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{ "count": 39500, "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": 13593, "title": "Paramedic Pain Management Practice with Introduction of a Non-opiate Treatment Protocol", "subtitle": null, "abstract": "Introduction: \nThere is concern about the initiation of opiates in healthcare settings due to the risk of future misuse. Although opiate medications have historically been at the core of prehospital pain management, several states are introducing non-opiate alternatives to prehospital care. Prior studies suggest that non-opiate analgesics are non-inferior to opiates for many acute complaints, yet there is little literature describing practice patterns of pain management in prehospital care. Our goal was to describe the practice patterns and attitudes of paramedics toward pain management after the introduction of non-opiates to a statewide protocol.\nMethods: \nThis study was two-armed. The first arm employed a pre/post retrospective chart review model examining medication administrations reported to the Massachusetts Ambulance Trip Information System between January 1, 2017–December 31, 2018. We abstracted instances of opiate and non-opiate utilizations along with patients’ clinical course. The second arm consisted of a survey administered to paramedics one year after implementation of non-opiates in the state protocol, which used binary questions and Likert scales to describe beliefs pertaining to prehospital analgesia.\nResults:\n Pain medications were administered in 1.6% of emergency medical services incidents in 2017 and 1.7% of incidents in 2018. The rate of opiate analgesic use was reduced by 9.4% in 2018 compared to 2017 (90.6% vs 100.0%). The absolute reduction in opiate use in 2018 was 3.6%. Women were less likely (odds ratio [OR] = 0.78, 95% confidence interval [CI], 0.69-0.89) and trauma patients were more likely to receive opiates (OR = 2.36, CI, 1.96-2.84). Mean transport times were longer in opiate administration incidents (36.97 vs 29.35 minutes, t = 17.34, p<0.0001). We surveyed 100 paramedics (mean age 41.98, 84% male). Compositely, 85% of paramedics planned to use non-opiates and 35% reported having done so. Participants planning to use non-opiates were younger and less experienced. Participants indicated that concern about adverse effects, efficacy, and time to effect impacted their practice patterns.\nConclusion:\n The introduction of non-opiate pain medication to state protocols led to reduced opiate administration. Men and trauma patients were more likely to receive opiates. Paramedics reported enthusiasm for non-opiate medications. Beliefs about non-opioid analgesics pertaining to adverse effects, onset time, and efficacy may influence their utilization.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Prehospital Care, Pain, Emergency Medical Services" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0785191w", "frozenauthors": [ { "first_name": "Laurel", "middle_name": "", "last_name": "O'Connor", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Julianne", "middle_name": "", "last_name": "Dugas", "name_suffix": "", "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "", "last_name": "Brady", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Kamilaris", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" }, { "first_name": "Steven", "middle_name": "K.", "last_name": "Shiba", "name_suffix": "", "institution": "Charles E. Schmidt College of Medicine at Florida Atlantic University, Boca Raton, Florida", "department": "None" }, { "first_name": "Ricky", "middle_name": "C.", "last_name": "Kue", "name_suffix": "", "institution": "South Shore Health, Department of Emergency Medicine, South Weymouth, Massachusetts", "department": "None" }, { "first_name": "John", "middle_name": "P.", "last_name": "Broach", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" } ], "date_submitted": "2020-02-21T09:09:33+08:00", "date_accepted": "2020-02-21T09:09:33+08:00", "date_published": "2020-08-22T04:47:05+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13593/galley/7111/download/" } ] }, { "pk": 13499, "title": "Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds", "subtitle": null, "abstract": "Introduction\n: Tetanus vaccination status is an important consideration for emergency physicians managing patients with tetanus-prone wounds. Physicians must identify at-risk patients, but vaccination histories are often unknown and commonly lack documentation. The study objective was to determine the potential impact of an online immunization registry (Florida SHOTS – State Health Online Tracking System) on the appropriate administration of tetanus prophylaxis for pediatric patients managed in the emergency department (ED).\n \nMethods\n: We conducted a retrospective review of all patients less than 18 years old who received ED tetanus prophylaxis at two separate sites between January 2011–May 2015. The Florida SHOTS database was accessed to determine vaccination status for each patient in the study group at the time of the encounter. We compared vaccination status for each patient, as documented in the electronic health record (EHR), with Florida SHOTS data to determine whether tetanus prophylaxis was indicated. The proportion of patients receiving tetanus prophylaxis in the ED, who were subsequently identified as up to date with tetanus vaccination per Florida SHOTS, was determined.\n \nResults\n: We identified 743 patients who received ED tetanus prophylaxis. Forty-three (6%) were listed as “up to date” on the EHR and 656 (93%) were listed as “not up to date.” In comparison, 209 (30%) of the study group were identified as “up to date” via Florida SHOTS, and 477 (70%) were not. We accessed the Florida SHOTS record retrospectively to determine whether the vaccine was required. It was determined that 174 (25%) of the patients received tetanus prophylaxis unnecessarily as they were already up to date per Florida SHOTS documentation.\n \nConclusions\n: Twenty-five percent of patients vaccinated for tetanus in the ED could have been spared if Florida SHOTS data had been used by providers at the time of the encounter. Access to Florida SHOTS provides valuable information regarding vaccination status that impacts patient care and resource utilization in the ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Tetanus" }, { "word": "Vaccine" }, { "word": "pediatric" }, { "word": "emergency department" }, { "word": "Vaccination Registry" } ], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25g3c6s7", "frozenauthors": [ { "first_name": "Cristina", "middle_name": "", "last_name": "Zeretzke-Bien", "name_suffix": "", "institution": "University of Florida in Gainesville, Department of Emergency Medicine, Gainesville, Florida", "department": "None" }, { "first_name": "Janelle", "middle_name": "", "last_name": "McCall", "name_suffix": "", "institution": "University of Texas Southwestern, Department of Emergency Medicine, Dallas, Texas", "department": "None" }, { "first_name": "Todd", "middle_name": "", "last_name": "Wylie", "name_suffix": "", "institution": "University of Florida in Jacksonville, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" }, { "first_name": "Muhammad", "middle_name": "A.B.", "last_name": "Chowdhury", "name_suffix": "", "institution": "University of Florida in Gainesville, Department of Emergency Medicine, Gainesville, Florida", "department": "None" }, { "first_name": "Meenakshi", "middle_name": "", "last_name": "Balakrishnan", "name_suffix": "", "institution": "University of Florida in Gainesville, Department of Emergency Medicine, Gainesville, Florida", "department": "None" }, { "first_name": "Phyllis", "middle_name": "", "last_name": "Hendry", "name_suffix": "", "institution": "University of Florida in Jacksonville, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" }, { "first_name": "Colleen", "middle_name": "", "last_name": "Kalynych", "name_suffix": "", "institution": "University of Florida in Jacksonville, Office of Educational Affairs, Jacksonville, Florida", "department": "None" }, { "first_name": "Hac-Tu", "middle_name": "J.", "last_name": "Chung", "name_suffix": "", "institution": "University of Florida in Gainesville, Department of Emergency Medicine, Gainesville, Florida", "department": "None" } ], "date_submitted": "2020-01-17T08:40:54+08:00", "date_accepted": "2020-01-17T08:40:54+08:00", "date_published": "2020-08-22T04:41:44+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13499/galley/7073/download/" } ] }, { "pk": 13654, "title": "Intention to Leave Emergency Medicine: Mid-career Women Are at Increased Risk", "subtitle": null, "abstract": "Introduction:\n Burnout is prevalent among emergency physicians and may cause physicians to consider leaving the practice of emergency medicine (EM). This study sought to determine whether there is a gender difference in reporting burnout and seriously considering leaving the specialty of EM, and secondarily to explore the factors reported as contributing to burnout.\nMethods:\n This was a secondary analysis of the 2014 American Board of Emergency Medicine Longitudinal Survey of Emergency Physicians. We used multiple logistic regression to determine which factors were associated with reporting serious consideration of leaving EM, when stratified by years in practice and adjusting for individual, departmental, and institutional factors.\nResults:\n The response rate was 82%, (n = 868); 22.6% (194) were female and 77.4% (664) were males; and 83.9% (733) White. The mean age of men responding was significantly higher than women (52.7±11.9 vs. 44.9±10.4, p<0.001). Overall, there were no significant gender differences in reporting having had serious thoughts of leaving EM in either unmatched or age-matched analyses. More women reported that burnout was a significant problem, while men more often were equivocal as to whether it was a problem. When stratified by years in practice, mid-career women had a seven-fold increase in the odds ratio (OR) of seriously considered leaving EM, compared to men of similar years in practice (OR 7.07, 95% confidence interval, 2.45-20.39). Autonomy at work, control over working conditions, fair compensation, personal reward, and a sense of ownership were factors associated with a lower rate of reporting considering leaving EM.\nConclusion:\n Our findings suggest that the intention to leave EM is not more prevalent in women. However, mid-career women more often reported seriously considering leaving the specialty than mid-career men. Further research on the factors behind this finding in mid-career women in EM is needed.", "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 Women" }, { "word": "Mid-career" }, { "word": "Women" }, { "word": "Attrition" } ], "section": "Provider Workforce", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1s08f9bh", "frozenauthors": [ { "first_name": "Michelle", "middle_name": "D.", "last_name": "Lall", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Sarah", "middle_name": "M.", "last_name": "Perman", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Nidhi", "middle_name": "", "last_name": "Garg", "name_suffix": "", "institution": "Hofstra/Northwell Health, Department of Emergency Medicine, Long Island, New York", "department": "None" }, { "first_name": "Nina", "middle_name": "", "last_name": "Kohn", "name_suffix": "", "institution": "Northwell Health, Feinstein Institutes for Medical Research, Long Island, New York", "department": "None" }, { "first_name": "Kristy", "middle_name": "", "last_name": "Whyte", "name_suffix": "", "institution": "Vituity/DeKalb Emergency Physicians, Emory Decatur Hospital, Emory Hillandale Hospital, Atlanta, Georgia", "department": "None" }, { "first_name": "Alexa", "middle_name": "", "last_name": "Gips", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Hospice & Palliative Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Tracy", "middle_name": "", "last_name": "Madsen", "name_suffix": "", "institution": "Alpert Medical School, Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Jill", "middle_name": "M.", "last_name": "Baren", "name_suffix": "", "institution": "Perelman School of Medicine, University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Judith", "middle_name": "", "last_name": "Linden", "name_suffix": "", "institution": "Boston University Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-03-17T03:30:09+08:00", "date_accepted": "2020-03-17T03:30:09+08:00", "date_published": "2020-08-22T04:36:41+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13654/galley/7129/download/" } ] }, { "pk": 13553, "title": "Insurance Does Not Affect Adverse Events While Awaiting Surgery for Ankle Trauma in One System", "subtitle": null, "abstract": "Introduction:\n Ankle injuries that are not properly cared for can have devastating effects on a patient’s health and ability to maintain an active lifestyle. Recommended outpatient surgery may be difficult to obtain for many groups of patients, including those without insurance or minority races. Patients who are of low socioeconomic status also have worse outcomes following trauma. The purpose of this study was to examine whether insurance status impacts the number of adverse events that patients face prior to receiving surgical treatment following an emergency department (ED) visit for an acute ankle injury.\nMethods:\n We conducted a retrospective chart review at two medical centers within the same healthcare system. The sample included 192 patients presenting to the ED with an unstable ankle injury between October 1, 2015– May 1, 2018. We used chi-square and t-test analysis to determine differences in rates of adverse events occurring while awaiting surgery.\nResults:\n Few (4%) patients presented as being self-pay. Neither Medicare (χ2 (1) (N = 192) = 2.389, p = .122), Medicaid (χ2 (1), (N = 192) = .084, p = .772), other insurances (χ2 (1) (N = 192) = .567, p = .452), or private insurance (χ2 (1) (N=192) = .000, p = .982) was associated with a difference in rates of adverse events. Likewise, gender (χ2 (1) (N = 192) = .402, p = .526), race (χ2 (3) (N = 192) = 2.504, p = .475), and all other demographic variables failed to show a difference in occurrence of adverse events. Those admitted to the hospital did show a lower rate of adverse events compared to those sent home from the ED (χ2 (1) (N = 192) = 5.452, p = .020). Sampled patients were admitted to the hospital at a high rate (49%).\nConclusion:\n The sampled facilities did not have adverse event rates that differed based on insurance status or demographic features. These facilities, with hospital-based subsidy programs and higher than expected admission rates, may manage their vulnerable populations well and may indicate their efforts to eliminate health disparity are effective.", "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": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3mg3173m", "frozenauthors": [ { "first_name": "Adam", "middle_name": "B.", "last_name": "Dobbins", "name_suffix": "", "institution": "University of Kansas Medical Center, School of Nursing, Department, Kansas City, Kansas", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Krumme", "name_suffix": "", "institution": "Washington Cancer Institute, Department of Musculoskeletal Oncology, Washington DC, Maryland", "department": "None" }, { "first_name": "Monica", "middle_name": "", "last_name": "Gaddis", "name_suffix": "", "institution": "University of Missouri Kansas City, Department of Emergency Medicine, Kansas City, Missouri\nUniversity of Missouri Kansas City, Department of Biomedical and Health Informatics, Kansas City, Missouri", "department": "None" }, { "first_name": "Shin Hye", "middle_name": "", "last_name": "Park", "name_suffix": "", "institution": "University of Kansas Medical Center, School of Nursing, Department, Kansas City, Kansas", "department": "None" }, { "first_name": "Manna", "middle_name": "", "last_name": "Varghese", "name_suffix": "", "institution": "University of Missouri Kansas City, School of Medicine, Department, Kansas City, Missouri", "department": "None" }, { "first_name": "Michael", "middle_name": "R.", "last_name": "Brancato", "name_suffix": "", "institution": "University of Missouri Kansas City, School of Medicine, Department, Kansas City, Missouri", "department": "None" }, { "first_name": "Christopher", "middle_name": "M.", "last_name": "Shaw", "name_suffix": "", "institution": "University of Missouri Kansas City, Department of Orthopaedic Surgery, Kansas City, Missouri", "department": "None" }, { "first_name": "Karen", "middle_name": "", "last_name": "Wambach", "name_suffix": "", "institution": "University of Kansas Medical Center, School of Nursing, Department, Kansas City, Kansas", "department": "None" } ], "date_submitted": "2020-02-07T01:59:33+08:00", "date_accepted": "2020-02-07T01:59:33+08:00", "date_published": "2020-08-21T07:00:11+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13553/galley/7090/download/" } ] }, { "pk": 13584, "title": "Two-Item Fall Screening Tool Identifies Older Adults at Increased Risk of Falling after Emergency Department Visit", "subtitle": null, "abstract": "Introduction:\n Few emergency department (ED)-specific fall-risk screening tools exist. The goals of this study were to externally validate Tiedemann et al’s two-item, ED-specific fall screening tool and test handgrip strength to determine their ability to predict future falls. We hypothesized that both the two-item fall screening and handgrip strength would identify older adults at increased risk of falling.\nMethods: \nA convenience sample of patients ages 65 and older presenting to a single-center academic ED were enrolled. Patients were asked screening questions and had their handgrip strength measured during their ED visit. Patients were given one point if they answered “yes” to “Are you taking six or more medications?” and two points for answering “yes” to “Have you had two or more falls in the past year?” to give a cumulative score from 0 to 3. Participants had monthly follow- ups, via postcard questionnaires, for six months after their ED visit. We performed sensitivity and specificity analyses, and used likelihood ratios and frequencies to assess the relationship between risk factors and falls, fall-related injury, and death.