Fish Poisoning", "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/56w943b3", "frozenauthors": [ { "first_name": "Angela", "middle_name": "", "last_name": "Ruman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T11:01:01-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44947/galley/33740/download/" } ] }, { "pk": 44946, "title": "Delayed Reversibility of Late Bioprosthetic Valve Thrombosis", "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/9f1860wk", "frozenauthors": [ { "first_name": "Pooja", "middle_name": "S.", "last_name": "Desai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ravi", "middle_name": "H.", "last_name": "Dave", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Shipra", "middle_name": "", "last_name": "Hingorany", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramin", "middle_name": "", "last_name": "Tabibiazar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T10:54:50-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44946/galley/33739/download/" } ] }, { "pk": 44945, "title": "Subtle Visual Deficits Presenting as a Posterior Cerebral Artery Stroke", "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/6tj688x0", "frozenauthors": [ { "first_name": "Heaveen", "middle_name": "", "last_name": "Ahdi", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Manuel", "middle_name": "A.", "last_name": "Celedon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Zahir", "middle_name": "I.", "last_name": "Basrai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T10:38:34-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44945/galley/33738/download/" } ] }, { "pk": 44944, "title": "Sulfonylurea-Induced Hemolysis in a Patient with G6PD Deficiency", "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/9qx2r4t4", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Custer", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Channick", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Neil", "middle_name": "", "last_name": "Parker", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Annapoorna", "middle_name": "", "last_name": "Chirra", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-28T10:26:15-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44944/galley/33737/download/" } ] }, { "pk": 831, "title": "A Case Report of Acute Heart Failure Due to Infective Aortic Endocarditis Diagnosed by Point-of-care Ultrasound", "subtitle": null, "abstract": "Introduction: Infective endocarditis (IE) is a life-threatening condition with significant morbidity and mortality, and can require surgical repair.\nCase Report: A 36-year-old man presented to the emergency department for worsening dyspnea and chest pain. Point-of-care echocardiography demonstrated a mobile oscillating mass on the aortic valve with poor approximation of the valve leaflets, suggesting aortic valve insufficiency secondary to IE as the cause of acute heart failure. The patient underwent emergent aortic valve replacement within 24 hours.\nDiscussion: While point-of-care echocardiography has been well documented in identifying tricuspid vegetations, aorticvalve involvement and subsequent heart failure is less well described. Earlier recognition of aortic valve vegetations and insufficiency can expedite surgical intervention, with decreased complication rates linked to earlier antimicrobial therapy.\nConclusion: This case report highlights the ability of point-of-care ultrasound to identify aortic vegetations, allowing for the earlier diagnosis and therapy.", "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": "infective endocarditis" }, { "word": "point-of-care-ultrasound" }, { "word": "aortic valve vegetation" }, { "word": "cardiac valve regurgitation" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2rz8p056", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Gallagher", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Wilson", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" }, { "first_name": "Pamela", "middle_name": "", "last_name": "Hite", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" }, { "first_name": "Bradley", "middle_name": "", "last_name": "Jackson", "name_suffix": "", "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas\nCity, Kansas", "department": "None" } ], "date_submitted": "2020-04-27T17:36:27-07:00", "date_accepted": "2020-04-27T17:36:27-07:00", "date_published": "2020-04-27T17:37:13-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/831/galley/584/download/" } ] }, { "pk": 13347, "title": "It’s In The Bag: Tidal Volumes in Adult and Pediatric Bag Valve Masks", "subtitle": null, "abstract": "Introduction:\n A bag valve mask (BVM) is a life saving device used by all levels of health care professionals during resuscitative care. We focus most of our time optimizing the patient’s position, firmly securing the mask, and frequency of ventilations. However, despite our best efforts to control these factors, we may still be precipitating harm to the patient. Multiple studies have shown the tidal volumes typically delivered by the adult BVM are often higher than recommended for lung-protective ventilation protocols. In this study we measure and compare the ventilation parameters delivered by the adult and pediatric BVM ventilators.\nMethods:\n A RespiTrainer Advance® adult mannequin was used to simulate a patient. Healthcare providers were directed to manually ventilate an intubated mannequin for two minutes using adult and pediatric sized BVMs. Tidal volume, minute ventilation, peak pressure, and respiration rate was recorded.\nResults: \nThe adult BVM provided a mean tidal volume of 807.7mL versus the pediatric BVM providing 630.7mL, both of which exceeded the upper threshold of 560mL of tidal volume necessary for lung protective ventilation of an adult male with an ideal body weight of 70kg. The adult BVM exceeded this threshold by 44.2% versus the pediatric BVM’s 12.6% with 93% of participants exceeding the maximum threshold with the adult BVM and 82.3% exceeding it with the pediatric BVM.\nConclusion: \nThe pediatric BVM in our study provided far more consistent and appropriate ventilation parameters for adult patients compared to an adult BVM, but still exceeded the upper limits of lung protective ventilation parameters. The results of this study highlight the potential dangers in using an adult BVM due to increased risk of pulmonary barotrauma. These higher tidal volumes can contribute to lung injury. This study confirms that smaller BVMs may provide safer ventilatory parameters. Future studies should focus on patient-centered outcomes with BVM.", "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": "CPR" }, { "word": "Critical care" }, { "word": "EMS" }, { "word": "ventilation" }, { "word": "Ventilator" }, { "word": "resuscitation" }, { "word": "BVM" }, { "word": "Bag Valve Mask" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37z118tt", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "", "last_name": "Dafilou", "name_suffix": "", "institution": "Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Schwester", "name_suffix": "", "institution": "Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey", "department": "None" }, { "first_name": "Nathan", "middle_name": "", "last_name": "Ruhl", "name_suffix": "", "institution": "Rowan University, Department of Biological Sciences, Glassboro, New Jersey", "department": "None" }, { "first_name": "Andreia", "middle_name": "", "last_name": "Marques-Baptista", "name_suffix": "", "institution": "Capital Health Hospital System, Department of Emergency Medical Services, Trenton, New Jersey", "department": "None" } ], "date_submitted": "2019-11-04T19:46:07-08:00", "date_accepted": "2019-11-04T19:46:07-08:00", "date_published": "2020-04-27T12:53:44-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13347/galley/7010/download/" } ] }, { "pk": 13693, "title": "Descriptive Analysis of Extubations Performed in an Emergency Department-based Intensive Care Unit", "subtitle": null, "abstract": "Introduction: \nExtubation of appropriate patients in the emergency department (ED) may be a strategy to avoid preventable or short-stay intensive care unit (ICU) admissions, and could allow for increased ventilator and ICU bed availability when demand outweighs supply. Extubation is infrequently performed in the ED, and a paucity of outcome data exists. Our objective was to descriptively analyze characteristics and outcomes of patients extubated in an ED-ICU setting.\nMethods: \nWe conducted a retrospective observational study at an academic medical center in the United States. Adult ED patients extubated in the ED-ICU from 2015-2019 were retrospectively included and analyzed.\nResults:\n We identified 202 patients extubated in the ED-ICU; 42% were female and median age was 60.86 years. Locations of endotracheal intubation included the ED (68.3%), outside hospital ED (23.8%), and emergency medical services/prehospital (7.9%). Intubations were performed for airway protection (30.2%), esophagogastroduodenoscopy (27.7%), intoxication/ingestion (17.3%), respiratory failure (13.9%), seizure (7.4%), and other (3.5%). The median interval from ED arrival to extubation was 9.0 hours (interquartile range 6.2-13.6). One patient (0.5%) required unplanned re-intubation within 24 hours of extubation. The attending emergency physician (EP) at the time of extubation was not critical care fellowship trained in the majority (55.9%) of cases. Sixty patients (29.7%) were extubated compassionately; 80% of these died in the ED-ICU, 18.3% were admitted to medical-surgical units, and 1.7% were admitted to intensive care. Of the remaining patients extubated in the ED-ICU (n = 142, 70.3%), zero died in the ED-ICU, 61.3% were admitted to medical-surgical units, 9.9% were admitted to intensive care, and 28.2% were discharged home from the ED-ICU.