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{ "count": 39441, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=1400", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=1200", "results": [ { "pk": 52874, "title": "The Chief Vann House: Recognizing Sustainable Architecture from Historic Cultures", "subtitle": null, "abstract": "A description and analysis of how interpretation at Chief Vann House The Vann House site’s dual shift in interpretation—to include the experiences of enslaved people, and call attention to historical energy-efficient building design—opens a treasure trove of narratives and stories that were almost lost to American history, to the detriment of our society. When recognizing the craftsmanship and accomplishments that the working classes or enslaved people brought to these plantation homes, visitors are offered the chance to empathize with and humanize these previously under-appreciated individuals.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4kr0x9f3", "frozenauthors": [ { "first_name": "Irina", "middle_name": "", "last_name": "Garner", "name_suffix": "", "institution": "Georgia State Parks", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-09-15T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/52874/galley/39892/download/" } ] }, { "pk": 52853, "title": "The National Conservation Lands: People, Place, and Possibility", "subtitle": null, "abstract": "A welcome and introduction to this special issue of Parks Stewardship Forum commemorating the 25th anniversary of the Bureau of Land Management's National Conservation Lands.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3kk323tj", "frozenauthors": [ { "first_name": "Chris", "middle_name": "", "last_name": "Hill", "name_suffix": "", "institution": "Conservation Lands Foundation", "department": "" }, { "first_name": "Bruce", "middle_name": "", "last_name": "Babbitt", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-09-15T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/52853/galley/39872/download/" } ] }, { "pk": 52879, "title": "The National Parks and Geography (book excerpt)", "subtitle": null, "abstract": "An excerpt from the book The Parks Belong to the People: The Geography of the National Park System.", "language": "eng", "license": null, "keywords": [], "section": "New Perspectives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/52d6r02q", "frozenauthors": [ { "first_name": "Joe", "middle_name": "", "last_name": "Weber", "name_suffix": "", "institution": "University of Alabama", "department": "" }, { "first_name": "Selima", "middle_name": "", "last_name": "Sultana", "name_suffix": "", "institution": "University of North Carolina Greensboro", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-09-15T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/52879/galley/39897/download/" } ] }, { "pk": 52851, "title": "Thoughtful Reprimand", "subtitle": null, "abstract": "In this \"Letter from Woodstock,\" our columnist Rolf Diamant, joined by Nora Mitchell, recall the influence of their late friend, the historical architect Hugh Miller.", "language": "eng", "license": null, "keywords": [], "section": "Points of View", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2ng3362j", "frozenauthors": [ { "first_name": "Rolf", "middle_name": "", "last_name": "Diamant", "name_suffix": "", "institution": "GWS", "department": "" }, { "first_name": "Nora", "middle_name": "", "last_name": "Mitchell", "name_suffix": "", "institution": "GWS", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-09-15T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/52851/galley/39870/download/" } ] }, { "pk": 52877, "title": "Tracing the Radioactivist Landscape", "subtitle": null, "abstract": "Most of the public interpretation of nuclear technologies occurs in the places where large-scale facilities involved in, first, the Manhattan project and, later, the growth of both nuclear weapons and nuclear power have been located. These interpretive efforts are important and worthwhile, particularly as remediation efforts by the Department of Energy have often razed historic structures and other physical testaments to the nuclear landscape. But where else might we look? Where might we situate our interpretive work, and what other stories might we tell? I suggest that we think of these energy stories not as nuclear stories or atomic stories—terms that emphasize the scientific, technological, and military dimensions of nuclear energy—but as stories of radioactivity and radioactivism. Reframing our preservationist, interpretive, and commemorative work in this way both enlarges the field of what counts as a nuclear energy site or story and invites us to pay attention to a wider swath of people, especially the activists who resisted the proliferation of nuclear weapons and the expansion of nuclear power.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/12s5m6p7", "frozenauthors": [ { "first_name": "Amrys", "middle_name": "O.", "last_name": "Williams", "name_suffix": "", "institution": "Connecticut League of Museums", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-09-15T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/52877/galley/39895/download/" } ] }, { "pk": 52866, "title": "Twenty-Five Years of Paleontological Research in Grand Staircase-Escalante National Monument, Utah: Public Lands in Service to Science and the Public", "subtitle": null, "abstract": "On September 18, 1996, Grand Staircase-Escalante National Monument (GSENM) became the first national monument managed by the US Bureau of Land Management (BLM) and one of the first to protect a landscape based partly on its opportunity for scientific discovery. Its creation was a watershed moment in public land management, because to meet the mandates for its first monument, BLM opted to implement unprecedented support of resource investigations for numerous natural and cultural sciences, including establishing its first ever in-house paleontological field program. The rationale for this was taken directly from the establishing presidential proclamation (6920) which called out GSENM’s untapped paleontological treasure trove as “world-class.” The proclamation also singled out the Late Cretaceous vertebrate fossil record of the Kaiparowits Plateau, largely known at the time through the pioneering work of Drs. Jeff Eaton and Rich Cifelli, who had spent years teasing out the mammalian evolutionary story preserved within. Their work on Mesozoic mammals, alongside sporadic work by other institutions (mainly the University of Utah and Brigham Young University) in the 1970s and 1980s, demonstrated that the Kaiparowits Plateau also held a substantial macrovertebrate record that included beautifully preserved dinosaur skeletons. However, a lack of coordinated effort and the difficult nature of fieldwork in the rugged badlands led to what can only be described as desultory results. The leverage that came with monument status, including logistical and financial support provided by BLM, made this resource more accessible to the paleontological community, stimulating a sudden burst of new field research and discovery. Initial, coordinated, and collaborative fossil inventories started in 2000 by joint BLM, Utah Museum of Natural History, Museum of Northern Arizona, and Utah Geological Survey teams led to a cascade of discoveries, including sites preserving plants, invertebrates, trace fossils, microvertebrates, and macrovertebrates, contextualized by new geological insights. Many of these new fossil finds represent species entirely new to science, with some sites preserving intact snapshots of Late Cretaceous ecosystems that are unmatched globally. Unique geologic conditions resulted in spectacular preservation, sometimes even including soft tissue traces. This renaissance in North American Late Cretaceous paleontology would not have been possible without the focused resources and effort facilitated by the creation of GSENM and the subsequent prioritization of inventory and basic research in its mission. In addition to the science, the public benefits of these efforts have been immense, providing opportunities for direct involvement in the scientific process through volunteer programs, training for several generations of future paleontologists and geologists, innumerable educational programs, and exposure in national and international media outlets through articles, television, and interviews. The collaborative and far-reaching paleontological effort at GSENM has highlighted an often overlooked aspect of public lands management: the importance of US public lands for scientific discovery and education.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4p99h1nq", "frozenauthors": [ { "first_name": "Alan", "middle_name": "L.", "last_name": "Titus", "name_suffix": "", "institution": "BLM", "department": "" }, { "first_name": "Randall", "middle_name": "B.", "last_name": "Irmis", "name_suffix": "", "institution": "Natural History Museum of Utah", "department": "" }, { "first_name": "Scott", "middle_name": "D.", "last_name": "Sampson", "name_suffix": "", "institution": "California Academy of Sciences", "department": "" }, { "first_name": "Lindsay", "middle_name": "E.", "last_name": "Zanno", "name_suffix": "", "institution": "North Carolina Museum of Natural Sciences", "department": "" }, { "first_name": "L.", "middle_name": "Barry", "last_name": "Albright", "name_suffix": "", "institution": "University of North Florida", "department": "" }, { "first_name": "Joseph", "middle_name": "J.W.", "last_name": "Sertich", "name_suffix": "", "institution": "Colorado State University", "department": "" }, { "first_name": "Eric", "middle_name": "M.", "last_name": "Roberts", "name_suffix": "", "institution": "Colorado School of Mines", "department": "" }, { "first_name": "Andrew", "middle_name": "A.", "last_name": "Farke", "name_suffix": "", "institution": "Raymond M. Alf Museum of Paleontology", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-09-15T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/52866/galley/39884/download/" } ] }, { "pk": 52869, "title": "Wilderness State of Mind Must be Shared to be Understood", "subtitle": null, "abstract": "Wilderness may be a designation, but it is more than that. It is a feeling. A feeling that can be realized if you visit some of the more than 10 million acres of wilderness managed by the BLM as part of the National Conservation Lands system.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8px0q5zr", "frozenauthors": [ { "first_name": "Cody", "middle_name": "", "last_name": "Moran", "name_suffix": "", "institution": "Society for Wilderness Stewardship", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-09-15T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/52869/galley/39887/download/" } ] }, { "pk": 64999, "title": "A combinatorial skewing formula for the Rise Delta Theorem", "subtitle": null, "abstract": "We prove that the symmetric function \\(\\Delta'_{e_{k-1}}e_n\\) appearing in the Delta Conjecture can be obtained from the symmetric function in the Rectangular Shuffle Theorem by applying a Schur skewing operator. This generalizes a formula by the first and third authors for the Delta Conjecture at \\(t=0\\), and follows from work of Blasiak, Haiman, Morse, Pun, and Seelinger. Our main result is that we also provide a purely combinatorial proof of this skewing identity, giving a new proof of the Rise Delta Theorem from the Rectangular Shuffle Theorem.\n \nMathematics Subject Classifications: 05E05\n \nKeywords: Delta conjecture, parking functions, sign reversing involutions, skewing formula, Rectangular shuffle theorem, dinv, symmetric functions", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Delta conjecture" }, { "word": "parking functions" }, { "word": "sign reversing involutions" }, { "word": "skewing formula" }, { "word": "Rectangular shuffle theorem" }, { "word": "dinv" }, { "word": "symmetric functions" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3bp930rf", "frozenauthors": [ { "first_name": "Maria", "middle_name": "", "last_name": "Gillespie", "name_suffix": "", "institution": "Department of Mathematics, Colorado State University, Fort Collins, CO, U.S.A.", "department": "" }, { "first_name": "Eugene", "middle_name": "", "last_name": "Gorsky", "name_suffix": "", "institution": "Department of Mathematics, University of California Davis, One Shields Ave, Davis CA, U.S.A.", "department": "" }, { "first_name": "Sean", "middle_name": "", "last_name": "Griffin", "name_suffix": "", "institution": "Faculty of Mathematics, University of Vienna, Oskar-Morgenstern-Platz 1, 1090 Vienna, Austria", "department": "" } ], "date_submitted": "2025-09-12T10:13:08Z", "date_accepted": "2025-09-12T10:13:08Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/64999/galley/49809/download/" } ] }, { "pk": 65012, "title": "A degree bound for planar functions", "subtitle": null, "abstract": "Using Stickelberger's theorem on Gauss sums, we show that if \\(F\\) is a planar function on a finite field \\(\\mathbb{F}_q\\), then for all non-zero functions \\(G : \\mathbb{F}_q \\to \\mathbb{F}_q\\), we have \\begin{equation*} d_{\\mathsf{alg}}(G \\circ F) - d_{\\mathsf{alg}}(G) \\le \\frac{n(p-1)}{2}, \\end{equation*} where \\(q = p^n\\) with \\(p\\) a prime and \\(n\\) a positive integer, and \\(d_{\\mathsf{alg}}(F)\\) is the algebraic degree of \\(F\\), i.e., the maximum degree of the corresponding system of \\(n\\) lowest-degree interpolating polynomials for \\(F\\) considered as a function on \\(\\mathbb{F}_p^n\\). This bound implies the (known) classification of planar polynomials over \\(\\mathbb{F}_p\\) and planar monomials over \\(\\mathbb{F}_{p^2}\\). As a new result, using the same degree bound, we complete the classification of planar monomials for all \\(n = \\smash{2^k}\\) with \\(p›5\\) and \\(k\\) a non-negative integer. Finally, we state a conjecture on the sum of the base-\\(p\\) digits of integers modulo \\(q-1\\) that implies the complete classification of planar monomials over finite fields of characteristic \\(p›5\\).\n \nMathematics Subject Classifications: 05B25, 11T06, 11T24\n \nKeywords: Planar function, algebraic degree, Stickelberger's theorem, digit sum", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Planar function" }, { "word": "algebraic degree" }, { "word": "Stickelberger's theorem" }, { "word": "digit sum" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6697p4nj", "frozenauthors": [ { "first_name": "Christof", "middle_name": "", "last_name": "Beierle", "name_suffix": "", "institution": "Faculty of Computer Science, Ruhr University Bochum, Bochum, Germany", "department": "" }, { "first_name": "Tim", "middle_name": "", "last_name": "Beyne", "name_suffix": "", "institution": "Faculty of Computer Science, Ruhr University Bochum, Bochum, Germany -- COSIC, KU Leuven, Leuven, Belgium", "department": "" } ], "date_submitted": "2025-09-12T13:25:43Z", "date_accepted": "2025-09-12T13:25:43Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65012/galley/49822/download/" } ] }, { "pk": 65006, "title": "An explicit condition for boundedly supermultiplicative subshifts", "subtitle": null, "abstract": "We study some properties of the growth rate of \\(\\mathcal{L}(\\mathcal{A},\\mathcal{F})\\), that is, the language of words over the alphabet \\(\\mathcal{A}\\) avoiding the set of forbidden factors \\(\\mathcal{F}\\). We first provide a sufficient condition on \\(\\mathcal{F}\\) and \\(\\mathcal{A}\\) for the growth of \\(\\mathcal{L}(\\mathcal{A},\\mathcal{F})\\) to be boundedly supermultiplicative. That is, there exist constants \\(C›0\\) and \\(\\alpha\\ge0\\), such that for all \\(n\\), the number of words of length \\(n\\) in \\(\\mathcal{L}(\\mathcal{A},\\mathcal{F})\\) is between \\(\\alpha^n\\) and \\(C\\alpha^n\\). In some settings, our condition provides a way to compute \\(C\\), which implies that \\(\\alpha\\), the growth rate of the language, is also computable whenever our condition holds.\nWe also apply our technique to the specific setting of power-free words where the argument can be slightly refined to provide better bounds. Finally, we apply a similar idea to \\(\\mathcal{F}\\)-free circular words and in particular we make progress toward a conjecture of Shur about the number of square-free circular words.\n \nMathematics Subject Classifications: 68R15\n \nKeywords: Subshift, supermultiplicativity, growth of languages, circular word", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Subshift" }, { "word": "supermultiplicativity" }, { "word": "growth of languages" }, { "word": "circular word" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/563364s6", "frozenauthors": [ { "first_name": "Vuong", "middle_name": "", "last_name": "Bui", "name_suffix": "", "institution": "Swinburne Vietnam, FPT University, Hanoi, 80 Duy Tan Street, Hanoi 100000, Vietnam", "department": "" }, { "first_name": "Matthieu", "middle_name": "", "last_name": "Rosenfeld", "name_suffix": "", "institution": "LIRMM, Université de Montpellier, CNRS, 161 Rue Ada, 34095 Montpellier, France", "department": "" } ], "date_submitted": "2025-09-12T12:07:21Z", "date_accepted": "2025-09-12T12:07:21Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65006/galley/49816/download/" } ] }, { "pk": 65009, "title": "An upper bound on the per-tile entropy of ribbon tilings", "subtitle": null, "abstract": "This paper considers \\(n\\)-ribbon tilings of general regions and their per-tile entropy (the binary logarithm of the number of tilings divided by the number of tiles). We show that the per-tile entropy is bounded above by \\(\\log_2 n\\). This bound improves the best previously known bounds of \\(n-1\\) for general regions, and the asymptotic upper bound of \\(\\log_2 (en)\\) for growing rectangles, due to Chen and Kargin.\n \nMathematics Subject Classifications: 05B45, 52C20\n \nKeywords: Ribbon tilings, domino tilings, dimer tilings", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Ribbon tilings" }, { "word": "domino tilings" }, { "word": "dimer tilings" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/71b088cf", "frozenauthors": [ { "first_name": "Simon", "middle_name": "R.", "last_name": "Blackburn", "name_suffix": "", "institution": "Department of Mathematics, Royal Holloway University of London, Egham, Surrey TW20 0EX, U.K.", "department": "" }, { "first_name": "Yinsong", "middle_name": "", "last_name": "Chen", "name_suffix": "", "institution": "Department of Mathematics and Statistics, Binghamton University, Binghamton, New York, U.S.A.", "department": "" }, { "first_name": "Vladislav", "middle_name": "", "last_name": "Kargin", "name_suffix": "", "institution": "Department of Mathematics and Statistics, Binghamton University, Binghamton, New York, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T12:59:08Z", "date_accepted": "2025-09-12T12:59:08Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65009/galley/49819/download/" } ] }, { "pk": 65008, "title": "Boolean elements in the Bruhat order", "subtitle": null, "abstract": "We show that a Weyl group element is boolean if and only if it avoids a set of Billey-Postnikov patterns, which we describe explicitly. Our proof is based on analysis of inversion sets, and it is in large part type-uniform. We also introduce the notion of linear pattern avoidance, and show that boolean elements are characterized by avoiding just \\(3\\) linear patterns in types \\(A_2\\), \\(A_3\\), and \\(D_4\\), respectively.\nWe also consider the more general case of \\(k\\)-boolean Weyl group elements. We say that a Weyl group element \\(w\\) is \\(k\\)-boolean if every reduced expression for \\(w\\) contains at most \\(k\\) copies of each generator. We show that the \\(2\\)-boolean elements of the symmetric group are characterized by avoiding the patterns \\(3421,4312,4321,\\) and \\(456123\\), and obtain their generating function.\n \nMathematics Subject Classifications: 05A05, 20F55\n \nKeywords: Boolean permutations, Bruhat orders, Billey-Postnikov patterns, Weyl groups", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Boolean permutations" }, { "word": "Bruhat orders" }, { "word": "Billey-Postnikov patterns" }, { "word": "Weyl groups" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6v0196p6", "frozenauthors": [ { "first_name": "Yibo", "middle_name": "", "last_name": "Gao", "name_suffix": "", "institution": "Beijing International Center for Mathematical Research, Peking University, Beijing, China", "department": "" }, { "first_name": "Kaarel", "middle_name": "", "last_name": "Hänni", "name_suffix": "", "institution": "The Division of Physics, Mathematics and Astronomy, California Institute of Technology, Pasadena, CA, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T12:12:40Z", "date_accepted": "2025-09-12T12:12:40Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65008/galley/49818/download/" } ] }, { "pk": 65001, "title": "Bounds on unique-neighbor codes", "subtitle": null, "abstract": "Recall that a binary linear code of length \\(n\\) is a linear subspace \\(\\mathcal{C} = \\{x\\in \\mathbb{F}_2^n \\mid Ax=0\\}\\). Here the parity check matrix \\(A\\) is a binary \\(m\\times n\\) matrix of rank \\(m\\). We say that \\(\\mathcal{C}\\) has rate \\(R=1-\\frac mn\\). Its distance, denoted \\(\\delta n\\) is the smallest Hamming weight of a non-zero vector in \\(\\mathcal{C}\\). The rate vs. distance problem for binary linear codes is a fundamental open problem in coding theory, and a fascinating question in discrete mathematics. It concerns the function \\(R_L(\\delta)\\), the largest possible rate \\(R\\) for given \\(0\\le\\delta\\le 1\\) and arbitrarily large length \\(n\\). Here we investigate a variation of this fundamental question that we describe next. Clearly, \\(\\mathcal{C}\\) has distance \\(\\delta n\\), if and only if for every \\(0‹n'‹\\delta n\\), every \\(m\\times n'\\) submatrix of \\(A\\) has a row of odd weight. Motivated by several problems from coding theory, we say that \\(A\\) has the unique-neighbor property with parameter \\(\\delta n\\), if every such submatrix has a row of weight \\(1\\). Let \\(R_U(\\delta)\\) be the largest possible asymptotic rate of linear codes with a parity check matrix that has this stronger property. Clearly, \\(R_U(\\cdot), R_L(\\cdot)\\) are non-increasing functions, and \\(R_U(\\delta)\\le R_L(\\delta)\\) for all \\(\\delta\\). Also, \\(R_U(0) = R_L(0) = 1\\), and \\({R_U(1) = R_L(1) = 0}\\), so let \\(0\\le\\delta_U \\le\\delta_L\\le 1\\) be the smallest values of \\(\\delta\\) at which \\(R_U\\) resp. \\(R_L\\) vanish. It is well known that \\(\\delta_L=\\frac{1}{2}\\) and we conjecture that \\(\\delta_U\\) is strictly smaller than \\(\\frac{1}{2}\\), i.e., the rate of linear codes with the unique-neighbor property is more strictly bounded. While the conjecture remains open, we prove here several results supporting it. The reader is not assumed to have any specific background in coding theory, but we occasionally point out some relevant facts from that area.\n \nMathematics Subject Classifications: 05D99, 94B65\n \nKeywords: Unique neighbor, linear code", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Unique neighbor" }, { "word": "linear code" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6k75258k", "frozenauthors": [ { "first_name": "Nathan", "middle_name": "", "last_name": "Linial", "name_suffix": "", "institution": "School of Computer Science and Engineering, Hebrew University, Jerusalem 91904, Israel", "department": "" }, { "first_name": "Edan", "middle_name": "", "last_name": "Orzech", "name_suffix": "", "institution": "Department of Electrical Engineering and Computer Science, MIT CSAIL, Cambridge MA 02139, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T11:28:39Z", "date_accepted": "2025-09-12T11:28:39Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65001/galley/49811/download/" } ] }, { "pk": 65013, "title": "Cylindric \\(P\\)-tableaux for \\((\\mathbf{3}+\\mathbf{1})\\) -free posets", "subtitle": null, "abstract": "Tatsuyki Hikita recently proved the Stanley-Stembridge conjecture, showing that the \\(e\\)-coefficients of the chromatic symmetric function of an incomparability graph of a \\((\\mathbf{3}+\\mathbf{1})\\) -free poset are non-negative. It remains an open problem to find combinatorial interpretations of the \\(e\\)-coefficients. For a \\((\\mathbf{3}+\\mathbf{1})\\)-free \\(P\\), we define a hybrid of \\(P\\)-tableaux and cylindric tableaux called cylindric \\(P\\)-tableaux. The weight generating function of cylindric \\(P\\)-tableaux of shape \\(\\lambda/\\mu/d\\) are shown to be \\(P\\)-analogs of cylindric Schur functions defined by a determinantal formula. We deduce that certain sums of the \\(e\\)-expansion coefficients of the chromatic symmetric function \\(X_{\\operatorname{inc}(P)}\\) are counted by the number of standard cylindric \\(P\\)-tableaux of the appropriate shape. We connect the \\(P\\)-analogs of symmetric functions to a theorem on Hecke algebra immanants due to Clearman-Hyatt-Shelton-Skandera.