\nResults: \nIn this study, 247 participants were enrolled with 143 participants completing follow-up (58%). During the six-month follow-up period, 34% of participants had at least one fall and 30 patients died (12.1%). Fall rates for individual Tiedemann scores were 14.3%, 33.3%, 60.0% and 72.2% for scores of 0,1, 2 and 3, respectively. Low handgrip strength was associated with a higher proportion of falls (46.3%), but had poor sensitivity (52.1%).\nConclusion:\n Handgrip strength was not sensitive in screening older adults for future falls. The Tiedemann rule differentiated older adults who were at high risk for future falls from low risk individuals, and can be considered by EDs wanting to screen older adults for future fall risk.", "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": "Falls, Geriatrics, Fall Risk Screening" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6wc4617n", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "J.", "last_name": "Solie", "name_suffix": "", "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Morgan", "middle_name": "B.", "last_name": "Swanson", "name_suffix": "", "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Kari", "middle_name": "", "last_name": "Harland", "name_suffix": "", "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Blum", "name_suffix": "", "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Kin", "name_suffix": "", "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Nicholas", "middle_name": "", "last_name": "Mohr", "name_suffix": "", "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" } ], "date_submitted": "2020-02-18T02:53:34+08:00", "date_accepted": "2020-02-18T02:53:34+08:00", "date_published": "2020-08-21T06:53:56+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13584/galley/7105/download/" } ] }, { "pk": 13502, "title": "Feasibility of Health Literacy Tools for Older Patients in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nThis study evaluates the feasibility of using a volunteer research associate (RA) to administer two separate health literacy assessment tools in the emergency department (ED), specifically in an older population of patients. The outcomes measured were administration time and interruptions.\nMethods:\n Using a prospective, cross-sectional study with a convenience sample, adult patients over the age of 55 presenting between June–August 2018 to one urban, academic ED were evaluated by a volunteer RA using either the Newest Vital Sign (NVS) or the Short Assessment of Health Literacy (SAHL). All patients 55 years of age or older who consented to participate were included. We excluded from this study the following: patients with dementia or other disability involving reading, speech, or cognitive function, as noted in their medical record or by their attending physician; prisoners; and those subjectively deemed in extremis or too ill to participate by their attending physician.\nResults: \nHealth literacy was assessed in 202 patients using either the NVS or SAHL. Mean time of administration was 214.0 seconds for the NVS, and 206.8 for the SAHL. The maximum time of administration for the NVS was 563 seconds, compared to 607 seconds for the SAHL. We found that 95.2% of NVS and 93.9% of SAHL tests incurred no interruptions during administration.\nConclusion:\n No significant difference was found between the length of time needed to administer the NVS or SAHL to older patients in the ED. Both tools averaged an administration time of around three to four minutes, and neither incurred regular interruptions to its administration by a volunteer RA. Further study is needed to assess validity of these tools in an ED setting.", "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": "Health Literacy" }, { "word": "emergency department" }, { "word": "Newest Vital Sign" }, { "word": "SAHL" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3wm2z2mj", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "J.", "last_name": "McGuinness", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Bucher", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Karz", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Carla", "middle_name": "", "last_name": "Pardee", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Laryssa", "middle_name": "", "last_name": "Patti", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Pamela", "middle_name": "", "last_name": "Ohman-Strickland", "name_suffix": "", "institution": "Rutgers School of Public Health, Piscataway, New Jersey", "department": "None" }, { "first_name": "Jonathan", "middle_name": "V.", "last_name": "McCoy", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" } ], "date_submitted": "2020-01-19T05:20:18+08:00", "date_accepted": "2020-01-19T05:20:18+08:00", "date_published": "2020-08-21T06:50:13+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13502/galley/7075/download/" } ] }, { "pk": 13543, "title": "Age-adjusted and Expanded Lactate Thresholds as Predictors of All-Cause Mortality in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n While numerous studies have found emergency department (ED) lactate levels to be associated with increased in-hospital mortality, little information is available on the role age plays in this association. This study investigates whether age is a necessary variable to consider when using lactate levels as a marker of prognosis and a guide for management decisions in the ED.\nMethods:\n This was a retrospective cohort study in an urban, tertiary-care teaching hospital. A total of 13,506 lactate levels were obtained over a 4.5-year period. All adult patients who had a lactate level obtained by the treating provider in the ED were screened for inclusion. The main outcome measure was in-hospital mortality using age-adjusted cohorts and expanded lactate thresholds with secondary outcomes comparing mortality based on the primary clinical impression.\nResults:\n Of the 8796 patients in this analysis, there were 474 (5.4%) deaths. Mortality rates increased with both increasing lactate levels and increasing age. For all ages, mortality rates increased from 2.8% in the less than 2.0 millimoles per liter (mmol/L) lactate level, to 5.6% in the 2.0-2.9 mmol/L lactate level, to 8.0% in the 3.0-3.9 mmol/L lactate level, to 13.9% in the 4.0-4.9 mmol/L lactate level, to 13.7% in the 5.0-5.9 mmol/L lactate level, and to 39.1% in the 6.0 mmol/L or greater lactate level (p <0.0001). Survivors, regardless of age, had a mean lactate level <2.0 whereas non-survivors had mean lactate levels of 6.5, 4.5, and 3.7 mmol/L for age cohorts 18-39, 40-64, and ≥ 65 years, respectively.\nConclusion:\n Our findings suggest that although lactate levels can be used as a prognostic tool to risk stratify ED patients, the traditional lactate level thresholds may need to be adjusted to account for varying risk based on age and clinical impressions.", "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": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7m52m7nn", "frozenauthors": [ { "first_name": "Chad", "middle_name": "M.", "last_name": "Cannon", "name_suffix": "", "institution": "University of Kansas Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Ross", "middle_name": "T.", "last_name": "Miller", "name_suffix": "", "institution": "University of Kansas Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Krista", "middle_name": "L.", "last_name": "Grow", "name_suffix": "", "institution": "University of Kansas Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Seth", "middle_name": "", "last_name": "Purcell", "name_suffix": "", "institution": "University of Kansas Medical Center, Department of Emergency Medicine, Kansas City, Kansas", "department": "None" }, { "first_name": "Niaman", "middle_name": "", "last_name": "Nazir", "name_suffix": "", "institution": "University of Kansas Medical Center, Department of Preventative Medicine and Public Health, Kansas City, Kansas", "department": "None" } ], "date_submitted": "2020-02-04T09:18:55+08:00", "date_accepted": "2020-02-04T09:18:55+08:00", "date_published": "2020-08-21T06:38:51+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13543/galley/7088/download/" } ] }, { "pk": 13573, "title": "Counseling on Access to Lethal Means-Emergency Department (CALM-ED): A Quality Improvement Program for Firearm Injury Prevention", "subtitle": null, "abstract": "Introduction: \nSuicide is the 10th leading cause of death in the United States, with firearms reported as the cause of death in up to 50% of these cases. Our goal was to evaluate the feasibility of the Counseling on Access to Lethal Means intervention in the Emergency Department (CALM-ED) by non-physician personnel.\nMethods:\n We conducted this single-center, prospective, quality improvement study (QI) in an urban, academic ED with over 90,000 annual patient visits. The study looked at adult patients who were discharged after presenting to the ED with suicidal crisis. Assessment of access to lethal means was conducted at the bedside, followed by a counseling session regarding safe storage of lethal means and follow-up via telephone call 48-72 hours after ED discharge. We collected data on patient’s sociodemographics, psychiatric history, access to lethal means, lethal means storage methods, the patient’s specific plans for lethal means storage after discharge, and post-discharge follow-up care.\nResults: \nOf 215 eligible patients, 166 voluntarily agreed to participate in CALM-ED, of whom 84 (51%) reported access to lethal means. Following the intervention, 75% of patients described a specific storage plan for their lethal means. Patients with and without access to firearms were equally likely to participate in the follow-up telephone call.\nConclusion:\n An ED-based CALM QI intervention is feasible for implementation by non-physician personnel and is well received by patients and families. This intervention has the potential to help saves lives at times of suicide crisis.", "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": "Suicide Prevention" }, { "word": "risk assessment" }, { "word": "firearm suicide prevention" }, { "word": "Quality Improvement" } ], "section": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/69b9m0zv", "frozenauthors": [ { "first_name": "Kristen", "middle_name": "L.", "last_name": "Mueller", "name_suffix": "", "institution": "Washington University in St. Louis School of Medicine, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" }, { "first_name": "Sonya", "middle_name": "", "last_name": "Naganathan", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Richard", "middle_name": "T.", "last_name": "Griffey", "name_suffix": "", "institution": "Washington University in St. Louis School of Medicine, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" } ], "date_submitted": "2020-02-14T23:06:24+08:00", "date_accepted": "2020-02-14T23:06:24+08:00", "date_published": "2020-08-21T06:34:59+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13573/galley/7098/download/" } ] }, { "pk": 13494, "title": "Improving Understanding of Screening Questions for Social Risk and Social Need Among Emergency Department Patients", "subtitle": null, "abstract": "Introduction: \nWith recent healthcare policy changes, including the creation of accountable care organizations, screening for social risks such as food and housing insecurity has become increasingly common in the healthcare system. However, the wide variety of different tools used for screening makes it challenging to compare across systems. In addition, the majority of tools used to measure social risks have only been tested in primary care settings and may not be optimal for emergency department (ED) use. Therefore, the goal of this study was to create a brief social screening tool for use in EDs.\nMethods:\n We developed an initial tool using publicly available questions corresponding to the five core categories of the Centers for Medicare & Medicaid Services’ Accountable Health Communities Screening Tool. Iterative cycles of cognitive interviews with purposively sampled participants were performed using a hybrid model of think-aloud and verbal probing to understand/experience answering questions and potential comprehension challenges. After thematic saturation was reached in one cycle, the tool was changed per participant input; cycles were completed until thematic saturation was reached overall.\nResults: \nA total of 16 participants (six patient guardians and 10 patients) completed cognitive interviews throughout three cycles. Participant feedback included suggestions for further clarification and simplification of survey questions for improved comprehension. The survey was thus reduced and simplified from 16 questions concerning five domains to 10 questions concerning four domains.\nConclusion:\n We used an iterative cognitive interviewing process to develop a social screening tool for use in EDs. This process demonstrates the importance of patient input to refine questionnaires, and provides a brief screening tool for ED use.", "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, social determinants of health, social risk, social need" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3hx155tn", "frozenauthors": [ { "first_name": "Gia", "middle_name": "", "last_name": "Ciccolo", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Alexa", "middle_name": "", "last_name": "Curt", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo Jr.", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Margaret", "middle_name": "", "last_name": "Samuels-Kalow", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-01-16T03:33:29+08:00", "date_accepted": "2020-01-16T03:33:29+08:00", "date_published": "2020-08-21T06:30:47+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13494/galley/7071/download/" } ] }, { "pk": 13947, "title": "COVID-19: A Driver for Disruptive Innovation of the Emergency Medicine Residency Application Process", "subtitle": null, "abstract": "Recommendations from the Council of Residency Directors Application Process Improvement Committee (CORD-APIC)\nThe coronavirus disease (COVID-19) pandemic has had a significant impact on undergraduate medical education with limitation of patient care activities and disruption to medical licensing examinations. In an effort to promote both safety and equity, the emergency medicine (EM) community has recommended no away rotations for EM applicants and entirely virtual interviews during this year’s residency application cycle. These changes affect the components of the EM residency application most highly regarded by program directors – Standardized Letters of Evaluation from EM rotations, board scores, and interactions during the interview. The Council of Residency Directors in Emergency Medicine Application Process Improvement Committee suggests solutions not only for the upcoming year but also to address longstanding difficulties within the process, encouraging residency programs to leverage these challenges as an opportunity for disruptive innovation.", "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": "residency application, interviews, away rotations, COVID-19" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/687977vr", "frozenauthors": [ { "first_name": "Alexis", "middle_name": "", "last_name": "Pelletier-Bui", "name_suffix": "", "institution": "Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Doug", "middle_name": "", "last_name": "Franzen", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Liza", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "University of Massachusetts Medical School Baystate Health, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Hopson", "name_suffix": "", "institution": "University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Lucienne", "middle_name": "", "last_name": "Lutfy-Clayton", "name_suffix": "", "institution": "University of Massachusetts Medical School Baystate Health, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Kendra", "middle_name": "", "last_name": "Parekh", "name_suffix": "", "institution": "Vanderbilt University School of Medicine, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Olaf", "name_suffix": "", "institution": "Geisinger Commonwealth School of Medicine, Department of Emergency Medicine, Scranton, Pennsylvania", "department": "None" }, { "first_name": "Tom", "middle_name": "", "last_name": "Morrissey", "name_suffix": "", "institution": "University of Florida College of Medicine-Jacksonville, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Gordon", "name_suffix": "", "institution": "Duke University, Division of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Erin", "middle_name": "", "last_name": "McDonough", "name_suffix": "", "institution": "University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Schnapp", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Mary Ann", "middle_name": "", "last_name": "Edens", "name_suffix": "", "institution": "Louisiana State University Health Shreveport, Department of Emergency Medicine, Shreveport, Louisiana", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Kiemeney", "name_suffix": "", "institution": "Loma Linda University School of Medicine, Department of Emergency Medicine, Loma Linda, California", "department": "None" } ], "date_submitted": "2020-05-20T23:51:58+08:00", "date_accepted": "2020-05-20T23:51:58+08:00", "date_published": "2020-08-20T07:59:50+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13947/galley/7246/download/" } ] }, { "pk": 13941, "title": "Development and Usability Testing of a Web-based COVID-19 Self-triage Platform", "subtitle": null, "abstract": "Introduction:\n The development and deployment of a web-based, self-triage tool for severe respiratory syndrome coronavirus 2 (COVID-19 disease) aimed at preventing surges in healthcare utilization could provide easily understandable health guidance with the goal of mitigating unnecessary emergency department (ED) and healthcare visits. We describe the iterative development and usability testing of such a tool. We hypothesized that adult users could understand and recall the recommendations provided by a COVID-19 web-based, self-triage tool.\nMethods:\n We convened a multidisciplinary panel of medical experts at two academic medical schools in an iterative redesign process of a previously validated web-based, epidemic screening tool for the current COVID-19 pandemic. We then conducted a cross-sectional usability study over a 24-hour period among faculty, staff, and students at the two participating universities. Participants were randomly assigned a pre-written health script to enter into the self-triage website for testing. The primary outcome was immediate recall of website recommendations. Secondary outcomes included usability measures. We stratified outcomes by demographic characteristics.