\nConclusion: \nSelect ED patients were safely extubated in an ED-ICU by EPs. Only 7.4% required ICU admission, whereas if ED extubation had not been pursued most or all patients would have required ICU admission. Extubation by EPs of appropriately screened patients may help decrease ICU utilization, including when demand for ventilators or ICU beds is greater than supply. Future research is needed to prospectively study patients appropriate for ED extubation.", "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": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/66z8j80m", "frozenauthors": [ { "first_name": "Nathan", "middle_name": "L.", "last_name": "Haas", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan\nMichigan Center for Integrative Research in Critical Care, University of Michigan, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Patrick", "middle_name": "", "last_name": "Larabell", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Schaeffer", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Victoria", "middle_name": "", "last_name": "Hoch", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Miguel", "middle_name": "", "last_name": "Arribas", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Amanda", "middle_name": "C.", "last_name": "Melvin", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Stephanie", "middle_name": "L.", "last_name": "Laurinec", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Benjamin", "middle_name": "S.", "last_name": "Bassin", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan\nUniversity of Michigan, Department of Emergency Medicine, Division of Critical Care, Ann Arbor, Michigan\nMichigan Center for Integrative Research in Critical Care, University of Michigan, Ann Arbor, Michigan", "department": "None" } ], "date_submitted": "2020-03-29T08:38:07-07:00", "date_accepted": "2020-03-29T08:38:07-07:00", "date_published": "2020-04-27T12:12:48-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13693/galley/7152/download/" } ] }, { "pk": 13690, "title": "Definitive Airway Management of Patients with a King Laryngeal Tube TM in Place in the COVID-19 Pandemic", "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": [ { "word": "king" }, { "word": "Extraglottic" }, { "word": "intubation" }, { "word": "Airway Management" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/94m1q30s", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "J.", "last_name": "Sandefur", "name_suffix": "", "institution": "Mayo Clinic College of Medicine and Science, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Brian", "middle_name": "E.", "last_name": "Driver", "name_suffix": "", "institution": "Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Calvin", "middle_name": "A.", "last_name": "Brown III", "name_suffix": "", "institution": "Brigham and Women’s Hospital and Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Robert", "middle_name": "F.", "last_name": "Reardon", "name_suffix": "", "institution": "Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" } ], "date_submitted": "2020-03-28T14:54:16-07:00", "date_accepted": "2020-03-28T14:54:16-07:00", "date_published": "2020-04-24T13:48:27-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13690/galley/7149/download/" } ] }, { "pk": 13727, "title": "Humanism in the Age of COVID-19: Renewing Focus on Communication and Compassion", "subtitle": null, "abstract": "The global COVID-19 pandemic has become one of the largest clinical and operational challenges faced by emergency medicine, and our EDs continue to see increased volumes of infected patients, many of whom are not only ill, but acutely aware and fearful of their circumstances and potential mortality. Given this, there may be no more important time to focus on staff-patient communication and expression of compassion.\nHowever, many of the techniques usually employed by emergency clinicians to provide comfort to patients and their families are made more challenging or impossible by the current circumstances. Geriatric ED patients, who are at increased risk of severe disease, are particularly vulnerable to the effects of isolation.\nDespite many challenges, emergency clinicians have at their disposal a myriad of tools that can still be used to express compassion and empathy to their patients. Placing emphasis on using these techniques to maximize humanism in the care of COVID-19 patients during this crisis has the potential to bring improvements to ED patient care well after this pandemic has passed.", "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" }, { "word": "coronavirus" }, { "word": "Emergency Medicine" }, { "word": "humanism" }, { "word": "compassion" }, { "word": "Empathy" }, { "word": "Communication" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/802655ws", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "D.", "last_name": "Sonis", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Maura", "middle_name": "", "last_name": "Kennedy", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Emily", "middle_name": "L.", "last_name": "Aaronson", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Joshua", "middle_name": "J.", "last_name": "Baugh", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ali", "middle_name": "S.", "last_name": "Raja", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Brian", "middle_name": "J.", "last_name": "Yun", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Benjamin", "middle_name": "A.", "last_name": "White", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-04-07T06:14:53-07:00", "date_accepted": "2020-04-07T06:14:53-07:00", "date_published": "2020-04-24T13:40:47-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13727/galley/7164/download/" } ] }, { "pk": 13759, "title": "Ibuprofen During the COVID-19 Pandemic: Social Media Precautions and Implications", "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": [ { "word": "COVID-19, coronavirus" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2406k469", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "M.", "last_name": "Carius", "name_suffix": "", "institution": "Brooke Army Medical Center, JBSA Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Steve", "middle_name": "G.", "last_name": "Schauer", "name_suffix": "", "institution": "Brooke Army Medical Center, JBSA Fort Sam Houston, Texas\nUS Army Institute of Surgical Research, JBSA Fort Sam Houston, Texas\nUniformed Services University of the Health Sciences, Bethesda, Maryland", "department": "None" } ], "date_submitted": "2020-04-14T09:24:28-07:00", "date_accepted": "2020-04-14T09:24:28-07:00", "date_published": "2020-04-24T13:37:41-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13759/galley/7173/download/" } ] }, { "pk": 13411, "title": "Impact of Scribes with Flow Coordination Duties on Throughput in an Academic Emergency Department", "subtitle": null, "abstract": "Introduction: \nWith the increasing influence of electronic health records in emergency medicine came concerns of decreasing operational efficiencies. Particularly worrisome was increasing patient length of stay (LOS). Medical scribes were identified to be in a good position to quickly address barriers to treatment delivery and patient flow. The objective of this study was to investigate patient LOS in the mid- and low-acuity zones of an academic emergency department (ED) with and without medical scribes.\nMethods:\n A retrospective cohort study compared patient volume and average LOS between a cohort without scribes and a cohort after the implementation of a scribe-flow coordinator program. Patients were triaged to the mid-acuity Vertical Zone (primarily Emergency Severity Index [ESI] 3) or low-acuity Fast Track (primarily ESI 4 and 5) at a tertiary academic ED. Patients were stratified by treatment zone, acuity level, and disposition.\nResults: \nThe pre-intervention and post-intervention periods included 8900 patients and 9935 patients, respectively. LOS for patients discharged from the Vertical Zone decreased by 12 minutes from 235 to 223 minutes (p<0.0001, 95% confidence interval [CI], -17,-7) despite a 10% increase in patient volume. For patients admitted from the Vertical Zone, volume increased 13% and LOS remained almost the same, increasing from 225 to 228 minutes (p=0.532, 95% CI, -6,12). For patients discharged from the Fast Track, volume increased 14% and LOS increased six minutes, from 89 to 95 minutes (p<0.0001, 95% CI, 4,9). Predictably, only 1% of Fast Track patients were admitted.\nConclusion:\n Despite substantially increased volume, the use of scribes as patient flow facilitators in the mid-acuity zone was associated with decreased LOS. In the low-acuity zone, scribes were not shown to be as effective, perhaps because rapid patient turnover required them to focus on documentation.", "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": "medical scribe" }, { "word": "Patient flow" }, { "word": "Documentation" }, { "word": "throughput" }, { "word": "Efficiency" }, { "word": "Length of Stay" }, { "word": "academic medical center" }, { "word": "Emergency Severity Index" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2g20v861", "frozenauthors": [ { "first_name": "Keith", "middle_name": "", "last_name": "Thomas", "name_suffix": "", "institution": "Stanford Hospital and Clinics, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Marcum", "name_suffix": "", "institution": "Stanford Hospital and Clinics, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Alexei", "middle_name": "", "last_name": "Wagner", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Michael", "middle_name": "A.", "last_name": "Kohn", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California", "department": "None" } ], "date_submitted": "2019-12-07T19:40:40-08:00", "date_accepted": "2019-12-07T19:40:40-08:00", "date_published": "2020-04-24T13:35:16-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13411/galley/7042/download/" } ] }, { "pk": 44943, "title": "Myofascial Pain: Effective Diagnosis and Treatment May Prevent Surgery", "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/3f71w44x", "frozenauthors": [ { "first_name": "Isabella", "middle_name": "", "last_name": "Lai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Melody", "middle_name": "", "last_name": "Bral", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lawrence", "middle_name": "", "last_name": "Taw", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T11:21:54-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44943/galley/33736/download/" } ] }, { "pk": 44942, "title": "Cat Scratch Disease", "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/0504t2qg", "frozenauthors": [ { "first_name": "Cindy", "middle_name": "", "last_name": "Nguyen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T11:15:37-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44942/galley/33735/download/" } ] }, { "pk": 44941, "title": "A Case of Alien Hand 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/3zm2g598", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "", "last_name": "Poon", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sherwin", "middle_name": "", "last_name": "Hsu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T11:13:57-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44941/galley/33734/download/" } ] }, { "pk": 44940, "title": "Chronic Mesenteric Ischemia", "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/2b50q6g9", "frozenauthors": [ { "first_name": "Rajinder", "middle_name": "", "last_name": "Kaushal", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Laura", "middle_name": "", "last_name": "McEnerney", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T11:11:11-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44940/galley/33733/download/" } ] }, { "pk": 44939, "title": "Primary Aldosteronism Presenting with Resistant Hypertension & Severe Hypokalemia", "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/8231r0kg", "frozenauthors": [ { "first_name": "Kasra", "middle_name": "", "last_name": "Navabi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Pouyan", "middle_name": "", "last_name": "Famini", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-24T11:09:10-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44939/galley/33732/download/" } ] }, { "pk": 830, "title": "Unsuspecting Dietary Factors in Hyperkalemia: A Case Report on Why History Matters", "subtitle": null, "abstract": "Introduction: We present a case of hyperkalemia secondary to excessive dietary intake of hard caramel candies.\nCase Report: An 88-year-old male who presented with acute abdominal pain and vomiting was found to have hyperkalemia of 6.9 milliequivalents per liter. He was stabilized, treated, and discharged the following day after resolution. The cause was identified as his daily consumption of 200 hard caramel candies.\nDiscussion: The patient had been consuming sugar-free candies, which induced a chronic diarrhea. This led to potassium wasting and augmentation of his home medications. When he transitioned to eating regular caramel candies, he retained too much potassium leading to his presentation.