\n \nMathematics Subject Classifications: 05E05\n \nKeywords: Symmetric Functions, \\(e\\)-Positivity", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Symmetric Functions" }, { "word": "\\(e\\)-Positivity" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3577b1dc", "frozenauthors": [ { "first_name": "Isaiah", "middle_name": "", "last_name": "Siegl", "name_suffix": "", "institution": "Department of Mathematics, University of Washington, Seattle Washington, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T13:33:36Z", "date_accepted": "2025-09-12T13:33:36Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65013/galley/49823/download/" } ] }, { "pk": 65014, "title": "Dihedral tilings of the sphere by regular polygons and quadrilaterals I: squares and rhombi", "subtitle": null, "abstract": "We classify the edge-to-edge dihedral tilings of the sphere by squares and rhombi and develop a method that can be applied to future problems.\n \nMathematics Subject Classifications: 05B45, 52C20, 51M10, 51M20, 52B10\n \nKeywords: Classification, spherical tilings, dihedral tilings, quadrangulations, division of spaces", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Classification" }, { "word": "spherical tilings" }, { "word": "dihedral tilings" }, { "word": "quadrangulations" }, { "word": "division of spaces" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5c32t98w", "frozenauthors": [ { "first_name": "Hoi", "middle_name": "Ping", "last_name": "Luk", "name_suffix": "", "institution": "Katedra matematiky, Západočeská univerzita v Plzni, Plzeň, Czech Republic", "department": "" } ], "date_submitted": "2025-09-12T13:50:38Z", "date_accepted": "2025-09-12T13:50:38Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65014/galley/49824/download/" } ] }, { "pk": 65002, "title": "Equivalences of biprojective almost perfect nonlinear functions", "subtitle": null, "abstract": "Two important problems on almost perfect nonlinear (APN) functions are the enumeration and equivalence problems. In this paper, we solve these two problems for any biprojective APN function family by introducing a group theoretic method for those functions. Roughly half of the known APN families of functions on even dimensions are biprojective. By our method, we settle the equivalence problem for all known biprojective APN functions. Furthermore, we give a new family of such functions. Using our method, we count the number of inequivalent APN functions in all known biprojective APN families and show that the new family found in this paper gives exponentially many new inequivalent APN functions. Quite recently, the Taniguchi family of APN functions was shown to contain an exponential number of inequivalent APN functions by Kaspers and Zhou (J. Cryptol. 34(1), 2021) which improved their previous count (J. Comb. Th. A 186, 2022) for the Zhou-Pott family. Our group theoretic method substantially simplifies the work required for proving those results and provides a generic natural method for every family in the large super-class of biprojective APN functions that contains these two family along with many others.\n \nMathematics Subject Classifications: 94A60, 06E30\n \nKeywords: APN function, CCZ-equivalence, biprojective function", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "APN function" }, { "word": "CCZ-equivalence" }, { "word": "biprojective function" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8h67z6mh", "frozenauthors": [ { "first_name": "Faruk", "middle_name": "", "last_name": "Göloğlu", "name_suffix": "", "institution": "Department of Algebra, Charles University, Prague, Czech Republic", "department": "" }, { "first_name": "Lukas", "middle_name": "", "last_name": "Kölsch", "name_suffix": "", "institution": "Department of Mathematics, University of South Florida, St. Petersburg, FL, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T11:37:55Z", "date_accepted": "2025-09-12T11:37:55Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65002/galley/49812/download/" } ] }, { "pk": 65010, "title": "Equivalences of LLT polynomials via lattice paths", "subtitle": null, "abstract": "The LLT polynomials \\(\\mathcal{L}_{{{\\beta}/{\\gamma}}} (X;t)\\) are a family of symmetric polynomials indexed by a tuple of (possibly skew-)partitions \\({{\\beta}/{\\gamma}}= (\\beta^{(1)}/\\gamma^{(1)},\\ldots,\\beta^{(k)}/\\gamma^{(k)})\\). It has recently been shown that these polynomials can be seen as the partition function of a certain vertex model whose boundary condition is determined by \\({{\\beta}/{\\gamma}}\\). In this paper we describe an algorithm which gives a bijection between the configurations of the vertex model with boundary condition \\({{\\beta}/{\\gamma}} = (\\beta^{(1)}/\\gamma^{(1)},\\beta^{(2)}/\\gamma^{(2)})\\) and those with boundary condition \\(({{\\beta}/{\\gamma}})_{swap} = (\\beta^{(2)}/\\gamma^{(2)},\\beta^{(1)}/\\gamma^{(1)})\\). We prove a sufficient condition for when this bijection is weight-preserving up to an overall factor of \\(t\\), which in turn implies that the corresponding LLT polynomials are equal up to the same overall factor. Extending these techniques, we are able to systematically determine linear relations within families of LLT polynomials.Mathematics Subject Classifications: 05E05Keywords: LLT polynomials, vertex models", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "LLT polynomials" }, { "word": "vertex models" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0f77k104", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Keating", "name_suffix": "", "institution": "Department of Mathematics, University of Illinois, Urbana-Champaign, Urbana, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T13:07:04Z", "date_accepted": "2025-09-12T13:07:04Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65010/galley/49820/download/" } ] }, { "pk": 65003, "title": "Harmonious sequences in groups with a unique involution", "subtitle": null, "abstract": "We study several combinatorial properties of finite groups that are related to the notions of sequenceability, R-sequenceability, and harmonious sequences. In particular, we show that in every abelian group \\(G\\) with a unique involution \\(\\imath_G\\) there exists a permutation \\(g_0,\\ldots, g_{m}\\) of elements of \\(G \\backslash \\{\\imath_G\\}\\) such that the consecutive sums \\({g_0+g_1, g_1+g_2,\\ldots, g_{m}+g_0}\\) also form a permutation of elements of \\(G\\backslash \\{\\imath_G\\}\\). We also show that in every abelian group of order at least 4 there exists a sequence containing each non-identity element of \\(G\\) exactly twice such that the consecutive sums also contain each non-identity element of \\(G\\) twice. We apply several results to the existence of transversals in Latin squares.\n \nMathematics Subject Classifications: 05E16, 20D60, 05B15\n \nKeywords: Sequenceable groups, Latin squares, harmonious groups, complete mappings", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Sequenceable groups" }, { "word": "Latin squares" }, { "word": "harmonious groups" }, { "word": "complete mappings" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5489614t", "frozenauthors": [ { "first_name": "Lydia", "middle_name": "", "last_name": "de Wolf", "name_suffix": "", "institution": "Department of Mathematics, Siena University, NY, U.S.A.", "department": "" }, { "first_name": "Mohammad", "middle_name": "", "last_name": "Javaheri", "name_suffix": "", "institution": "Department of Mathematics, Siena University, NY, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T11:54:36Z", "date_accepted": "2025-09-12T11:54:36Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65003/galley/49813/download/" } ] }, { "pk": 65011, "title": "Improved stability for the size and structure of iterated sumsets in \\(\\mathbb{Z}^d\\)", "subtitle": null, "abstract": "Let \\(A \\subset \\mathbb{Z}^d\\) be a finite set. It is known that the sumset \\(NA\\) has predictable size (\\(\\vert NA\\vert = P_A(N)\\) for some \\(P_A(X) \\in \\mathbb{Q}[X]\\)) and structure (all of the lattice points in some finite cone other than all of the lattice points in a finite collection of exceptional subcones), once \\(N\\) is larger than some threshold. In previous work, the first effective bounds for both of these thresholds were established, for an arbitrary set \\(A\\). In this article we substantially improve each of these bounds, coming much closer to the corresponding lower bounds known.\n \nMathematics Subject Classifications: 11P21, 05B10, 11B13, 11P70, 05A16\n \nKeywords: Sumsets, Set addition, Khovanskii polynomial, Structure Theorem, Explicit Bounds", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Sumsets" }, { "word": "Set addition" }, { "word": "Khovanskii polynomial" }, { "word": "Structure Theorem" }, { "word": "Explicit Bounds" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/590022kx", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Granville", "name_suffix": "", "institution": "Université de Montréal, Montréal, Canada", "department": "" }, { "first_name": "Jack", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "University of Cambridge, U.K.", "department": "" }, { "first_name": "Aled", "middle_name": "", "last_name": "Walker", "name_suffix": "", "institution": "King's College London, U.K.", "department": "" } ], "date_submitted": "2025-09-12T13:09:16Z", "date_accepted": "2025-09-12T13:09:16Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65011/galley/49821/download/" } ] }, { "pk": 65000, "title": "On the determination of sets by their subset sums", "subtitle": null, "abstract": "Let \\(A\\) be a multiset with elements in an abelian group. Let \\(\\operatorname{FS}(A)\\) be the multiset containing the \\(2^{|A|}\\) sums of all subsets of \\(A\\). We study the reconstruction problem \"Given \\(\\operatorname{FS}(A)\\), is it possible to identify \\(A\\)?\". We prove that, up to identifying multisets through a natural equivalence relation, the function \\(A \\mapsto \\operatorname{FS}(A)\\) is injective (and thus the reconstruction problem is solvable) if and only if every order \\(n\\) of a torsion element of the abelian group satisfies a number-theoretical property related to the multiplicative group \\((\\mathbb{Z}/n \\mathbb{Z})^*\\). The core of the proof relies on a delicate study of the structure of cyclotomic units. Moreover, as a tool, we develop an inversion formula for a novel discrete Radon transform on finite abelian groups that might be of independent interest.\n \nMathematics Subject Classifications: 11P70, 05B10, 11R18, 44A12\n \nKeywords: Subset sums, inverse problems, Radon transform, cyclotomic extension", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Subset sums" }, { "word": "inverse problems" }, { "word": "Radon transform" }, { "word": "cyclotomic extension" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9s01w2p2", "frozenauthors": [ { "first_name": "Andrea", "middle_name": "", "last_name": "Ciprietti", "name_suffix": "", "institution": "Department of Mathematics, University of Pisa, Pisa, Italy", "department": "" }, { "first_name": "Federico", "middle_name": "", "last_name": "Glaudo", "name_suffix": "", "institution": "School of Mathematics, Institute for Advanced Study, Princeton NJ, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T10:16:03Z", "date_accepted": "2025-09-12T10:16:03Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65000/galley/49810/download/" } ] }, { "pk": 65007, "title": "Orthogonal webs and semisimplification", "subtitle": null, "abstract": "We define a diagrammatic category that is equivalent to tilting representations for the orthogonal group. Our construction works in characteristic not equal to two. We also describe the semisimplification of this category.\n \nMathematics Subject Classifications: Primary:18M05, 20G05; Secondary:18M30,~20J15\n \nKeywords: Representations of linear algebraic groups, webs, Howe duality, diagrammatic presentation, positive characteristic, semisimplification", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Representations of linear algebraic groups" }, { "word": "webs" }, { "word": "Howe duality" }, { "word": "diagrammatic presentation" }, { "word": "positive characteristic" }, { "word": "semisimplification" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/55j055pv", "frozenauthors": [ { "first_name": "Elijah", "middle_name": "", "last_name": "Bodish", "name_suffix": "", "institution": "MIT, Department of Mathematics, Building 2, Office 2-178, Cambridge, MA 02139, U.S.A.", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Tubbenhauer", "name_suffix": "", "institution": "The University of Sydney, School of Mathematics and Statistics F07, Office Carslaw 827, NSW 2006, Australia", "department": "" } ], "date_submitted": "2025-09-12T12:10:14Z", "date_accepted": "2025-09-12T12:10:14Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65007/galley/49817/download/" } ] }, { "pk": 65004, "title": "Piecewise-linear promotion and RSK in rectangles and moon polyominoes", "subtitle": null, "abstract": "We study piecewise-linear and birational lifts of Schützenberger promotion, evacuation, and the RSK correspondence defined in terms of toggles. Using this perspective, we prove that certain chain statistics in rectangles shift predictably under the action of these maps. We then use this to construct piecewise-linear and birational versions of Rubey's bijections between fillings of equivalent moon polyominoes that preserve these chain statistics, and we show that these maps form a commuting diagram. We also discuss how these results imply Ehrhart equivalence and Ehrhart quasi-polynomial period collapse of certain analogues of chain polytopes for moon polyominoes.\n \nMathematics Subject Classifications: 05E18, 05A05, 05A19, 52B05\n \nKeywords: Birational rowmotion, Robinson-Schensted-Knuth correspondence, moon polyominoes, period collapse", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Birational rowmotion" }, { "word": "Robinson-Schensted-Knuth correspondence" }, { "word": "moon polyominoes" }, { "word": "period collapse" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82m6c1mt", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "Institutionen för Matematik, KTH Royal Institute of Technology, Stockholm, Sweden", "department": "" }, { "first_name": "Ricky", "middle_name": "Ini", "last_name": "Liu", "name_suffix": "", "institution": "Department of Mathematics, University of Washington, Seattle, WA, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T11:58:21Z", "date_accepted": "2025-09-12T11:58:21Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65004/galley/49814/download/" } ] }, { "pk": 64996, "title": "Positroid envelopes and graphic positroids", "subtitle": null, "abstract": "Positroids are matroids realizable by real matrices with all nonnegative maximal minors. They partition the ordered matroids into equivalence classes, called positroid envelope classes, by their Grassmann necklaces. We give an explicit graph construction that shows that every positroid envelope class contains a graphic matroid. We prove that a graphic positroid is the unique matroid in its positroid envelope class. Finally, we show that every graphic positroid has an oriented graph representable by a signed incidence matrix with all nonnegative minors.\n \nMathematics Subject Classifications: 05B35\n \nKeywords: Graphic positroids, positroids, decorated permutations", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Graphic positroids" }, { "word": "positroids" }, { "word": "decorated permutations" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6h09q7vq", "frozenauthors": [ { "first_name": "Jeremy", "middle_name": "", "last_name": "Quail", "name_suffix": "", "institution": "Department of Mathematics and Statistics, University of Vermont, Burlington, Vermont, U.S.A.", "department": "" }, { "first_name": "Puck", "middle_name": "", "last_name": "Rombach", "name_suffix": "", "institution": "Department of Mathematics and Statistics, University of Vermont, Burlington, Vermont, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T09:53:37Z", "date_accepted": "2025-09-12T09:53:37Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/64996/galley/49806/download/" } ] }, { "pk": 64998, "title": "Shortest paths on polymatroids and hypergraphic polytopes", "subtitle": null, "abstract": "Base polytopes of polymatroids, also known as generalized permutohedra, are polytopes whose edges are parallel to a vector of the form \\(\\mathbf{e}_i - \\mathbf{e}_j\\), where the \\(\\{\\mathbf{e}_i\\}_{i\\in [n]}\\) are the canonical basis vectors of \\(\\mathbb{R}^n\\). We consider the following computational problem: Given two vertices of a generalized permutohedron \\(P\\), determine the length of a shortest path between them on the skeleton of \\(P\\), where the length of a path is its number of edges. This captures many known flip distance problems, such as computing the minimum number of exchanges between two spanning trees of a graph, the rotation distance between binary search trees, the flip distance between acyclic orientations of a graph, or rectangulations of a square. We prove that this general problem is \\NP-hard, even when restricted to very simple polymatroids in \\(\\mathbb{R}^n\\) defined by \\(O(n)\\) inequalities. Assuming \\(\\operatorname{P}\\not= \\operatorname{NP}\\), this shows that even when maximizing a linear functional over a polymatroid, we cannot hope for the existence of a computationally efficient simplex pivoting rule that performs a minimum number of nondegenerate pivoting steps to an optimal solution. Such results have previously been shown only for other, arguably more complicated classes of polytopes. We also prove that the shortest path problem is inapproximable when the polymatroid is specified via an evaluation oracle for a corresponding submodular function, which strengthens a recent result by Ito, Kakimura, Kamiyama, Kobayashi, Maezawa, Nozaki, and Okamoto (ICALP'23). More precisely, we prove that it is \\NP-hard to approximate the length of a shortest path to within a factor \\((1+\\varepsilon)\\) for some absolute constant \\(\\varepsilon›0\\), even when the polymatroid is a hypergraphic polytope, whose vertices are in bijection with acyclic orientations of a given hypergraph. The shortest path problem then amounts to computing the flip distance between two acyclic orientations of a hypergraph.\nOn the positive side, we provide a polynomial-time algorithm which, given any pair of acyclic orientations of a hypergraph, computes a connecting path whose length approximates the length of a shortest path to within a factor bounded by the maximum codegree of the hypergraph. Our result implies in particular an exact polynomial-time algorithm for computing shortest flip sequences between acyclic orientations of any linear hypergraph.\n \nMathematics Subject Classifications: 90C05, 90C08, 90C27, 90C35, 90C49, 90C57, 90C60, 05C50, 05C65, 05B35, 52B40\n \nKeywords: Polymatroids, Generalized permutahedra, Hypergraphic polytopes, Simplex method, Shortest paths, Polytope diameter, Polytope skeleton, Flip distance, Combinatorial reconfiguration", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Polymatroids" }, { "word": "Generalized permutahedra" }, { "word": "Hypergraphic polytopes" }, { "word": "Simplex method" }, { "word": "Shortest paths" }, { "word": "Polytope diameter" }, { "word": "Polytope skeleton" }, { "word": "Flip distance" }, { "word": "Combinatorial reconfiguration" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zn8j5c8", "frozenauthors": [ { "first_name": "Jean", "middle_name": "", "last_name": "Cardinal", "name_suffix": "", "institution": "Department of Computer Science, Université libre de Bruxelles (ULB), Brussels, Belgium", "department": "" }, { "first_name": "Raphael", "middle_name": "", "last_name": "Steiner", "name_suffix": "", "institution": "Department of Mathematics, ETH Zürich, Zurich, Switzerland", "department": "" } ], "date_submitted": "2025-09-12T10:09:43Z", "date_accepted": "2025-09-12T10:09:43Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/64998/galley/49808/download/" } ] }, { "pk": 64997, "title": "The critical group of a combinatorial map", "subtitle": null, "abstract": "Motivated by the appearance of embeddings in the theory of chip-firing and the critical group of a graph, we introduce a version of the critical group (or sandpile group) for combinatorial maps, that is, for graphs embedded in orientable surfaces. We provide several definitions of our critical group, by approaching it through analogues of the cycle-cocycle matrix, the Laplacian matrix, and as the group of critical states of a chip-firing game (or sandpile model) on the edges of a map.\nOur group can be regarded as a perturbation of the classical critical group of its underlying graph by topological information, and it agrees with the classical critical group in the plane case. Its cardinality is equal to the number of spanning quasi-trees in a connected map, just as the cardinality of the classical critical group is equal to the number of spanning trees of a connected graph.\nOur approach exploits the properties of principally unimodular matrices and the methods of delta-matroid theory.\n \nMathematics Subject Classifications: Primary 05C10, 05C25; Secondary 05C50, 05C57, 20K01, 91A43\n \nKeywords: Chip-firing, critical group, embedded graph, sandpile group, sandpile model, Laplacian, map, Matrix–Tree Theorem, quasi-tree", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Chip-firing" }, { "word": "critical group" }, { "word": "embedded graph" }, { "word": "sandpile group" }, { "word": "sandpile model" }, { "word": "Laplacian" }, { "word": "map" }, { "word": "Matrix–Tree Theorem" }, { "word": "quasi-tree" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2h5448bk", "frozenauthors": [ { "first_name": "Criel", "middle_name": "", "last_name": "Merino", "name_suffix": "", "institution": "Instituto de Matemáticas, Universidad Nacional Autónoma de México, Ciudad de México, 04510, México", "department": "" }, { "first_name": "Iain", "middle_name": "", "last_name": "Moffatt", "name_suffix": "", "institution": "Department of Mathematics, Royal Holloway, University of London, Egham, TW20 0EX, U.K.", "department": "" }, { "first_name": "Steven", "middle_name": "", "last_name": "Noble", "name_suffix": "", "institution": "School of Computer Science, University of Leeds, Leeds, LS2 9JT, U.K.", "department": "" } ], "date_submitted": "2025-09-12T09:59:28Z", "date_accepted": "2025-09-12T09:59:28Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/64997/galley/49807/download/" } ] }, { "pk": 65005, "title": "The Newton polytope of the Kronecker product", "subtitle": null, "abstract": "We study the Kronecker product of two Schur functions \\(s_\\lambda\\ast s_\\mu\\), defined as the image of the characteristic map of the product of two \\(S_n\\) irreducible characters. We prove special cases of a conjecture of Monical-Tokcan-Yong that its monomial expansion has a saturated Newton polytope. Our proofs employ the Horn inequalities for positivity of Littlewood-Richardson coefficients and imply necessary conditions for the positivity of Kronecker coefficients.\n \nMathematics Subject Classifications: 05E10, 20C30\n \nKeywords: Kronecker coefficients, saturated Newton polytope, symmetric group representations", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Kronecker coefficients" }, { "word": "saturated Newton polytope" }, { "word": "symmetric group representations" } ], "section": "Research Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9dq590m9", "frozenauthors": [ { "first_name": "Greta", "middle_name": "", "last_name": "Panova", "name_suffix": "", "institution": "Department of Mathematics, University of Southern California, Los Angeles, California, U.S.A.", "department": "" }, { "first_name": "Chenchen", "middle_name": "", "last_name": "Zhao", "name_suffix": "", "institution": "Department of Mathematics, University of California, Davis, California, U.S.A.", "department": "" } ], "date_submitted": "2025-09-12T12:03:50Z", "date_accepted": "2025-09-12T12:03:50Z", "date_published": "2025-09-15T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/combinatorial_theory/article/65005/galley/49815/download/" } ] }, { "pk": 42231, "title": "Foundations of Emergency Medicine: Application of a Flipped-Classroom Curriculum for Advanced Practice Clinician Education", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Advanced practice clinician (APC) presence has increased in emergency departments (ED), leading to increased exposure to higher acuity patient conditions. Relatively few APCs have completed formalized postgraduate emergency medicine (EM)-specific training, creating uncertainty around how well prepared APCs are in identifying and treating life-threatening conditions. Foundations of Emergency Medicine (FoEM) offers free open-access curricula, including Foundations I (F1), a flipped-classroom course targeting fundamental knowledge for resident physicians. We sought to use F1 for APC learners to improve their knowledge in identifying and treating emergent conditions.