\nResults:\n A final sample of 877 participants (mean age, 32 years [range, 19-84 years]; 65.3% female) was used in the analysis. We found that 79.4% of the participants accurately recalled the recommendations provided by the website. Almost all participants (96.9%) found the website easy to use and navigate.\nConclusion:\n Adult users of a COVID-19 self-triage website, recruited from an academic setting, were able to successfully recall self-care instructions from the website and found it user-friendly. This website appears to be a feasible way to provide evidence-based health guidance to adult patients during a pandemic. Website guidance could be used to reduce unnecessary ED and healthcare visits.", "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": "Disaster Medicine" }, { "word": "COVID 19" }, { "word": "self triage" }, { "word": "surge mitigation" }, { "word": "self assessment" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5495v8w1", "frozenauthors": [ { "first_name": "Justin", "middle_name": "D.", "last_name": "Schrager", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Keke", "middle_name": "", "last_name": "Schuler", "name_suffix": "", "institution": "National Center for Disaster Medicine and Public Health, Department, Bethesda, Maryland", "department": "None" }, { "first_name": "Alexander", "middle_name": "P.", "last_name": "Isakov", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "David", "middle_name": "W.", "last_name": "Wright", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Anna", "middle_name": "Q.", "last_name": "Yaffee", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Kara", "middle_name": "L.", "last_name": "Jacobson", "name_suffix": "", "institution": "Rollins School of Public Health, Department of Health Policy and Management, Atlanta, Georgia", "department": "None" }, { "first_name": "Ruth", "middle_name": "M.", "last_name": "Parker", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Craig", "middle_name": "", "last_name": "Goolsby", "name_suffix": "", "institution": "Uniformed Services University of the Health Sciences, Department of Military and Emergency Medicine, Bethesda, Maryland", "department": "None" } ], "date_submitted": "2020-05-15T21:42:10+08:00", "date_accepted": "2020-05-15T21:42:10+08:00", "date_published": "2020-08-20T07:55:12+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13941/galley/7245/download/" } ] }, { "pk": 65990, "title": "Small Bowel Obstruction and Pneumatosis Intestinalis: Followed by a case of Small Bowel Obstruction by Ideen Zeinali, MD and Matthew Edwards", "subtitle": null, "abstract": "<p>A 54-year-old African American male presented to the emergency department (ED) complaining of 3 days of diffuse abdominal pain, obstipation, and intermittent non-bilious, non-bloody emesis...</p>", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/57x5p5s1", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Gibbons", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-19T05:17:06.007832+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65990/galley/50582/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65990/galley/50582/download/" } ] }, { "pk": 65979, "title": "Hyper-reactive Malarial Splenomegaly", "subtitle": null, "abstract": "A 19-year-old male who has just emigrated from Papua New Guinea to the United States presents for evaluation to his primary care provider for an abdominal pain and swelling as well as weight loss...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Abdomen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/78m8w8hj", "frozenauthors": [ { "first_name": "Amanda", "middle_name": "", "last_name": "Ferguson", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Stein-Wexler", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-18T11:04:17.403109+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65979/galley/50571/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65979/galley/50571/download/" } ] }, { "pk": 14070, "title": "Barrier Enclosure for Endotracheal Intubation in a Simulated COVID-19 Scenario: A Crossover Study", "subtitle": null, "abstract": "Introduction:\n Barrier enclosures have been developed to reduce the risk of COVID-19 transmission to healthcare providers during intubation, but little is known about their impact on procedure performance. We sought to determine whether a barrier enclosure delays time to successful intubation by experienced airway operators.\nMethods:\n We conducted a crossover simulation study at a tertiary academic hospital. Participants watched a four-minute video, practiced one simulated intubation with a barrier enclosure, and then completed one intubation with and one without the barrier enclosure (randomized to determine order). The primary outcome measure was time from placement of the video laryngoscope at the lips to first delivered ventilation. Secondary outcomes were periprocedural complications and participant responses to a post-study survey.\nResults:\n Proceduralists (n = 50) from emergency medicine and anesthesiology had median intubation times of 23.6 seconds with practice barrier enclosure, 20.5 seconds with barrier enclosure, and 16.7 seconds with no barrier. Intubation with barrier enclosure averaged 4.5 seconds longer (95% confidence interval, 2.7-6.4, p < .001) than without, but was less than the predetermined clinical significance threshold of 10 seconds. Three complications occurred, all during the practice intubation. Barrier enclosure made intubation more challenging according to 48%, but 90% indicated they would consider using it in clinical practice.\nConclusion:\n Experienced airway operators performed intubation using a barrier enclosure with minimal increased time to procedure completion in this uncomplicated airway model. Given potential to reduce droplet spread, use of a barrier enclosure may be an acceptable adjunct to endotracheal intubation for those familiar with its use.", "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": "Barrier Enclosure" }, { "word": "COVID-19" }, { "word": "Simulation" }, { "word": "endotracheal intubation" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7cp821wt", "frozenauthors": [ { "first_name": "Torrey", "middle_name": "A", "last_name": "Laack", "name_suffix": "", "institution": "Mayo Medical School", "department": "None" }, { "first_name": "Franziska", "middle_name": "", "last_name": "Pollok", "name_suffix": "", "institution": "Mayo Clinic, Mayo Clinic Multidisciplinary Simulation Center, Rochester, Minnesota", "department": "None" }, { "first_name": "Benjamin", "middle_name": "J.", "last_name": "Sandefur", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Aidan", "middle_name": "F.", "last_name": "Mullan", "name_suffix": "", "institution": "Mayo Clinic, Division of Biomedical Statistics and Informatics, Rochester, Minnesota", "department": "None" }, { "first_name": "Christopher", "middle_name": "S.", "last_name": "Russi", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Suraj", "middle_name": "M.", "last_name": "Yalamuri", "name_suffix": "", "institution": "Mayo Clinic, Department of Anesthesiology, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2020-06-05T21:04:21+08:00", "date_accepted": "2020-06-05T21:04:21+08:00", "date_published": "2020-08-18T05:54:13+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14070/galley/7294/download/" } ] }, { "pk": 14129, "title": "The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review", "subtitle": null, "abstract": "At the heart of the unparalleled crisis of COVID-19, healthcare workers (HCWs) face several challenges treating patients with COVID-19: reducing the spread of infection; developing suitable short-term strategies; and formulating long-term plans. The psychological burden and overall wellness of HCWs has received heightened awareness in news and research publications. The purpose of this study was to provide a review on current publications measuring the effects of COVID-19 on wellness of healthcare providers to inform interventional strategies. Between April 6–May 17, 2020, we conducted systematic searches using combinations of these keywords and synonyms in conjunction with the controlled vocabulary of the database: “physician,” “wellness, “wellbeing,” “stress,” “burnout,” “COVID-19,” and “SARS-CoV-2.” We excluded articles without original data, research studies regarding the wellness of non-healthcare occupations or the general public exclusively, other outbreaks, or wellness as an epidemic. A total of 37 studies were included in this review. The review of literature revealed consistent reports of stress, anxiety, and depressive symptoms in HCWs as a result of COVID-19. We describe published data on HCW distress and burnout but urge future research on strategies to enhance HCW well-being.", "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": "Wellness" }, { "word": "healthcare" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/11w7372f", "frozenauthors": [ { "first_name": "Jacob", "middle_name": "", "last_name": "Shreffler", "name_suffix": "", "institution": "University of Louisville, Department of Emergency Medicine, Louisville, Kentucky", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Petrey", "name_suffix": "", "institution": "University of Louisville, Kornhauser Library, Louisville, Kentucky", "department": "None" }, { "first_name": "Martin", "middle_name": "", "last_name": "Huecker", "name_suffix": "", "institution": "University of Louisville, Department of Emergency Medicine, Louisville, Kentucky", "department": "None" } ], "date_submitted": "2020-06-13T00:42:37+08:00", "date_accepted": "2020-06-13T00:42:37+08:00", "date_published": "2020-08-18T05:49:11+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14129/galley/7312/download/" } ] }, { "pk": 14162, "title": "Homeless Shelter Characteristics and Prevalence of SARS-CoV-2", "subtitle": null, "abstract": "Introduction:\n The unfolding COVID-19 pandemic has predictably followed the familiar contours of well established socioeconomic health inequities, exposing and often amplifying preexisting disparities. People living in homeless shelters are at higher risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) compared to the general population. The purpose of this study was to identify shelter characteristics that may be associated with higher transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).\nMethods: \nWe conducted a cross-sectional assessment of five congregate shelters in Rhode Island. Shelter residents 18 years old and older were tested for SARS-CoV-2 from April 19–April 24, 2020. At time of testing, we collected participant characteristics, symptomatology, and vital signs. Shelter characteristics and infection control strategies were collected through a structured phone questionnaire with shelter administrators.\nResults:\n A total of 299 shelter residents (99%, 299/302) participated. Thirty-five (11.7%) tested positive for SARS-CoV-2. Shelter-level prevalence ranged from zero to 35%. Symptom prevalence did not vary by test result. Shelters with positive cases of SARS-CoV-2 were in more densely populated areas, had more transient resident populations, and instituted fewer physical distancing practices compared to shelters with no cases.\nConclusion:\n SARS-CoV-2 prevalence varies with shelter characteristics but not individual symptoms. Policies that promote resident stability and physical distancing may help reduce SARS-CoV-2 transmission. Symptom screening alone is insufficient to prevent SARS-CoV-2 transmission. Frequent universal testing and congregate housing alternatives that promote stability may help reduce spread of infection.", "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, homelessness" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0rg9c977", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "", "last_name": "Karb", "name_suffix": "", "institution": "Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Samuels", "name_suffix": "", "institution": "Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Rahul", "middle_name": "", "last_name": "Vanjani", "name_suffix": "", "institution": "Alpert School of Medicine of Brown University, Department of Internal Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Catherine", "middle_name": "", "last_name": "Trimbur", "name_suffix": "", "institution": "Alpert School of Medicine of Brown University, Department of Internal Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Anthony", "middle_name": "", "last_name": "Napoli", "name_suffix": "", "institution": "Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2020-06-15T15:36:29+08:00", "date_accepted": "2020-06-15T15:36:29+08:00", "date_published": "2020-08-18T05:29:47+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14162/galley/7322/download/" } ] }, { "pk": 14217, "title": "Diagnostic and Prognostic Value of Chest Radiographs for COVID-19 at Presentation", "subtitle": null, "abstract": "Introduction:\n Pulmonary opacities in COVID-19 increase throughout the illness and peak after ten days. The radiological literature mainly focuses on CT findings. The purpose of this study was to assess the diagnostic and prognostic value of chest radiographs (CXR) for coronavirus disease 2019 (COVID-19) at presentation.\nMethods:\n We retrospectively identified consecutive reverse transcription polymerase reaction-confirmed COVID-19 patients (n = 104, 75% men) and patients (n = 75, 51% men) with repeated negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) tests. Two radiologists blindly and independently reviewed the CXRs, documented findings, assigned radiographic assessment of lung edema (RALE) scores, and predicted the patients’ COVID-19 status. We calculated interobserver reliability. The score use for diagnosis and prognosis of COVID-19 was evaluated with the area under the receiver operating characteristic curve.\nResults:\n The overall RALE score failed to identify COVID-19 patients at presentation. However, the score was inversely correlated with a COVID-19 diagnosis within ≤2 days, and a positive correlation was found six days after symptom onset.Interobserver agreement with regard to separating normal from abnormal CXRs was moderate (k = 0.408) with low specificity (25% and 27%). Definite pleural effusion had almost perfect agreement (k = 0.833) and substantially reduced the odds of a COVID-19 diagnosis. Disease distribution and experts’ opinion on COVID-19 status had only fair interobserver agreement. The RALE score interobserver reliability was moderate to good (intraclass correlation coefficient = 0.745). A high RALE score predicted a poor outcome (intensive care unit hospitalization, intubation, or death) in COVID-19 patients; a score of ≥5 substantially increased the odds of having a poor outcome.\nConclusion: \nChest radiography was found not to be a valid diagnostic tool for COVID-19, as normal or near-normal CXRs are more likely early in the disease course. Pleural effusions at presentation suggest a diagnosis other than COVID-19. More extensive lung opacities at presentation are associated with poor outcome in COVID-19 patients. Thus, patients with more than minimal opacities should be monitored closely for clinical deterioration. This clinical application of CXR is its greatest strength in COVID-19 as it impacts patient care.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID-19" }, { "word": "SARS-CoV-2" }, { "word": "Chest radiograph" }, { "word": "CXR" }, { "word": "Diagnostic tests" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/20s5v5k7", "frozenauthors": [ { "first_name": "Ariel", "middle_name": "", "last_name": "Kerpel", "name_suffix": "", "institution": "Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Apter", "name_suffix": "", "institution": "Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" }, { "first_name": "Noam", "middle_name": "", "last_name": "Nissan", "name_suffix": "", "institution": "Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" }, { "first_name": "Esther", "middle_name": "", "last_name": "Houri-Levi", "name_suffix": "", "institution": "Department of Medicine ‘B’, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" }, { "first_name": "Maximiliano", "middle_name": "", "last_name": "Klug", "name_suffix": "", "institution": "Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" }, { "first_name": "Sharon", "middle_name": "", "last_name": "Amit", "name_suffix": "", "institution": "Clinical Microbiology, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" }, { "first_name": "Eli", "middle_name": "", "last_name": "Konen", "name_suffix": "", "institution": "Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" }, { "first_name": "Edith", "middle_name": "M.", "last_name": "Marom", "name_suffix": "", "institution": "Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Israel", "department": "None" } ], "date_submitted": "2020-06-25T01:05:45+08:00", "date_accepted": "2020-06-25T01:05:45+08:00", "date_published": "2020-08-18T05:25:06+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14217/galley/7337/download/" } ] }, { "pk": 14232, "title": "United States Congressional COVID-19 Legislation: Recent Laws and Future Topics", "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": "health policy, health law, Congress, COVID-19, coronavirus" } ], "section": "Health Policy Analysis", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/748005vg", "frozenauthors": [ { "first_name": "Marisa", "middle_name": "K.", "last_name": "Dowling", "name_suffix": "", "institution": "George Washington University Medical Faculty Associates, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Aisha", "middle_name": "T.", "last_name": "Terry", "name_suffix": "", "institution": "George Washington University Medical Faculty Associates, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Natalie", "middle_name": "L.", "last_name": "Kirilichin", "name_suffix": "", "institution": "George Washington University Medical Faculty Associates, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Jennifer", "middle_name": "S.", "last_name": "Lee", "name_suffix": "", "institution": "George Washington University Medical Faculty Associates, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Janice", "middle_name": "C.", "last_name": "Blanchard", "name_suffix": "", "institution": "George Washington University Medical Faculty