\nConclusion: While often overlooked, dietary history is a crucial part of history-taking to ensure that the underlying cause for illness is discovered and addressed.", "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": "Hyperkalemia" }, { "word": "diet" }, { "word": "history taking" }, { "word": "dietary habits" }, { "word": "sorbitol and diarrhea" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6z35c4s9", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "McLendon", "name_suffix": "", "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi; William Carey University College of Osteopathic Medicine, Department of Emergency Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Wiggins", "name_suffix": "", "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Derek", "middle_name": "", "last_name": "Hunt", "name_suffix": "", "institution": "Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Gauthier", "name_suffix": "", "institution": "Merit Health Wesley, Department of Internal Medicine, Hattiesburg, Mississippi", "department": "None" }, { "first_name": "Deepu", "middle_name": "", "last_name": "Thoppil", "name_suffix": "", "institution": "Merit Health Wesley, Department of Internal Medicine, Hattiesburg, Mississippi", "department": "None" } ], "date_submitted": "2020-04-23T16:47:49-07:00", "date_accepted": "2020-04-23T16:47:49-07:00", "date_published": "2020-04-23T16:48:41-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/830/galley/583/download/" } ] }, { "pk": 829, "title": "Diet-induced Ketoacidosis in a Non-diabetic: A Case Report", "subtitle": null, "abstract": "Introduction: Anion gap metabolic acidosis is a common disorder seen in the emergency department. The differential can include toxicological, renal, endocrine, infectious, and cardiogenic disorders. Ketosis, however, is one of the rarer causes of metabolic acidosis seen by the emergency physician in developed nations.\nCase Report: A 53-year-old female presented after starting a low-carbohydrate ketogenic diet for weight loss. She reported xerostomia, nausea with abdominal pain and a 17-pound weight loss over the previous 22 days. Labs revealed an anion-gap metabolic acidosis with ketosis. She was treated with 5% dextrose in normal saline and a sliding scale insulin coverage. Her anion gap corrected during her hospital course and was discharged on hospital day three.\nDiscussion: The ketogenic diet typically consists of a high-fat, adequate protein and low carbohydrate diet that has previously been thought to be relatively safe for weight loss. However, when carbohydrates are completely removed from the diet an overproduction of ketones bodies results in ketoacidosis. Treatment should be aimed at halting the ketogenic process and patient education.\nConclusion: Although rarely included in the differential for metabolic acidosis, diet-induced ketosis should be included by the emergency physician when faced with a patient who recently changed their eating patterns.", "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": "Anion-Gap Metabolic Acidosis" }, { "word": "Ketosis" }, { "word": "Diet-Induced Ketosis" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2pv0f6sp", "frozenauthors": [ { "first_name": "Sam", "middle_name": "", "last_name": "Slade", "name_suffix": "", "institution": "Midwestern University, Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Ashurst", "name_suffix": "", "institution": "Midwestern University, Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" } ], "date_submitted": "2020-04-23T16:18:17-07:00", "date_accepted": "2020-04-23T16:18:17-07:00", "date_published": "2020-04-23T16:18:51-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/829/galley/582/download/" } ] }, { "pk": 828, "title": "Fever Unmasked Brugada Syndrome in Pediatric Patient: A Case Report", "subtitle": null, "abstract": "Introduction: Brugada syndrome is an arrhythmogenic disorder that is a known cause of sudden cardiac death. It is characterized by a pattern of ST segment elevation in the precordial leads on an electrocardiogram (EKG) due to a sodium channelopathy.\nCase Report: This case report highlights the case of a five-year-old female who presented to the emergency department with a febrile viral illness and had an EKG consistent with Brugada syndrome.\nDiscussion: Fever is known to accentuate or unmask EKG changes associated with Brugada due to temperature sensitivity of the sodium channels.\nConclusion: Febrile patients with Brugada are at particular risk for fatal ventricular arrhythmias and fevers should be treated aggressively by the emergency medicine provider. Emergency medicine providers should also consider admitting febrile patients with Brugada syndrome who do not have an automatic implantable cardioverter-defibrillator for cardiac monitoring.", "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": "Brugada" }, { "word": "pediatric" }, { "word": "viral illness" }, { "word": "arrhythmias" }, { "word": "fever" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9d43f8v9", "frozenauthors": [ { "first_name": "Orhay", "middle_name": "", "last_name": "Mirzapolos", "name_suffix": "", "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois", "department": "None" }, { "first_name": "Perry", "middle_name": "", "last_name": "Marshall", "name_suffix": "", "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois", "department": "None" }, { "first_name": "April", "middle_name": "", "last_name": "Brill", "name_suffix": "", "institution": "Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois", "department": "None" } ], "date_submitted": "2020-04-23T15:56:10-07:00", "date_accepted": "2020-04-23T15:56:10-07:00", "date_published": "2020-04-23T15:57:11-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/828/galley/581/download/" } ] }, { "pk": 827, "title": "Subacute Presentation of Central Cord Syndrome Resulting from Vertebral Osteomyelitis and Discitis: A Case Report", "subtitle": null, "abstract": "Introduction: Central cord syndrome (CCS) is a clinical syndrome of motor weakness and sensory changes. While CCS is most often associated with traumatic events. There have been few documented cases being caused by abscesses resulting from osteomyelitis.\nCase Report: A 56-year-old male presented to a regional trauma center complaining of excruciating neck and bilateral upper extremity pain. Computed tomography of the cervical and thoracic regions revealed severe discitis and osteomyelitis of the fourth and fifth cervical (C4-C5) with near-complete destruction of the C4 vertebral body, as well as anterolisthesis of C4 on C5 causing compression of the central canal. Empiric intravenous (IV) antibiotic therapy with ampicillin/sulbactam and vancomycin was initiated, and drainage of the abscess was scheduled. After the patient refused surgery, he was planned to be transferred to a skilled nursing facility to receive a six-week course of IV vancomycin therapy. A month later, patient returned to emergency department with the same complaint due to non-compliance with antibiotic therapy.\nDiscussion: Delayed diagnosis and treatment of osteomyelitis can result in devastating neurological sequelae, and literature supports immediate surgical debridement. Although past evidence has suggested surgical intervention in similar patients with presence of abscesses, this case may suggest that antibiotic treatment may be an alternative approach to the management of CCS due to an infectious etiology. However, the patient had been non-compliant with medication, so it is unknown whether there was definite resolution of the condition.\nConclusion: In patients presenting with non-traumatic central cord syndrome, it is vital to identify risk factors for infection in a thoroughly obtained patient history, as well as to maintain a low threshold for diagnostic imaging.", "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": "central cord syndrome" }, { "word": "vertebral osteomyelitis" }, { "word": "discitis" }, { "word": "case report" } ], "section": "ACOEP Case Reports (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/76g6892z", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "", "last_name": "Dang", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Fanglong", "middle_name": "", "last_name": "Dong", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Greg", "middle_name": "", "last_name": "Fenati", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California; California University of Science and Medicine, Department of Emergency Medicine, San Bernardino, California", "department": "None" }, { "first_name": "Massoud", "middle_name": "", "last_name": "Rabiei", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Melinda", "middle_name": "", "last_name": "Cerda", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Michael", "middle_name": "M.", "last_name": "Neeki", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California; California University of Science and Medicine, Department of Emergency Medicine, San Bernardino, California", "department": "None" } ], "date_submitted": "2020-04-23T15:34:48-07:00", "date_accepted": "2020-04-23T15:34:48-07:00", "date_published": "2020-04-23T15:36:45-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/827/galley/580/download/" } ] }, { "pk": 826, "title": "High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management", "subtitle": null, "abstract": "Introduction: High-pressure injection injuries have been chronicled for decades.1 These injuries often affect distal extremities as they are most commonly involved in workplace accidents.1 However, we discuss a young male with a paint-gun injection injury to his face.\nCase Report: We discuss the case of a young man presenting to the emergency department after high-pressure injection injury to the face. He eventually underwent extensive debridement of the face. We discuss differences in caring for an injection wound to an extremity versus the face, including time sensitivity of treatment, initial stabilizing measures, and critical steps.\nDiscussion: This case demonstrates a rare presentation of a high-pressure paint injection injury. This injury presented a unique surgical challenge where, despite compartment syndrome being less common, cosmetic outcome and infectious complication prevention remained critical priorities.\nConclusion: While similarities exist in management of an injection injury to a limb, due to the rarity and deceptive appearance of this particular injury to the face, high suspicion along with urgent imaging and surgical consultation is warranted.", "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": "compartment, pressure, injection injury, plastics, face" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/90b4s68n", "frozenauthors": [ { "first_name": "Edan", "middle_name": "", "last_name": "Zitelny", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Blake", "middle_name": "", "last_name": "Briggs", "name_suffix": "", "institution": "Wake Forest University Baptist Medical Center, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Little", "name_suffix": "", "institution": "Wake Forest University Baptist Medical Center, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Masneri", "name_suffix": "", "institution": "Wake Forest University Baptist Medical Center, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2020-04-23T15:17:01-07:00", "date_accepted": "2020-04-23T15:17:01-07:00", "date_published": "2020-04-23T15:17:50-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/826/galley/579/download/" } ] }, { "pk": 825, "title": "A Case of Hyperkalemia Versus Pseudohyperkalemia in Chronic Lymphocytic Leukemia", "subtitle": null, "abstract": "Introduction: Both hyperkalemia and pseudohyperkalemia occur in the emergency department. True hyperkalemia necessitates emergent treatment while pseudohyperkalemia requires recognition to prevent inappropriate treatment. It is imperative that the emergency physician (EP) have an understanding of the causes and clinical presentations of both phenomena.