</p>\n<p><strong>Methods:</strong> In our single-center study, 23 APC postgraduate learners (17 nurse practitioners and 6 physician assistants) completed the F1 course between 2020-2021. The F1 course consisted of 23 virtual meetings led by faculty and senior residents, each lasting one hour. The APCs were asked to review vetted asynchronous resources for a recommended two hours before participating in small group, case-based learning sessions involving real-time feedback, curated teaching points, and <br>paired online assessments. Immediately before and following F1 course implementation, participants completed a 50-question multiple-choice test and attitudes survey to quantify knowledge acquisition and evaluate the course. We evaluated change in knowledge scores using a Friedman test. Changes in self-assessed knowledge were evaluated using mixed-effects ordinal logistic regression.</p>\n<p><strong>Results:</strong> Knowledge assessments showed APCs universally improved from the pre-course test (median score 23, 46%, IQR 20-26) to the post-course test (median score 33, 66%, IQR 31-37; adjusted P < .001). The APC self-assessments revealed improved overall EM knowledge (adjusted P = .02), yet respondents also reported an increased likelihood of seeking attending physician help (adjusted P < .001). Overall, 96% were satisfied with the course, 100% agreed that the course difficulty was appropriate, and 79% believed the course improved their performance in a clinical setting.</p>\n<p><strong>Conclusion:</strong> Implementation of the Foundations of Emergency Medicine, Foundations 1, curriculum was associated with increased classroom knowledge and self-assessed overall knowledge in EM among advanced practice clinicians, with high learner satisfaction in the course. Along with knowledge improvement, APCs also reported increased likelihood to seek guidance from an attending physician. These data form the basis for the use of FoEM in the APC learner population.</p>", "language": null, "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": "FoEM" }, { "word": "Foundations of Emergency Medicine" }, { "word": "advanced practice provider" }, { "word": "Nurse practitioner" }, { "word": "Physicians Assistant" }, { "word": "education" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34r9b8cf", "frozenauthors": [ { "first_name": "Steven", "middle_name": "", "last_name": "Lindsey", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "" }, { "first_name": "Timothy", "middle_name": "P", "last_name": "Moran", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "" }, { "first_name": "Meredith", "middle_name": "A", "last_name": "Stauch", "name_suffix": "", "institution": "Emory University School of Medicine, Atlanta, Georgia", "department": "" }, { "first_name": "Alexis", "middle_name": "L", "last_name": "Lynch", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "" }, { "first_name": "Jordan", "middle_name": "", "last_name": "Leumas", "name_suffix": "", "institution": "Wellstar Kennestone Regional Medical Center, Emergency Medicine Residency Program, Marietta, Georgia", "department": "" }, { "first_name": "Kristen", "middle_name": "Grabow", "last_name": "Moore", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "" } ], "date_submitted": "2025-01-31T10:23:26.566000Z", "date_accepted": "2025-06-09T22:02:47.320000Z", "date_published": "2025-09-12T22:56:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/42231/galley/39862/download/" } ] }, { "pk": 41560, "title": "Untreated Hypertension and Diabetes in the Chest Pain Observation Unit", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Hypertension and diabetes are common cardiovascular disease risk factors among emergency department observation unit (EDOU) patients evaluated for acute coronary syndrome (ACS). Our primary aim was to determine rates of untreated hypertension and diabetes in the EDOU. Our secondary aim was to identify rates of glycemic control assessment among patients with diabetes.</p>\n<p><strong>Methods:</strong> We conducted a retrospective, observational cohort study of patients ≥ 18 years old evaluated for ACS in a tertiary care center EDOU from March 3, 2019–February 28, 2020. Known diagnoses prior to EDOU encounter and new outpatient diagnoses within one year for hypertension and diabetes were identified by health record data. We defined untreated hypertension and diabetes as no antihypertensive or antihyperglycemic prescriptions or diabetes counseling within one year. We calculated treatment rates with exact 95% confidence intervals (CI). Multivariable logistic regression adjusting for age, sex, and race compared treatment rates among men vs women and White vs non-White patients. Rates of glycemic control assessment were defined by the proportion of patients with known diabetes who received hemoglobin A1c (HbA1c) measurement within one year.</p>\n<p><strong>Results:</strong> Among 649 EDOU patients, 59.5% (386/649) were female and 43.8% (284/649) were non?White with a mean age of 59 ± 12 years. Of these, 76.9%(499/649) had known hypertension and 31.3% (203/649) had known diabetes. Within one year, 3.1% (20/649) had newly diagnosed hypertension and 3.2% (21/649) had newly diagnosed diabetes. Among those with known or newly diagnosed hypertension, untreated hypertension occurred in 36.4% (189/519; 95% CI 32.3 - 40.7). Hypertension treatment rates were similar in men vs women (aOR [adjusted odds ratio] 0.82, 95% CI 0.57 - 1.19) and White vs non?White patients (aOR 0.95, 95% CI 0.66 - 1.38). Among those with known or newly diagnosed diabetes, untreated diabetes occurred in 25.0% (56/224; 95% CI 18.5 - 31.2). Diabetes treatment rates were similar in men vs women (aOR 1.41, 95% CI 0.72 - 2.74) and White vs. non-White patients (aOR 1.05, 95% CI 0.56 - 1.97). At one year, just 32.0% (65/203) of patients with diabetes had HbA1c testing.</p>\n<p><strong>Conclusion:</strong> Given that many patients evaluated for acute coronary syndrome in the ED observation unit do not receive treatment for hypertension and diabetes within one year of presentation, clinicians should consider initiating EDOU-based preventive cardiovascular care for these conditions.</p>", "language": null, "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": "Prevention" }, { "word": "Diabetes" }, { "word": "hypertension" }, { "word": "Emergency Medicine" }, { "word": "chest pain" }, { "word": "observation" } ], "section": "Cardiology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0v66p3xj", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "T.", "last_name": "Hutchison", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Nicklaus", "middle_name": "P.", "last_name": "Ashburn", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Anna", "middle_name": "C.", "last_name": "Snavely", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina; Wake Forest University School of Medicine, Department of Biostatistics and Data Science, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Michael", "middle_name": "D.", "last_name": "Shapiro", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Section on Cardiovascular Medicine, Department of Internal Medicine, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Michael", "middle_name": "A.", "last_name": "Chado", "name_suffix": "", "institution": "Ohio State University, Department of Emergency Medicine, Columbus, Ohio", "department": "" }, { "first_name": "Alexander", "middle_name": "P.", "last_name": "Ambrosini", "name_suffix": "", "institution": "Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut", "department": "" }, { "first_name": "Amir", "middle_name": "A.", "last_name": "Biglari", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Harris", "middle_name": "A.", "last_name": "Cannon", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Marissa", "middle_name": "J.", "last_name": "Millard", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Alexa", "middle_name": "G.", "last_name": "Dameron", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina", "department": "" }, { "first_name": "Simon", "middle_name": "A.", "last_name": "Mahler", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Wake Forest University, Winston-Salem, North Carolina; Wake Forest University School of Medicine, Department of Epidemiology and Prevention, Wake Forest University, Winston-Salem, North Carolina; Wake Forest University School of Medicine, Department of Implementation Science, Wake Forest University, Winston-Salem, North Carolina", "department": "" } ], "date_submitted": "2025-01-04T21:31:37.333000Z", "date_accepted": "2025-04-30T17:12:01.295000Z", "date_published": "2025-09-12T22:07:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41560/galley/40005/download/" } ] }, { "pk": 35231, "title": "A sketch grammar of Igu, the Shamanic language of the Kera’a", "subtitle": null, "abstract": "<p>This paper offers the first linguistic description of Igu, the shamanic language of the Kera’a (also 'Idu (Mishmi)'), and thus presents one of the first linguistic descriptions of an Eastern Himalayan ritual language. The Kera’a are a Tibeto-Burman-speaking society of ca. 10 000-16 000 members, based in and around the very northeastern Himalayan river valley of India, in the Dibang Valley and Lower Dibang Valley districts of Arunachal Pradesh. The Kera’a refer to their modern spoken language simply as Kera’a or Kera’a ekobe (‘Kera’a tongue’). For shamanic rituals, shamans recite in Igu (or Igu ekobe ), which the Kera’a consider to be a separate language from Kera'a. Igu is mastered and used by shamans (and their assistants) in rituals, as well as passively understood by knowledgeable elders. This paper demonstrates that Igu is a language in its own right, which partially differs on all core levels - lexical, phonological, morphological, syntactic - from Kera'a. While these differences can in part be accounted for by genre differences, they also point to Igu retaining ancestral forms and structures. Igu consists of several different historical layers, both older and more recent, and its research can thus make valuable contributions to elucidating Eastern Himalayan ethnolinguistic history.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Igu" }, { "word": "Kera'a" }, { "word": "ritual languages" }, { "word": "Eastern Himalayan region" }, { "word": "Tibeto-Burman" }, { "word": "Trans-Himalayan" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7mh3m3x4", "frozenauthors": [ { "first_name": "Uta", "middle_name": "", "last_name": "Reinöhl", "name_suffix": "", "institution": "Other", "department": "" }, { "first_name": "Pachu", "middle_name": "", "last_name": "Pulu", "name_suffix": "", "institution": "Member of the Kera'a community and member of the Pulu clan", "department": "None" }, { "first_name": "Usha", "middle_name": "", "last_name": "Wallner", "name_suffix": "", "institution": "Member of the Kera'a community and member of the Pulu clan", "department": "None" } ], "date_submitted": "2024-05-23T14:48:17Z", "date_accepted": "2025-09-12T07:01:42.098000Z", "date_published": "2025-09-11T21:08:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35231/galley/39493/download/" } ] }, { "pk": 42237, "title": "Online processing of subject-initial non-canonical sentences: Interaction of syntax with information structure", "subtitle": null, "abstract": "<p>Many languages allow flexible word orders, and how humans parse and comprehend them has been one of the central questions in psycholinguistics. Mounting evidence has suggested that not only syntactic factors (e.g., the formation of a filler–gap dependency) but also discourse-related factors (e.g., the discourse status of phrases) influence the processing of non-canonical word orders. However, far too little attention has been paid to subject-initial non-canonical word orders, leaving it unclear how these two factors interact during the processing of such structures. Given this background, we conducted two self-paced reading experiments in Japanese, focusing on inchoative constructions involving a theme subject and a causer adjunct. Experiment 1 showed that the pre-verbal phrase was read more quickly in causer–theme sentences than in theme–causer sentences. We attributed this processing asymmetry to a filler–gap dependency between the sentence-initial theme subject and its original position in the theme–causer sentences. Experiment 2 revealed that this reading-time difference diminished but did not entirely disappear under the condition that a phrase marked as discourse-given appeared first. This pattern aligns well with previous findings concerning the processing of object-initial non-canonical word orders. Taken together, we conclude that syntactic and discourse factors interact in the processing of subject-initial non-canonical sentences, just as they do in the processing of object-initial ones. This study also proposes what we call a sentence-pair method for the examination of the phrase-by-phrase processing of mono-clausal, structurally simple sentences. Thus, this paper makes not only empirical and theoretical contributions but also a methodological contribution to psycholinguistics.</p>", "language": "eng", "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": "Regular Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43w8z808", "frozenauthors": [ { "first_name": "Daiki", "middle_name": "", "last_name": "Asami", "name_suffix": "", "institution": "University of Delaware", "department": "Linguistics and Cognitive Science" }, { "first_name": "Satoshi", "middle_name": "", "last_name": "Tomioka", "name_suffix": "", "institution": "University of Delaware", "department": "Linguistics and Cognitive Science" } ], "date_submitted": "2025-02-01T01:27:54.550000Z", "date_accepted": "2025-08-11T13:59:26.470000Z", "date_published": "2025-09-11T13:15:00Z", "render_galley": { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/42237/galley/38807/download/" }, "galleys": [ { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/42237/galley/38807/download/" }, { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/42237/galley/38808/download/" } ] }, { "pk": 20798, "title": "Projection inferences: On the relation between prior beliefs, at-issueness, and lexical meaning", "subtitle": null, "abstract": "<p>Interpreters frequently draw projection inferences, that is, inferences that the speaker believes utterance content contributed in the scope of an entailment-canceling operator. These inferences are modulated by a number of factors, including interpreters’ <em>prior beliefs</em> about the content, the extent to which the content is <em>at-issue </em>with respect to the Question Under Discussion, as well as the <em>lexical meaning</em> of expressions associated with the content. This paper addresses open questions and disagreements in the literature about how these factors interact in modulating projection inferences. The paper reports the result of two experiments designed to investigate the relation between prior beliefs, at-issueness, and lexical meaning for projection inferences in American English. The contents under investigation are contributed by the clausal complements of clause-embedding predicates (e.g., <em>know</em>, <em>discover</em>), which differ in lexical meaning. The experiments suggest that (I) the effect of prior beliefs on projection persists across predicates, (II) the effect of at-issueness on projection varies by predicate, (IIIa) prior beliefs and at-issueness do not interact in modulating projection, and (IIIb) there is no effect of prior beliefs on at-issueness. We show that there is no projection analysis on the market that is able to capture these results, and point out important areas for future research on projection inferences.</p>", "language": "eng", "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": "Regular Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7hb2h628", "frozenauthors": [ { "first_name": "Judith", "middle_name": "", "last_name": "Degen", "name_suffix": "", "institution": "Stanford University", "department": "" }, { "first_name": "Judith", "middle_name": "", "last_name": "Tonhauser", "name_suffix": "", "institution": "University of Stuttgart", "department": "" } ], "date_submitted": "2024-04-12T14:44:04.977000Z", "date_accepted": "2025-07-29T19:07:59.741000Z", "date_published": "2025-09-11T13:15:00Z", "render_galley": { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/20798/galley/38830/download/" }, "galleys": [ { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/20798/galley/38830/download/" }, { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/20798/galley/38833/download/" } ] }, { "pk": 47280, "title": "Managing Foreign Body Airway Obstruction with Magill Forceps: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Foreign body airway obstruction is a high-stakes airway emergency that can rapidly become fatal without timely intervention.</p>\n<p><strong>Case Report: </strong>We present a case of a 65-year-old male in respiratory extremis due to aspiration of a chicken bone. Following double setup for rapid sequence intubation and cricothyrotomy, the foreign body was successfully removed using Magill forceps under video laryngoscopic guidance.</p>\n<p><strong>Conclusion</strong>: This case highlights the critical role of early recognition, team readiness, and familiarity with Magill forceps technique in managing foreign body airway obstruction in unstable patients</p>", "language": "eng", "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": "foreign body airway obstruction" }, { "word": "Magill forceps" }, { "word": "emergency airway management" }, { "word": "video laryngoscopy" }, { "word": "cricothyrotomy" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4w37471w", "frozenauthors": [ { "first_name": "Ossama", "middle_name": "", "last_name": "Sayed", "name_suffix": "", "institution": "Mayo Clinic College of Medicine and Science, Department of Emergency Medicine, Rochester, Minnesot", "department": "" }, { "first_name": "Samuel", "middle_name": "I", "last_name": "Garcia", "name_suffix": "", "institution": "Mayo Clinic College of Medicine and Science, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic College of Medicine and Science, Division of Pulmonary and Critical Care Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Sandefur", "name_suffix": "", "institution": "Mayo Clinic College of Medicine and Science, Department of Emergency Medicine, Rochester, Minnesota", "department": "" } ], "date_submitted": "2025-04-22T15:18:48.731000Z", "date_accepted": "2025-06-16T02:04:45.217000Z", "date_published": "2025-09-10T21:38:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47280/galley/40144/download/" } ] }, { "pk": 42039, "title": "Medical Malpractice in the Waiting Room: Who Is at Risk?", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Prolonged emergency department (ED) wait times pose problems for both patients and ED staff. Poor patient outcomes can result in litigation that could have been prevented by faster access to care.</p>\n<p><strong>Case Series: </strong>We present 10 lawsuits involving patients who experienced poor outcomes allegedly due to inappropriate management in the waiting room. These cases involved allegations of violations of the Emergency Medical Treatment and Labor Act (EMTALA) or general negligence and were levied against both the physicians and hospitals involved.</p>\n<p><strong>Conclusion</strong>: Both common law and EMTALA’s medical screening exam requirements impose significant obligations on physicians and hospitals to proactively manage patients in the waiting room. Being familiar with these requirements may help minimize legal risks</p>", "language": null, "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": "Malpractice" }, { "word": "Waiting Room" }, { "word": "EMTALA" }, { "word": "negligence" } ], "section": "Medical Legal Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4h83s5nn", "frozenauthors": [ { "first_name": "Kayla", "middle_name": "P", "last_name": "Carpenter", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Laura", "middle_name": "", "last_name": "Walker", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Lindor", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" } ], "date_submitted": "2025-01-23T21:36:37.127000Z", "date_accepted": "2025-05-28T20:48:39.946000Z", "date_published": "2025-09-10T21:26:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/42039/galley/40790/download/" } ] }, { "pk": 42014, "title": "Emergent Cantholysis Post Blepharoplasty: a Case Report ", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Acute vision loss constitutes a true medical emergency, as a delay in diagnosis and treatment may lead to permanent visual impairment. Orbital compartment syndrome is most<br>commonly associated with blunt trauma causing a retro-orbital hematoma and resulting compromise of the optic nerve. Orbital compartment syndrome, however, can occur in other scenarios including status post blepharoplasty.</p>\n<p><strong>Case Report: </strong>This is a case of a 67-year-old male who presented less than 24 hours after a bilateral upper blepharoplasty due to decreased visual acuity of his right eye. A lateral canthotomy was performed despite the absence of elevated intraocular pressures on tonometry. He regained visual acuity in his right eye shortly after the cantholysis.</p>\n<p><strong>Conclusion</strong>: It is vital to consider the range of entities that can cause orbital compartment syndrome, including blepharoplasty. Recognition and emergent intervention improved the visual acuity in this case.</p>", "language": "eng", "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": "Blepharoplasty" }, { "word": "lateral canthotomy" }, { "word": "Catholysis" }, { "word": "Acute vision loss" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0hj0378n", "frozenauthors": [ { "first_name": "Lev", "middle_name": "", "last_name": "Libet", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "" }, { "first_name": "Jairo", "middle_name": "", "last_name": "Garcia", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "" }, { "first_name": "Abdelhamid", "middle_name": "", "last_name": "Dalia", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "" } ], "date_submitted": "2025-02-15T00:18:39.033000Z", "date_accepted": "2025-05-31T05:47:12.941000Z", "date_published": "2025-09-10T21:13:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/42014/galley/40137/download/" } ] }, { "pk": 35398, "title": "Suspected Fat Embolism Syndrome in the Setting of Ballistic Long Bone Fractures: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Fat embolism syndrome (FES) is a rare, life-threatening condition most seen in traumatic orthopedic injuries, especially long bone fractures. Classically, FES presents with<br>hypoxemia, neurological abnormalities, or a petechial rash; however, clinical findings can extend beyond this classic triad. Since FES is a clinical diagnosis, emergency physicians must recognize both classic and subtle presentations.</p>\n<p><strong>Case Report: </strong>A 22-year-old female presented as a transfer from an outside hospital for multiple long bone fractures secondary to gunshot wounds. Upon arrival, she was found to be hypoxic, despite no signs of thoracic injury on exam or initial imaging. Her presentation, laboratory findings, and repeat imaging were consistent with FES. She was given supportive care through supplemental oxygen and close monitoring. She improved with supportive care and was discharged home in stable condition.</p>\n<p><strong>Conclusion</strong>: Although there is no definitive treatment for fat embolism syndrome, prompt recognition of the various clinical findings associated with FES by emergency physicians can expedite<br>supportive care, allow prompt admission to a critical care unit, and aid with monitoring for potential deterioration.