Associates, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" } ], "date_submitted": "2020-06-27T11:34:04+08:00", "date_accepted": "2020-06-27T11:34:04+08:00", "date_published": "2020-08-18T05:19:57+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14232/galley/7342/download/" } ] }, { "pk": 13692, "title": "MIST (Modified Intubating Sequence for Transmissibility) Bundle for Infectious Diseases with Aerosol Hazard", "subtitle": null, "abstract": "The current global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has magnified the risk to healthcare providers when inititiating airway management, and safe tracheal intubation has become of paramount importance. Mitigation of risk to frontline providers requires airway management to be an orchestrated exercise based on training and purposeful simulation. Role allocation and closed-loop communication form the foundation of this exercise. We describe a methodical, 10-step approach from decision-making and meticulous drug and equipment choices to donning of personal protective equipment, and procedural concerns. This bundled approach will help reduce unplanned actions, which in turn may reduce the risk of aerosol transmission during airway management in resource-limited settings.", "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": "Airway Management" }, { "word": "Resource limited setting" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0g21h3dn", "frozenauthors": [ { "first_name": "Jayaraj", "middle_name": "M.", "last_name": "Balakrishnan", "name_suffix": "", "institution": "Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India", "department": "None" }, { "first_name": "Sanjan", "middle_name": "", "last_name": "Asanaru Kunju", "name_suffix": "", "institution": "Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Wilson", "name_suffix": "", "institution": "Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India", "department": "None" }, { "first_name": "Sachin", "middle_name": "", "last_name": "Nayak Sujir", "name_suffix": "", "institution": "Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India", "department": "None" }, { "first_name": "Rachana", "middle_name": "", "last_name": "Bhat", "name_suffix": "", "institution": "Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India", "department": "None" }, { "first_name": "K.E.", "middle_name": "", "last_name": "Vandana", "name_suffix": "", "institution": "Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India", "department": "None" } ], "date_submitted": "2020-03-29T18:10:45+08:00", "date_accepted": "2020-03-29T18:10:45+08:00", "date_published": "2020-08-18T05:16:13+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13692/galley/7151/download/" } ] }, { "pk": 14107, "title": "Point-of-Care Ultrasound for Intubation Confirmation of COVID-19 Patients", "subtitle": null, "abstract": "The novel coronavirus disease of 2019 (COVID-19) is associated with significant morbidity and mortality, as well as large numbers of patients requiring endotracheal intubation. While much of the literature has focused on the intubation technique, there is scant discussion of intubation confirmation. Herein, we discuss the limitations of traditional confirmatory approaches, summarize the literature supporting a role for point-of-care ultrasound in this application, and propose an algorithm for intubation confirmation among COVID-19 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": "intubation" }, { "word": "ultrasound" }, { "word": "POCUS" }, { "word": "COVID" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/91m0k0gr", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Alerhand", "name_suffix": "", "institution": "Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey", "department": "None" }, { "first_name": "Brit", "middle_name": "", "last_name": "Long", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" } ], "date_submitted": "2020-06-11T04:58:10+08:00", "date_accepted": "2020-06-11T04:58:10+08:00", "date_published": "2020-08-18T05:09:47+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14107/galley/7307/download/" } ] }, { "pk": 14057, "title": "Streamlining Care in Crisis: Rapid Creation and Implementation of a Digital Support Tool for COVID-19", "subtitle": null, "abstract": "The unprecedented COVID-19 pandemic has resulted in rapidly evolving best practices for transmission reduction, diagnosis, and treatment. A regular influx of new information has upended traditionally static hospital protocols, adding additional stress and potential for error to an already overextended system. To help equip frontline emergency clinicians with up-to-date protocols throughout the evolving COVID-19 crisis, our team set out to create a dynamic digital tool that centralized and standardized resources from a broad range of platforms across our hospital. Using a design thinking approach, we rapidly built, tested, and deployed a solution using simple, out-of-the-box web technology that enables clinicians to access the specific information they seek within moments. This platform has been rapidly adopted throughout the emergency department, with up to 70% of clinicians using the digital tool on any given shift and 78.6% of users reporting that they “agree” or “strongly agree” that the platform has affected their management of COVID-19 patients. The tool has also proven easily adaptable, with multiple protocols being updated nearly 20 times over two months without issue. This paper describes our development process, challenges, and results to enable other institutions to replicate this process to ensure consistent, high-quality care for patients as the COVID-19 pandemic continues its unpredictable course.", "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, Medicine, Emergency Management, Information Technology" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0vj3s17g", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "", "last_name": "Stark", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Michaela", "middle_name": "", "last_name": "Kerrissey", "name_suffix": "", "institution": "Harvard School of Public Health, Department of Health Policy and Management, Boston, Massachusetts", "department": "None" }, { "first_name": "Madeline", "middle_name": "", "last_name": "Grade", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Beth", "middle_name": "", "last_name": "Berrean", "name_suffix": "", "institution": "University of California San Francisco, School of Medicine Tech Division, San Francisco, California", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Peabody", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2020-06-08T23:16:33+08:00", "date_accepted": "2020-06-08T23:16:33+08:00", "date_published": "2020-08-18T05:05:57+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14057/galley/7291/download/" } ] }, { "pk": 13830, "title": "Impact of Social Distancing on Individuals Who Use Drugs: Considerations for Emergency Department Providers", "subtitle": null, "abstract": "The isolation that comes from social distancing during the COVID-19 pandemic can be particularly detrimental to the United States’ population of people who use drugs. People with substance use disorders may be at risk for return to use, exacerbation of existing mental health disorders, and risky drug practices. In this commentary, we review the risk to people who use drugs and how emergency department providers can best support these individuals during the unprecedented time of social distancing.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "social distancing, COVID-19, harm reduction" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6c34486s", "frozenauthors": [ { "first_name": "Kathy", "middle_name": "T.", "last_name": "LeSaint", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California\nCalifornia Poison Control System, San Francisco, California", "department": "None" }, { "first_name": "Hannah", "middle_name": "R.", "last_name": "Snyder", "name_suffix": "", "institution": "University of California San Francisco, Department of Family and Community Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2020-04-27T01:04:36+08:00", "date_accepted": "2020-04-27T01:04:36+08:00", "date_published": "2020-08-18T05:01:21+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13830/galley/7204/download/" } ] }, { "pk": 3812, "title": "Editors’ Note", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Editorial Notes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/17z7211d", "frozenauthors": [ { "first_name": "Yanin", "middle_name": "", "last_name": "Kramsky", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Giselle", "middle_name": "", "last_name": "Mendonça Abreu", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Priscila", "middle_name": "", "last_name": "Coli", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2020-08-18T02:36:32+08:00", "date_accepted": "2020-08-18T02:36:32+08:00", "date_published": "2020-08-18T02:38:03+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3812/galley/2471/download/" } ] }, { "pk": 2291, "title": "L2 Multimodal Composing Abroad: Remixing Languages, Cultures, and Identities", "subtitle": null, "abstract": "This paper explores the second language, digital multimodal composing practices of 12 American undergraduates studying French abroad in Paris. Drawing on multiliteracies, multimodality, and translanguaging frameworks, this study utilizes a qualitative lens and multimodal composing timescapes to analyze how students leveraged languages and modes across 72 digital multimodal reflections and vlogs. Findings demonstrate how reflective multimodal composing developed multilingual identities by fostering metalinguistic awareness and goal-setting practices. Through their vlogs, students additionally participated in transcultural repositioning by making cross-cultural connections and sharing emotional experiences. Throughout the term students increased in traversals of modes, languages, spaces, and places as they became more comfortable with the French language, living in France, and multimodal composing. These results illustrate how digital multimodal composing can enhance learners’ linguistic and intercultural competencies while studying abroad. The article concludes with implications for multimodal composing to learn languages and calls for further research on the reflective multimodal composing practices of second language learners.", "language": "fr", "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.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nc-nd/4.0" }, "keywords": [ { "word": "Multimodal Composing" }, { "word": "multiliteracies" }, { "word": "Translanguaging" }, { "word": "Study abroad" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4qh4p8t3", "frozenauthors": [ { "first_name": "Natalie", "middle_name": "", "last_name": "Amgott", "name_suffix": "", "institution": "University of Arizona", "department": "None" } ], "date_submitted": "2020-02-23T09:42:40+08:00", "date_accepted": "2020-02-23T09:42:40+08:00", "date_published": "2020-08-16T05:18:22+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2291/galley/1436/download/" } ] }, { "pk": 2279, "title": "Developing Performative Competence and Teacher Artistry: A Pedagogical Imperative in the Multicultural Classroom", "subtitle": null, "abstract": "Teaching performatively is an art that must be honed and developed through sustained practice. In this paper, I explore the theoretical considerations of a \nperformative-humanistic\n \napproach to second language acquisition and the practical applications for a performance-based pedagogy, which is meant to offer readers an occasion to reflect on what it means to prepare students to become reflective and critical performers on the world stage. Particular attention is placed on the unique roles teachers play, and the responsibilities inherent in those roles. The paper is also an invitation to revisit existing approaches and practices through a performative lens engaging in a dynamic interdisciplinary dialogue, reflecting on the aesthetic dimension of language learning, and exploring the potential of the theatrical experience in the construction of a Self able to represent, perceive, create, and reflect.", "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.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nc-nd/4.0" }, "keywords": [ { "word": "performative competence" }, { "word": "aesthetic dimension of language" }, { "word": "drama pedagogy" }, { "word": "performative-humanistic approach to language teaching" }, { "word": "performance based pedagogy" }, { "word": "teaching the multicultural student" }, { "word": "professional development" }, { "word": "performative literacy" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1jj590zm", "frozenauthors": [ { "first_name": "Annamaria", "middle_name": "", "last_name": "Bellezza", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2019-12-05T07:02:46+08:00", "date_accepted": "2019-12-05T07:02:46+08:00", "date_published": "2020-08-15T09:20:59+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2279/galley/1432/download/" } ] }, { "pk": 3808, "title": "Urban Bites and Agrarian Bytes: Digital Agriculture and Extended Urbanization", "subtitle": null, "abstract": "Capitalist agriculture faces a crisis. Plateauing yields and profits are driving up food prices, and the ability to continue the traditional practice of expanding into new, un-commodified territories appears to be waning. This crisis is due in large part to the accelerating biophysical contradictions of industrial agriculture, which systematically undermine the ecological conditions for its own success in pursuit of profit. We investigate how digital technologies are deployed as a potential data fix that does not solve the crisis but merely staves it off. We situate these technologies within the material context of capitalist urbanization, along the way arguing for bringing information back into the neo-Lefebvrian framework of “extended” or “planetary” urbanization. Digital agriculture technologies continue the centralization of economic knowledge and power as they facilitate the transformation of vast territories into “operational landscapes” that provide the material, energy, and labor for a rapidly expanding urban system.", "language": "en", "license": null, "keywords": [ { "word": "Digital Agriculture, Precision Agriculture, Extended Urbanization, Planetary" } ], "section": "Journal Submissions", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/55r1p8g7", "frozenauthors": [ { "first_name": "Timothy", "middle_name": "", "last_name": "Ravis", "name_suffix": "", "institution": "Harvard University, Graduate School of Design", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Notkin", "name_suffix": "", "institution": "Harvard University, Graduate School of Design", "department": "None" } ], "date_submitted": "2019-06-11T12:02:31+08:00", "date_accepted": "2019-06-11T12:02:31+08:00", "date_published": "2020-08-15T07:21:14+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3808/galley/2469/download/" } ] }, { "pk": 3807, "title": "Landscape Entanglements: Toward a Descriptive Project for Planning Research", "subtitle": null, "abstract": "The conceptual dyad of urban/rural has long formed the basis of the planner’s description of space. However, the terms themselves are increasingly insufficient to describe the world in which we live, presenting as overdetermined and reductive signifiers. In this photographic essay, we use Google Earth satellite images to examine a series of locations where descriptors such as ‘urban’ and ‘rural’ falter against manifold, shifting, and unstable landscape forms. We draw on Henri Lefebvre’s concept of the abstract spaces of capitalism, globalization, and urbanization, which he argued are dialectically produced through their interaction with landscape. However, where Lefebvre contended that abstraction instantiates in more or less discrete typological forms, we argue that abstract space only becomes intelligible under conditions of ‘entanglement,’ where qualities such as ‘urban’ and ‘rural’ become momentarily comprehensible at the instant we observe or describe them. In the end, holding the world still long enough to describe it reveals crucial patterns and relations, but always at a cost, always with the risk of reduction, simplification, and overdetermination. Such pitfalls are inevitable in research; however, they become all the more prevalent as the terms we use to describe the world become less and less applicable, and as the accumulation of anomalies compels us to build new models and to tell new stories.", "language": "en", "license": null, "keywords": [ { "word": "Landscape, Entanglement, Observation, Planning Theory, Orbital Photography" } ], "section": "Journal Submissions", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2537z04j", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "Heathcott", "name_suffix": "", "institution": "The New School\n66 W. 12th St.\nNew York, NY 10011", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Rogan", "name_suffix": "", "institution": "The New School\n66 W. 12th St.