\nCase Report: We present a case of an 88-year-old male with chronic lymphocytic leukemia (CLL) and suspected blast crisis who was found to have elevated serum potassium levels without other manifestations of hyperkalemia and eventually was determined to have pseudohyperkalemia due to white cell fragility.\nDiscussion: Differentiation of hyperkalemia and pseudohyperkalemia is a critical skill for the EP. We discuss multiple causes of hyperkalemia and pseudohyperkalemia in an effort to broaden the knowledge base.\nConclusion: We present a case of CLL as an unusual cause of pseudohyperkalemia and review common causes of pseudohyperkalemia.", "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": "pseudohyperkalemia" }, { "word": "hyperleukocytosis" }, { "word": "chronic lymphocytic leukemia" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5mf771vd", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "D.", "last_name": "Le", "name_suffix": "", "institution": "Albany Medical Center Hospital, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "Sean", "middle_name": "P.", "last_name": "Geary", "name_suffix": "", "institution": "Albany Medical Center Hospital, Department of Emergency Medicine and Department of Surgery, Division of Surgical Critical Care, Albany, New York", "department": "None" } ], "date_submitted": "2020-04-23T15:11:25-07:00", "date_accepted": "2020-04-23T15:11:25-07:00", "date_published": "2020-04-23T15:12:15-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/825/galley/578/download/" } ] }, { "pk": 824, "title": "55-year-old Male with Exertional Dyspnea", "subtitle": null, "abstract": "Introduction: Dyspnea is a common presenting complaint for many patients in the emergency department.\nCase Presentation: A 55-year-old man with type I diabetes presented to the emergency department with one month of intermittent palpitations and dyspnea. His lungs were clear to auscultation, and his chest radiograph was normal.\nDiscussion: This case takes the reader through the differential diagnosis and systematic work-up of dyspnea with discussion of the diagnostic study, which ultimately led to this patient’s diagnosis and successful treatment.", "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": "Clinicopathological cases" }, { "word": "cardiology" }, { "word": "Epidemiology" } ], "section": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/41p6s11g", "frozenauthors": [ { "first_name": "Eric", "middle_name": "R.", "last_name": "Friedman", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "J.", "middle_name": "David", "last_name": "Gatz", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Zachary", "middle_name": "D.W.", "last_name": "Dezman", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Laura", "middle_name": "J.", "last_name": "Bontempo", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2020-04-23T14:54:58-07:00", "date_accepted": "2020-04-23T14:54:58-07:00", "date_published": "2020-04-23T14:55:38-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/824/galley/577/download/" } ] }, { "pk": 823, "title": "Accidental Chlorine Gas Exposure in a Pediatric Patient: A Case Report", "subtitle": null, "abstract": "Introduction: Chlorine gas is a known irritant of the respiratory tract, which may cause damage to various systems depending on time of exposure and concentration of the gas. Current treatments are mainly supportive. While no definitive studies have been completed to date, it has been noted that treatment with a sodium bicarbonate solution via nebulizer may lead to improved outcomes for patients dealing with chlorine gas exposure.\nCase Report: We present a case of a nine-year-old child arriving at the emergency department after exposure to chlorine gas. Complete recovery from his symptoms occurred rapidly with the administration of nebulized sodium bicarbonate.\nDiscussion: Inhaled chlorine gas acts as a mucous membrane irritant, with symptoms usually beginning within minutes of exposure. Inhaled nebulized sodium bicarbonate has been suggested as a therapy for chlorine exposure. Although its mechanism of action is not well understood, it is thought that inhaled sodium bicarbonate neutralizes the hydrochloric acid formed when the chlorine gas reacts with the water in the lungs.\nConclusion: Nebulized sodium bicarbonate solution at a low concentration appeared to rapidly and effectively reverse the symptoms due to chlorine gas inhalation in a young child.", "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": "Chlorine gas exposure" }, { "word": "treatment" }, { "word": "nebulized sodium bicarbonate" }, { "word": "pediatric" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15m7551h", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "", "last_name": "Antolick", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "Lindsey", "middle_name": "", "last_name": "Ouellette", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Judge", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "Brad", "middle_name": "", "last_name": "Riley", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" }, { "first_name": "JS", "middle_name": "", "last_name": "Jones", "name_suffix": "", "institution": "Spectrum Health - Michigan State University Emergency Medicine Residency Program, Grand Rapids, Michigan", "department": "None" } ], "date_submitted": "2020-04-23T14:43:21-07:00", "date_accepted": "2020-04-23T14:43:21-07:00", "date_published": "2020-04-23T14:44:19-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/823/galley/576/download/" } ] }, { "pk": 822, "title": "Gastric Adenocarcinoma Presenting as Chronic Back Pain: A Case Report", "subtitle": null, "abstract": "Introduction: Early stage gastric cancer is usually asymptomatic. It is not until later stages of the disease, usually with metastasis, that patients typically develop symptoms that would prompt further evaluation.\nCase Report: We present a case of a patient with chronic back pain who was found to have a gastric antral mass as the etiology of her pain. The patient proceeded to have a partial gastrectomy with complete surgical excision of her early-stage gastric cancer, after which her chronic back pain resolved.\nConclusion: This case demonstrates the importance of considering significant pathology in patients presenting with chronic complaints to the emergency department.", "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": "Gastric adenocarcinoma" }, { "word": "gastric cancer" }, { "word": "back pain" }, { "word": "chronic back pain" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1zn235hc", "frozenauthors": [ { "first_name": "Alexandra", "middle_name": "", "last_name": "Chitty", "name_suffix": "", "institution": "HCA Healthcare, St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" }, { "first_name": "Dennis", "middle_name": "", "last_name": "Cardriche", "name_suffix": "", "institution": "HCA Healthcare, St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" }, { "first_name": "Thomas", "middle_name": "H.", "last_name": "Matese Jr", "name_suffix": "", "institution": "HCA Healthcare, St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" } ], "date_submitted": "2020-04-23T14:34:33-07:00", "date_accepted": "2020-04-23T14:34:33-07:00", "date_published": "2020-04-23T14:38:43-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/822/galley/575/download/" } ] }, { "pk": 821, "title": "A Case Report of Angioedema and Anaphylactic Shock Induced by Ingestion of Polyethylene Glycol", "subtitle": null, "abstract": "Introduction: We report one of few documented cases of a severe anaphylactic reaction with angioedema to polyethylene glycol (PEG).\nCase Report: The patient presented 30 minutes after onset of his symptoms and quickly developed hypoxia and hypotension refractory to intramuscular epinephrine, intravenous fluids, methylprednisolone, and supplemental oxygen via non-rebreather mask. He ultimately required intubation, an epinephrine infusion, and admission to the medical intensive care unit.\nDiscussion: This case depicts a clinical reaction to PEG, a medication rarely implicated in severe anaphylaxis or angioedema.\nConclusion: The allergenic potential of PEG-containing products should be raised, and providers should have a heightened awareness of these potential side effects.", "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": "Polyethylene glycol" }, { "word": "PEG" }, { "word": "allergic" }, { "word": "angioedema" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2119r9w5", "frozenauthors": [ { "first_name": "Amy", "middle_name": "", "last_name": "Rossi", "name_suffix": "", "institution": "University of Texas at Houston, McGovern Medical School, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Lesley", "middle_name": "", "last_name": "Osborn", "name_suffix": "", "institution": "University of Texas at Houston, McGovern Medical School, Department of Emergency Medicine, Houston, Texas", "department": "None" } ], "date_submitted": "2020-04-23T14:18:43-07:00", "date_accepted": "2020-04-23T14:18:43-07:00", "date_published": "2020-04-23T14:19:20-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/821/galley/574/download/" } ] }, { "pk": 820, "title": "55 year-old Female with Hematuria", "subtitle": null, "abstract": "Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC).\nDiscussion: RCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.", "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": "hematuria" }, { "word": "flank pain" }, { "word": "renal cell carcinoma" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/07k0v4jk", "frozenauthors": [ { "first_name": "Drew", "middle_name": "A.", "last_name": "Long", "name_suffix": "", "institution": "San Antonio Military Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Brit", "middle_name": "", "last_name": "Long", "name_suffix": "", "institution": "San Antonio Military Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2020-04-23T14:10:28-07:00", "date_accepted": "2020-04-23T14:10:28-07:00", "date_published": "2020-04-23T14:11:09-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/820/galley/573/download/" } ] }, { "pk": 818, "title": "Ultrasonography of a Helical Left Common Carotid Artery", "subtitle": null, "abstract": "Case Presentation: An 83-year-old woman was admitted to the intensive care unit for septic shock at which point an internal jugular central venous line was placed. The patient’s common carotid artery was visualized in an atypical location, lateral to the internal jugular vein. Further inspection revealed the common carotid artery travelling in a rotational trajectory around the internal jugular vein.