</p>", "language": "eng", "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": "fat embolism syndrome" }, { "word": "Trauma" }, { "word": "Fracture" }, { "word": "case report" }, { "word": "Orthopedics" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9fk1q56s", "frozenauthors": [ { "first_name": "Irfan", "middle_name": "", "last_name": "Husain", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "" }, { "first_name": "Danielle", "middle_name": "", "last_name": "Andrews", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "" } ], "date_submitted": "2025-01-07T17:48:50.666000Z", "date_accepted": "2025-04-11T17:23:03.368000Z", "date_published": "2025-09-05T19:50:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/35398/galley/40135/download/" } ] }, { "pk": 25339, "title": "Primary Choroidal Melanoma in a 30-year-old Woman with Monocular Flashers", "subtitle": null, "abstract": "<p><strong>Case Presentation</strong>: An otherwise healthy, 30-year-old female was referred to the emergency department by a local optometrist after having flashers and blurry vision for two weeks. Point-of-<br>care ultrasound revealed partial retinal detachment with underlying mass, and dilated fundoscopic examination suggested hyperpigmented lesions. Ophthalmology was consulted, and the diagnosis of amelanotic choroidal melanoma was confirmed.</p>\n<p><strong>Discussion</strong>: Choroidal melanoma is the most common primary malignant tumor in the eye, but its diagnosis is often delayed due to non-specific symptoms. Early identification is crucial given<br>relatively high rates of metastasis. This case highlights how a tentative diagnosis, made using point-of-care ultrasound and funduscopic examination, can drive timely referral to ophthalmology.</p>", "language": "eng", "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": "Choroidal melanoma" }, { "word": "flashers" }, { "word": "malignancy" }, { "word": "Point of Care Ultrasound" }, { "word": "uveal" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/59h773bh", "frozenauthors": [ { "first_name": "Adiba", "middle_name": "", "last_name": "Matin", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Jacob", "middle_name": "A", "last_name": "Klinger", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Timothy", "middle_name": "", "last_name": "Xu", "name_suffix": "", "institution": "Mayo Clinic, Department of Ophthalmology, Rochester, Minnesota", "department": "" }, { "first_name": "James", "middle_name": "L.", "last_name": "Homme", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" } ], "date_submitted": "2024-07-03T07:27:33.909000Z", "date_accepted": "2024-12-06T08:55:36.658000Z", "date_published": "2025-09-05T18:45:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/25339/galley/40159/download/" } ] }, { "pk": 35569, "title": "Orbital Magnetic Resonance Imaging of a 36-Year-Old Woman with Leber Hereditary Optic Neuropathy: A Case Report", "subtitle": null, "abstract": "<p>Leber hereditary optic neuropathy (LHON) is a rare disorder that results in loss of central vision. Although the initial onset of LHON is most commonly seen in patients aged 15-35 years, it may occur at any age. The disorder is more common in men than women and is known to be caused by one of three mitochondrial DNA point mutations: 11778G>A, 3460G>A, or 14484T>C. Whereas the diagnosis of LHON is conventionally based on a patient’s clinical presentation, family history, and the results of ophthalmologic examination and genetic testing, it can significantly benefit from early contribution of neuroimaging. We report a case of LHON in a 36-year-old woman with low visual acuity and progressive worsening of vision for 7 months, a family history of LHON, and abnormal central hyperintense signal within the optic nerves on T2-weighted fat-saturated magnetic resonance imaging of the orbits. Some etiopathogenetic and neuroimaging aspects of LHON as well as challenges in diagnosis and treatment of patients with the disorder are also discussed.</p>", "language": null, "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Leber hereditary optic neuropathy" }, { "word": "T2-hyperintensity" }, { "word": "optic nerve" }, { "word": "magnetic resonance imaging of the orbit" } ], "section": "Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jk076jz", "frozenauthors": [ { "first_name": "Jamie", "middle_name": "E", "last_name": "Clarke", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Radiological Sciences" }, { "first_name": "Samuel", "middle_name": "", "last_name": "Cohen", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Ophthalmology" }, { "first_name": "Jay", "middle_name": "", "last_name": "Acharya", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Radiological Sciences" } ], "date_submitted": "2024-09-06T16:53:58Z", "date_accepted": "2025-06-06T18:24:50.295000Z", "date_published": "2025-09-03T05:27:00Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucla_rsp/article/35569/galley/38836/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucla_rsp/article/35569/galley/38836/download/" } ] }, { "pk": 35566, "title": "A Report of Two Cases of Stump Appendicitis", "subtitle": null, "abstract": "<p>Stump appendicitis is an inflammation of appendiceal remnant after incomplete appendectomy. However, the inclusion of appendectomy in a patient’s medical history often obfuscates a diagnosis of appendicitis, causing a delay in diagnosis and potentially leading to increased morbidity. Awareness of stump appendicitis can help radiologists distinguish this rare condition from more common entities. We report two cases of stump appendicitis that were correctly identified at the patients’ time of presentation to the emergency department. In one case, the patient presented with recurrent stump appendicitis. In this case series, we discuss the radiographic features, clinical considerations, and treatment of stump appendicitis.</p>", "language": null, "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Stump Appendicitis" }, { "word": "appendicitis" }, { "word": "laparoscopic appendectomy" }, { "word": "computed tomography" } ], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/40t6m528", "frozenauthors": [ { "first_name": "Suzanne", "middle_name": "", "last_name": "Homer", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Radiological Sciences" }, { "first_name": "Ronald", "middle_name": "", "last_name": "Homer", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Radiological Sciences" } ], "date_submitted": "2024-05-17T18:02:14Z", "date_accepted": "2025-06-06T18:16:51.162000Z", "date_published": "2025-09-03T05:02:00Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucla_rsp/article/35566/galley/38835/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucla_rsp/article/35566/galley/38835/download/" } ] }, { "pk": 50758, "title": "Latent High Tones in Limba (Thɔnkɔ Dialect), Sierra Leone", "subtitle": null, "abstract": "<p>This paper presents an analysis of the rather unusual tone system of the almost totally undocumented Thɔnkɔ /t̪ɔŋkɔ/ dialect of Limba, a Niger-Congo language of Sierra Leone (and slight overlap into Guinée). As we will show, most words are all low tone in their citation form, but exhibit a wide range of tonal contrasts with different high tones popping up when words occur in context. We will illustrate, step by step, how the observed facts justify the proposed contrastive underlying forms and reveal tonal alternations which are best treated with such abstract representations. To show the opaqueness of the widespread tonal neutralization within the system which results from Final High Lowering (FHL), we begin with the interaction of nouns and their adnominal modifiers and then turn to the verb phrase and the clause. We show that the L% boundary tone triggering FHL occurs at the end of declarative and imperative utterances as well as yes-no questions but, interestingly, not at the end of WH questions.</p>", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "abstract phonology" }, { "word": " final lowering" }, { "word": " boundary tone" }, { "word": " long-distance phonology" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3gb3t5tm", "frozenauthors": [ { "first_name": "Larry", "middle_name": "M.", "last_name": "Hyman", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Daniel", "middle_name": "Ibrahim", "last_name": "Kamara", "name_suffix": "", "institution": "University of California, Berkeley", "department": "" } ], "date_submitted": "2025-08-26T02:35:08.076000Z", "date_accepted": "2025-08-27T15:30:02.314000Z", "date_published": "2025-09-03T04:18:00Z", "render_galley": { "label": "proofs", "type": "pdf", "path": "https://journalpub.escholarship.org/bling_formal_linguistics/article/50758/galley/38802/download/" }, "galleys": [ { "label": "proofs", "type": "pdf", "path": "https://journalpub.escholarship.org/bling_formal_linguistics/article/50758/galley/38802/download/" } ] }, { "pk": 42486, "title": "Langerhans Cell Histiocytosis and Erdheim-Chester Disease: A Case Report of Atypical Imaging Overlap", "subtitle": null, "abstract": "<p>Histiocytoses are rare disorders characterized by abnormal proliferation of histiocytic cells in tissues and organs. They have a broad clinical spectrum and are traditionally categorized as Langerhans cell histiocytosis (LCH) and non-Langerhans cell histiocytosis (N-LCH), but recent evidence highlights a molecular and clinical overlap between LCH and a type of N-LCH known as Erdheim-Chester disease (ECD). While both disorders have distinct features, up to 20% of ECD patients may present with concurrent LCH lesions. Overlap between LCH and ECD is increasingly recognized, but reports of imaging of this phenomenon are scarce. Here, we present a rare case of directly contiguous LCH and ECD lesions in a 69-year-old woman and discuss the radiologic and histopathologic findings as well as the classification of these findings within the revised histiocytosis system.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Langerhans cell histiocytosis" }, { "word": "Erdheim-Chester disease" }, { "word": "musculoskeletal radiology" }, { "word": "lytic bone lesion" }, { "word": "sclerotic bone lesion" } ], "section": "Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/92q0993g", "frozenauthors": [ { "first_name": "Wendy", "middle_name": "", "last_name": "Qiu", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Radiological Sciences" }, { "first_name": "Zaid", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA; Sutter Health Medical Group, Sacramento, CA", "department": "Department of Radiological Sciences" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Emert", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Radiological Sciences" }, { "first_name": "Varand", "middle_name": "", "last_name": "Ghazikhanian", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Department of Radiological Sciences" } ], "date_submitted": "2025-02-09T21:04:47.990000Z", "date_accepted": "2025-06-06T18:58:06.846000Z", "date_published": "2025-09-03T01:57:00Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucla_rsp/article/42486/galley/38834/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucla_rsp/article/42486/galley/38834/download/" } ] }, { "pk": 41540, "title": "Physician Attitudes on Integration of Prehospital Patient Care Report into Hospital Electronic Health Record", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Prehospital information is valuable but often under-used by physicians. In both the emergency and inpatient settings, information about a patient’s condition prior to their arrival is important to provide optimal care. Historically, prehospital responders’ electronic patient care reports (ePCR) have not been integrated with the hospital’s electronic health record (EHR). In this study, we aimed to assess physician attitudes towards the ePCR and patient care decisions before and after integration of prehospital ePCR and hospital EHR systems. We hypothesized that this would increase accessibility and use of prehospital ePCR in patient care decisions.</p>\n<p><strong>Methods: </strong>In 2023, our local academic health center implemented software that made prehospital documentation available to hospital staff within 30 minutes of patient arrival to the emergency department (ED). Before this, we surveyed attendings, fellows, and residents from both the ED and internal medicine (IM) department on their attitudes and behaviors regarding ePCR and clinical practice. We administered the same survey six months after implementation, and compared responses with a Wilcoxon signed-rank test.</p>\n<p><strong>Results:</strong> Sixty-six physicians responded to the pre survey, including 39 (59.1%) from the ED and 27 (40.9%) from the IM department. Fifty-two completed the post survey, including 33 (63.5%) emergency physicians and 19 (36.5%) IM physicians. The pre- survey response rates were 92.9% and 54% for the ED and IM groups, respectively, while the post-survey response rates were 84.6% and 70.4%. Change in rank was significant (P < .01) for the following categories: knowledge;, ability; ease of use; time to access; and frequency of accessing the ePCR. Change in rank was not significant for the importance of ePCR in patient care and medical decision-making, and whether the ePCR would be used more frequently if it were easier to access.</p>\n<p><strong>Conclusion:</strong> Pre- and post-survey responses regarding accessibility showed a significant change in rank, while the importance of the ePCR on clinical decision-making did not. This suggests that while system integration increased accessibility to prehospital information, it did not significantly alter patient care decision-making.</p>", "language": "eng", "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": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/95t4w2h5", "frozenauthors": [ { "first_name": "Maren", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Caroline", "middle_name": "", "last_name": "Given", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Soheil", "middle_name": "", "last_name": "Saadat", "name_suffix": "", "institution": "UC Irvine", "department": "" }, { "first_name": "Kenneth", "middle_name": "", "last_name": "Leung", "name_suffix": "", "institution": "University of California, Irvine", "department": "Internal Medicine" }, { "first_name": "Julia", "middle_name": "", "last_name": "Afrasiabi", "name_suffix": "", "institution": "University of California, Irvine", "department": "" }, { "first_name": "Robert", "middle_name": "James", "last_name": "Katzer", "name_suffix": "", "institution": "UC Irvine", "department": "" } ], "date_submitted": "2024-12-30T03:20:50.806000Z", "date_accepted": "2025-05-30T19:34:41.633000Z", "date_published": "2025-09-02T22:40:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41540/galley/40046/download/" } ] }, { "pk": 42503, "title": "Characteristics and Educational Support Resources Available to Emergency Medicine Core Faculty: A National Survey", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Core faculty are key to supporting the educational mission in emergency medicine (EM). Changes in the Accreditation Council for Graduate Medical Education (ACGME) requirements for minimum protected time for core faculty may no longer guarantee adequate support. We sought to assess EM core faculty characteristics, support, and the impact of the 2019 revisions to ACGME regulations. We explored the influence of individual and institutional characteristics on support and the impact of the regulatory changes.</p>\n<p><strong>Methods:</strong> This was a cross-sectional survey study of a convenience sample of EM core faculty. Participants completed an online survey of multiple-choice and completion items between April–June 2022. We calculated descriptive and comparative statistics to assess associations between individual (e.g., sociodemographics, rank) and institutional (e.g., region, program type) factors on resources and impact of ACGME revisions.</p>\n<p><strong>Results:</strong> A total of 596 individuals (57% male) from 116 residency programs participated, including 15 (3%) instructors/lecturers, 280 (47%) assistant professors, 182 (31%) associate professors, and 80 (13%) professors. Most (64%) were 36-50 years of age; 246 (41%) had completed a fellowship. Despite the change to the ACGME requirements in 2019, 417 (70%) reported no modification to their clinical work hours, and 420 (71%) reported no modification to their non-clinical responsibilities. There were statistically significant associations between number of residents per class (P < .001), duration of training program (P < .001), and type of institution (P < .001) with the number of administrative personnel. We also observed statistically significant associations between academic rank (P = .02), region (P =.01), number of residents per class (P = 0.02), and type of site (P = .01) with change to clinical work hours after changes to ACGME requirements.</p>\n<p><strong>Conclusion:</strong> A minority of participants reported a change to their clinical and non-clinical expectations after revisions to the ACGME regulations with disproportionate impact across faculty and program type.</p>", "language": "eng", "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": "faculty" }, { "word": "Graduate Medical Education" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6b30n27t", "frozenauthors": [ { "first_name": "Jaime", "middle_name": "", "last_name": "Jordan", "name_suffix": "", "institution": "UCLA", "department": "" }, { "first_name": "Laura", "middle_name": "R", "last_name": "Hopson", "name_suffix": "", "institution": "Other", "department": "" }, { "first_name": "Fiona", "middle_name": "", "last_name": "Gallahue", "name_suffix": "", "institution": "Other", "department": "" }, { "first_name": "James", "middle_name": "A", "last_name": "Cranford", "name_suffix": "", "institution": "University of Michigan Medical School", "department": "" }, { "first_name": "John", "middle_name": "", "last_name": "Burkhardt", "name_suffix": "", "institution": "University of Michigan Medical School", "department": "" }, { "first_name": "Keith", "middle_name": "E", "last_name": "Kocher", "name_suffix": "", "institution": "University of Michigan Medical School", "department": "Emergency Medicine" }, { "first_name": "Drew", "middle_name": "L", "last_name": "Robinett", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA", "department": "Emergency Medicine" }, { "first_name": "Moshe", "middle_name": "", "last_name": "Weizberg", "name_suffix": "", "institution": "Staten Island University Hospital", "department": "" }, { "first_name": "Tiffany", "middle_name": "", "last_name": "Murano", "name_suffix": "", "institution": "Columbia University", "department": "Emergency Medicine" } ], "date_submitted": "2025-02-08T17:37:02.727000Z", "date_accepted": "2025-05-21T13:19:17.285000Z", "date_published": "2025-09-02T22:27:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/42503/galley/39990/download/" } ] }, { "pk": 41524, "title": "Telehealth Emergency Department Transition-of-care Program: A Value-based Innovation ", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Our Emergency Department (ED) and Population Health Services Organization developed a telehealth ED-transition of care program (TOC) for patients insured through value-based contracts. This study’s goal was to determine the association of our ED-TOC on ED revisits. We hypothesized that the ED-TOC would decrease ED revisits.</p>\n<p><strong>Methods:</strong> This was a retrospective cohort study conducted between August 1, 2021 and July 31, 2023 at two EDs where an ED-TOC is available. Included were ED visits among discharged Medicare beneficiaries that occurred one year before and after the launch of the ED-TOC program. ED visits involving Medicaid beneficiaries served as the control. A difference-in-differences (DID) strategy was used to compare Medicare and Medicaid visits. The primary outcome measure was the association of the program with 14- and 30- day ED revisit rates. Secondary outcomes were the association of the ED-TOC with post-discharge PCP visits and hospitalizations and estimated cost-savings associated with the program.</p>\n<p><strong>Results:</strong> Our sample size was 23,696 ED encounters (13,553 treatment group and 10,143 control group). At 14-days after ED discharge, Medicare beneficiaries were associated with a 1.77% decrease in the rate of ED revisits in the year after the ED-TOC launch relative to the control (p=0.03) or a 15.8% reduction relative to baseline (11.2% to 9.4%). At 14-days after ED discharge, PCP visits were associated with a 1.51% increase in the year after program launch relative to the control (p=0.03) or a 10.3% increase relative to baseline (14.6% to 16.1%). No difference was associated with Medicare beneficiaries’ ED revisits or hospitalizations at 30-days. PCP visits were associated with a significant increase at 30-days (p=0.005).</p>\n<p><strong>Conclusion:</strong> An ED-TOC is associated with a reduction in Medicare ED revisits during days 8-14 after an index ED visit but not during days 1-7 days or at 30-days. Cost savings over a 24-week period are conservatively calculated to be $215,779.</p>", "language": "eng", "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": "Telehealth" }, { "word": "value-based care" }, { "word": "Medicare" }, { "word": "transitions-of-care" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4rf721x8", "frozenauthors": [ { "first_name": "Allyson", "middle_name": "", "last_name": "Kreshak", "name_suffix": "", "institution": "University of California, San Diego Health, Population Health Services Organization, San Diego, California; University of California, San Diego Health, Department of Emergency Medicine, San Diego, California", "department": "" }, { "first_name": "Itzik", "middle_name": "", "last_name": "Fadlon", "name_suffix": "", "institution": "University of California, San Diego, Department of Economics, San Diego, California", "department": "" }, { "first_name": "Karna", "middle_name": "", "last_name": "Malaviya", "name_suffix": "", "institution": "University of California, San Diego, Department of Economics, San Diego, California", "department": "" }, { "first_name": "Vaishal", "middle_name": "", "last_name": "Tolia", "name_suffix": "", "institution": "University of California, San Diego Health, Population Health Services Organization, San Diego, California; University of California, San Diego Health, Department of Emergency Medicine, San Diego, California", "department": "" }, { "first_name": "Lindsey", "middle_name": "", "last_name": "Pierce", "name_suffix": "", "institution": "University of California, San Diego Health, Population Health Services Organization, San Diego, California", "department": "" }, { "first_name": "Theodore", "middle_name": "", "last_name": "Chan", "name_suffix": "", "institution": "University of California, San Diego Health, Department of Emergency Medicine, San Diego, California", "department": "" }, { "first_name": "Parag", "middle_name": "", "last_name": "Agnihotri", "name_suffix": "", "institution": "University of California, San Diego Health, Population Health Services Organization, San Diego, California", "department": "" }, { "first_name": "Ming", "middle_name": "", "last_name": "Tai-Seale", "name_suffix": "", "institution": "University of California, San Diego Health, Population Health Services Organization, San Diego, California; University of California, San Diego Health, Department of Emergency Medicine, San Diego, CaliforniaUniversity of California, San Diego Health, Department of Family Medicine, San Diego, California; University of California, San Diego Health, Department of Medicine, Division of Biomedical Informatics, San Diego, California", "department": "" } ], "date_submitted": "2024-12-20T17:26:29.673000Z", "date_accepted": "2025-05-20T17:50:55.516000Z", "date_published": "2025-09-01T19:11:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41524/galley/39995/download/" } ] }, { "pk": 46538, "title": "Unmasking the Hidden Risk of Systemic Toxicity from Topical Salicylates", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Topical salicylates are commonly found in over-the-counter medications and are applied for pain relief or to treat dermatologic conditions. While generally considered safe, they can cause systemic toxicity under certain conditions. We conducted a systematic review of topical salicylate toxicity. This comprehensive review of previously reported cases highlights the risks, clinical presentations, and management considerations of systemic toxicity from topical salicylates.