\nNew York, NY 10011", "department": "None" } ], "date_submitted": "2019-05-27T21:33:28+08:00", "date_accepted": "2019-05-27T21:33:28+08:00", "date_published": "2020-08-15T07:19:38+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3807/galley/2468/download/" } ] }, { "pk": 3803, "title": "Transformative Practices within Mechanisms of Control: “Recognizing” Unrecognized Arab-Bedouin Villages in Israel", "subtitle": null, "abstract": "“Seeing from the South” (Watson 2008) and “Re-engaging Planning Theory with South-Eastern Perspectives” (Yiftachel 2006) are essential calls for the development of planning theories and empirical research from the Global South. Such scholarship has interpreted the rationalities at play as informal settlements develop on the peripheries of rapidly globalizing cities and explored how they reflect the nature of state interventions. This article examines the utility of planning theories issued from the Global South and North in explaining a case of state planning for an indigenous, ethnic minority in Israel: the Negev/Naqab Arab-Bedouins. The researchers conducted 90 interviews with planners, engineers, Bedouin residents, government officials, academics, and employees of non-governmental organizations. Their aim was to understand how stakeholders comprehended, engaged with, and approached planning for the Abu-Basma Regional Council, a state initiative to plan and provide services to informal Bedouin villages in Israel’s south, as well as the program’s outcomes. The findings indicate that planning theories from the Global South, which are focused on space, resource distribution, and resident-driven spatial change, are essential to understanding the outcomes of planning. They provide a necessary context for the North’s normative/prescriptive planning theories, which highlight tangible “episodes” (Healey 2007, 78) of planning practice but risk misattributing popular resistance to a program’s communication challenges, rather than to residents’ fundamental objections.", "language": "en", "license": null, "keywords": [ { "word": "Participatory planning, Bedouin, Territorial control, Indigenous, Global South" } ], "section": "Journal Submissions", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1hd972s2", "frozenauthors": [ { "first_name": "Abra", "middle_name": "Sharkey", "last_name": "Berkowitz", "name_suffix": "", "institution": "Ben-Gurion University", "department": "None" }, { "first_name": "Sarab", "middle_name": "", "last_name": "Abu-Rabia-Queder", "name_suffix": "", "institution": "Ben-Gurion University", "department": "None" }, { "first_name": "Daniel", "middle_name": "E.", "last_name": "Orenstein", "name_suffix": "", "institution": "Technion: Israel Institute of Technology", "department": "None" } ], "date_submitted": "2019-03-01T13:30:49+08:00", "date_accepted": "2019-03-01T13:30:49+08:00", "date_published": "2020-08-15T07:15:20+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3803/galley/2467/download/" } ] }, { "pk": 3799, "title": "Feudalism in the Age of Neoliberalism: A Century of Urban and Rural Co-dependency in Lebanon", "subtitle": null, "abstract": "The urban and rural co-dependency in Lebanon has been drastically transformed and further heightened since the joining of both territories with the Declaration of Greater Lebanon on September 1st, 1920. The lack of any formal planning during the past century has driven socio-political and economic forces to shape or disfigure the built environment. Historians, geographers, and urban planners have addressed Lebanon’s urban-rural divide by highlighting unequal development. Even still, a comprehensive overview of key historical moments that investigates migrations and the economic system is needed to understand the current co-dependent and conflicted relationship between both territories. Accordingly, this paper explores the urban and rural dynamics starting from the early nineteenth century to modern- day Lebanon, by juxtaposing the flow of migrations between Mount Lebanon and Beirut with the country’s neoliberal economic policies. This analysis is derived from historical books, articles, and theses on the region and aims to highlight the integration of the rural feudalist- sectarian structure with the hyper-financialized urban neoliberal system.", "language": "en", "license": null, "keywords": [ { "word": "Beirut, Mount Lebanon, Migrations, Neoliberalism, Feudalism" } ], "section": "Journal Submissions", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/69p7w3jm", "frozenauthors": [ { "first_name": "Anahid", "middle_name": "Zarig", "last_name": "Simitian", "name_suffix": "", "institution": "Lebanese American University", "department": "None" } ], "date_submitted": "2019-02-24T03:38:54+08:00", "date_accepted": "2019-02-24T03:38:54+08:00", "date_published": "2020-08-15T07:04:12+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3799/galley/2465/download/" } ] }, { "pk": 44995, "title": "Aortic Dissection in a 40-Year-Old with Bicuspid Aortic Valve", "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/4sf2477s", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "", "last_name": "Noor", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Roman", "middle_name": "", "last_name": "Leibzon", "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": "2020-08-14T01:57:55+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44995/galley/33788/download/" } ] }, { "pk": 44994, "title": "Adverse Oral Effects of Statins", "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/9hz0s7pg", "frozenauthors": [ { "first_name": "Laurel", "middle_name": "B.", "last_name": "Yates", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:55:42+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44994/galley/33787/download/" } ] }, { "pk": 44993, "title": "The Diagnosis and Clinical Manifestations of IgG4-Related 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/0279h979", "frozenauthors": [ { "first_name": "Kristal", "middle_name": "", "last_name": "Choi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:53:43+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44993/galley/33786/download/" } ] }, { "pk": 44992, "title": "Jelly Belly: A Case of pseudomyxoma peritonei", "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/877500jm", "frozenauthors": [ { "first_name": "Jeanette", "middle_name": "S.", "last_name": "Ilarde", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:50:48+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44992/galley/33785/download/" } ] }, { "pk": 44991, "title": "Recurrent Syncope in a Post-Operative Patient", "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/0p3399gp", "frozenauthors": [ { "first_name": "Marie", "middle_name": "", "last_name": "Adachi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Grace", "middle_name": "I.", "last_name": "Chen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:48:49+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44991/galley/33784/download/" } ] }, { "pk": 44990, "title": "A Unique Case of Herpes Simplex Encephalitis", "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/7mf3q8fs", "frozenauthors": [ { "first_name": "Mufaddal", "middle_name": "", "last_name": "Dahodwala", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:46:57+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44990/galley/33783/download/" } ] }, { "pk": 44989, "title": "New Ptosis in an Elderly 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/5t32k5vq", "frozenauthors": [ { "first_name": "Rahul", "middle_name": "", "last_name": "Ahuja", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mary", "middle_name": "B.", "last_name": "White", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:44:46+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44989/galley/33782/download/" } ] }, { "pk": 44988, "title": "Sublingual Swelling: A Case of Sialadenitis", "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/2hs2r3xc", "frozenauthors": [ { "first_name": "Miguel", "middle_name": "", "last_name": "Lemus", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:42:17+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44988/galley/33781/download/" } ] }, { "pk": 44987, "title": "Hypercalcemic Crisis in 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/2b58b2n2", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "S.", "last_name": "Ahdoot", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Raghu", "middle_name": "", "last_name": "Konanur", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:40:06+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44987/galley/33780/download/" } ] }, { "pk": 44986, "title": "Plant-Based Diet as Monotherapy for Dyslipidemia", "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/7zr340z5", "frozenauthors": [ { "first_name": "Alexandria", "middle_name": "", "last_name": "Lee", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Diana", "middle_name": "", "last_name": "Zhao", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:37:37+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44986/galley/33779/download/" } ] }, { "pk": 44985, "title": "Melanoma: Treatment Considerations and Challenges in the Elderly", "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/3g4889mf", "frozenauthors": [ { "first_name": "Deborah", "middle_name": "J.", "last_name": "Villa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:35:07+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44985/galley/33778/download/" } ] }, { "pk": 44984, "title": "Advance Care Planning for Chronically Ill Patients in the Primary Care Setting", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Commentary" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5934h21t", "frozenauthors": [ { "first_name": "Lindsay", "middle_name": "", "last_name": "Wells", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-14T01:32:38+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44984/galley/33777/download/" } ] }, { "pk": 14445, "title": "This Article Corrects: \"Conference Didactic Planning and Structure: An Evidence-based Guide to Best Practices from the Council of Emergency Medicine Residency Directors\"", "subtitle": null, "abstract": "Emergency medicine residency programs around the country develop didactic conferences to prepare residents for board exams and independent practice. To our knowledge, there is not currently an evidence-based set of guidelines for programs to follow to ensure maximal benefit of didactics for learners. This paper offers expert guidelines for didactic instruction from members of the Council of Emergency Medicine Residency Directors Best Practices Subcommittee, based on best available evidence. Programs can use these recommendations to further optimize their resident conference structure and content. Recommendations in this manuscript include best practices in formatting didactics, selection of facilitators and instructors, and duration of individual sessions. Authors also recommend following the Model of Clinical Practice of Emergency Medicine when developing content, while incorporating sessions dedicated to morbidity and mortality, research methodology, journal article review, administration, wellness, and professionalism.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Erratum (Staff Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/50q0p4qv", "frozenauthors": [ { "first_name": "D.", "middle_name": "Brian", "last_name": "Wood", "name_suffix": "", "institution": "St. Joseph’s Medical Center, Department of Emergency Medicine, Stockton, California", "department": "None" }, { "first_name": "Jaime", "middle_name": "", "last_name": "Jordan", "name_suffix": "", "institution": "Ronald Reagan UCLA Medical Center, David Geffen School of Medicine, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Rob", "middle_name": "", "last_name": "Cooney", "name_suffix": "", "institution": "Geisinger Commonwealth School of Medicine, Department of Emergency Medicine, Scranton, Pennsylvania", "department": "None" }, { "first_name": "Katja", "middle_name": "", "last_name": "Goldflam", "name_suffix": "", "institution": "Yale University, Department of Emergency Medicine, New Haven, Connecticut", "department": "None" }, { "first_name": "Leah", "middle_name": "", "last_name": "Bright", "name_suffix": "", "institution": "Johns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2020-08-06T04:14:00+08:00", "date_accepted": "2020-08-06T04:14:00+08:00", "date_published": "2020-08-11T04:53:13+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14445/galley/7405/download/" } ] }, { "pk": 65982, "title": "Tropical Endomyocardial Fibrosis: Followed by a case of Endomyocardial Fibrosis by Christine McBeth, DO, MSPH", "subtitle": null, "abstract": "<p>A 45-year-old male arrives to our mobile clinic after walking from his village 20km away with three days of a worsening fever, myalgias, and fatigue. He has not eaten in 48 hours. The walk from his village proved extremely difficult for him and he noted also feeling mildly dyspneic...</p>", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Echocardiography", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1c7952zn", "frozenauthors": [ { "first_name": "Nikolai", "middle_name": "", "last_name": "Schnittke", "name_suffix": "MD, PhD", "institution": "", "department": "" }, { "first_name": "Rosalia", "middle_name": "", "last_name": "Holzman", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Eragu", "name_suffix": "MBChB", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-10T16:46:01.305939+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65982/galley/50574/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65982/galley/50574/download/" } ] }, { "pk": 905, "title": "Prolonged Duration of Viral Shedding of SARS-CoV-2: A Case Report", "subtitle": null, "abstract": "Introduction:\n The literature on the clinical course of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) suggests patients continue shedding viral particles typically for an average of 20 days until the body builds immunity against the infection. However, a few cases have shown prolonged duration in viral shedding and highlight the significant increased mortality in these patients. It has also been suggested that multiple strains of SARS-COV-2 exist, keying the possibility to reinfection.\nCase Report:\n We present a case of a 57-year-old male who presented twice over 37 days with symptoms related to SARS-COV-2, and only on his second visit was found to be in hypoxemic respiratory failure and cardiogenic shock. He also reportedly had a period of convalescence in between presentations.\nDiscussion:\n This case highlights the still unclear disease course of SARS-COV-2 and the need for diligence in providing strong follow-up instructions and evaluation for sequelae of the infection.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "SARS-CoV-2" }, { "word": "hypoxemic" }, { "word": "respiratory failure" }, { "word": "cardiogenic shock" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2wx2r63w", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "", "last_name": "Fong", "name_suffix": "", "institution": "Thomas Jefferson University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Kory", "middle_name": "S.", "last_name": "London", "name_suffix": "", "institution": "Thomas Jefferson University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2020-08-09T02:54:13+08:00", "date_accepted": "2020-08-09T02:54:13+08:00", "date_published": "2020-08-09T02:56:15+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/905/galley/653/download/" } ] }, { "pk": 14219, "title": "COVID-19: An Emerging Threat to Antibiotic Stewardship in the Emergency Department", "subtitle": null, "abstract": "While current research efforts focus primarily on identifying patient level interventions that mitigate the direct impact of COVID-19, it is important to consider the collateral effects of COVID-19 on antimicrobial resistance. Early reports suggest high rates of antibiotic utilization in COVID-19 patients despite their lack of direct activity against viral pathogens. The ongoing pandemic is exacerbating known barriers to optimal antibiotic stewardship in the ED, representing an additional direct threat to patient safety and public health. There is an urgent need for research analyzing overall and COVID-19 specific antibiotic prescribing trends in the ED. Optimizing ED stewardship during COVID-19 will likely require a combination of traditional stewardship approaches (e.g. academic detailing, provider education, care pathways) and effective implementation of host response biomarkers and rapid COVID-19 diagnostics. Antibiotic stewardship interventions with demonstrated efficacy in mitigating the impact of COVID-19 on ED prescribing should be widely disseminated and inform the ongoing pandemic response.", "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": "Antibiotic Stewardship, Emergency Medicine, COVID-19" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8xs51137", "frozenauthors": [ { "first_name": "Michael", "middle_name": "S.", "last_name": "Pulia", "name_suffix": "", "institution": "University of Wisconsin Madison, School of Medicine and Public Health, Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Ian", "middle_name": "", "last_name": "Wolf", "name_suffix": "", "institution": "University of Wisconsin Madison, School of Medicine and Public Health, Madison, Wisconsin", "department": "None" }, { "first_name": "Lucas", "middle_name": "T.", "last_name": "Schulz", "name_suffix": "", "institution": "University of Wisconsin Madison, School of Medicine and Public Health, Department of Pharmacy, Madison, Wisconsin", "department": "None" }, { "first_name": "Aurora", "middle_name": "", "last_name": "Pop-Vicas", "name_suffix": "", "institution": "University of Wisconsin Madison, School of Medicine and Public Health, Department of Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Rebecca", "middle_name": "J.", "last_name": "Schwei", "name_suffix": "", "institution": "University of Wisconsin Madison, School of Medicine and Public Health, Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Peter", "middle_name": "K.", "last_name": "Lindenauer", "name_suffix": "", "institution": "University of Massachusetts Medical School - Baystate, Department of Medicine, Springfield, Massachusetts", "department": "None" } ], "date_submitted": "2020-06-23T04:02:26+08:00", "date_accepted": "2020-06-23T04:02:26+08:00", "date_published": "2020-08-08T06:41:45+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/14219/galley/7339/download/" } ] }, { "pk": 44983, "title": "A Case of Recurrent Spontaneous Pneumothoraxes", "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/0161z29g", "frozenauthors": [ { "first_name": "Sharon", "middle_name": "", "last_name": "De Cruz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-08T04:34:39+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44983/galley/33776/download/" } ] }, { "pk": 44982, "title": "Hepatic Hydrothorax", "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/3dm359ph", "frozenauthors": [ { "first_name": "Spencer", "middle_name": "R.", "last_name": "Adams", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-08T04:31:42+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44982/galley/33775/download/" } ] }, { "pk": 44981, "title": "Abnormal Liver Function Test in an Older Adult – Could this be Alpha-1 Antitrypsin 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/5hx9392v", "frozenauthors": [ { "first_name": "Steven", "middle_name": "", "last_name": "Kind", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gabriela", "middle_name": "", "last_name": "Sauder", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-08T04:29:38+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44981/galley/33774/download/" } ] }, { "pk": 44980, "title": "Opiate Induced Worsening of Sleep