\nDiscussion: For at least two decades, point-of-care ultrasound has become the standard of care for placing central venous lines. This surprising anatomical orientation is rare and cautions physicians to fully explore a patient’s anatomy prior to placing central lines.", "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": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7m148119", "frozenauthors": [ { "first_name": "Bethany", "middle_name": "J.", "last_name": "Busack", "name_suffix": "", "institution": "Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana", "department": "None" }, { "first_name": "Vy", "middle_name": "", "last_name": "Tran", "name_suffix": "", "institution": "Ochsner Clinic Foundation, Department of Anesthesiology, New Orleans, Louisiana", "department": "None" }, { "first_name": "Christopher", "middle_name": "D.", "last_name": "Busack", "name_suffix": "", "institution": "Tulane University School of Medicine, Department of Anesthesiology, New Orleans, Louisiana", "department": "None" }, { "first_name": "Christine", "middle_name": "J.", "last_name": "Butts", "name_suffix": "", "institution": "Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana", "department": "None" } ], "date_submitted": "2020-04-22T23:05:12-07:00", "date_accepted": "2020-04-22T23:05:12-07:00", "date_published": "2020-04-23T13:26:57-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/818/galley/571/download/" } ] }, { "pk": 817, "title": "Heroin Adulterated with the Novel Synthetic Cannabinoid, 5F-MDMB-PINACA: A Case Series", "subtitle": null, "abstract": "Introduction: Heroin can be adulterated with various substances that may or may not have pharmacological effects. Here we report a case series of 8 patients who presented to the emergency department after overdose with intravenous heroin preparation adulterated with the synthetic cannabinoid methyl 2-(1-(5-fluoropentyl)-1H-indazole-3-carboxamido)-3,3-dimethylbutanoate (5F-MDMB-PINACA).\nCase Series: Except for one patient, all of them presented with a typical initial opioid toxidrome consisting of central nervous system and respiratory depression along with pinpoint pupils. Naloxone was given to them, triggering severe agitation and combative behavior along with overlapping features of anticholinergic and sympathomimetic toxidrome. All patients required multiple doses of benzodiazepines. Three were successfully treated with physostigmine.\nDiscussion: 5F-MDMB-PINACA is a synthetic cannabinoid that was added to heroin in samples obtained from patients reported in this case series. Patients demonstrated significant agitation after receiving naloxone for opioid toxidrome, presumably because of the removal of the depressant effect of opioids, which unmasked the excitatory effects of the synthetic cannabinoids. Three patients required physostigmine along with the benzodiazepines for control of their agitation, urine retention and abnormal vitals, suggesting the possibility of an anticholinergic toxidrome to have developed in these patients.\nConclusion: Heroin contaminated with 5F-MDMB-PINACA exhibits variable severities of anticholinergic effects, some on presentation and others only after opiate antagonism.", "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": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6fz2q2tm", "frozenauthors": [ { "first_name": "Muhammed", "middle_name": "", "last_name": "Ershad", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Maricel", "middle_name": "", "last_name": "Dela Cruz", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Ahmed", "middle_name": "", "last_name": "Mostafa", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Muhammad", "middle_name": "M.", "last_name": "Khalid", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Arnold", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Hamilton", "name_suffix": "", "institution": "Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2020-04-22T22:59:31-07:00", "date_accepted": "2020-04-22T22:59:31-07:00", "date_published": "2020-04-23T13:26:24-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/817/galley/570/download/" } ] }, { "pk": 816, "title": "Euglycemic Diabetic Ketoacidosis in Concurrent Very Low-carbohydrate Diet and Sodium-glucose Transporter-2 Inhibitor Use: A Case Report", "subtitle": null, "abstract": "Introduction: With the incredibly high incidence of Type 2 Diabetes in the current population of emergency department patients, it is critical for clinicians to understand the possible complications of the treatment of this disease. Medication like canagliflozin are more common to encounter on patient’s home medication lists and clinicians should be aware of how these medications, alone or combined with dietary modifications, can result in significant pathology and even mortality if not appropriately treated.\nCase Report: We report a case of a patient with type II diabetes mellitus who presented with euglycemic diabetic ketoacidosis in the setting of concurrent use of canagliflozin, a sodium-glucose transporter-2 (SGLT-2) inhibitor, and strict adherence to a low-carbohydrate ketogenic diet for weight control.\nDiscussion: Euglycemic ketoacidosis has previously been observed in both diabetic and non-diabetic patients following strict ketogenic diets, as well as in diabetic patients being treated with SGLT-2 inhibitors.\nConclusion: As more patients choose ketogenic diets for weight control and diabetes management, clinicians should be aware of this potentially life-threatening complication in patients concurrently taking SGLT-2 inhibitors.", "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": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2jt8z9w8", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "", "last_name": "Earle", "name_suffix": "", "institution": "University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Ault", "name_suffix": "", "institution": "University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Caitlin", "middle_name": "", "last_name": "Bonney", "name_suffix": "", "institution": "University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" } ], "date_submitted": "2020-04-22T22:54:31-07:00", "date_accepted": "2020-04-22T22:54:31-07:00", "date_published": "2020-04-23T13:25:36-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/816/galley/569/download/" } ] }, { "pk": 815, "title": "The Ultimate Poker Face: A Case Report of Facial Diplegia, a Guillain-Barré Variant", "subtitle": null, "abstract": "Introduction: Facial diplegia, a rare variant of Guillain-Barré syndrome (GBS), is a challenging diagnosis to make in the emergency department due to its resemblance to neurologic Lyme disease.\nCase report: We present a case of a 27-year-old previously healthy man who presented with bilateral facial paralysis.\nDiscussion: Despite the variance in presentation, the recommended standard of practice for diagnostics (cerebrospinal fluid albumin-cytological dissociation) and disposition (admission for observation, intravenous immunoglobulin, and serial negative inspiratory force) of facial diplegia are the same as for other presentations of GBS.\nConclusion: When presented with bilateral facial palsy emergency providers should consider autoimmune, infectious, idiopathic, metabolic, neoplastic, neurologic, and traumatic etiologies in addition to the much more common neurologic Lyme disease.", "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": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1bt8r09p", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "", "last_name": "Lowe", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Pfaff", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2020-04-22T22:48:30-07:00", "date_accepted": "2020-04-22T22:48:30-07:00", "date_published": "2020-04-23T13:25:04-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/815/galley/568/download/" } ] }, { "pk": 814, "title": "Heterotopic Pregnancy Diagnosed with Point-of-care Ultrasound in the Emergency Department: A Case Report", "subtitle": null, "abstract": "Introduction: Heterotopic pregnancies are rare. However, they are occurring with increasing frequency. Unfortunately, diagnosis is frequently delayed, with patients presenting in extremis.\nCase Report: We present a case of a heterotopic pregnancy diagnosed by point-of-care ultrasound (POCUS) in a woman presenting with lower abdominal pain, who had a documented normal first trimester ultrasound the day prior to presentation.\nDiscussion: Given the increasing rates of heterotopic pregnancies, we can no longer be reassured by the presence of an intra-uterine pregnancy (IUP) in a patient with concerning signs and symptoms of a ruptured ectopic pregnancy. A thorough POCUS evaluation of the uterus and adnexa is essential for the diagnosis of heterotopic pregnancy in the emergency department.\nConclusion: This case highlights the value POCUS brings to the emergency department evaluation of patients in early 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": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4612b75k", "frozenauthors": [ { "first_name": "Ian", "middle_name": "J.", "last_name": "Holley", "name_suffix": "", "institution": "Washington University School of Medicine in St. Louis, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" }, { "first_name": "Sean", "middle_name": "P.", "last_name": "Stickles", "name_suffix": "", "institution": "Washington University School of Medicine in St. Louis, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" } ], "date_submitted": "2020-04-22T22:42:53-07:00", "date_accepted": "2020-04-22T22:42:53-07:00", "date_published": "2020-04-23T13:24:21-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/814/galley/567/download/" } ] }, { "pk": 819, "title": "Eagle Syndrome: A Rare Case of Atraumatic, Painful Cervical Neck Swelling", "subtitle": null, "abstract": "Introduction: Painful neck swelling is a common emergency complaint but can present diagnostic challenges. Eagle syndrome is a rare clinical entity in which a pathologically elongated styloid process or ossified stylohyoid ligament produces a constellation of symptoms in the head and neck region.\nCase Report: We present the case of a 50-year-old male with a spontaneous, atraumatic fracture of an elongated styloid process associated with hematoma formation and radiological findings of airway impingement.\nDiscussion: The classic triad for Eagle syndrome consists of unilateral cervicofacial pain, globus sensation, and dysphagia. Diagnosis of Eagle syndrome should be made based on a combination of physical examination and radiological findings. Treatment options vary based on severity of symptoms.