</p>\n<p><strong>Methods:</strong> We present a new case of topical salicylate toxicity and conducted a comprehensive systematic literature search from 1952-2024 using PubMed, Google, and Google Scholar. Our search was supplemented by cross-referencing previous studies to identify cases and reviews of topical salicylate toxicity. We then performed a descriptive analysis of the cases, summarizing key information such as clinical presentation, blood levels, and outcomes. Findings were used to contextualize the risks and clinical manifestations of topical salicylate toxicity. </p>\n<p><strong>Results:</strong> A total of 44 cases of topical salicylate toxicity, including our index case, were identified and included in our analysis. Most cases involved patients > 40 years of age, but all age ranges were represented, including neonates. The most frequently reported symptoms included tachypnea (32.5%) and vomiting (25.5%). The new case was an elderly male with further altered mental status from baseline dementia and elevated anion gap. </p>\n<p><strong>Conclusion:</strong> Both the new case and the literature review emphasize the continued potential systemic risks of topical salicylates among a broad demographic. Given the variable presentations, clinicians should maintain a high index of suspicion for salicylate toxicity in patients with unexplained altered metabolic and/or mental status. Early consideration, recognition, and intervention of topical salicylates-induced toxicity is essential for good outcomes. As many of these products are heavily advertised, patient education on the appropriate use of topical salicylates may be crucial to prevent inadvertent toxicity. </p>", "language": "eng", "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": "Salicylates" }, { "word": "occult poisoning" }, { "word": "topical salicylate poisoning" } ], "section": "Toxicology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8nd3d2xc", "frozenauthors": [ { "first_name": "Neelou", "middle_name": "", "last_name": "Tabatabai", "name_suffix": "", "institution": "University of California, Davis, School of Medicine, Department of Emergency Medicine, Sacramento, California", "department": "" }, { "first_name": "Swetaleena", "middle_name": "", "last_name": "Dash", "name_suffix": "", "institution": "University of California, Davis, School of Medicine, Department of Emergency Medicine, Sacramento, California; VA Northern California Health Care System, Medicine Department, Mather, California", "department": "" }, { "first_name": "James", "middle_name": "A.", "last_name": "Chenoweth", "name_suffix": "", "institution": "University of California, Davis, School of Medicine, Department of Emergency Medicine, Sacramento, California; VA Northern California Health Care System, Medicine Department, Mather, California", "department": "" }, { "first_name": "Timothy", "middle_name": "E", "last_name": "Albertson", "name_suffix": "", "institution": "University of California, Davis, School of Medicine, Department of Emergency Medicine, Sacramento, California; VA Northern California Health Care System, Medicine Department, Mather, California; University of California, Davis, School of Medicine, Department of Internal Medicine, Sacramento, California", "department": "" } ], "date_submitted": "2025-03-03T23:42:17.598000Z", "date_accepted": "2025-05-01T01:38:22.183000Z", "date_published": "2025-09-01T18:53:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/46538/galley/40022/download/" } ] }, { "pk": 43557, "title": "Large-Scale Combat Operation Education and Training Needs: Implications for Military and Civilian Medical Education", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Future large-scale combat operations (LSCO) with adversaries such as Russia or China are predicted to present unique challenges for medical personnel, including high casualty rates, limited resources, and austere environments. While traditionally associated with military conflict, the anticipated scale of future LSCO may overwhelm military medical systems, requiring civilian physicians to support wartime care or manage surges in casualties on the home front. Effective training early on is, therefore, critical to prepare both military and civilian physicians for these unique and demanding conditions.</p>\n<p><strong>Methods:</strong> We used interpretive phenomenological analysis in this qualitative study to explore key competencies needed for LSCO medical readiness. The first and seniors author interviewed 27 military physicians (active duty, retired, and reservists) and one military chaplain with extensive operational medical experience in the fall of 2023 and fall of 2024. We analyzed transcripts to identify recurring themes. Data analysis was conducted by a diverse and experienced research team.</p>\n<p><strong>Results:</strong> Five key themes emerged as essential for LSCO-focused medical training: 1) problem-solving in resource-limited environments, emphasizing critical thinking and improvisation; 2) ethical and emotional resilience, addressing psychological and moral challenges; 3) adaptive leadership, highlighting decision-making in high-stress settings; 4) mastery of core medical skills, ensuring competency in essential procedures; and 5) cultural competence and interoperability, supporting effective collaboration across military-civilian teams.</p>\n<p><strong>Conclusion: </strong>The competencies identified in this study are relevant to both military and civilian physicians who may be called upon to provide care during large-scale combat operations. Medical education must proactively incorporate these themes to ensure readiness across both sectors. Strengthening military-civilian collaboration in training and curriculum development will enhance national preparedness for future conflicts.</p>", "language": null, "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": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6s54j4fr", "frozenauthors": [ { "first_name": "Rebekah", "middle_name": "", "last_name": "Cole", "name_suffix": "", "institution": "Uniformed Services University, Department of Military and Emergency Medicine, Bethesda, Maryland; Uniformed Services University, Department of Health Professions Education, Bethesda, Maryland", "department": "" }, { "first_name": "Kiia", "middle_name": "", "last_name": "Crawford", "name_suffix": "", "institution": "Uniformed Services University, School of Medicine, Bethesda, Maryland", "department": "" }, { "first_name": "Makinna", "middle_name": "", "last_name": "Farrell", "name_suffix": "", "institution": "Uniformed Services University, School of Medicine, Bethesda, Maryland", "department": "" }, { "first_name": "Leslie", "middle_name": "", "last_name": "Vojta", "name_suffix": "", "institution": "Uniformed Services University, Department of Military and Emergency Medicine, Bethesda, Maryland", "department": "" }, { "first_name": "Sherri", "middle_name": "", "last_name": "Rudinsky", "name_suffix": "", "institution": "Uniformed Services University, Department of Military and Emergency Medicine, Bethesda, Maryland", "department": "" } ], "date_submitted": "2025-02-21T16:40:11.619000Z", "date_accepted": "2025-06-06T20:21:25.433000Z", "date_published": "2025-09-01T17:50:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/43557/galley/39988/download/" } ] }, { "pk": 39647, "title": "Building Connection and Resident Understanding of Local Resources Through Community Engagement", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Throughout graduate medical education (GME), it is crucial for learners to not only develop the skills necessary to manage a wide variety of medical conditions, but also to foster personal development and to gain a deeper understanding of the complex and multifaceted needs of our patients. We often refer patients to community sites to address needs such as homelessness, hunger, and domestic violence; however, we frequently make these referrals with only a superficial understanding of what each resource entails.</p>\n<p><strong>Methods:</strong> To address this issue, our department integrated a two-day Community Engagement Retreat into our curriculum. Twenty-two first-year residents participated in small group visits to three or four community organizations. There, residents engaged with community workers and the public to learn about the services each program offers. This was followed by a session of focused reflection and discussion on how to integrate this new knowledge into our care for patients in the emergency department. At the conclusion of the experience, residents completed an anonymous survey with a response rate of 77.3%.</p>\n<p><strong>Results:</strong> The results suggest that participants found the sessions highly useful, with 98.6% of residents reporting that they “agreed” or “strongly agreed” that the experiences at the community sites would better allow them to care for patients. They further stated that the program was one of the most impactful elements of their training and highly recommended it to future learners.</p>\n<p><strong>Conclusion:</strong> This initiative demonstrates the importance and utility of a novel, structured community engagement to begin to address this deficiency in GME and improve patient care.</p>", "language": "eng", "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": "community engagement" }, { "word": "Resident Education" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/54f3x3zc", "frozenauthors": [ { "first_name": "Hannah", "middle_name": "", "last_name": "Johnshoy", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Hub for Collaborative Medicine, Milwaukee, Wisconsin", "department": "" }, { "first_name": "Ashley", "middle_name": "", "last_name": "Pavlic", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Hub for Collaborative Medicine, Milwaukee, Wisconsin", "department": "" }, { "first_name": "Sehr", "middle_name": "", "last_name": "Khan", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Hub for Collaborative Medicine, Milwaukee, Wisconsin", "department": "" }, { "first_name": "Taylor", "middle_name": "", "last_name": "Sonnenberg", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Hub for Collaborative Medicine, Milwaukee, Wisconsin", "department": "" } ], "date_submitted": "2024-10-31T19:55:17.299000Z", "date_accepted": "2025-06-01T22:20:14.822000Z", "date_published": "2025-09-01T17:16:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/39647/galley/39991/download/" } ] }, { "pk": 39947, "title": "Accuracy of Triage Nurses in Predicting Patient Admissions: Retrospective, Large-sample Evidence from a Community Emergency Department", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Emergency department (ED) flow could be improved with quicker disposition decisions. One possible way to expedite decisions is for triage nurses to make predictions about whether patients require admission to hospital. The information contained in these predictions could be useful for disposition planning and for physician decision-making. Previous studies made use of prospective designs that introduced Hawthorne effects and have demonstrated mixed evidence on whether triage nurse predictions are accurate. We examined the accuracy of triage nurse predictions for patient admission in an ED in southeastern Ontario.</p>\n<p><strong>Methods:</strong> We examined a retrospective sample of 134,891 visits to an ED in Ontario from March 2019 – July 2024. Triage nurses made predictions about admission to hospital for these visits, from which we estimated measures of specificity, sensitivity, positive predictive value, negative predictive value, accuracy, and F1 scores.</p>\n<p><strong>Results:</strong> Of 134,891 visits, 13.7% resulted in hospital admission. We found the accuracy of the nurses in predicting admission to be 85.8% (95% confidence interval [CI] 85.7 - 86.1), while overall sensitivity was 36.6% (95% CI 35.9 - 37.3) and specificity was 93.7% (95% CI 93.5 - 93.8). The positive predictive value of admission was 47.9% (95% CI 47.1 - 48.7), and the negative predictive value of admission was 90.3% (95% CI 90.1 - 90.5). F1 scores were 0.415. These results were relatively stable over time, although there was notable variation in prediction ability between nurses. We also report that some presenting conditions lead to relatively higher prediction accuracy than others and that as overall case severity increases, sensitivity increases and specificity decreases.</p>\n<p><strong>Conclusion:</strong> These results suggest that although nursing staff predictions are insufficient to streamline disposition decisions completely, they could be useful in expediting certain decisions related to hospital admission and resource requirement, thereby improving flow in EDs.</p>", "language": "eng", "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": "triaging" }, { "word": "prediction" }, { "word": "admission" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1g336553", "frozenauthors": [ { "first_name": "Calvin", "middle_name": "", "last_name": "Armstrong", "name_suffix": "", "institution": "McMaster University, Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Kanter-Eivin", "name_suffix": "", "institution": "McMaster University, Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Michaela", "middle_name": "", "last_name": "Dowling", "name_suffix": "", "institution": "McMaster University, Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Grant", "middle_name": "", "last_name": "Sweeney", "name_suffix": "", "institution": "McMaster University, Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Asil", "middle_name": "", "last_name": "El Galad", "name_suffix": "", "institution": "McMaster University, Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Anil", "middle_name": "", "last_name": "Esleben", "name_suffix": "", "institution": "McMaster University, Michael G. DeGroote School of Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Nanda", "middle_name": "Krishna", "last_name": "Duggirala", "name_suffix": "", "institution": "Niagara Health, Ontario, Canada", "department": "" }, { "first_name": "Corrine", "middle_name": "", "last_name": "Mitges", "name_suffix": "", "institution": "McMaster University, Division of Emergency Medicine, Department of Family Medicine, Faculty of Health Sciences, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Shauna", "middle_name": "", "last_name": "Speck", "name_suffix": "", "institution": "Niagara Health, Ontario, Canada", "department": "" }, { "first_name": "Stephenson", "middle_name": "", "last_name": "Strobel", "name_suffix": "", "institution": "Niagara Health, Ontario, Canada; McMaster University, Division of Emergency Medicine, Department of Family Medicine, Faculty of Health Sciences, Hamilton, Ontario, Canada", "department": "" } ], "date_submitted": "2024-11-20T00:40:53.207000Z", "date_accepted": "2025-04-21T21:45:25.929000Z", "date_published": "2025-09-01T15:39:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/39947/galley/39992/download/" } ] }, { "pk": 62919, "title": "Five Perspectives to Advance Science-Informed Decision-Making in the Era of Climate Change and Extreme Events", "subtitle": null, "abstract": "California’s variable hydroclimate is projected to become increasingly volatile in the 21st century. Yet, there is widespread recognition that extreme events, such as record-breaking heatwaves and catastrophic wildfires, are already becoming the new normal. The 2025 edition of the State of Bay–Delta Science (SBDS) presents the current state of the science on climate change and extreme events affecting the Delta and its watershed, and in doing so, generates new insights on knowledge gaps and promising directions for future research. In this essay we present five perspectives to advance science-informed decision-making in the era of climate change and extreme events. To meet these challenges, Delta scientists and decision-makers can leverage the many effective practices that are already in place, such as long-term monitoring programs, collaborative synthesis venues, science-informed decision-making processes, and Tribal and community partnerships. New and sophisticated tools that harness big data are helping to streamline information flows to scientists. Open science practices are facilitating greater collaboration and improving access to more integrated datasets and to models that link different parts of the system. These assets have strengthened innovation and learning across the Delta. Nevertheless, serious challenges remain. Climate change signals can be difficult to detect as a result of the variable hydroclimate. Greater levels of uncertainty as a result of evolving climate models can present challenges for decision-making. Looking forward, the Delta scientific system can help maintain its relevance to natural resource management by strengthening its capacity for collaborative, open, and actionable science. Such an emphasis is required for anticipating and responding to the new climate and weather realities of the 21st century.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Drought, wildfire, heatwave, atmospheric river, climate governance, open science" } ], "section": "The State of Bay-Delta Science 2025, Part 2", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9wx7t02k", "frozenauthors": [ { "first_name": "Denise", "middle_name": "D.", "last_name": "Colombano", "name_suffix": "", "institution": "Delta Stewardship Council, Delta Science Program\nSacramento, CA 95814 USA", "department": "" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Rudnick", "name_suffix": "", "institution": "California Sea Grant\nScripps Institute of Oceanography\nUniversity of California‒San Diego\nLa Jolla, CA 92093 USA\n\nUniversity of Illinois Urbana–Champaign\nChicago, IL 60640 USA", "department": "" }, { "first_name": "Nicholas", "middle_name": "A.", "last_name": "Rowlands", "name_suffix": "", "institution": "Delta Stewardship Council, Delta Science Program, Sacramento, CA 95814 USA; \n\nCalifornia Sea Grant, Scripps Institute of Oceanography, University of California‒San Diego\nLa Jolla, CA 92093 USA", "department": "" }, { "first_name": "Mairgareth", "middle_name": "A.", "last_name": "Christman", "name_suffix": "", "institution": "Delta Stewardship Council, Delta Science Program, Sacramento, CA 95814 USA", "department": "" }, { "first_name": "Clifford", "middle_name": "N.", "last_name": "Dahm", "name_suffix": "", "institution": "University of New Mexico, Albuquerque, NM 87131 USA", "department": "" }, { "first_name": "Janet", "middle_name": "K.", "last_name": "Thompson", "name_suffix": "", "institution": "U.S. Geological Survey, Menlo Park, CA 94025 USA", "department": "" }, { "first_name": "Lisamarie", "middle_name": "", "last_name": "Windham-Myers", "name_suffix": "", "institution": "Delta Stewardship Council, Delta Science Program, Sacramento, CA 95814 USA; \n\nU.S. Geological Survey\nMenlo Park, CA 94025 USA", "department": "" } ], "date_submitted": "2025-08-23T01:09:30Z", "date_accepted": "2025-08-23T01:09:30Z", "date_published": "2025-09-01T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62919/galley/48605/download/" } ] }, { "pk": 52402, "title": "AI Artists on the Stand: Bias Against Artificial Intelligence-Generated Works in Copyright Law", "subtitle": null, "abstract": "Generative artificial intelligence (AI) is revolutionizing the creation of art, literature, and music—challenging the boundaries of intellectual property law. To date, scholars have primarily focused on AI’s authorship/entity status and the regulation of its use, overshadowing a critical issue: how AI’s involvement in creative processes influences legal judgments in copyright disputes. Our empirical research reveals systemic bias against AI-generated works in such legal matters. In our studies, participants read about a company that had hired either a human designer (condition one) or a generative AI art system (condition two) to produce works of art, and those works of art arguably infringed an existing copyright. Everything except for the identity of the hired creator (human vs. AI) was held constant, including the works of art: Participants saw identical works. The results showed that, when the works were produced by the AI (vs. the human), participants’ perception and behavior radically shifted. They were more likely to recommend that a copyright suit be commenced, more likely to find substantial similarity between the original and the allegedly infringing work, and more likely to rule in favor of infringement. Importantly, we do not argue that this bias against AI is bad or immoral or unjust. Rather, we merely identify the fact that, when a creator is an AI, people perceive the creation differently. There is a perceptual bias, and more importantly, this perceptual bias impacts legal outcomes. From this foundation, from this advance in basic science, a number of normative claims may emerge. For one, it is reasonable to assume that human actors, such as corporations, that make use of AI creators, face increased legal risk. As an extension, we delve into copyright law’s primary objective—to promote the creation of new works—and we show that biases against generative AI may frustrate this objective, impeding the very creativity copyright law aims to incentivize.", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/26t210mg", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "J.", "last_name": "Avery", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "W. Michael", "middle_name": "", "last_name": "Schuster", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52402/galley/39485/download/" } ] }, { "pk": 52405, "title": "An Erie Taking: Tyler v. Hennepin County and the General Common Law Revival", "subtitle": null, "abstract": "The Supreme Court’s recent decision in Tyler v. Hennepin County seemed unsurprising. But the Court’s opinion unabashedly adopted an approach to claims under the Takings Clause that looks to a general law of property, even when there was an available resolution resting on state law. This Article aims to elucidate the ways in which the Court’s opinion in Tyler effects a sea change in takings law. It also poses portentous questions about the effect the decision will have on the scope of the Takings Clause, the source of property law, and the viability of the general common law as a basis for rights claims in other areas of the Court’s jurisprudence.", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7t31n7g8", "frozenauthors": [ { "first_name": "Jaden", "middle_name": "", "last_name": "Lessnick", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "T. Hunter", "middle_name": "", "last_name": "Mason", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52405/galley/39488/download/" } ] }, { "pk": 52398, "title": "Cover", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5bc776rn", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52398/galley/39481/download/" } ] }, { "pk": 52408, "title": "Judicial Relief Isn’t Enough: How Federal Protection of Native American Cultural Landscapes Limit Religious Freedoms", "subtitle": null, "abstract": "“Political freedom cannot exist in any land where religion controls the state, and religious freedom cannot exist in any land where the state controls religion.” — Sen. Sam J. Ervin Jr.", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Keute", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52408/galley/39491/download/" } ] }, { "pk": 52399, "title": "Masthead", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1x80r0wb", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52399/galley/39482/download/" } ] }, { "pk": 52400, "title": "Mission Statement", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/02n1801g", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52400/galley/39483/download/" } ] }, { "pk": 52404, "title": "Redressing the Harm of Accelerated Approval", "subtitle": null, "abstract": "The accelerated approval pathway of the United States Food and Drug Administration (FDA) enables drugs to come to market more quickly than would be possible under a traditional FDA approval pathway. Accelerated approval is based upon the agency’s determination that changes in a surrogate or intermediate clinical endpoint are “reasonably likely” to predict a clinical benefit meaningful for patients. In essence, the pathway affords sick patients earlier access to potentially beneficial drugs while trials to confirm clinical benefit continue. Accelerated approval has been likened to a social compromise in which promising drugs enter the market sooner in exchange for a sponsor’s promise to undertake so-called confirmatory trials—that is, postmarketing trials to “verify and describe” the predicted clinical benefit. This Article argues that patients, too, are expected to engage in a compromise when they take drugs approved under the pathway: patients must accept the risk that a drug will ultimately confer no meaningful benefit in exchange for the chance of treatment. But must the compromise end there?