Apnea Noted on CPAP Download", "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/7xv1k34w", "frozenauthors": [ { "first_name": "Alfonso", "middle_name": "J.", "last_name": "Padilla", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Roman", "middle_name": "M.", "last_name": "Culjat", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-08T04:27:46+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44980/galley/33773/download/" } ] }, { "pk": 44979, "title": "Verrucous Plaque on the Leg", "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/5t02k6kj", "frozenauthors": [ { "first_name": "Paul", "middle_name": "", "last_name": "Blackcloud", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mengjun", "middle_name": "", "last_name": "Hui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-08T04:23:52+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44979/galley/33772/download/" } ] }, { "pk": 44978, "title": "Acute Hemorrhagic Gastritis during Treatment with PD-1 Inhibitor Nivolumab for Stage IV Endometrial Cancer", "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/3mf5k8gd", "frozenauthors": [ { "first_name": "Michelle", "middle_name": "", "last_name": "Chong", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Simi", "middle_name": "", "last_name": "Singh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-08T04:21:30+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44978/galley/33771/download/" } ] }, { "pk": 904, "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/5r9118bz", "frozenauthors": [ { "first_name": "Cassandra", "middle_name": "", "last_name": "Saucedo", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2020-08-07T10:28:29+08:00", "date_accepted": "2020-08-07T10:28:29+08:00", "date_published": "2020-08-07T10:35:02+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/904/galley/652/download/" } ] }, { "pk": 44977, "title": "Carotid IMT Testing: Potential Roles in Prevention and Treatment of Cardiovascular Disease", "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/2fv452nq", "frozenauthors": [ { "first_name": "Bayan", "middle_name": "", "last_name": "Kamrani", "name_suffix": "BS", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Samuel", "middle_name": "A.", "last_name": "Daneshvar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ravi", "middle_name": "", "last_name": "Dave", "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": "2020-08-05T02:50:25+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44977/galley/33770/download/" } ] }, { "pk": 44976, "title": "An Athlete with a Thigh Mass", "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/6qt3w56z", "frozenauthors": [ { "first_name": "Terrence", "middle_name": "M.", "last_name": "Hammer", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-05T02:47:57+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44976/galley/33769/download/" } ] }, { "pk": 44975, "title": "Atypical Presentation of Acute Gangrenous Cholecystitis", "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/4s8610j6", "frozenauthors": [ { "first_name": "Susan", "middle_name": "D.", "last_name": "Leonard", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-05T02:46:14+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44975/galley/33768/download/" } ] }, { "pk": 44974, "title": "Left Neck Lymphadenopathy in a Young Woman", "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/6db9m4sh", "frozenauthors": [ { "first_name": "Komal", "middle_name": "", "last_name": "Preet", "name_suffix": "BS", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Alina", "middle_name": "", "last_name": "Katsman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-05T02:41:47+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44974/galley/33767/download/" } ] }, { "pk": 44973, "title": "Rings Round the Colon: An Early Diagnosis of Signet Ring Cell Carcinoma of the Colon", "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/6zn4t1ss", "frozenauthors": [ { "first_name": "Jade", "middle_name": "", "last_name": "Law", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Simi", "middle_name": "", "last_name": "Singh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-05T02:31:03+08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44973/galley/33766/download/" } ] }, { "pk": 903, "title": "Bilateral Foot Skin Eruption in a Hepatitis C Patient", "subtitle": null, "abstract": "Case Presentation:\n A 58-year-old female with history of hepatitis C virus presented to the emergency department with a bilateral skin eruption to her feet for one year. Following skin biopsy, the patient was diagnosed with Necrolytic acral erythema (NAE). She was treated with clobetasol ointment, zinc supplementation, and mupirocin, which resulted in improvement in her symptoms.\nDiscussion:\n NAE is a rash described as sharply demarcated, lichenified plaques on the dorsal foot and is a rare extra-hepatic manifestation of hepatitis C. This case details a patient with a skin eruption consistent with NAE.", "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": "Hepatitis C" }, { "word": "foot rash" }, { "word": "necrolytic acral erythema" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4t7705f8", "frozenauthors": [ { "first_name": "Shane", "middle_name": "", "last_name": "Davis", "name_suffix": "", "institution": "Virginia Commonwealth University Health Systems, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Angela", "middle_name": "", "last_name": "Creditt", "name_suffix": "", "institution": "Virginia Commonwealth University Health Systems, Department of Emergency Medicine, Richmond, Virginia", "department": "None" } ], "date_submitted": "2020-08-04T07:02:30+08:00", "date_accepted": "2020-08-04T07:02:30+08:00", "date_published": "2020-08-04T07:03:04+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/903/galley/651/download/" } ] }, { "pk": 898, "title": "A Rare Case Report of Lemierre Syndrome from the Anterior Jugular Vein", "subtitle": null, "abstract": "Introduction:\n Lemierre syndrome is a rare, potentially fatal, septic thrombophlebitis of the internal jugular vein. Treatment includes intravenous antibiotics for Fusobacterium necrophorum, the most common pathogen, as well as consideration for anticoagulation therapy.\nCase Report:\n A 27-year-old female presented with left-sided neck swelling and erythema. Computed tomography noted left anterior jugular vein thrombophlebitis and multiple cavitating foci, consistent with septic emboli. We report a rare case of Lemierre syndrome in which the thrombus was found in the anterior jugular vein, as opposed to the much larger internal jugular vein more traditionally associated with creating septic emboli.\nConclusion:\n Based on an individual’s clinical symptoms, history, and radiologic findings, it is important for physicians to consider Lemierre syndrome in the differential diagnosis, as the condition may rapidly progress to septic shock and death if not treated promptly. The use of anticoagulation therapy remains controversial, and there is a lack of established standard care because the syndrome is so rare.", "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": "sepsis" }, { "word": "septic emboli" }, { "word": "thrombophlebitis" }, { "word": "case report" }, { "word": "Lemierre" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/78w2g3kj", "frozenauthors": [ { "first_name": "Nima", "middle_name": "", "last_name": "Rejali", "name_suffix": "", "institution": "Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey", "department": "None" }, { "first_name": "Marissa", "middle_name": "", "last_name": "Heyer", "name_suffix": "", "institution": "Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey", "department": "None" }, { "first_name": "Doug", "middle_name": "", "last_name": "Finefrock", "name_suffix": "", "institution": "Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey", "department": "None" } ], "date_submitted": "2020-07-31T10:23:52+08:00", "date_accepted": "2020-07-31T10:23:52+08:00", "date_published": "2020-08-04T06:58:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/898/galley/646/download/" } ] }, { "pk": 902, "title": "A Case Report of Cake Frosting as a Source of Copper Toxicity in a Pediatric Patient", "subtitle": null, "abstract": "Introduction:\n Copper is an uncommon source of metal toxicity in children that requires a high index of suspicion for diagnosis.\nCase Report:\n We describe the unique presentation of a 12-month-old girl who developed acute onset of vomiting and diarrhea after ingestion of a copper-contaminated birthday cake.\nConclusion:\n This case highlights the presentation, evaluation, and management of the rare pediatric patient who presents with copper poisoning. This case also illuminates the public health implications of potential metal poisoning when using non-edible decorative products in homemade and commercially prepared baked goods.", "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": "copper" }, { "word": "toxicology" }, { "word": "ingestion" }, { "word": "poison" }, { "word": "pediatric" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5nc1x4r5", "frozenauthors": [ { "first_name": "Hoi See", "middle_name": "", "last_name": "Tsao", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island; Warren Alpert Medical School of Brown University, Department of Pediatrics, Providence, Rhode Island; Brown University School of Public Health, Providence, Rhode Island", "department": "None" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Allister", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island; Warren Alpert Medical School of Brown University, Department of Pediatrics, Providence, Rhode Island", "department": "None" }, { "first_name": "Takuyo", "middle_name": "", "last_name": "Chiba", "name_suffix": "", "institution": "Harvard Medical School, Boston Children’s Hospital and the Beth Israel Deaconess Medical Center, Department of Toxicology, Boston, Massachusetts", "department": "None" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "Barkley", "name_suffix": "", "institution": "Rhode Island Department of Health, Center for Acute Infectious Disease Epidemiology, Providence, Rhode Island", "department": "None" }, { "first_name": "Rose", "middle_name": "H.", "last_name": "Goldman", "name_suffix": "", "institution": "Harvard Medical School, Department of Medicine, Boston, Massachusetts; Harvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, Massachusetts; Cambridge Health Alliance, Division of Occupational and Environmental Medicine, Cambridge, Massachusetts; New England Pediatric Environmental Health Specialty Unit, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2020-08-03T10:51:40+08:00", "date_accepted": "2020-08-03T10:51:40+08:00", "date_published": "2020-08-03T10:52:15+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/902/galley/650/download/" } ] }, { "pk": 65980, "title": "Fournier's Gangrene", "subtitle": null, "abstract": "70-year-old man with HIV (compliant with HAART for over 5 years) with a recent surgical admission (10 days prior) for testicular hydrocelectomy, presented to the emergency department with scrotal pain for 1 week and associated fever for 5 days...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Male Genitourinary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65d6b0m2", "frozenauthors": [ { "first_name": "Romeo", "middle_name": "", "last_name": "Wahome", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Mirsch", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-03T09:52:12.593903+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65980/galley/50572/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65980/galley/50572/download/" } ] }, { "pk": 65987, "title": "Rheumatic Heart Disease", "subtitle": null, "abstract": "A 28-year-old Ugandan man has had a many-month history of progressive exercise intolerance and orthopnea. He did not seek care, but volunteered to model for an ultrasound training session...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Echocardiography", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7vr1b3b6", "frozenauthors": [ { "first_name": "Quraish", "middle_name": "", "last_name": "Fazleabas", "name_suffix": "DO", "institution": "", "department": "" }, { "first_name": "Niwagaba", "middle_name": "", "last_name": "Benifer", "name_suffix": "ECP", "institution": "", "department": "" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Leanza", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-03T09:26:16.958282+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65987/galley/50579/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65987/galley/50579/download/" } ] }, { "pk": 65981, "title": "Shortness of Breath at the South Pole", "subtitle": null, "abstract": "23-year-old male with no significant medical history presents with severe shortness of breath at rest. He arrived at the Amundsen-Scott South Pole station three days prior...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Pulmonary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/975617zc", "frozenauthors": [ { "first_name": "Ellen", "middle_name": "", "last_name": "Asselin", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "John", "middle_name": "", "last_name": "Rose", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-03T05:07:00.080563+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65981/galley/50573/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65981/galley/50573/download/" } ] }, { "pk": 65985, "title": "Arterial-Venous Fistula: An A&E case from Masaka, Uganda", "subtitle": null, "abstract": "A 20-year-old male with no significant past medical history presented to the Accident and Emergency (A&E) department with proximal right forearm swelling for 1-2 months. The patient was sent in by a radiologist for reported forearm abscess seen on outside imaging, with recommendations for incision and drainage...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Vascular", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2jt5k1p8", "frozenauthors": [ { "first_name": "Leigha", "middle_name": "", "last_name": "Winters", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-03T04:57:06.009902+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65985/galley/50577/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65985/galley/50577/download/" } ] }, { "pk": 65984, "title": "Cavitary Lesion of the Lung", "subtitle": null, "abstract": "A 25-year-old male with past medical history of HIV presents with shortness of breath and fevers for three days...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Pulmonary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6zh2q9dm", "frozenauthors": [ { "first_name": "Christine McBeth", "middle_name": "", "last_name": "DO", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-03T02:34:45.458565+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65984/galley/50576/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65984/galley/50576/download/" } ] }, { "pk": 65986, "title": "Pediatric Skull Fractures", "subtitle": null, "abstract": "An 18-month-old boy is brought into a rural emergency department in Uganda by his mother who states he has had abnormal irritability and fussiness for the past 2-3 hours. At home, he entered the residence crying and holding the right side of his head...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Head", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0mx8z422", "frozenauthors": [ { "first_name": "Victoria", "middle_name": "", "last_name": "Shin", "name_suffix": "DO", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-08-03T01:15:22.010050+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65986/galley/50578/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/65986/galley/50578/download/" } ] }, { "pk": 900, "title": "Point-of-care Echocardiogram as the Key to Rapid Diagnosis of a Unique Presentation of Dyspnea: A Case Report", "subtitle": null, "abstract": "Introduction: \nDyspnea is commonly evaluated in the emergency department (ED).The differential diagnosis is broad. Due to the large volume of dyspneic patients evaluated, emergency physicians (EP) will encounter uncommon diagnoses. Early, liberal application of point-of-care ultrasound (POCUS) may decrease diagnostic error and improve care for these patients.\nCase Report:\n We report a 48-year-old male presenting to the ED with cough and progressively worsening dyspnea for 11 months after multiple healthcare visits. Using POCUS, the EP was immediately able to diagnose a severe dilated cardiomyopathy (DCM) with left ventricular thrombus.\nConclusion:\n Given that non-ischemic DCM is one of the most common etiologies of heart failure, often presenting with respiratory symptoms, POCUS is key to rapid diagnosis and, along with modalities such as electrocardiography and chest radiograph, should be standard practice in the workup of dyspnea, regardless of age or comorbidities.", "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": "Point of Care Ultrasound" }, { "word": "Dyspnea" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2fs497sr", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Moore", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Dilcher", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Minardi", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Kimberly", "middle_name": "", "last_name": "Quedado", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Erica", "middle_name": "", "last_name": "Shaver", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" } ], "date_submitted": "2020-07-31T14:03:51+08:00", "date_accepted": "2020-07-31T14:03:51+08:00", "date_published": "2020-08-02T01:08:56+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/900/galley/648/download/" } ] }, { "pk": 897, "title": "An Unusual Presentation of Retinal Detachment and Conjunctivitis: A Case Report", "subtitle": null, "abstract": "Introduction:\n Vision loss is an ophthalmologic emergency with broad differential requiring prompt medical attention.\nCase Report:\n We describe a 55-year-old male presenting to the emergency department (ED) with unilateral, painless visual field deficit with ipsilateral conjunctivitis induced by a presumed foreign body. The patient described a foreign body sensation nine days prior to developing visual changes. In the ED, the patient was diagnosed with a retinal detachment using point-of-care ultrasonography, and emergent ophthalmologic consultation was obtained.