\nConclusion: Although more likely to be an indolent and progressive complaint, providers in the acute care setting should be familiar with Eagle syndrome due to the potential for a spontaneous fracture of an elongated styloid process to cause acute, painful neck swelling and life-threatening airway compromise.", "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": "Eagle syndrome" }, { "word": "atraumatic" }, { "word": "Fracture" }, { "word": "airway impingement" }, { "word": "hematoma" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2h269608", "frozenauthors": [ { "first_name": "Cameron", "middle_name": "P.", "last_name": "Worden", "name_suffix": "", "institution": "Virginia Tech Carilion School of Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Sanjeeb", "middle_name": "S.", "last_name": "Bhandari", "name_suffix": "", "institution": "Virginia Tech Carilion, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Benjamin", "middle_name": "B.", "last_name": "Cable", "name_suffix": "", "institution": "Virginia Tech Carilion Clinic School of Medicine, Division of Otolaryngology, Department of Surgery, Roanoke, Virginia", "department": "None" }, { "first_name": "Damon", "middle_name": "R.", "last_name": "Kuehl", "name_suffix": "", "institution": "Virginia Tech Carilion, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" } ], "date_submitted": "2020-04-23T13:21:52-07:00", "date_accepted": "2020-04-23T13:21:52-07:00", "date_published": "2020-04-23T13:22:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/819/galley/572/download/" } ] }, { "pk": 44938, "title": "Mesothelioma, Discovered Incidentally", "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/644670wx", "frozenauthors": [ { "first_name": "Edward", "middle_name": "K.", "last_name": "Hui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:55:32-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44938/galley/33731/download/" } ] }, { "pk": 44937, "title": "Varicella Zoster", "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/1h89n6jx", "frozenauthors": [ { "first_name": "Angela", "middle_name": "", "last_name": "Ruman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:53:28-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44937/galley/33730/download/" } ] }, { "pk": 44936, "title": "Esophageal Sarcoidosis", "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/5tj1n2v6", "frozenauthors": [ { "first_name": "Jesse", "middle_name": "", "last_name": "Szatkowski", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Hope", "middle_name": "", "last_name": "Cassano", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:51:49-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44936/galley/33729/download/" } ] }, { "pk": 44935, "title": "A Spotted Zebra: An Unusual Presentation of Autoimmune Polyglandular 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/32n0m3x1", "frozenauthors": [ { "first_name": "Spencer", "middle_name": "", "last_name": "Larson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Goodman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:49:33-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44935/galley/33728/download/" } ] }, { "pk": 44934, "title": "An Atypical Cause of Chest Pain", "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/5nc0x4fq", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "", "last_name": "Busuttil", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Melkon", "middle_name": "", "last_name": "Macobian", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Eskidar", "middle_name": "", "last_name": "Gizaw", "name_suffix": "NP", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Peyman", "middle_name": "", "last_name": "Benharash", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:35:33-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44934/galley/33727/download/" } ] }, { "pk": 44933, "title": "A Case of Tertiary Hyperparathyroidism and Parathyromatosis", "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/3tf2s798", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "J.", "last_name": "Day", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Stephanie", "middle_name": "Smooke", "last_name": "Praw", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:33:03-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44933/galley/33726/download/" } ] }, { "pk": 44932, "title": "Pancreas Cancer in a Pancreatic Cyst Detected at Wellness Exam", "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/49t5d90q", "frozenauthors": [ { "first_name": "Hyunah", "middle_name": "", "last_name": "Poa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Shih-Fan", "middle_name": "", "last_name": "Sun", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:30:48-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44932/galley/33725/download/" } ] }, { "pk": 44930, "title": "Endo-bariatrics: A New Paradigm for Weight Loss", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Review" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3b83w89v", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Phan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Danny", "middle_name": "", "last_name": "Issa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-23T09:26:51-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44930/galley/33723/download/" } ] }, { "pk": 13177, "title": "Retrospective Analysis of Emergency Medical Services (EMS) Physician Medical Control Calls", "subtitle": null, "abstract": "Introduction:\n Although emergency medical services (EMS) standing-order protocols provide more efficient and accurate on-scene management by paramedics, online medical direction (OLMD) has not been eliminated from practice. In this modern era of OLMD, no studies exist to describe the prevalence of reasons for contacting OLMD.\nObjectives:\n The primary goal of this study was to describe the quantity of and reasons for calls for medical direction. We also sought to determine time diverted from emergency physicians due to OLMD. Finally, we hoped to identify any areas for potential improvement or additional training opportunities for EMS providers.\nMethods:\n This was a descriptive study with retrospective data analysis of recorded OLMD calls from January 1, 2016, to December 31, 2016. Data were extracted by research personnel listening to audio recordings and were entered into a database for descriptive analysis. We abstracted the date and length of call, patient demographic information (age and gender), category of call (trauma, medical, cardiac, or obstetrics), reason for call, and origin of call (prehospital, interhospital, nursing home, or discharge).\nResults:\n The total number of recordings analyzed was 519. Calls were divided into four categories pertaining to their nature: 353 (68.5%) medical; 70 (13.6%) trauma; 83 (16.1%) cardiac; and 9 (8%) were obstetrics related. Repeat calls regarding the same patient encounter comprised 48 (9.4%) of the calls. Patient refusal of transport was the most common reason for a call medical direction (32.3% of calls). The total time for medical direction calls for the year was 26.6 hours. The maximum number of calls in a single day was seven, with a mean of 2.04 calls per day (standard deviation [SD] ± 1.18). The mean call length was 3.06 minutes (SD ± 2.51).\nConclusion:\n Our analysis shows that the use of OLMD frequently involves complex decision-making such as determination of the medical decision-making capacity of patients to refuse treatment and transport, and evaluation of the appropriate level of care for interfacility transfers. Further investigation into the effect of EMS physician-driven medical direction on both the quality and time required for OLMD could allow for better identification of areas of potential improvement and training.", "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 Control" }, { "word": "Online Medical Direction" }, { "word": "Capacity Assessment" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/91x7249p", "frozenauthors": [ { "first_name": "Balaj", "middle_name": "", "last_name": "Rai", "name_suffix": "", "institution": "The Christ Hospital, Department of Internal Medicine, Cincinnati, Ohio", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Tennyson", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "R.", "middle_name": "Trevor", "last_name": "Marshall", "name_suffix": "", "institution": "Stony Brook University, Department of Emergency Medicine, Stony Brook, New York", "department": "None" } ], "date_submitted": "2019-08-22T12:55:49-07:00", "date_accepted": "2019-08-22T12:55:49-07:00", "date_published": "2020-04-22T13:46:32-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13177/galley/6929/download/" } ] }, { "pk": 40834, "title": "Introduction to Volume 9, Issue 1: Italia senza frontiere/Borderless Italy", "subtitle": null, "abstract": "*", "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": [], "section": "Vol. 9: Italia senza frontiere/Borderless Italy", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/30j9m648", "frozenauthors": [ { "first_name": "Claudio", "middle_name": "", "last_name": "Fogu", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Stephanie", "middle_name": "Malia", "last_name": "Hom", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Laura", "middle_name": "E.", "last_name": "Ruberto", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-04-22T12:02:30-07:00", "date_accepted": "2020-04-22T12:02:30-07:00", "date_published": "2020-04-22T12:02:54-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40834/galley/30589/download/" } ] }, { "pk": 40833, "title": "Marguerite Waller: A Tribute", "subtitle": null, "abstract": "*", "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": [], "section": "Vol. 9: Italia senza frontiere/Borderless Italy", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/02h7t4bg", "frozenauthors": [ { "first_name": "Áine", "middle_name": "", "last_name": "O’Healy", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-04-22T11:28:25-07:00", "date_accepted": "2020-04-22T11:28:25-07:00", "date_published": "2020-04-22T11:30:11-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cisj/article/40833/galley/30588/download/" } ] }, { "pk": 44929, "title": "Turmeric: Anti-inflammatory Effects and Evidence for Use in Osteoarthritis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Review" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4393t7j7", "frozenauthors": [ { "first_name": "S. Anjani", "middle_name": "", "last_name": "Mattai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-04-22T10:53:23-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44929/galley/33722/download/" } ] }, { "pk": 813, "title": "55-year-old Woman with Headache, Vomiting, and Visual Disturbance", "subtitle": null, "abstract": "Case Presentation: A 55-year-old woman with a past medical history of hypertension, hyperlipidemia, and iron deficiency anemia presented to the emergency department with three days of headache, nausea, vomiting, and visual changes. Her vital signs were within normal limits. She was noted to have a left cranial nerve six palsy on exam.\nResults: Her laboratory testing revealed leukocytosis, hyponatremia, and hypokalemia. A non-contrast computed tomography scan of the head revealed an enlarged sella turcica and pituitary gland with hemorrhage and deviation of the optic chiasm.\nConclusion: Her symptoms improved and she was discharged from the hospital in stable condition.", "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": "headache" }, { "word": "pituitary apoplexy" }, { "word": "pituitary adenoma" } ], "section": "Clinicopathological Cases", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3k68n6r4", "frozenauthors": [ { "first_name": "Lana", "middle_name": "", "last_name": "Shaker", "name_suffix": "", "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey", "department": "None" }, { "first_name": "Jill", "middle_name": "", "last_name": "Ripper", "name_suffix": "", "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey", "department": "None" }, { "first_name": "Tiffany", "middle_name": "", "last_name": "Murano", "name_suffix": "", "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey", "department": "None" } ], "date_submitted": "2020-04-21T13:42:19-07:00", "date_accepted": "2020-04-21T13:42:19-07:00", "date_published": "2020-04-21T13:45:18-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/813/galley/566/download/" } ] }, { "pk": 13234, "title": "The Emergency Medicine Group Standardized Letter of Evaluation as a Workplace-Based Assessment: The Validity Is in the Detail", "subtitle": null, "abstract": "Introduction:\n Interest is growing in specialty-specific assessments of student candidates based on clinical clerkship performance to assist in the selection process for postgraduate training. The most established and extensively used is the emergency medicine (EM) Standardized Letter of Evaluation (SLOE), serving as a substitute for the letter of recommendation. Typically developed by a program’s leadership, the group SLOE strives to provide a unified institutional perspective on performance. The group SLOE lacks guidelines to direct its development raising questions regarding the assessments, processes, and standardization programs employ. This study surveys EM programs to gather validity evidence regarding the inputs and processes involved in developing group SLOEs.