\n\nThis Article deconstructs the harms that result from the accelerated approval pathway and explores how those harms should be remedied. For purposes here, the focus is on therapies later withdrawn from the market due to a sponsor’s inability to verify clinical benefit or its decision not to pursue confirmatory trials to completion. Patients and payers incur great expense during what the FDA has termed the “period of uncertainty,” the span of time between a therapy’s approval under the pathway and verification of clinical benefit or lack thereof. Moreover, therapies approved under accelerated approval, the bulk of which are immunotherapies to treat various types of cancer, often have serious side effect profiles. This means that patients who consume later-withdrawn therapies may suffer serious adverse effects\nor even a hastened death from a drug that ultimately yields them little to no benefit—in essence, a “toxic placebo.”\n\nThis Article proposes a tort alternative modeled on the National Vaccine Injury Compensation Program to “make whole” patients harmed by accelerated approval’s “toxic placebos.” The proposed administrative compensation scheme, funded through a combination of prescription drug user fees and mandatory contributions from sponsors of later-withdrawn accelerated approval drugs, would allow patients to recover medical expenses, out-of-pocket costs for the accelerated therapy itself, compensation for side effects causally linked to a later withdrawn drug, lost wages, pain and suffering, and wrongful death. This Article does not stand as a criticism of the accelerated approval pathway, which has successfully yielded a plethora of new cancer therapies, among others. Rather, it addresses why an administrative compensation scheme is a necessary adjunct to the pathway and preferable to the status quo in which patients harmed by accelerated approval typically remain without redress through the civil tort system. Finally, it counters the notion that the defense of assumption of risk should bar recovery for patients who incur harm from therapies approved under the pathway.", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1g78r5tr", "frozenauthors": [ { "first_name": "Laura", "middle_name": "", "last_name": "Karas", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52404/galley/39487/download/" } ] }, { "pk": 52406, "title": "Reliance and Reliability", "subtitle": null, "abstract": "As we move toward full electrification for household uses, we will need to change the perspective of how we look at reliability and the reliance we have on our utilities. Current measures of reliability are utility-centric, focus on averages and may exclude large-scale events which cause widespread and long-duration outages. Averages are not good enough now (if they ever were). Excluding large events from reliability metrics drives specific utility behavior: restoring densely populated areas quickly to keep averages down, even if some customers in other areas or customers in pockets of more densely populated areas are left without service for days or weeks; discounting compounding harms from long-duration outages; and claiming that reliability is improving when the customer experience clearly is not. \n\nTo adequately measure customer impact as we electrify everything, the perspective that we measure reliability from should not be that of the utility or of the regulator—but rather the individual, the household, the business who is increasingly reliant on that utility service. We need to view it from the perspective of the person who has no power, especially given the energy justice issues that arise with long-duration outages.\n\nAfter discussing current measures of reliability and how they do not adequately capture customer experience and impact (including, in some cases, death), this Article will discuss how states and utility responses to increasingly poor reliability have been inadequate. Instead, regulators must center the customer when addressing reliability in three ways: first, by making more informed decisions; second, by expanding their idea of what can contribute to reliability, especially with regard to distributed resources and storage; and third, by allowing customers pathways to recover damages from their utility. This Article also suggests pitfalls for regulators to avoid as they transition to customer-centric reliability.", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9801z9d3", "frozenauthors": [ { "first_name": "Heather", "middle_name": "E.", "last_name": "Payne", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52406/galley/39489/download/" } ] }, { "pk": 52401, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6t5931ms", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52401/galley/39484/download/" } ] }, { "pk": 52407, "title": "The Disparate Impact of the Coronavirus Pandemic on People of Color and the Efficacy of Race-Based Health Policies", "subtitle": null, "abstract": "The coronavirus pandemic was, for all intents and purposes, a national emergency that highlighted the lack of quality healthcare for people of color and the overall lack of trust that communities of color, in general, have for medical professionals. In particular, Blacks, Latino/x, and Native Americans experienced higher hospitalization and death rates than White people. Part of the reason is because Black and Latino/x communities were overrepresented in essential service jobs during the pandemic, and these jobs did not allow for the ability to work from home. Other reasons stem from a lack of trust due to a history of discrimination in the medical field, lack of health insurance, and the quality of healthcare facilities in areas with diverse populations.\n\nGiven the disproportionate impact of COVID-19 on people of color, states like Utah, Minnesota, and New York, implemented race-based health policies to decrease the hospitalization and mortality rate among people of color, effectively creating affirmative action programs for healthcare treatment. Yet, these policies would likely not survive the Supreme Court’s strict scrutiny test. Additionally, given the historical relationship between the medical field and communities of color, using race may not be an effective path to achieve better health outcomes for people of color. This Note will present solutions to improve healthcare outcomes for people of color, incorporating the lessons learned from the COVID-19 pandemic.", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9jz9c7r6", "frozenauthors": [ { "first_name": "Carmen", "middle_name": "", "last_name": "Gosey", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52407/galley/39490/download/" } ] }, { "pk": 52403, "title": "Vice Capital", "subtitle": null, "abstract": "Academic and market interest in environmental, social, and governance (ESG) investing has grown markedly in recent years. Although less prominent, a substantial literature also explores whether “sin pays” in the public capital markets. This literature’s underlying theory is that social norms discourage the funding of businesses that promote vice. According to this theory, some investors—particularly institutions sensitive to social norms, such as pension funds and foundations—will shun vice investments. A consequence of this aversion is a “vice premium” for those investors who will invest in such companies. Largely unexplored, however, is what industries or business models qualify as “vice,” how this definition is constructed and changes, how vice aversion affects startup corporate governance and finance, and what consequences vice aversion holds for the real economy. We address these gaps through a series of interviews with startup founders, venturecapital (VC) and angel investors, and legal and financial practitioners. Descriptive data from commercial VC databases supplement our interviews. We find that the definition of “vice” is nuanced and shifts over time as the subjective preferences of investors and their constituents adapt to changing regulatory environments and social mores. Our respondents report that vice startups face heightened regulatory and business-infrastructure hurdles compared to non-vice startups. This experience is especially true for women and other minoritized vice entrepreneurs and those serving minoritized customer bases. These challenges implicate entrepreneurship, society, and capital markets, including by complicating the concept of the vice premium in finance theory and by showing the potential for vice aversion to shape both the vice and nonvice sides of the real economy.", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nm378fv", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "K.", "last_name": "Jennings", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Kimberly", "middle_name": "D.", "last_name": "Krawiec", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-08-31T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/52403/galley/39486/download/" } ] }, { "pk": 41514, "title": "Lorazepam in Managing Atypical Neuroleptic Malignant Syndrome: A Systematic Review of Case Reports", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Neuroleptic malignant syndrome (NMS), comprising typical and atypical presentations, is a rare but life-threatening reaction to antipsychotic medications. While typical NMS is characterized by fever, rigidity, and autonomic instability, atypical NMS often lacks these hallmark features, complicating timely diagnosis in the emergency department (ED).</p>\n<p><strong>Methods:</strong> We conducted a systematic review of PubMed and citation databases (1988–2024) using the keywords “Neuroleptic Malignant Syndrome” and “Lorazepam.” Case reports were screened using strict inclusion criteria and appraised with the Joanna Briggs Institute Checklist.</p>\n<p><strong>Results: </strong>Lorazepam led to clinical improvement in 5 of 6 atypical and 7 of 9 typical NMS cases. Among five atypical cases, four demonstrated improvements in altered mental status (AMS), resolution of agitation, and reduction in neuromuscular symptoms within 72 hours, including two within 24 hours, compared to the usual 5-10 day recovery with supportive care alone. One atypical case presenting to the ED showed rapid improvement in AMS following early lorazepam administration, although catatonia ultimately necessitated electroconvulsive therapy. These findings highlight lorazepam’s potential benefit in both timely symptom control and diagnostic clarity in atypical NMS.</p>\n<p><strong>Conclusion:</strong> Lorazepam shows rapid efficacy in atypical NMS, with most cases improving within 72 hours. Yet its subtle presentation often delays diagnosis in the ED, reducing early treatment opportunities. Typical NMS cases demonstrated slower response. Emergency physicians should maintain a high index of suspicion for atypical NMS and consider empiric lorazepam therapy alongside antipsychotic discontinuation and supportive care. Prospective studies are needed to refine ED management strategies.</p>", "language": null, "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": "neuroleptic malignant syndrome" }, { "word": "lorazepam" }, { "word": "serotonin syndrome" }, { "word": "malignant catatonia" }, { "word": "acute dystonia" }, { "word": "Antipsychotic" } ], "section": "Neurology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0dq6m5ph", "frozenauthors": [ { "first_name": "Aaron", "middle_name": "", "last_name": "Chen", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" }, { "first_name": "Myungwook", "middle_name": "", "last_name": "Bae", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" } ], "date_submitted": "2024-12-24T16:46:25.108000Z", "date_accepted": "2025-05-15T20:18:30.525000Z", "date_published": "2025-08-29T17:47:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41514/galley/40027/download/" } ] }, { "pk": 42044, "title": "Self-Harm and Interpersonal Violence-Related Injuries: Retrospective Analysis of the American College of Surgeons Trauma Quality Programs Data", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Violence-related injuries (VRI) such as interpersonal violence, intimate-partner violence, and self-harm injuries present a significant public health challenge in the United States. We aimed to explore interpersonal-violence and self-harm injuries, focusing on demographic disparities (age and sex) and mechanisms of injury, including firearm-related violence.</p>\n<p><strong>Methods: </strong>We conducted a retrospective study of VRIs among the US civilian population between 2017-2021. Data were extracted from the American College of Surgeons (ACS) Trauma Quality Programs Participant Use Files. We identified VRIs using the International Classification of Diseases, 10th Rev, with Australian modification E-code series. The dataset was categorized and compared by age, sex, ethnicity, violence intent, and mechanism of injury. This study was a secondary data analysis reporting interpersonal-violence and self-harm injuries among trauma cases from the national trauma database.</p>\n<p><strong>Results:</strong> The total number of trauma patients in the ACS database was 5,483,016 between 2017– 2021 (1.1 million/year). The final analysis included 584,417 (11%) patients with VRIs (interpersonal violence and self-harm), with a mean age of 35 years; 82% were male, 45% White, and 42% Black. Interpersonal violence accounted for 88% of injuries, while 12% were self-harm, with firearm-related violence the most common mechanism of injury (35%). Firearm-related interpersonal violence was common among younger individuals (19-39 years), while non-weaponized interpersonal violence was prevalent among older individuals (≥ 60 years). Blacks had a higher rate of firearm-related interpersonal violence (51%), and Whites had a greater frequency of non-weaponized interpersonal violence. There were 43,089 deaths (7.4%), with 68% resulting from interpersonal-violence and 32% from self-harm injuries. Firearm-related injuries (interpersonal violence and self-harm combined) accounted for 78% of all VRI-related deaths. Mortality was higher in males (7.7%) than in females (5.9%) (P < .001).</p>\n<p><strong>Conclusion:</strong> There is a significant burden of violence-rated injuries in the US, particularly affecting males, racial minorities, and vulnerable age groups. Firearm-related injuries are the leading cause of death in both interpersonal-violence and self-harm cases. The increase in VRIs during the COVID-19 pandemic highlights the urgent need for targeted public health interventions focused on firearm safety, violence prevention, and mental health support.</p>", "language": "eng", "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": "Firearm Violence; Interpersonal Violence; Self-Inflicted Injuries; Racial Disparities; Trauma" }, { "word": "TQIP-ACS" } ], "section": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5wd4v847", "frozenauthors": [ { "first_name": "Ayman", "middle_name": "", "last_name": "El-Menyar", "name_suffix": "", "institution": "Hamad Medical Corporation, Department of Surgery, Clinical Research, Trauma and Vascular Surgery, Doha, Qatar; Weill Cornell Medical College, Department of Clinical Medicine, Doha, Qatar", "department": "" }, { "first_name": "Ahammed", "middle_name": "", "last_name": "Mekkodathil", "name_suffix": "", "institution": "Hamad Medical Corporation, Department of Surgery, Clinical Research, Trauma and Vascular Surgery, Doha, Qatar", "department": "" }, { "first_name": "Rafael", "middle_name": "", "last_name": "Consunji", "name_suffix": "", "institution": "Hamad Medical Corporation, Department of Surgery, Trauma Surgery, Injury Prevention Program, Doha, Qatar", "department": "" }, { "first_name": "Sandro", "middle_name": "", "last_name": "Rizoli", "name_suffix": "", "institution": "Hamad Medical Corporation, Department of Surgery, Trauma Surgery, Doha, Qatar", "department": "" }, { "first_name": "Tarik", "middle_name": "S", "last_name": "Abulkhair", "name_suffix": "", "institution": "Hamad Medical Corporation, Department of Surgery, Trauma Surgery, Doha, Qatar", "department": "" }, { "first_name": "Ruben", "middle_name": "", "last_name": "Peralta", "name_suffix": "", "institution": "Hamad Medical Corporation, Department of Surgery, Trauma Surgery, Doha, Qatar; Universidad Nacional Pedro Henriquez Urena, Department of Surgery, Santo Domingo, Dominican Republic", "department": "" }, { "first_name": "Rifat", "middle_name": "", "last_name": "Latifi", "name_suffix": "", "institution": "College of Surgery, Department of Surgery, Pristina, Kosovo", "department": "" }, { "first_name": "Hassan", "middle_name": "", "last_name": "Al-Thani", "name_suffix": "", "institution": "Hamad Medical Corporation, Department of Surgery, Trauma Surgery, Doha, Qatar", "department": "" } ], "date_submitted": "2025-01-24T18:03:56.305000Z", "date_accepted": "2025-05-24T23:18:38.317000Z", "date_published": "2025-08-29T17:40:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/42044/galley/40029/download/" } ] }, { "pk": 21302, "title": "Comparing Pediatric 72-Hour Emergency Department Returns: General vs Pediatric Emergency Departments", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>There is limited data comparing pediatric return visits between pediatric emergency departments (PED) and general EDs. We hypothesized that the 72-hour return rate is higher for patients discharged from general EDs than from PEDs.</p>\n<p><strong>Methods: </strong>We analyzed all PED visits in a large, national emergency medical group that had a repeat ED visit to the same site within 72 hours between 2016–2019. Associated visit- and facility?level characteristics analyzed in the model included patient age, Emergency Severity Index and triage level, sex, insurance type, categorized reason for visit, facility type, facility size, trauma status, teaching status, year, and month. Diagnostic categories were defined using the Agency for Healthcare Research and Quality clinical classification software for diagnosis codes. The outcome variable was 72-hour returns. We analyzed returns at the visit-level using descriptive statistics and at the facility-month level using logistic regression to adjust for potential confounders.</p>\n<p><strong>Results:</strong> A total of 2,588,680 pediatric visits were included: 1,821,800 from 137 general EDs and 766,880 from 7 PEDs. The proportion of children returning to a PED within 72 hours was 1.1 percentage points higher than at a general ED (3.5% vs. 2.4%). The adjusted odds ratio for a 72-hour return visit was 1.3 (confidence interval 1.15-1.38) in PEDs compared to general EDs.</p>\n<p><strong>Conclusion:</strong> Pediatric patients discharged from PEDs had a higher rate of 72-hour return visits than those discharged from general EDs. These findings merit further investigation into factors driving these differences to identify best practices and optimize care across ED settings.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4s49s0p9", "frozenauthors": [ { "first_name": "Dana", "middle_name": "", "last_name": "Libov", "name_suffix": "", "institution": "Northwell Health, New Hyde Park, New York", "department": "" }, { "first_name": "Mark", "middle_name": "", "last_name": "Zocchi", "name_suffix": "", "institution": "Brandeis University, Heller School for Social Policy and Management, Waltham, Massachusetts", "department": "" }, { "first_name": "Arvind", "middle_name": "", "last_name": "Venkat", "name_suffix": "", "institution": "Allegheny Health Network, Department of Emergency Medicine, Pittsburgh, Pennsylvania; US Acute Care Solutions, Canton, Ohio", "department": "" }, { "first_name": "Timothy", "middle_name": "", "last_name": "Ruttan", "name_suffix": "", "institution": "University of Texas at Austin Dell Medical School, Department of Pediatrics, Austin, Texas; US Acute Care Solutions, Canton, Ohio", "department": "" }, { "first_name": "Coburn", "middle_name": "", "last_name": "Allen", "name_suffix": "", "institution": "University of Texas at Austin Dell Medical School, Department of Pediatrics, Austin, Texas; US Acute Care Solutions, Canton, Ohio", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Wilkinson", "name_suffix": "", "institution": "University of Texas at Austin Dell Medical School, Department of Pediatrics, Austin, Texas; US Acute Care Solutions, Canton, Ohio", "department": "" }, { "first_name": "US Acute Care Solutions Research Group", "middle_name": "", "last_name": "", "name_suffix": "", "institution": "US Acute Care Solutions, Canton, Ohio", "department": "" } ], "date_submitted": "2024-06-04T20:42:11.503000Z", "date_accepted": "2025-04-07T19:03:04.334000Z", "date_published": "2025-08-29T17:32:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21302/galley/40026/download/" } ] }, { "pk": 24991, "title": "Report on the El Paso Mass Casualty Incident Hospital Response: Enhancing Surge Capacity", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> On August 3, 2019, a mass casualty incident (MCI)/active shooter event in El Paso, TX, left 21 people dead on scene and 27 transported. Our main objective in this article was to describe trauma center responses to a sudden patient influx after a MCI/active shooter event. We hypothesized that a triage practice in which two physicians providing care while simultaneously triaging would be equivalent to triage with a single physician providing triage only. The secondary objective was to describe patient injuries and treatment. Our third objective was to describe how a large, multidisciplinary team of hospital personnel were rapidly notified and arrived at the trauma center. Finally, we describe how the problems identified in a review of hospital response led to better results after implementing new practices in a 2023 MCI/active shooter event. </p>\n<p><br><strong>Methods:</strong> We conducted a retrospective cohort/medical record review and departmental survey. We performed the Fisher exact test using survival as an outcome to compare the two centers’ triage methods.</p>\n<p><br><strong>Results:</strong> A total of 15 patients arrived at the University Medical Center of El Paso, 14 of them within 35 minutes and one in a later transfer; 14 survived at 24 hours. Total patients included 10 females and 5 males, mean age 40.6 (1-88) years. Mean hospital length of stay (LOS) was 13 ± 16.4 days. For the six intensive care unit (ICU) patients the mean LOS was 5.7 (1-11) days. In comparing day 1 survival between the center where a surgeon and an emergency physician triaged patients while also providing care and the center where a sole triage physician was on duty, survival rates were equivalent (P = .56). Six surgeries occurred on day 1 with four laparotomies performed within 43 minutes. The trauma team expanded rapidly as 132 persons from 16 departments, notified by phone calls and text, arrived, improving communication and patient registration in two 2023 MCI responses.</p>\n<p><br><strong>Conclusion: </strong>The survival rate of victims of a mass casualty incident brought to a Level I trauma center and triaged by a surgeon and an emergency physician who simultaneously provided care did not differ significantly from the survival rate at a Level II trauma center with a single triage physician on duty. The rapid arrival of multiple specialists resulted in 14 patients treated within an hour.</p>", "language": "eng", "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": "Trauma" }, { "word": "Injury" }, { "word": "Mass Casualty Incident" }, { "word": "Surge Capacity" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/52v0r7qx", "frozenauthors": [ { "first_name": "Susan", "middle_name": "F.", "last_name": "McLean", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center El Paso, Department of Surgery, El Paso, Texas", "department": "" }, { "first_name": "Nancy", "middle_name": "", "last_name": "Weber", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center El Paso, Department of Emergency Medicine, El Paso, Texas", "department": "" }, { "first_name": "Adam", "middle_name": "", "last_name": "Adler", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center El Paso, Department of Orthopedic Surgery, El Paso, Texas", "department": "" }, { "first_name": "Alejandro", "middle_name": "", "last_name": "Rios Tovar", "name_suffix": "", "institution": "University of Texas Health Rio Grande Valley, Department of Surgery, Edinburg, Texas", "department": "" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Flaherty", "name_suffix": "", "institution": "Del Sol Medical Center, Department of Trauma and Surgical Critical Care, El Paso, Texas", "department": "" }, { "first_name": "Alan", "middle_name": "H.", "last_name": "Tyroch", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center El Paso, Department of Surgery, El Paso, Texas", "department": "" } ], "date_submitted": "2024-06-27T20:29:43.332000Z", "date_accepted": "2025-05-15T22:45:15.974000Z", "date_published": "2025-08-29T16:34:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/24991/galley/40012/download/" } ] }, { "pk": 62921, "title": "Atmospheric Rivers and Floods in California’s Changing Hydroclimate", "subtitle": null, "abstract": "Flooding in the Bay–Delta is most commonly due to runoff from atmospheric river (AR) storms, often enhanced by low-elevation snowmelt. In this paper, we review the current science of ARs and their projected enhancement in a warming climate. We also address the changing state of the Sierra Nevada snowpack. Climate-model projections indicate increasing contributions to extreme precipitation from ARs, and more variable hydroclimate, with increased floods as well as droughts. Observations, meanwhile, do not yet show enhanced precipitation intensity trends. In agreement with climate-model projections, observations do show that, as the climate continues to warm, California’s greatest natural freshwater reservoir—its snowpack—continues to erode. This is despite record snowpacks (e.g., 2023) still being possible, and potentially exacerbating flood effects from ARs in a highly variable hydroclimate. Original analysis of extreme historical and projected precipitation events shows events of the magnitude associated with the New Year 1997 floods are expected to become twice as likely by the late 21st century.