\nConclusion:\n Concurrent retinal detachment and conjunctivitis in a patient is extremely rare. Healthcare providers should be aware that foreign body-induced conjunctivitis could lead to retinal detachment.", "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": "Conjunctivitis" }, { "word": "retinal detachment" }, { "word": "foreign body" }, { "word": "corneal abrasion" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1qx342f3", "frozenauthors": [ { "first_name": "Bailey", "middle_name": "", "last_name": "Pierce", "name_suffix": "", "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Division of Emergency Medicine, Boca Raton, Florida", "department": "None" }, { "first_name": "Scott", "middle_name": "M.", "last_name": "Alter", "name_suffix": "", "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Division of Emergency Medicine, Boca Raton, Florida", "department": "None" }, { "first_name": "Kyle", "middle_name": "", "last_name": "Gerakopoulos", "name_suffix": "", "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Division of Emergency Medicine, Boca Raton, Florida", "department": "None" }, { "first_name": "Jeniel", "middle_name": "", "last_name": "Parmar", "name_suffix": "", "institution": "Florida Atlantic University Charles E. Schmidt College of Medicine, Division of Emergency Medicine, Boca Raton, Florida", "department": "None" } ], "date_submitted": "2020-07-31T09:18:00+08:00", "date_accepted": "2020-07-31T09:18:00+08:00", "date_published": "2020-08-02T01:03:05+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/897/galley/645/download/" } ] }, { "pk": 4866, "title": "Undergraduate Research Journal 14th Edition", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Journal", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25z5j17x", "frozenauthors": [ { "first_name": "n/a", "middle_name": "", "last_name": "n/a", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2020-07-29T17:06:26+08:00", "date_accepted": "2020-07-29T17:06:26+08:00", "date_published": "2020-08-01T04:58:53+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucr_undergrad_research_j/article/4866/galley/2761/download/" } ] }, { "pk": 35015, "title": "A geolinguistic study of directional prefixes in the Qiangic language area", "subtitle": null, "abstract": "This study examines directional prefixes in Qiangic languages from a geolinguistic perspective. Among Qiangic languages, the northern languages tend to have more directional prefixes. This fact suggests the areal development of directional prefixes. The present paper discusses the following four groups of directional prefixes: (i) “upward”; (ii) “downward”; (iii) “inward,” “upriver,” “eastward,” and related movements; and (iv) “outward,” “downriver,” “westward,” and related movements. First, I show the geographical distribution of the forms of prefixes for each directional category. Then, I examine the relative time depth of each form using a geolinguistic method and make hypotheses on the historical development of directional prefixes. This study reached the following conclusion: In Qiangic, the basic directional prefixes among these four groups are “upward,” “downward,” “inward,” and “outward.” The other categories involved in (iii) and (iv) were developed later, since the “upriver” and “downriver” prefixes show variety of forms among local areas, whereas the “eastward” and “westward” prefixes are found in limited areas. The following are the oldest types of initial of each directional prefix: dental plosive for the “upriver” prefixes; dental nasal for the “downward” prefixes; voiceless velar plosive for the “inward” prefixes; and voiced velar plosive for the “outward” prefixes.", "language": "en", "license": null, "keywords": [ { "word": "directional prefix, Qiangic, geolinguistics, relative chronology, GIS" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1cv9h87s", "frozenauthors": [ { "first_name": "Satoko", "middle_name": "", "last_name": "Shirai", "name_suffix": "", "institution": "Japan Society for the Promotion of Science/University of Tsukuba", "department": "None" } ], "date_submitted": "2019-01-25T13:29:56+08:00", "date_accepted": "2019-01-25T13:29:56+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35015/galley/26105/download/" } ] }, { "pk": 35053, "title": "A preliminary phonology of Brokpa", "subtitle": null, "abstract": "A preliminary synchronic analysis of Brokpa phonology finds eleven vowel phonemes, including two degrees of vowel length; 35 consonant phonemes; and three tonal values (level low, level high, and contour falling). Based on a sample of 134 words, the phonological description is supported by a phonetic analysis investigating the acoustic correlates of phonemic distinctions: formant values for vowel quality, length measurements for vowel length, pitch measurements for tone, and voice onset time for aspiration in plosives and affricates. A presentation of the basic phonotactic patterns of the language concludes the sketch. Some noteworthy features of Brokpa phonology include its developing tonal system; the relative lack of open vowels, front rounded vowels, and voiced fricatives; the presence of five series of plosives; and some archaic consonant clusters.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa" }, { "word": "Tibetic languages" }, { "word": "phonological sketch" }, { "word": "tone" }, { "word": "phonotactics" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/95m6x4p8", "frozenauthors": [ { "first_name": "Damian", "middle_name": "", "last_name": "Funk", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-01-31T23:24:33+08:00", "date_accepted": "2020-01-31T23:24:33+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35053/galley/26126/download/" } ] }, { "pk": 35058, "title": "A short overview of the word classes in Brokpa", "subtitle": null, "abstract": "This paper presents a first overview of the word classes in Brokpa and how they differ structurally from each other. Brokpa distinguishes eleven word classes: nouns, verbs, adjectives, adverbs, copulas, relator nouns, pronouns, numerals, quantifiers, conjunctions and particles. Semantic, morphological and syntactic aspects of these word classes will be presented and set in relation to each other.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa" }, { "word": "Tibetic languages" }, { "word": "word classes" }, { "word": "nominals" }, { "word": "noun modifiers" }, { "word": "verbs" }, { "word": "copulas" }, { "word": "adverbs" }, { "word": "conjunctions" }, { "word": "particles" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0jq2w20z", "frozenauthors": [ { "first_name": "Corinne", "middle_name": "", "last_name": "Mittaz", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-02-03T16:38:47+08:00", "date_accepted": "2020-02-03T16:38:47+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35058/galley/26131/download/" } ] }, { "pk": 35055, "title": "Brokpa nominal morphology", "subtitle": null, "abstract": "The Brokpa language marks noun phrases for plurality and for case. While the five case markers of the language are relatively conservative in form and function compared to other Tibetic languages, the plural marker has been completely innovated. This paper discusses form and function of these markers and will make some relevant comparative observations.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa" }, { "word": "Tibetic languages" }, { "word": "nominal morphology" }, { "word": "agentive" }, { "word": "Genitive" }, { "word": "dative" }, { "word": "ablative" }, { "word": "comitative" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4mr5f67b", "frozenauthors": [ { "first_name": "Sara", "middle_name": "", "last_name": "Rüfenacht", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-02-01T23:03:56+08:00", "date_accepted": "2020-02-01T23:03:56+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35055/galley/26128/download/" } ] }, { "pk": 35080, "title": "Brokpa texts, glossary and verb stems: Appendices to Aspects of Brokpa Grammar", "subtitle": null, "abstract": "The appendices to Himalayan Linguistics 19.1: \nAspects of Brokpa Grammar \nconsist of three parts, namely the text collection compiled by the Brokpa Documentation and Description Project (BDDP) at the Department of Linguistics of Bern University (Appendix A), a commented Brokpa glossary with etymologies (Appendix B) as well as the list of verb stems attested so far, indicating stem alternations (Appendix C).", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2654b5cj", "frozenauthors": [ { "first_name": "Tshering", "middle_name": "", "last_name": "Leki", "name_suffix": "", "institution": "University of Bern", "department": "None" }, { "first_name": "Damian", "middle_name": "", "last_name": "Funk", "name_suffix": "", "institution": "University of Bern", "department": "None" }, { "first_name": "Pascal", "middle_name": "", "last_name": "Gerber", "name_suffix": "", "institution": "University of Bern", "department": "None" }, { "first_name": "Selin", "middle_name": "", "last_name": "Grollmann", "name_suffix": "", "institution": "University of Bern", "department": "None" }, { "first_name": "Corinne", "middle_name": "", "last_name": "Mittaz", "name_suffix": "", "institution": "University of Bern", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Rüfenacht", "name_suffix": "", "institution": "University of Bern", "department": "None" }, { "first_name": "Sereina", "middle_name": "", "last_name": "Waldis", "name_suffix": "", "institution": "University of Bern", "department": "None" } ], "date_submitted": "2020-07-12T04:16:19+08:00", "date_accepted": "2020-07-12T04:16:19+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35080/galley/26138/download/" } ] }, { "pk": 35054, "title": "Copulas in Brokpa", "subtitle": null, "abstract": "Like many Tibetic languages, Brokpa boasts an intricate system of copulas. Six present tense copulas, one past tense copula, and two modal copulas are identified, including a distinction between sets of equative and existential copulas and a three-way epistemic contrast akin to Lhasa Tibetan, and more elaborated than that found in Brokpa’s Bhutanese relatives Dzongkha or Chocha-ngachakha. In particular, Brokpa features an egophoric category next to a contrast between, in DeLancey (2018)’s terms, evidential and non- evidential factual which is reminiscent of the opposition between acquired and assimilated knowledge proposed for Dzongkha by van Driem (1998). The discussion of the sophisticated epistemic semantics of Brokpa copulas is complemented by some suggestions as to its diachronic origins.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa" }, { "word": "Tibetic languages" }, { "word": "copulas" }, { "word": "epistemicity" }, { "word": "egophoricity" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/95q4c8wr", "frozenauthors": [ { "first_name": "Damian", "middle_name": "", "last_name": "Funk", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-01-31T23:30:28+08:00", "date_accepted": "2020-01-31T23:30:28+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35054/galley/26127/download/" } ] }, { "pk": 35061, "title": "Deverbal nominalization in Brokpa", "subtitle": null, "abstract": "This paper aims to provide a first description of deverbal nominalizers in Brokpa and the range of functions they carry. Brokpa exhibits four productive deverbal nominalizers as well as an unproductive one. They all form clausal nominalizations which can function as complement clauses or as modifiers of other nominals in the form of relative clauses. I argue that Brokpa allows three different types of relative clauses: pre-headed, post-headed and internally headed relative clauses. This paper furthermore shows that two nominalizers developed temporal reference and can now also function as finite tense markers.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa language" }, { "word": "trans-himala" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3s11w459", "frozenauthors": [ { "first_name": "Sereina", "middle_name": "", "last_name": "Waldis", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-02-11T17:09:19+08:00", "date_accepted": "2020-02-11T17:09:19+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35061/galley/26133/download/" } ] }, { "pk": 35056, "title": "Diachronic and areal aspects of Brokpa phonology", "subtitle": null, "abstract": "The Tibetic language Brokpa exhibits a number of archaic properties regarding its phonology. However, one also finds some shared Tibetic innovations and features which likely arose due to contact with non-Tibetic languages. This article discusses selected features belonging to the three above-mentioned categories such as the retention of initial clusters of bilabial plosives and /r/, the reflexes of other selected initial clusters, correspondences of syllable-final Written Tibetan <<span style=\"display:none;\"></span>b>, <<span style=\"display:none;\"></span>d>, <<span style=\"display:none;\"></span>g> and <<span style=\"display:none;\"></span>s>, the lack of a voiced dental fricative /dz/ as well as the loss of voicing distinction of the syllable onsets as a starting point of tonogenesis.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa language" }, { "word": "Tibetic languages" }, { "word": "Language Contact" }, { "word": "Historical phonology" }, { "word": "tonogenesis" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7xw1r1sj", "frozenauthors": [ { "first_name": "Sara", "middle_name": "", "last_name": "Rüfenacht", "name_suffix": "", "institution": "Universität Bern", "department": "None" }, { "first_name": "Sereina", "middle_name": "", "last_name": "Waldis", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-02-01T23:08:06+08:00", "date_accepted": "2020-02-01T23:08:06+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35056/galley/26129/download/" } ] }, { "pk": 35072, "title": "Introduction to Aspects of Brokpa Grammar", "subtitle": null, "abstract": "The Brokpa language, spoken in the two villages Merak and Sakteng in eastern Bhutan and adjacent parts of Arunachal Pradesh, is a hitherto undescribed Tibetic language (Trans-Himalayan). This special issue of Himalayan Linguistics presents the first account on several aspects of the phonology and grammar of the language. This introduction gives some general information about the Brokpa language, its phylogeny and linguistic profile and about the Brokpa Documentation and Description Project (BDDP). Additionally, the individual contributions of this special issue are shortly introduced and some formal conventions followed throughout this issue are laid out.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa" }, { "word": "Tibetic" }, { "word": "language documentation" }, { "word": "Bhutan" }, { "word": "Trans-Himalayan" }, { "word": "areal typology" }, { "word": "historical-comparative linguistics" }, { "word": "East Bodish" }, { "word": "Tshangla" }, { "word": "Bodish" } ], "section": "Introduction to Special Issue 19.1", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/56c8w718", "frozenauthors": [ { "first_name": "Pascal", "middle_name": "", "last_name": "Gerber", "name_suffix": "", "institution": "University of Bern", "department": "None" }, { "first_name": "Selin", "middle_name": "", "last_name": "Grollmann", "name_suffix": "", "institution": "University of Bern", "department": "None" } ], "date_submitted": "2020-06-30T20:32:23+08:00", "date_accepted": "2020-06-30T20:32:23+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35072/galley/26137/download/" } ] }, { "pk": 35044, "title": "Old Tibetan verb morphology and semantics: An attempt at a reconstruction", "subtitle": null, "abstract": "The paper presents the first complete reconstruction of the Old Tibetan (OT) verb morphology and semantics. Old Tibetan had a productive verb inflection with meaningful inflectional affixes \nb\n-, \ng-\n, \nɣ\n-, \nd-\n, -\nd\n, and -\ns\n. The distribution of the prefixes was asymmetric and closely related to transitivity of a verb. Verbs of highest transitivity formed four distinct stems, whereas intransitive verbs inflected for one or two stems only. Grammatical voice is the only category that can explain the disproportion in the markings of transitive and intransitive verbs. Because the basic opposition was that between active and passive voice, intransitive verbs could only form active forms, whereas both active and passive forms were available for the majority of transitive verbs. In addition, both groups of verbs inflected for aspect, distinguishing between perfective and imperfective aspect. The OT inflectional system seems to have been a local innovation, only marginally related to verb morphology of other Tibeto-Burman languages.", "language": "en", "license": null, "keywords": [ { "word": "Tibetan languages, Old Tibetan, verb morphology, verb semantics, historical linguistics" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5m40995x", "frozenauthors": [ { "first_name": "Joanna", "middle_name": "", "last_name": "Bialek", "name_suffix": "", "institution": "Humboldt-Universität zu Berlin\nBerlin, Germany", "department": "None" } ], "date_submitted": "2019-08-29T14:50:25+08:00", "date_accepted": "2019-08-29T14:50:25+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35044/galley/26124/download/" } ] }, { "pk": 35069, "title": "Segmental and suprasegmental features of Brokpa", "subtitle": null, "abstract": "This paper analyzes segmental and suprasegmental features of Brokpa, a Trans-Himalayan (Tibeto-Burman) language belonging to the Central Bodish (Tibetic) subgroup. Segmental phonology includes segments of speech including consonants and vowels and how they make up syllables. Suprasegmental features include register tone system and stress. We examine how syllable weight or moraicity plays a determining role in the placement of stress, a major criterion for phonological word in Brokpa; we also look at some other evidence for phonological words in this language. We argue that synchronic segmental and suprasegmental features of Brokpa provide evidence in favour of a number of innovative processes in this archaic Bodish language. We conclude that Brokpa, a language historically rich in consonant clusters with a simple vowel system and a relatively simple prosodic system, is losing its consonant clusters and developing additional complexities including lexical tones.", "language": "en", "license": null, "keywords": [ { "word": "Parallelism in drift, pitch harmony, register tone, stress, suprasegmental" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3xn387f6", "frozenauthors": [ { "first_name": "Pema", "middle_name": "", "last_name": "Wangdi", "name_suffix": "", "institution": "Language and Culture Research Centre, James Cook University", "department": "None" } ], "date_submitted": "2020-06-10T11:01:00+08:00", "date_accepted": "2020-06-10T11:01:00+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35069/galley/26136/download/" } ] }, { "pk": 35010, "title": "The asymmetrical categories of negation in Bumthang", "subtitle": null, "abstract": "Less inflectional categories are found in negated clauses than are found in affirmative clauses in Bumthang, a Tibeto-Burman language of Bhutan. It is common cross-linguistically for languages to make fewer contrasts in negative clauses than in affirmative ones. In this paper we focus on the less expected appearance of the ergative case in certain negated irrealis clauses, where the use of this case would be ungrammatical in the corresponding affirmative clauses. We sketch the aspectual and case-marking systems of the language, and then present data exemplifying the interaction of case, aspect and polarity, including the use of the ergative with arguments of monovalent verbs in negated irrealis clauses. We conclude by offering an account for the behaviour observed in terms of the pragmatics of implicature.", "language": "en", "license": null, "keywords": [ { "word": "negation, symmetry, ergativity, case, Bumthang, Bhutan" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/59j3g8rw", "frozenauthors": [ { "first_name": "Naomi", "middle_name": "", "last_name": "Peck", "name_suffix": "", "institution": "Other", "department": "None" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Wyatt", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Donohue", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2018-06-18T17:14:58+08:00", "date_accepted": "2018-06-18T17:14:58+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35010/galley/26102/download/" } ] }, { "pk": 35062, "title": "The Brokpa lexicon: Notes on selected semantic fields", "subtitle": null, "abstract": "A selection of semantic fields of the Brokpa lexicon are examined in some detail, focusing on both cross-linguistically salient as well as locally distinct concepts. Kinship terminology reflects traditional marriage customs through conflating in-laws with paternal aunts, maternal uncles and male cross-cousins. Different kinds of livestock such as yaks and cows are crossbred, giving rise to a wide variety of distinctly named hybrid offspring. Domestic animals receive characteristic onomatopoeic renderings of their vocalizations, and specialized summoning calls. A number of body parts are lexically not differentiated, such as hand and arm, foot and leg, finger and toe, while others like hair distinguish numerous types. Honorifics are found for body parts and kinship terms, among others. Finally, numerals mix a decimal with a more archaic vigesimal system.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa" }, { "word": "Tibetic languages" }, { "word": "lexical semantics" }, { "word": "lexical typology" }, { "word": "kinship terminology" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6jz3n8jx", "frozenauthors": [ { "first_name": "Damian", "middle_name": "", "last_name": "Funk", "name_suffix": "", "institution": "Universität Bern", "department": "None" }, { "first_name": "Corinne", "middle_name": "", "last_name": "Mittaz", "name_suffix": "", "institution": "Universität Bern", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Rüfenacht", "name_suffix": "", "institution": "Universität Bern", "department": "None" }, { "first_name": "Sereina", "middle_name": "", "last_name": "Waldis", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-02-11T22:25:17+08:00", "date_accepted": "2020-02-11T22:25:17+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35062/galley/26134/download/" } ] }, { "pk": 35057, "title": "Verbal categories in Brokpa", "subtitle": null, "abstract": "This paper presents the verbal categories tense, aspect, modality and evidentiality of Brokpa, both from a functional and diachronic perspective. Additionally, verb stem alternations in Brokpa are briefly presented and compared with those of Classical Tibetan. Verbal categories in Brokpa are formed both morphologically through suffixes and analytically through syntactically complex constructions. The past tense marker -pi is treated in some detail, since it evinces a complex allomorphy which is no longer transparent and only explicable with reference to Classical Tibetan.", "language": "en", "license": null, "keywords": [ { "word": "Brokpa" }, { "word": "Tibetic languages" }, { "word": "verbal morphology" }, { "word": "tense" }, { "word": "ASPECT" }, { "word": "mode" }, { "word": "evidentiality" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4fm8h8sd", "frozenauthors": [ { "first_name": "Corinne", "middle_name": "", "last_name": "Mittaz", "name_suffix": "", "institution": "Universität Bern", "department": "None" } ], "date_submitted": "2020-02-03T16:34:50+08:00", "date_accepted": "2020-02-03T16:34:50+08:00", "date_published": "2020-07-31T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35057/galley/26130/download/" } ] }, { "pk": 901, "title": "Rectal Foreign Body Removal in the Emergency Department: A Case Report", "subtitle": null, "abstract": "Introduction:\n Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention.\nCase Report:\n The authors present a case of a successful extraction of a RFB in the ED and review of the literature.\nConclusion:\n Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.", "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": "Rectal foreign body" }, { "word": "emergency department" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6562j95b", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "", "last_name": "Nesemann", "name_suffix": "", "institution": "University of Texas Health San Antonio, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Kimberly", "middle_name": "A.", "last_name": "Hubbard", "name_suffix": "", "institution": "University of Texas Health San Antonio Long School of Medicine, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Mehdi", "middle_name": "I.", "last_name": "Siddiqui", "name_suffix": "", "institution": "University of Texas Health San Antonio Long School of Medicine, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "William", "middle_name": "G.", "last_name": "Fernandez", "name_suffix": "", "institution": "University of Texas Health San Antonio, Department of Emergency Medicine, San Antonio, Texas", "department": "None" } ], "date_submitted": "2020-07-31T14:15:04+08:00", "date_accepted": "2020-07-31T14:15:04+08:00", "date_published": "2020-07-31T14:16:09+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/901/galley/649/download/" } ] }, { "pk": 899, "title": "Point-of-care Ultrasound in the Diagnosis of Calciphylaxis", "subtitle": null, "abstract": "Case Presentation:\n A 63-year-old male with a past medical history of end stage renal disease presented to the emergency department with painful, lower-extremity necrotic ulcerations. Ultrasound and computed tomography imaging showed concerns for calcium deposits. Biopsy confirmed the diagnosis of calciphylaxis, a rare lethal disease.\nDiscussion:\n Emergency physicians should keep this disease on their differential due to the high mortality rate.", "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": "point-of-care ultrasound" }, { "word": "calciphylaxis" }, { "word": "necrotic skin ulcer" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/46s6s7nz", "frozenauthors": [ { "first_name": "Natasha", "middle_name": "", "last_name": "Tobarran", "name_suffix": "", "institution": "Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Collin", "name_suffix": "", "institution": "Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" } ], "date_submitted": "2020-07-31T13:31:36+08:00", "date_accepted": "2020-07-31T13:31:36+08:00", "date_published": "2020-07-31T13:34:11+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/899/galley/647/download/" } ] }, { "pk": 896, "title": "A Case of a Missing Proximal Humerus", "subtitle": null, "abstract": "Case Presentation:\n In this case, we demonstrate how a small radiolucency in the proximal humerus can progress to an even larger problem within a few months in a patient without follow-up. Our patient’s ultimate diagnosis was renal cell carcinoma with metastasis to the right proximal humerus, completely obliterating the affected bone.\nDiscussion:\n In many underserved communities, patients have limited access to medical care, particularly specialty care. These patients often present to the emergency department and are unable to acquire appropriate follow-up. This situation illustrates the social issues that our patients face every day affecting their access to healthcare and ultimately necessary medical 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": "proximal humerus" }, { "word": "metastatic bone lesions" }, { "word": "renal cell carcinoma" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8bk47541", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "Lynn", "last_name": "Williams", "name_suffix": "", "institution": "Saint Joseph’s University Medical Center, Emergency Department, Paterson, New Jersey", "department": "None" }, { "first_name": "Steven", "middle_name": "M.", "last_name": "Hochman", "name_suffix": "", "institution": "Saint Joseph’s University Medical Center, Emergency Department, Paterson, New Jersey", "department": "None" } ], "date_submitted": "2020-07-31T04:01:34+08:00", "date_accepted": "2020-07-31T04:01:34+08:00", "date_published": "2020-07-31T06:58:35+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/896/galley/644/download/" } ] }, { "pk": 895, "title": "Hirschsprung’s Disease: A Rare Adult Diagnosis", "subtitle": null, "abstract": "Case Presentation:\n Approximately 94% of patients with Hirschsprung’s disease (HD) are diagnosed before the age of five. In our case, a young adult with years of constipation presented to the emergency department with significant abdominal distention. He was ultimately diagnosed with HD, which was identified using computed tomography (CT).\nDiscussion:\n In HD, we find defects in gastric motility due to improper gut colonization. Without childhood recognition, HD often leads to chronic constipation and failure to thrive in adulthood. CT is a key step in identifying this rare adult diagnosis that should be considered in all patients with a history of chronic constipation.", "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": "Hirschsprung’s disease" }, { "word": "chronic constipation" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8hp2w6tr", "frozenauthors": [ { "first_name": "Kaitlyn", "middle_name": "", "last_name": "Schmutz", "name_suffix": "", "institution": "Duke University Hospital, Department of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Gaea", "middle_name": "", "last_name": "McGaig", "name_suffix": "", "institution": "Rex Hospital, Department of Emergency Medicine, Raleigh, North Carolina", "department": "None" }, { "first_name": "B. Jason", "middle_name": "", "last_name": "Theiling", "name_suffix": "", "institution": "Duke University School of Medicine, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina", "department": "None" } ], "date_submitted": "2020-07-31T03:35:11+08:00", "date_accepted": "2020-07-31T03:35:11+08:00", "date_published": "2020-07-31T03:39:47+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/895/galley/643/download/" } ] }, { "pk": 66118, "title": "Necrotizing Soft Tissue Infection", "subtitle": null, "abstract": "A 64-year-old African American male with a history of insulin dependent diabetes mellitus and hypertension presented to the emergency department with atraumatic right foot pain, swelling, and drainage for 1 week...", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Soft Tissue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5b3073t3", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Gibbons", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2020-07-31T02:56:15.597638+08:00", "render_galley": { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66118/galley/50710/download/" }, "galleys": [ { "label": "HTML Galley", "type": "html", "path": "https://journalpub.escholarship.org/usinrls/article/66118/galley/50710/download/" } ] }, { "pk": 894, "title": "Carotid Artery Dissection as a Result of Penetrating Ear Trauma", "subtitle": null, "abstract": "Case Presentation:\n Here we present the case of a previously healthy 67-year-old female with carotid artery dissection as a result of penetrating ear trauma.\nDiscussion:\n Carotid artery dissection can result from unusual mechanisms of injury and present without typical symptoms or exam findings. If left untreated, devastating neurologic sequela can occur. Physicians must have a low threshold to obtain vascular imaging to appropriately manage such cases.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Ear trauma" }, { "word": "Carotid Artery Dissection" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9sp5c32n", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "", "last_name": "Peairs", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California", "department": "None" }, { "first_name": "Joel", "middle_name": "", "last_name": "Stillings", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California", "department": "None" } ], "date_submitted": "2020-07-31T02:54:07+08:00", "date_accepted": "2020-07-31T02:54:07+08:00", "date_published": "2020-07-31T02:55:38+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/894/galley/642/download/" } ] }, { "pk": 59296, "title": "Carbon Nanotube Forests: The Next Step in Energy Storage?", "subtitle": null, "abstract": "Interview with Dr. Waqas Khalid", "language": "en", "license": null, "keywords": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6bh6n37z", "frozenauthors": [ { "first_name": "Sharon", "middle_name": "", "last_name": "Binoy", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ananya", "middle_name": "", "last_name": "Krishnapura", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Esther", "middle_name": "", "last_name": "Lim", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Elettra", "middle_name": "", "last_name": "Preosti", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Melanie", "middle_name": "", "last_name": "Russo", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Rosa", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-30T08:01:48+08:00", "date_accepted": "2020-07-30T08:01:48+08:00", "date_published": "2020-07-29T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59296/galley/45305/download/" } ] }, { "pk": 59300, "title": "Cover", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Cover", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6pq8m3j9", "frozenauthors": [ { "first_name": "UCB", "middle_name": "", "last_name": "BSJ", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-30T08:11:21+08:00", "date_accepted": "2020-07-30T08:11:21+08:00", "date_published": "2020-07-29T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59300/galley/45309/download/" } ] }, { "pk": 59287, "title": "COVID-19: Insights from UC Berkeley's Infectious Disease Experts", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/14h8d93x", "frozenauthors": [ { "first_name": "Sharon", "middle_name": "", "last_name": "Binoy", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ananya", "middle_name": "", "last_name": "Krishnapura", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Esther", "middle_name": "", "last_name": "Lim", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Elettra", "middle_name": "", "last_name": "Preosti", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Melanie", "middle_name": "", "last_name": "Russo", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Xiong", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Katheryn", "middle_name": "", "last_name": "Zhou", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Colbert", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Rosa", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-30T07:44:44+08:00", "date_accepted": "2020-07-30T07:44:44+08:00", "date_published": "2020-07-29T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59287/galley/45296/download/" } ] }, { "pk": 59291, "title": "CRISPR Crops: The Future of Agriculture", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Features", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/71x2b3m0", "frozenauthors": [ { "first_name": "Emily", "middle_name": "", "last_name": "Pearlman", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-30T07:53:30+08:00", "date_accepted": "2020-07-30T07:53:30+08:00", "date_published": "2020-07-29T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59291/galley/45300/download/" } ] }, { "pk": 59285, "title": "Editorial Note", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/49d514qq", "frozenauthors": [ { "first_name": "Elena", "middle_name": "", "last_name": "Slobodyanyuk", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-30T07:38:15+08:00", "date_accepted": "2020-07-30T07:38:15+08:00", "date_published": "2020-07-29T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59285/galley/45294/download/" } ] }, { "pk": 59289, "title": "Globalizing Iodine through Public Health", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Features", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7bh8q243", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "", "last_name": "Jen", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-30T07:48:32+08:00", "date_accepted": "2020-07-30T07:48:32+08:00", "date_published": "2020-07-29T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59289/galley/45298/download/" } ] }, { "pk": 59294, "title": "How to Win: Optimizing Overcooked", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Features", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4sq3h354", "frozenauthors": [ { "first_name": "Nick", "middle_name": "", "last_name": "Nolan", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2020-07-30T07:57:59+08:00", "date_accepted": "2020-07-30T07:57:59+08:00", "date_published": "2020-07-29T15:00:00+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59294/galley/45303/download/" } ] }, { "pk": 59295, "title": "Labeling Tumors with Quantum Dots: The Fascinating World of 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