\nMethods:\n A structured telephone interview was administered to assess the input data and processes employed by United States EM programs when generating group SLOEs.\nResults:\n With 156/178 (87.6%) of Accreditation Council of Graduate Medical Education-approved programs responding, 146 (93.6%) reported developing group SLOEs. Issues identified in development include the following: (1) 84.9% (124/146) of programs limit the consensus process by not employing rigorous methodology; (2) several stakeholder groups (nurses, patients) do not participate in candidate assessment placing final decisions at risk for construct under-representation; and (3) clinical shift assessments don’t reflect the task-specific expertise of each stakeholder group nor has the validity of each been assessed.\nConclusion:\n Success of the group SLOE in its role as a summative workplace-based assessment is dependent upon valid input data and appropriate processes. This study of current program practices provides specific recommendations that would strengthen the validity arguments for the group SLOE.", "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": "Assessments, Workplace Based Assessments, Validity" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82s834jc", "frozenauthors": [ { "first_name": "Jeff", "middle_name": "N.", "last_name": "Love", "name_suffix": "", "institution": "Georgetown University School of Medicine", "department": "None" }, { "first_name": "Christopher", "middle_name": "I.", "last_name": "Doty", "name_suffix": "", "institution": "University of Kentucky College of Medicine, Department of Emergency Medicine, Lexington, Kentucky", "department": "None" }, { "first_name": "Jessica", "middle_name": "L.", "last_name": "Smith", "name_suffix": "", "institution": "Alpert Medical School, Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Nicole", "middle_name": "M.", "last_name": "Deiorio", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Jaime", "middle_name": "", "last_name": "Jordan", "name_suffix": "", "institution": "David Geffen School of Medicine, Harbor UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "None" }, { "first_name": "Michael", "middle_name": "W.", "last_name": "Van Meter", "name_suffix": "", "institution": "McGovern Medical School, University of Texas-Houston, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Mary Ann", "middle_name": "", "last_name": "Edens", "name_suffix": "", "institution": "Louisiana State University School of Medicine-Shreveport, Department of Emergency Medicine, Shreveport, Louisiana", "department": "None" }, { "first_name": "Cullen", "middle_name": "B.", "last_name": "Hegarty", "name_suffix": "", "institution": "University of Minnesota-HealthPartners Institute/Region Hospital, Department of Emergency Medicine, Saint Paul, Minnesota", "department": "None" } ], "date_submitted": "2019-09-04T18:11:33-07:00", "date_accepted": "2019-09-04T18:11:33-07:00", "date_published": "2020-04-21T11:56:27-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13234/galley/6968/download/" } ] }, { "pk": 13312, "title": "Retrospective Study of Midazolam Protocol for Prehospital Behavioral Emergencies", "subtitle": null, "abstract": "Introduction:\n Agitated patients in the prehospital setting pose challenges for both patient care and emergency medical services (EMS) provider safety. Midazolam is frequently used to control agitation in the emergency department setting; however, limited data exist in the prehospital setting. We describe our experience treating patients with midazolam for behavioral emergencies in a large urban EMS system. We hypothesized that using midazolam for acute agitation leads to improved clinical conditions without causing significant clinical deterioration.\nMethods:\n We performed a retrospective review of EMS patient care reports following implementation of a behavioral emergencies protocol in a large urban EMS system from February 2014–June 2016. For acute agitation, paramedics administered midazolam 1 milligram (mg) intravenous (IV), 5 mg intramuscular (IM), or 5 mg intranasal (IN). Results were analyzed using descriptive statistics, Levene’s test for assessing variance among study groups, and t-test to evaluate effectiveness based on route.\nResults:\n In total, midazolam was administered 294 times to 257 patients. Median age was 30 (interquartile range 24–42) years, and 66.5% were male. Doses administered were 1 mg (7.1%) and 5 mg (92.9%). Routes were IM (52.0%), IN (40.8%), and IV (7.1%). A second dose was administered to 37 patients. In the majority of administrations, midazolam improved the patient’s condition (73.5%) with infrequent adverse events (3.4%). There was no significant difference between the effectiveness of IM and IN midazolam (71.0% vs 75.4%; p = 0.24).\nConclusion:\n A midazolam protocol for prehospital agitation was associated with reduced agitation and a low rate of adverse events.", "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": "EMS, prehospital, agitation, behavioral, midazolam, intranasal" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/11g353h7", "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 (UT Health), Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Hashim", "middle_name": "Q.", "last_name": "Zaidi", "name_suffix": "", "institution": "University of Chicago Pritzker School of Medicine, Section of Emergency Medicine, Chicago, Illinois\nChicago Emergency Medical Services System, Chicago, Illinois", "department": "None" }, { "first_name": "Katie", "middle_name": "L.", "last_name": "Tataris", "name_suffix": "", "institution": "University of Chicago Pritzker School of Medicine, Section of Emergency Medicine, Chicago, Illinois\nChicago Emergency Medical Services System, Chicago, Illinois", "department": "None" }, { "first_name": "Joseph", "middle_name": "M.", "last_name": "Weber", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nJohn H. Stroger, Jr., Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Kenneth", "middle_name": "S.", "last_name": "Pearlman", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nNorthwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Eddie", "middle_name": "", "last_name": "Markul", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nAdvocate Illinois Masonic Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Leslee", "middle_name": "", "last_name": "Stein-Spencer", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nIllinois Department of Public Health, Springfield, Illinois", "department": "None" }, { "first_name": "Christopher", "middle_name": "T.", "last_name": "Richards", "name_suffix": "", "institution": "Chicago Emergency Medical Services System, Chicago, Illinois\nNorthwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois\nNorthwestern Feinberg School of Medicine Center for Healthcare Studies, Institute for Public Health and Medicine, Chicago, Illinois \nUniversity of Cincinnati School of Medicine, Division of EMS, Department of Emergency Medicine, Cincinnati, Ohio", "department": "None" } ], "date_submitted": "2019-10-14T13:15:16-07:00", "date_accepted": "2019-10-14T13:15:16-07:00", "date_published": "2020-04-21T11:47:28-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13312/galley/7002/download/" } ] }, { "pk": 13304, "title": "Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n Emergency department (ED) crowding is a growing problem. Psychiatric patients have long ED lengths of stay awaiting placement and transportation to a psychiatric facility after disposition.\nMethods:\n Retrospective analysis of length of ED stay after disposition for voluntary psychiatric patients before and after the use of Lyft ridesharing services for inter-facility transport.\nResults:\n Using Lyft transport to an outside crisis center shortens time to discharge both statistically and clinically from 113 minutes to 91 minutes (p = 0.028) for voluntary psychiatric patients. Discharge time also decreased for involuntary patients from 146 minutes to 127 minutes (p = 0.0053).\nConclusion:\n Ridesharing services may be a useful alternative to medical transportation for voluntary psychiatric 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": "operations" }, { "word": "Efficiency" }, { "word": "emergency department" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/26q198rn", "frozenauthors": [ { "first_name": "Andrea", "middle_name": "", "last_name": "Blome", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Rosenbaum", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Nicole", "middle_name": "", "last_name": "Lucas", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Kraftin", "middle_name": "", "last_name": "Schreyer", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-10-11T09:41:40-07:00", "date_accepted": "2019-10-11T09:41:40-07:00", "date_published": "2020-04-21T11:41:08-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13304/galley/6999/download/" } ] }, { "pk": 13296, "title": "Adolescents’ Acceptance of Long-Acting Reversible Contraception After an Educational Intervention in the Emergency Department: A Randomized Controlled Trial", "subtitle": null, "abstract": "Introduction: \nAdolescents who seek care in the emergency department (ED) are a cohort at increased risk of unintended pregnancy. Although adolescents are interested in learning about pregnancy prevention in the ED, there is a lack of effective educational interventions in this setting. Long-acting reversible contraceptives (LARC) are highly effective and safe in teens, yet are underutilized. This study assessed contraception use among adolescents in the ED and evaluated the impact of an educational video on their interest in and uptake of LARCs.\nMethods:\n We conducted a two-arm randomized controlled trial on a convenience sample of sexually active females 14 to 21 years old in an urban pediatric ED. Participants were randomized to an educational video or standard care. All participants completed a survey and were given an informational card about affiliated teen clinics with the option to schedule an appointment. We assessed pre-post mean differences between control and intervention participants and pre-post differences among intervention participants. Participants were followed three months after their ED visit to examine use of contraception.