\n \nMoreover, as extreme precipitation events are expected to become wetter, hydrologic modeling suggests that extreme runoff events will be disproportionately enhanced, primarily as the result of a greater fraction of rain vs. snow. We also discuss the mitigating influence of water management on extreme flows, and mention new research results, challenges, and opportunities associated with sub-seasonal and seasonal precipitation predictability. We suggest that—along with infrastructural modernization, as well as maintenance and improvement of observational networks—current and future challenges for water management can be mitigated by better and longer lead-time weather and climate-forecast information.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "atmospheric rivers, hydroclimate, climate change, extreme precipitation, snowpack, extreme runoff, flooding, flood risk, water resources, California" } ], "section": "The State of Bay-Delta Science 2025, Part 2", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1kw1d94p", "frozenauthors": [ { "first_name": "Alexander", "middle_name": "", "last_name": "Gershunov", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Hatchett", "name_suffix": "", "institution": "Colorado State University\nFort Collins, CO 80523 USA", "department": "" }, { "first_name": "Alexander", "middle_name": "", "last_name": "Weyant", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Dettinger", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Lu", "middle_name": "", "last_name": "Su", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Alan", "middle_name": "", "last_name": "Rhoades", "name_suffix": "", "institution": "Lawrence Berkeley National Laboratory\nBerkeley, CA 94720 USA", "department": "" }, { "first_name": "Park", "middle_name": "", "last_name": "Williams", "name_suffix": "", "institution": "University of California–Los Angeles\nLos Angeles, CA 90095 USA", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Anderson", "name_suffix": "", "institution": "California Department of Water Resources\nSacramento, CA 95814 USA", "department": "" }, { "first_name": "Pamela", "middle_name": "", "last_name": "Rittelmeyer", "name_suffix": "", "institution": "California Department of Water Resources\nSacramento, CA 95814 USA", "department": "" }, { "first_name": "Dennis", "middle_name": "", "last_name": "Lettenmayer", "name_suffix": "", "institution": "University of California–Los Angeles\nLos Angeles, CA 90095 USA", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cayan", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Rosa Luna", "middle_name": "", "last_name": "Niño", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Kristen", "middle_name": "", "last_name": "Guirguis", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Tom", "middle_name": "", "last_name": "Corringham", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" }, { "first_name": "Romain", "middle_name": "", "last_name": "Maendly", "name_suffix": "", "institution": "California Department of Water Resources\nSacramento, CA 95814 USA", "department": "" }, { "first_name": "F. Martin", "middle_name": "", "last_name": "Ralph", "name_suffix": "", "institution": "Scripps Institution of Oceanography\nUniversity of California—San Diego\nSan Diego, CA 92093 USA", "department": "" } ], "date_submitted": "2025-08-24T03:27:54Z", "date_accepted": "2025-08-24T03:27:54Z", "date_published": "2025-08-28T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62921/galley/48607/download/" } ] }, { "pk": 62923, "title": "Estimating Freshwater Inflow to San Francisco Estuary During the First Six Decades Following the California Gold Rush: WYs 1851–1911 Reconstruction Based on Legacy Hydrologic Data", "subtitle": null, "abstract": "Freshwater inflow is vital for the ecological health of estuaries. Understanding historical flow volume and timing is therefore essential for sustainable management and restoration of these environments. Using legacy hydrologic data—including riverine water-level measurements, watershed runoff estimates, and wetland reclamation records—we extended a monthly time-series of freshwater inflow to San Francisco Estuary by 6 decades, back to California’s Gold Rush era. This period marks the onset of significant anthropogenic modifications to the waterscape. Our analysis of the extended series, normalized to unimpaired runoff, reveals an increasing trend in systemwide water use that was preceded by a decline in the latter half of the 19th century. We hypothesize this decline resulted from reduced evapotranspiration as a result of vegetation removal and reduced overbank flows from levee construction. These findings align with earlier research that shows similarities between natural and contemporary long-term annual average inflow, comparing pre-development conditions to those of the early 20th century and today. Monthly flow trends, however, displayed more nuanced, season-specific effects of human modifications. Despite unusually wet hydrology during the reconstruction period, our findings comprise an important contribution to ongoing dialogue on ecosystem-restoration targets.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "legacy hydrologic data, reconstruction, pre-development, ecosystem restoration" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4640n4rk", "frozenauthors": [ { "first_name": "Sujoy", "middle_name": "B.", "last_name": "Roy", "name_suffix": "", "institution": "Tetra Tech, Inc.", "department": "" }, { "first_name": "Paul", "middle_name": "H.", "last_name": "Hutton", "name_suffix": "", "institution": "Tetra Tech, Inc., \nLafayette, CA 94549 USA", "department": "" } ], "date_submitted": "2025-08-24T14:13:58Z", "date_accepted": "2025-08-24T14:13:58Z", "date_published": "2025-08-28T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62923/galley/48609/download/" } ] }, { "pk": 62922, "title": "Integrating Hydrodynamics and Fish Vital Rates into Indices of Entrainment for Endangered Smelts at the Barker Slough Pumping Plant", "subtitle": null, "abstract": "Fish losses to entrainment in water diversions in the Sacramento–San Joaquin Delta have been a long-standing conservation concern. We evaluated Delta Smelt (Hypomesus transpacificus) and Longfin Smelt (Spirinchus thaleichthys) entrainment risk associated with the Barker Slough Pumping Plant (BSPP) by integrating hydrodynamic, growth, survival, and fish-screen-selectivity information into indices of entrainment risk for nine locations in the Cache Slough Complex (CSC). Our fundamental question was: How does risk of entrainment into BSPP vary in space and time? We found the predicted risk of entrainment into BSPP is extremely high from the adjacent Lindsey Slough. From elsewhere in the CSC, entrainment risk into BSPP is approximately zero in both wet and dry years, such that local irrigation diversions are the only potential source of entrainment loss. We estimated Delta Smelt outgrow vulnerability to entrainment through the BSPP fish-screens in 35 to 53 days while Longfin Smelt remain vulnerable for 90 to 98 days. Research indicates some impingement is probable even after fish outgrow risk of being entrained through the screens if they continue to be passively transported. Our entrainment indices sometimes deviated considerably from hydrodynamic transport predictions within Lindsey Slough because larval fish have high natural mortality rates and, at least for Delta Smelt, growth rates high enough to modify the transport predictions. Since 1989, the predicted entrainment risk at BSPP has declined in the winter but increased in April through May as a result of long-term trends in how much water is seasonally diverted at BSPP. If the one-dimensional model we used to estimate fish transport is accurate, then Delta Smelt and Longfin Smelt would need to be spawned in Barker or Lindsey sloughs to face a meaningful risk of entrainment at BSPP. This conclusion does not appear to be affected by Yolo Bypass flow as had been hypothesized previously.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Delta Smelt, Longfin Smelt, entrainment, Particle Tracking Model" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7g15b3xc", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "L.", "last_name": "Nobriga", "name_suffix": "", "institution": "U.S. Fish and Wildlife Service, \nSan Francisco Bay-Delta Fish and Wildlife Office, \nSacramento, CA 95814 USA", "department": "" }, { "first_name": "Wiliam", "middle_name": "E.", "last_name": "Smith", "name_suffix": "", "institution": "U.S. Fish and Wildlife Service, \nSan Francisco Bay-Delta Fish and Wildlife Office, \nSacramento, CA 95814 USA", "department": "" }, { "first_name": "Craig", "middle_name": "A.", "last_name": "Anderson", "name_suffix": "", "institution": "U.S. Fish and Wildlife Service, \nSan Francisco Bay-Delta Fish and Wildlife Office, \nSacramento, CA 95814 USA", "department": "" } ], "date_submitted": "2025-08-24T03:37:53Z", "date_accepted": "2025-08-24T03:37:53Z", "date_published": "2025-08-28T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62922/galley/48608/download/" } ] }, { "pk": 62920, "title": "Recent Findings and Future Prospects for Water Quality Effects from Catastrophic Wildfires in California, USA", "subtitle": null, "abstract": "Global change affects the forests and wildlands of California through rising temperatures, earlier snowmelt, more rain and less snow, greater vapor-pressure deficits, and forest dieback, resulting in increased frequency, size, and severity of wildfires. California has experienced its eight largest wildfires since 1932 in the period from 2018 to 2024. The largest fire to date (August Complex Fire) occurred in 2020—a year in which 1.7 million ha or 4% of California’s land area burned—and burned 418,000 ha. These mega-fires (>10,000 ha) can severely affect water quality and aquatic ecosystems. Water-quality variables affected by wildfire include temperature, sediment load, turbidity, dissolved oxygen, pH, redox potential, soluble and particulate organic carbon, nutrients, metals, natural- and human-produced organic contaminants, and primary/secondary producers. Wildfire and water interact at watershed scales, with water-quality impairments responding linearly with the percentage of the watershed area burned, and responding exponentially as burn severity increases. Vegetation recovery is key to the duration of water-quality effects, and short-term, post-fire weather dictates actual water-related effects. Urban areas are hot spots for the production and transport of water pollutants such as sediments, heavy metals, mercury, nutrients, and toxic organic compounds. Water-treatability challenges after wildfire include short-term odor and taste, increased sediment and turbidity, and increased total and dissolved organic matter. Implications for water quality from catastrophic wildfire on downstream reservoirs are important research needs because ~80% of California’s water supply passes through reservoirs before use. Notably, there is a crucial need for development and assessment of post-fire, land-management practices to mitigate adverse water-quality effects. Finally, continuous measurements of water quality are critical to document the severity and duration of episodic pulses of wildfire-sensitive constituents that are mobilized and transported to aquatic ecosystems after catastrophic mega-fires.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "mega fires, water quality hydrology, streams, reservoirs, warming climate, wildfire recovery, continuous monitoring, extreme events" } ], "section": "The State of Bay-Delta Science 2025, Part 2", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/157618mx", "frozenauthors": [ { "first_name": "Clifford", "middle_name": "N.", "last_name": "Dahm", "name_suffix": "", "institution": "University of New Mexico\nAlbuqueruqe, NM 87131 USA", "department": "" }, { "first_name": "Denise", "middle_name": "D.", "last_name": "Colombano", "name_suffix": "", "institution": "Delta Stewardship Council, Delta Science Program\nSacramento, CA 95814 USA", "department": "" }, { "first_name": "Randy", "middle_name": "A.", "last_name": "Dahlgren", "name_suffix": "", "institution": "University of California—Davis\nDavis, CA 95616 USA", "department": "" } ], "date_submitted": "2025-08-24T03:10:57Z", "date_accepted": "2025-08-24T03:10:57Z", "date_published": "2025-08-28T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62920/galley/48606/download/" } ] }, { "pk": 50784, "title": "<!-- x-tinymce/html -->\nResearch-Creation using Open Source Tools: Playing the Archive in <em>Hawk & Puma</em>", "subtitle": null, "abstract": "<p><!-- x-tinymce/html --></p>\n<p><em>Hawk & Puma</em> is a minimalist pixel-art video game developed using open-source tools like Bitsy as part of a doctoral research-creation process. The game reimagines \"El Primer Nueva Corónica y Buen Gobierno\", a 400-year-old illustrated manuscript written by Felipe Guaman Poma de Ayala—an Indigenous Andean chronicler who denounced colonial violence in 17th-century Peru. This project bridges creative technology, archival research, and community collaboration to explore how digital storytelling can function as both scholarly inquiry and cultural preservation. The game was designed to function as a playable archive: a digital environment where players can engage with Guaman Poma’s ideas through movement, interactivity, and reflection. Pixel art inspired by his original ink illustrations, combined with an ambient Andean-influenced soundtrack, help immerse players in a stylized but critical interpretation of the manuscript. Beyond the game itself, this project sparked the creation of Andean Futures, a community-based initiative in collaboration with members of the ÑawpaÑan community in the Sacred Valley of the Incas. Through this partnership, Indigenous and local youth are now using open-source tools to design their own games, contributing to cultural sustainability and digital sovereignty.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "open source" }, { "word": "Indigenous media" }, { "word": "Pixel Art" }, { "word": "Community Collaboration" }, { "word": "Hawk & Puma" }, { "word": "video games" }, { "word": "Research-Creation" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6ch1x234", "frozenauthors": [ { "first_name": "Nico", "middle_name": "", "last_name": "Valdivia Hennig", "name_suffix": "", "institution": "University of California, Riverside", "department": "" } ], "date_submitted": "2025-08-28T21:41:05.173000Z", "date_accepted": "2025-08-28T21:41:33.039000Z", "date_published": "2025-08-28T04:43:00Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucrlibrary_orca/article/50784/galley/38810/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucrlibrary_orca/article/50784/galley/38810/download/" } ] }, { "pk": 4237, "title": "Royal Inscriptions", "subtitle": null, "abstract": "<p>Royal inscriptions are historical records concerning ancient Egyptian kings. Throughout the pharaonic period, they were carved on durable media, including temple walls, stelae, obelisks, statues, and objects. Depending on genres and styles, they could serve various purposes. Royal inscriptions were initially primarily pictorial, but over time became entirely textual. Since they were created for kings, they provide a rich source of historical information about the nature of kingship and royal ideology. For modern scholars, these royal records are invaluable aids in reconstructing ancient Egyptian history and in understanding royal deeds, activities, and discourse.</p>", "language": "eng", "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": "Annals" }, { "word": "decrees" }, { "word": "royal orders" }, { "word": "royal names" }, { "word": "Königsnovelle" }, { "word": "eulogy" } ], "section": "Language, Text and Writing", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3qn4837f", "frozenauthors": [ { "first_name": "Shih-Wei", "middle_name": "", "last_name": "Hsu", "name_suffix": "", "institution": "Spanish National Research Council", "department": "", "country": "Spain" } ], "date_submitted": "2009-01-08T16:14:21Z", "date_accepted": "2025-08-27T09:31:39.692000Z", "date_published": "2025-08-27T09:35:00Z", "render_galley": { "label": "Hsu Royal Inscriptions galley", "type": "pdf", "path": "https://journalpub.escholarship.org/nelc_uee/article/4237/galley/38801/download/" }, "galleys": [ { "label": "Hsu Royal Inscriptions galley", "type": "pdf", "path": "https://journalpub.escholarship.org/nelc_uee/article/4237/galley/38801/download/" } ] }, { "pk": 47139, "title": "Jaundice in a Returning Traveler—A Rare Manifestation of<em> Mycoplasma pneumoniae</em> Infection: Case Report", "subtitle": null, "abstract": "<p>Introduction: Cold agglutinin hemolytic anemia is a rare but serious complication of infections, including <em>Mycoplasma pneumoniae</em>. This case highlights the importance of considering infectious causes in patients with unexplained hemolysis. </p>\n<p>Case Report: A 62-year-old previously healthy male developed jaundice, dyspnea, and fatigue three weeks after returning from South America. Labs showed hemolysis with agglutination, a positive direct Coombs test, and elevated cold agglutinin titers. <em>M. pneumoniae</em> was identified via PCR (polymerase chain reaction), confirming the diagnosis. He required uncrossmatched blood transfusion and was treated with doxycycline, with clinical improvement over four days.</p>\n<p>Conclusion: This case underscores the need for emergency physicians to recognize <em>M. pneumoniae</em>-induced hemolysis in returning travelers. Early diagnosis, targeted testing, and awareness of macrolide resistance are critical for timely intervention and improved outcomes. </p>", "language": "eng", "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": "hemolytic anemia" }, { "word": "cold agglutinin disease" }, { "word": "Mycoplasma pneumoniae" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3300t7bj", "frozenauthors": [ { "first_name": "Andrea", "middle_name": "", "last_name": "Molin", "name_suffix": "", "institution": "Lewis Katz School of Medicine at Temple University, Department of Infectious Diseases, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Molly", "middle_name": "", "last_name": "Crowe", "name_suffix": "", "institution": "Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Brionna", "middle_name": "", "last_name": "Matt", "name_suffix": "", "institution": "Lewis Katz School of Medicine at Temple University, Department of Infectious Diseases, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Jessica", "middle_name": "Ray", "last_name": "Jackson", "name_suffix": "", "institution": "Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" } ], "date_submitted": "2025-04-02T21:39:32.485000Z", "date_accepted": "2025-06-15T20:32:33.066000Z", "date_published": "2025-08-27T05:40:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47139/galley/40146/download/" } ] }, { "pk": 47071, "title": "A Diagnostic Dilemma—Severe Hyperthermia and Rigidity in a Young Man with Polysubstance Use: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Neuroleptic malignant syndrome (NMS) is a rare but life-threatening condition often associated with dopamine antagonist use. However, its overlap with other hyperthermic and toxidromic syndromes presents significant diagnostic challenges. We present the case of a 27-year-old man with severe hyperthermia, altered mental status, and diffuse rigidity, ultimately managed as possible NMS but with multiple differential diagnoses.</p>\n<p><strong>Case Report: </strong>We describe a diagnostically challenging case of a 27-year-old male with an unknown medical history presenting with altered mental status, absence of personal identification, severe hyperthermia, and positive systemic inflammatory response syndrome criteria. The patient initially presented with hyperthermia (42.1 °C), tachycardia, tachypnea, diaphoresis, agitation, and rigidity. Initial lab findings demonstrated leukocytosis, elevated creatine kinase, metabolic acidosis, and rhabdomyolysis. Computed tomography ruled out acute anatomical abnormalities, while urine toxicology returned positive for amphetamines and cocaine. The patient required sedation, rapid sequence intubation, and dantrolene administration, which rapidly resolved his rigidity and hyperthermia and stabilized his vital signs. He was admitted to the intensive care unit, where supportive care, including antipyretics, hydration, and muscle relaxants led to gradual improvement. When the patient became less altered, he admitted to a history of aripiprazole use for schizophrenia, as well as daily amphetamine and cocaine use.</p>\n<p><strong>Conclusion</strong>: This case underscores the importance of considering neuroleptic malignant syndrome in patients with atypical presentations, suspicion for comorbid psychiatric conditions, and substance use disorder. Timely diagnosis, discontinuation of the offending agent, and targeted therapies such as dantrolene are critical in preventing complications. We highlight the diagnostic challenges and management strategies for NMS in the context of a limited history and severe hyperthermia.</p>", "language": "eng", "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": "neuroleptic malignant syndrome" }, { "word": "serotonin syndrome" }, { "word": "sympathomimetic toxicity" }, { "word": "hyperthermia" }, { "word": "altered mental status" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6kz986f2", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "P", "last_name": "O'Brien", "name_suffix": "", "institution": "Denver Health, Department of Emergency Medicine, Denver, Colorado", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Carvey", "name_suffix": "", "institution": "MetroHealth Medical Center, Department of Emergency Medicine, Cleveland, Ohio", "department": "" } ], "date_submitted": "2025-03-23T16:55:07.910000Z", "date_accepted": "2025-06-16T23:04:36.793000Z", "date_published": "2025-08-27T05:30:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47071/galley/40145/download/" } ] }, { "pk": 33528, "title": "Idiopathic Atraumatic Renal Hemorrhage: A Case Report ", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Wunderlich syndrome (WS) is a rare condition characterized by spontaneous, atraumatic renal hemorrhage. It often presents with non-specific symptoms and is typically diagnosed through computed tomography (CT). The most common presentation of WS includes the Lenk triad, which consists of flank pain, a palpable flank mass, and hypovolemic shock. If diagnosis and treatment are delayed, WS can rapidly progress and lead to unfavorable patient outcomes.</p>\n<p><strong>Case Report: </strong>A 65-year-old male presented to the emergency department with severe sudden-onset left flank pain with subsequent CT angiogram demonstrating an actively bleeding left renal hematoma. The patient was managed conservatively with supportive care. His vitals remained stable, and he did not require any surgical or vascular interventions.</p>\n<p><strong>Conclusion</strong>: Wunderlich syndrome is a spontaneous renal or perinephric hemorrhage occurring in the absence of trauma; it is rarely included in the differential for patients with flank pain but can become life-threatening when not recognized.