\nResults:\n A total of 79 females were enrolled (42 control and 37 intervention). The mean age was 17 years, and most were youth of color. The proportion of participants with a prior pregnancy was 18%. Almost all participants reported wanting to avoid pregnancy, yet 18% reported not using contraception at last intercourse. At baseline, 17.7% of participants were somewhat or very interested in the intrauterine device (IUD) or implant. After watching the video, 42.3% were somewhat or very interested in the IUD and 35.7% in the implant. Among those who watched the video, there were significant increases in interest in using an IUD or implant (p<.001). Compared to controls, adolescents who watched the video were also significantly more likely to report wanting an IUD (p<0.001) or implant (p=0.002). A total of 46% were reached for follow-up. Of these, 16% had initiated a LARC method after their ED visit (p=NS).\nConclusion:\n Most adolescent females in the ED want to avoid pregnancy, but are using ineffective methods of contraception. A brief educational video on LARCs was acceptable to adolescents and feasible to implement in a busy urban ED setting. Adolescents who watched the video had significantly greater interest in using LARCs, but no demonstrated change in actual adoption of contraception.", "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": "adolescent pregnancy, contraception, emergency department" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6j65b1kp", "frozenauthors": [ { "first_name": "Tatyana", "middle_name": "", "last_name": "Vayngortin", "name_suffix": "", "institution": "Rady Children’s Hospital, University of California San Diego, Division of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Lela", "middle_name": "", "last_name": "Bachrach", "name_suffix": "", "institution": "University of California San Francisco Benioff Children’s Hospital Oakland, Department of Adolescent Medicine, Oakland, California", "department": "None" }, { "first_name": "Sima", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "University of California San Francisco Benioff Children’s Hospital Oakland, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Kathleen", "middle_name": "", "last_name": "Tebb", "name_suffix": "", "institution": "University of California San Francisco, Department of Adolescent Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2019-10-04T12:25:13-07:00", "date_accepted": "2019-10-04T12:25:13-07:00", "date_published": "2020-04-21T11:37:46-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13296/galley/6996/download/" } ] }, { "pk": 13563, "title": "Standards of Care for Children in Emergency Departments: International Federation of Emergency Medicine Agenda for the Care of Children", "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": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4p50z1v7", "frozenauthors": [ { "first_name": "Camilo", "middle_name": "E.", "last_name": "Gutierrez", "name_suffix": "", "institution": "Children’s National Hospital, George Washington University School of Medicine and Health Sciences, Division of Emergency Medicine and Trauma Center, Washington, District of Columbia", "department": "None" }, { "first_name": "Marianne", "middle_name": "", "last_name": "Gausche-Hill", "name_suffix": "", "institution": "Los Angeles County Emergency Medical Services Agency, Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Rodrick", "middle_name": "K.", "last_name": "Lim", "name_suffix": "", "institution": "Children’s Hospital at LHSC, Department of Pediatrics and Medicine, Schulich School of Medicine & Dentistry-Western University, London, Ontario, Canada", "department": "None" } ], "date_submitted": "2020-02-11T11:37:16-08:00", "date_accepted": "2020-02-11T11:37:16-08:00", "date_published": "2020-04-21T11:32:33-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13563/galley/7095/download/" } ] }, { "pk": 13333, "title": "Boarding is Associated with Reduced Emergency Department Efficiency that is not Mitigated by a Provider in Triage", "subtitle": null, "abstract": "Introduction:\n Boarding of patients in the emergency department (ED) is associated with decreased ED efficiency. The provider-in-triage (PIT) model has been shown to improve ED throughput, but it is unclear how these improvements are affected by boarding. We sought to assess the effects of boarding on ED throughput and whether implementation of a PIT model mitigated those effects.\nMethods:\n We performed a multi-site retrospective review of 955 days of ED operations data at a tertiary care academic ED (AED) and a high-volume community ED (CED) before and after implementation of PIT. Key outcome variables were door to provider time (D2P), total length of stay of discharged patients (LOSD), and boarding time (admit request to ED departure [A2D]).\nResults:\n Implementation of PIT was associated with a decrease in median D2P by 22 minutes or 43% at the AED (p < 0.01), and 18 minutes (31%) at the CED (p < 0.01). LOSD also decreased by 19 minutes (5.9%) at the AED and 8 minutes (3.3%) at the CED (p<0.01). After adjusting for variations in daily census, the effect of boarding (A2D) on D2P and LOSD was unchanged, despite the implementation of PIT. At the AED, 7.7 minutes of boarding increased median D2P by one additional minute (p < 0.01), and every four minutes of boarding increased median LOSD by one minute (p < 0.01). At the CED, 7.1 minutes of boarding added one additional minute to D2P (p < 0.01), and 4.8 minutes of boarding added one minute to median LOSD (p < 0.01).\nConclusion:\n In this retrospective, observational multicenter study, ED operational efficiency was improved with the implementation of a PIT model but worsened with boarding. The PIT model was unable to mitigate any of the effects of boarding. This suggests that PIT is associated with increased efficiency of ED intake and throughput, but boarding continues to have the same effect on ED efficiency regardless of upstream efficiency measures that may be designed to minimize its impact.", "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 department, boarding, operations, provider in triage" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5hv7t832", "frozenauthors": [ { "first_name": "Anthony", "middle_name": "", "last_name": "Napoli", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Shihab", "middle_name": "", "last_name": "Ali", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Alexis", "middle_name": "", "last_name": "Lawrence", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Janette", "middle_name": "", "last_name": "Baird", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2019-10-29T08:31:12-07:00", "date_accepted": "2019-10-29T08:31:12-07:00", "date_published": "2020-04-21T11:30:17-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13333/galley/7008/download/" } ] }, { "pk": 13243, "title": "A 2-Question Summative Score Correlates with the Maslach Burnout Inventory", "subtitle": null, "abstract": "Introduction:\n There is a high prevalence of burnout among emergency medicine (EM) residents. The Maslach Burnout Inventory - Human Services Survey (MBI-HSS) is a widely used tool to measure burnout. The objective of this study was to compare the MBI-HSS and a two-question tool to determine burnout in the EM resident population.\nMethods: \nBased on data from the 2017 National Emergency Medicine Resident Wellness Survey study, we determined the correlation between two single-item questions with their respective MBI subscales and the full MBI-HSS. We then compared a 2-Question Summative Score to the full MBI-HSS with respect to primary, more restrictive, and more inclusive definitions of burnout previously reported in the literature.\nResults:\n Of 1,522 residents who completed the survey 37.0% reported “I feel burned out from my work,” and 47.1% reported “I have become more callous toward people since I took this job” once a week or more (each item >3 on a scale of 0-6). A 2-Question Summative Score totaling >3 correlated most closely with the primary definition of burnout (Spearman’s rho 0.65 [95% confidence interval 0.62-0.68]). Using the summative score, 77.7% of residents were identified as burned out, compared to 76.1% using the full MBI-HSS, with a sensitivity and specificity of 93.6% and 73.0%, respectively.\nConclusion: \nAn abbreviated 2-Question Summative Score correlates well with the full MBI-HSS tool in assessing EM resident physician burnout and could be considered a rapid screening tool to identify at-risk residents experiencing burnout.", "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": "Wellness, Well being, Burnout, Residency Training, Emergency Medicine" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/56m1g6ss", "frozenauthors": [ { "first_name": "Simiao", "middle_name": "", "last_name": "Li-Sauerwine", "name_suffix": "", "institution": "The Ohio State University, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Katie", "middle_name": "", "last_name": "Rebillot", "name_suffix": "", "institution": "Los Angeles County-University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Melamed", "name_suffix": "", "institution": "New York Presbyterian Brooklyn Methodist Hospital, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Newton", "middle_name": "", "last_name": "Addo", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2019-09-10T09:21:55-07:00", "date_accepted": "2019-09-10T09:21:55-07:00", "date_published": "2020-04-21T11:26:45-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13243/galley/6973/download/" } ] }, { "pk": 41718, "title": "A new \nLyropecten\n (Pectinidae, Bivalvia, Mollusca) from the central California Miocene, USA", "subtitle": null, "abstract": "A new pectinid, \nLyropecten terrysmithae\n n. sp., has been recognized in middle to late Miocene rock units referred to as the Monterey Formation and Santa Margarita Sandstone in the southern Salinas Valley, central California. Previously, \nL. terrysmithae\n had been identified as a flat form belonging to either \nL. estrellanus \nor \nL. catalinae\n, then more recently to \nArgopecten\n sp. The earlier assignments were based on its moderate size and a radial rib count nearly identical to these taxa. However, its hinge, flat unledged valves, looped lamellar growth lines, and hinge crura set \nL. terrysmithae\n apart from \nArgopecten\n and all species of \nLyropecten\n. Localities where it occurs in the Salinas Valley that can be accurately dated are from the late middle to middle late Miocene “Margaritan” California provincial molluscan stage. While \nL. terrysmithae\n has been collected at other sites, those localities lack diagnostic age-specific species necessary to determine an accurate geological age and maybe older.", "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": "fossil pectins, “Margaritan\", Monterey Formation, Santa Margarita Sandstone, Salinas Valley" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6kz5b8kw", "frozenauthors": [ { "first_name": "Charles", "middle_name": "L.", "last_name": "Powell, II", "name_suffix": "", "institution": "U.S. Geological Survey, Menlo Park, CA 94025", "department": "None" }, { "first_name": "Cheryl", "middle_name": "D.", "last_name": "Millard", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Christine", "middle_name": "", "last_name": "Garcia", "name_suffix": "", "institution": "California Academy of Sciences, 55 Music Concourse Dr., San Francisco, CA 94118", "department": "None" } ], "date_submitted": "2020-04-21T16:28:21-07:00", "date_accepted": "2020-04-21T16:28:21-07:00", "date_published": "2020-04-21T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41718/galley/31206/download/" } ] } ] }