</p>", "language": "eng", "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": "spontaneous renal hemorrhage" }, { "word": "Wünderlich syndrome" }, { "word": "Emergent causes of flank pain" }, { "word": "atraumatic renal hemorrhage" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1342j657", "frozenauthors": [ { "first_name": "Tabitha", "middle_name": "", "last_name": "Ranson", "name_suffix": "", "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri", "department": "" }, { "first_name": "Zachary", "middle_name": "", "last_name": "Ostapowicz", "name_suffix": "", "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri", "department": "" }, { "first_name": "Gregory", "middle_name": "", "last_name": "Ruddy", "name_suffix": "", "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri", "department": "" }, { "first_name": "Leah", "middle_name": "", "last_name": "Joyner", "name_suffix": "", "institution": "Kansas City University College of Medicine, Department of Emergency Medicine, Joplin, Missouri; Mercy Hospital, Department of Emergency Medicine, Joplin, Missouri", "department": "" } ], "date_submitted": "2024-08-14T01:07:10.474000Z", "date_accepted": "2025-02-28T16:36:51.101000Z", "date_published": "2025-08-27T04:42:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/33528/galley/40134/download/" } ] }, { "pk": 47383, "title": "Female Menstrual Cup Causing Renal Colic, Hydronephrosis, and Ureteral Stricture: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Renal colic is a common reason for patients to present to the emergency department (ED). The most common reasons for this pain are usually renal in origin. Here we present the case of a 45-year-old woman with severe right-sided flank pain and associated hydronephrosis secondary to ureteral obstruction caused by the suction of a menstrual cup.</p>\n<p><strong>Case Report: </strong>A 45-year-old female presented to the ED with sudden severe right-sided flank pain. The patient endorsed nausea without vomiting, fever, chills, hematuria, or dysuria. She stated that she was currently having her menstrual period. On physical exam, the patient was in distress but had no tenderness with palpation of the flank or abdomen. A computed tomography of the kidneys, ureters, and bladder did not show renal or ureteral stones but demonstrated right-sided hydronephrosis secondary to an anatomical blockage of the ureter, which had been suctioned and involuted into a malpositioned menstrual cup. The patient removed her menstrual cup and had immediate relief of her symptoms. She was observed and remained completely asymptomatic upon reassessment two hours later.</p>\n<p><strong>Conclusion</strong>: Ureteral obstruction and hydronephrosis is a rare complication of menstrual cup use. As these devices become more common, emergency physicians must be aware of this complication as a cause of severe back pain in menstruating women.</p>", "language": "eng", "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": "renal colic" }, { "word": "menstrual cup" }, { "word": "ureteral stricture" }, { "word": "Hydronephrosis" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67b689pq", "frozenauthors": [ { "first_name": "Cassidy", "middle_name": "Teo", "last_name": "Yoshida", "name_suffix": "", "institution": "University of Colorado Anschutz Medical Center, School of Medicine, Aurora, Colorado", "department": "" }, { "first_name": "Angela", "middle_name": "", "last_name": "Vu", "name_suffix": "", "institution": "University of Colorado Anschutz Medical Center, School of Medicine, Aurora, Colorado", "department": "" }, { "first_name": "Robert", "middle_name": "", "last_name": "Lam", "name_suffix": "", "institution": "Memorial Central Hsopital, Department of Emergency Medicine, Colorado Springs, Colorado", "department": "" }, { "first_name": "Sean", "middle_name": "", "last_name": "Donahue", "name_suffix": "", "institution": "Memorial Central Hsopital, Department of Emergency Medicine, Colorado Springs, Colorado", "department": "" } ], "date_submitted": "2025-05-09T20:23:17.939000Z", "date_accepted": null, "date_published": "2025-08-27T01:24:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47383/galley/40142/download/" } ] }, { "pk": 46993, "title": "An Unusual Presentation of Orbital Compartment Syndrome: A Case Report", "subtitle": null, "abstract": "<p style=\"line-height: 2;\"><strong>Introduction</strong>: Orbital compartment syndrome (OCS) is a rare but high-morbidity emergency requiring prompt recognition and management.</p>\n<p style=\"line-height: 2;\"><strong>Case Report: </strong>We present a case of a man who developed OCS from external compression of the globe while lying in a prone position. Initially obtunded and unable to provide any history, the patient exhibited anisocoria, which later progressed to severe chemosis and proptosis. Intraocular pressure reached nearly 100 millimeters of mercury, improving immediately after emergent lateral canthotomy with cantholysis. His course was complicated by ipsilateral limb compartment syndrome and<br>worsening renal failure requiring dialysis.</p>\n<p style=\"line-height: 2;\"><strong>Conclusion</strong>: This case highlights the critical role emergency physicians play in the rapid diagnosis and treatment of orbital compartment syndrome.</p>", "language": "eng", "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": "Orbital compartment syndrome" }, { "word": "Saturday Night Retinopathy" }, { "word": "lateral canthotomy" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4vp5r7jg", "frozenauthors": [ { "first_name": "Jillian", "middle_name": "Leigh", "last_name": "Rosenblum", "name_suffix": "", "institution": "Alta Bates Summit Medical Center, Emergency Department, Oakland, California", "department": "" } ], "date_submitted": "2025-03-11T05:41:07.432000Z", "date_accepted": "2025-06-07T14:14:35.826000Z", "date_published": "2025-08-27T01:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/46993/galley/40138/download/" } ] }, { "pk": 45388, "title": "A little known past tense marker of the northern Changthang dialects of Ladakh", "subtitle": null, "abstract": "<p>This article describes the various usages of a little known past tense morpheme of the northern part of the Ladakhi Changthang: /-pak/, /-phak/, or {-puk} (< pa.-ḥdug). To some extent, the functions of this morpheme correspond to the so-called ‘evidentially neutral’ or ‘factual’ marker pa.red of Standard Spoken Tibetan. However, the morpheme in question cannot be described as being ‘evidentially’ or ‘epistemically’ neutral. </p>", "language": "eng", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Ladakhi dialects" }, { "word": "evidential-epistemic marking" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31d744wj", "frozenauthors": [ { "first_name": "Bettina", "middle_name": "", "last_name": "Zeisler", "name_suffix": "", "institution": "Other", "department": "" } ], "date_submitted": "2025-02-28T16:24:17.726000Z", "date_accepted": "2025-07-14T01:35:15.961000Z", "date_published": "2025-08-24T20:43:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/45388/galley/38794/download/" } ] }, { "pk": 47151, "title": "Bilateral Carotid Artery Dissection After a Fall: A Case of Horner Syndrome Revealed on Examination", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Carotid artery dissections are uncommon but critical vascular injuries. They involve a tear to the intima, the innermost layer of the arterial wall, leading to formation of a false lumen. This false lumen can disrupt blood flow, weaken the wall, and lead to thrombus or rupture of the artery. Carotid artery dissections can occur spontaneously or in the setting of trauma. Traumatic carotid artery dissections (TCAD) are rare and occasionally present with third-order Horner syndrome,<br>characterized by ipsilateral ptosis, miosis, and anhidrosis. The presence of subtle physical exam signs like Horner syndrome reinforces the importance of maintaining a high index of suspicion and obtaining vascular imaging in trauma-related cases. While there have been case reports of bilateral TCAD, these have been rarely reported in the literature.</p>\n<p><strong>Case Report: </strong>We present a case involving a 53-year-old female with no significant past medical history who presented to the emergency department after tripping and falling down a flight of stairs. Over three weeks, the patient had persistent tinnitus and right neck pain and, on the exam, was found to have right-sided miosis and ptosis. These exam findings led us to obtain a computed tomography (CT) angiogram of her neck, which revealed bilateral internal carotid artery dissections.<br>The patient was taken for cerebral angiography, which confirmed the diagnosis. A stent was placed in the right internal carotid artery, and the patient was started on aspirin and clopidogrel. The patient was discharged without deficits three days later.</p>\n<p><strong>Conclusion</strong>: Traumatic internal carotid artery dissection can occasionally result in Horner syndrome and requires CT angiography of the neck and potentially a diagnostic cerebral angiogram to diagnose. This case adds to the limited literature on bilateral TCAD, particularly with a delayed and asymmetric presentation. Horner syndrome in the setting of trauma, while subtle, can suggest a carotid artery dissection. Awareness of such rare presentations is key to early diagnosis and<br>treatment. Clinicians must maintain a high index of suspicion for underlying vascular injury in patients presenting with lesser mechanisms of injury.</p>", "language": "eng", "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": "Trauma" }, { "word": "carotid dissection" }, { "word": "case report" }, { "word": "Horner syndrome" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/06j8p24z", "frozenauthors": [ { "first_name": "Eli", "middle_name": "", "last_name": "Spevack", "name_suffix": "", "institution": "Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Zachary", "middle_name": "Michael", "last_name": "Weisner", "name_suffix": "", "institution": "Jefferson Northeast, Graduate Medical Education EM/IM Residency, Department of Internal Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Evgenia", "middle_name": "", "last_name": "Nokovich", "name_suffix": "", "institution": "Jefferson Northeast, Graduate Medical Education EM/IM Residency, Department of Internal Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Joyner", "name_suffix": "", "institution": "Jefferson Northeast, Graduate Medical Education EM/IM Residency, Department of Internal Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Exley", "name_suffix": "", "institution": "Jefferson Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" } ], "date_submitted": "2025-04-04T11:18:33.986000Z", "date_accepted": "2025-06-16T22:51:43.446000Z", "date_published": "2025-08-24T18:23:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47151/galley/40143/download/" } ] }, { "pk": 43504, "title": "Sonographic Visualization of a Tortuous Optic Nerve: Case Report of a Novel Finding on Point-of-Care Ultrasound", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Idiopathic intracranial hypertension is a disorder typically affecting females with common complaints of headaches and visual disturbances. Diagnostic criteria have been described with clinical findings, high opening pressures in lumbar punctures, and magnetic resonance imaging (MRI) findings.</p>\n<p><strong>Case Report: </strong>A 36-year-old female presented with double vision and headaches. Point-of-care ultrasound demonstrated tortuosity of the optic nerve, a finding previously described in MRI studies, which may serve as an additional marker for ideopathic intracranial hypertension.</p>\n<p><strong>Conclusion</strong>:This case highlights the potential of point-of-care ultrasound to detect tortuous optic nerves, which may help in the early diagnosis of ideopathic intracranial hypertension, facilitating more timely and effective management.</p>", "language": "eng", "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": "Optic Nerve Tortuosity" }, { "word": "idiopathic intracranial hypertension" }, { "word": "magnetic resonance imaging" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6kd2n02f", "frozenauthors": [ { "first_name": "Lucas", "middle_name": "", "last_name": "Delicio", "name_suffix": "", "institution": "HCA Aventura Hospital, Emergency Department, Aventura, Florida", "department": "" }, { "first_name": "Adam", "middle_name": "", "last_name": "Pearl", "name_suffix": "", "institution": "HCA Aventura Hospital, Emergency Department, Aventura, Florida", "department": "" }, { "first_name": "Vu Huy", "middle_name": "", "last_name": "Tran", "name_suffix": "", "institution": "HCA Aventura Hospital, Emergency Department, Aventura, Florida", "department": "" } ], "date_submitted": "2025-03-19T19:07:16.303000Z", "date_accepted": "2025-06-25T20:59:07.152000Z", "date_published": "2025-08-24T18:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/43504/galley/40148/download/" } ] }, { "pk": 54358, "title": "Against Increased Central Bank Independence in Australia: Better Balancing the Unelected Authority to Decide Big Distributional Trade-Offs with Principles of Constitutional Democracy", "subtitle": null, "abstract": "Prompted by the failed attempt to increase Australia’s central bank independence through removal of the government’s override, this article examines the central bank’s unelected authority to determine monetary policy and assesses whether this is justifiable in a democracy. It shows how political—and thus the people’s—power over economic management has diminished, positioning central bank independence within an antipopulist and antidemocratic movement in constitutionalism that has quasi-constitutionalized neoliberal approaches. In setting interest rates, central banks make decisions that involve big distributional trade-offs: sacrificing employment to achieve price stability; redistributing wealth from labor to capital. This article argues that such trade-offs necessitate retention of ultimate democratic control. The article thus supports retaining and refining Australia’s qualified central bank independence, and suggests novel policy options—compulsory savings and a job guarantee—to reduce the trade-offs employed to control inflation, making delegation to an unelected entity more justifiable and compatible with constitutional democracy.", "language": "en", "license": null, "keywords": [ { "word": "central bank independence" }, { "word": "Monetary Policy" }, { "word": "responsible government" }, { "word": "Constitutionalism" }, { "word": "fourth branch" }, { "word": "inflation" }, { "word": "democracy" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8qd4x8ss", "frozenauthors": [ { "first_name": "Shireen", "middle_name": "", "last_name": "Morris", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-08-07T16:24:21Z", "date_accepted": "2025-08-07T16:24:21Z", "date_published": "2025-08-22T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54358/galley/41060/download/" } ] }, { "pk": 54356, "title": "From Invisible Hands to Perversity: “Unintended Consequences” as Neoliberal Rhetoric", "subtitle": null, "abstract": "Conservatives have long argued that progressive government policies tend to backfire (the “perversity thesis”). However, in American political discourse since the 1990s, this argument has been reframed in terms of “\nunintended\n consequences.” The article explores this rhetorical shift by tracing the concept of “unintended consequences” from classical social theory to contemporary public policy debates. It finds that the term was originally associated with the notion of the “invisible hand” of the market, and gradually became aligned with the perversity thesis under the influence of neoconservatism, collective action theories, and Chicago School economics. The article argues that, due to this transformation, the “unintended consequences” rhetoric became especially valuable for neoliberalism, expressing both the efficacy of markets and the perceived failure of the democratic regulatory state. As such, the appeal to “unintended consequences” is revealed as an ideological stance rather than a neutral observation about the effects of progressive reform.", "language": "en", "license": null, "keywords": [ { "word": "neoliberalism" }, { "word": "conservatism" }, { "word": "political rhetoric" }, { "word": "regulation" }, { "word": "US public policy" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8wm8z6hm", "frozenauthors": [ { "first_name": "Abigail", "middle_name": "", "last_name": "Faust", "name_suffix": "", "institution": "Van Leer Jerusalem Institute", "department": "" } ], "date_submitted": "2025-08-06T17:36:57Z", "date_accepted": "2025-08-06T17:36:57Z", "date_published": "2025-08-22T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54356/galley/41058/download/" } ] }, { "pk": 54363, "title": "Front Matter v5 iss3", "subtitle": null, "abstract": "", "language": null, "license": null, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5ds1c582", "frozenauthors": [ { "first_name": "JLPE", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-08-22T03:49:18Z", "date_accepted": "2025-08-22T03:49:18Z", "date_published": "2025-08-22T07:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54363/galley/47769/download/" } ] }, { "pk": 54362, "title": "Review of Ignacio Cofone, The Privacy Fallacy: Harm and Power in the Information Economy (Cambridge University Press, 2023)", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4jz9b8b4", "frozenauthors": [ { "first_name": "Frank", "middle_name": "", "last_name": "Pasquale", "name_suffix": "", "institution": "Cornell Law School and Cornell Tech", "department": "" } ], "date_submitted": "2025-08-16T18:36:55Z", "date_accepted": "2025-08-16T18:36:55Z", "date_published": "2025-08-22T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54362/galley/41063/download/" } ] }, { "pk": 54357, "title": "Review of Jamee K. Moudud, Legal and Political Foundations of Capitalism: The End of Laissez Faire?", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/09c5q3dm", "frozenauthors": [ { "first_name": "Lucas", "middle_name": "", "last_name": "Osborne", "name_suffix": "", "institution": "University of California, Berkeley", "department": "" } ], "date_submitted": "2025-08-06T20:51:39Z", "date_accepted": "2025-08-06T20:51:39Z", "date_published": "2025-08-22T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54357/galley/41059/download/" } ] }, { "pk": 54361, "title": "Toward a Predistributive Democracy: Polanyi and Piketty on Capitalism, Moral Economy, and Democracy in Crisis", "subtitle": null, "abstract": "As accelerating inequality careens into plutocracy, and America tilts toward autocracy, Karl Polanyi and Thomas Piketty have become key resources for understanding the link between the social exclusions of capitalism and democracy in crisis. This and its companion article (Somers 2022a) explore each of these thinkers and put them into dialogue to generate the outlines of a democratic political economy that I dub a \npredistributive democracy\n. Deconstructing capitalism’s moral economy of \nmarket justice\n, building on legal and economic\n institutionalism\n, and advocating a movement of \ncountervailing power \nagainst escalating commodification and dedemocratization are central components of the project. The first article focused on Polanyi’s contribution to a predistributive democracy. This one engages Piketty’s work as it evolves from a bent toward economic naturalism to a robust institutionalism and an agenda for a participatory democratic socialism. Neither Polanyi nor Piketty is a legal theorist, yet both thinkers are indispensable to the new Law and Political Economy (LPE) and the movement for a predistributive democracy.", "language": "en", "license": null, "keywords": [ { "word": "Thomas Piketty" }, { "word": "Karl Polanyi" }, { "word": "capitalism" }, { "word": "moral economy" }, { "word": "predistribution" }, { "word": "inequality" }, { "word": "authoritarianism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1jb6b2hc", "frozenauthors": [ { "first_name": "Margaret", "middle_name": "", "last_name": "Somers", "name_suffix": "", "institution": "University of Michigan", "department": "" } ], "date_submitted": "2025-08-11T21:18:10Z", "date_accepted": "2025-08-11T21:18:10Z", "date_published": "2025-08-22T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54361/galley/41062/download/" } ] }, { "pk": 54359, "title": "When Monopolists Union-Bust: Antitrust Standards for Unilateral Labor Market Conduct", "subtitle": null, "abstract": "This article clarifies standards for evaluating whether a firm’s unilateral labor market conduct (wage suppression) violates antitrust law. It begins by analyzing suppression of collective bargaining (union busting) as conduct that can violate Section 2 of the Sherman Act. This article is the first to argue that wage suppression can violate Section 2 if the conduct (1) harms the competitive process within a labor market and increases monopsony, (2) tends to exclude law-abiding rivals from product or service markets, or (3) forecloses any adjacent market. Conduct that satisfies any of these three standards can be restrained with antitrust law. The antitrust standards presented are applicable to any kind of unilateral labor market conduct, including worker misclassification, wage theft, vertical restraints, restrictive covenants, employer-driven debt, or child labor.", "language": "en", "license": null, "keywords": [ { "word": "antitrust" }, { "word": "labor antitrust" }, { "word": "labor monopsony" }, { "word": "wage suppression" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5s25j2t8", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Swerdlow", "name_suffix": "", "institution": "Columbia University", "department": "" } ], "date_submitted": "2025-08-10T18:47:50Z", "date_accepted": "2025-08-10T18:47:50Z", "date_published": "2025-08-22T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54359/galley/41061/download/" } ] }, { "pk": 50729, "title": "Front Matter 2025", "subtitle": null, "abstract": "<p>N/A</p>", "language": "eng", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\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/4.0" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8fc203gg", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Kavetsky", "name_suffix": "", "institution": "UC Riverside", "department": "" } ], "date_submitted": "2025-08-22T18:28:08.139000Z", "date_accepted": "2025-08-22T21:15:25.223000Z", "date_published": "2025-08-21T21:19:00Z", "render_galley": { "label": "Front Matter Journal 2025", "type": "pdf", "path": "https://journalpub.escholarship.org/ucr_undergrad_research_j/article/50729/galley/38790/download/" }, "galleys": [ { "label": "Front Matter Journal 2025", "type": "pdf", "path": "https://journalpub.escholarship.org/ucr_undergrad_research_j/article/50729/galley/38790/download/" } ] }, { "pk": 50730, "title": "Anxiety Effects on Decsion Making with College Students", "subtitle": null, "abstract": "<p>With rising levels of anxiety among college students, understanding its effects on decision-making is crucial, such as whether to enter the workforce or attend graduate school. In two studies with undergraduate business students, we examined the correlation between anxiety and decision making (Study 1; N = 204) and experimentally induced anxiety to test for causality (Study 2; N = 249). We assessed decision-making using a hypothetical choice scenario between an entry-level job offer versus an MBA program, as well as standard measures of decision-making traits: time preference, risk aversion, and loss aversion. We hypothesized that higher anxiety levels would lead to greater preference for immediate rewards, greater risk and loss aversion, and thus greater preference for the job over the MBA. Counter to our hypotheses, neither study found a significant relationship between either measured or induced anxiety and participants’ decision between the job and the MBA. In addition, our anxiety manipulation did not work as planned in Study 2, with no differences in self-reported anxiety between conditions. We also did not find relationships between anxiety and either risk or loss aversion, but did find that anxiety correlated with more impatient time preferences in Study 1. Participants in the experimental condition had marginally more impatient time preferences and greater loss aversion than those in the neutral condition in Study 2. Future research should explore alternative methods of anxiety induction and other student populations to better understand how anxiety changes student decision making.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\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/4.0" }, "keywords": [ { "word": "Behavioral Psychology" }, { "word": " anxiety" }, { "word": "anxiety" }, { "word": "decision-making" }, { "word": "Graduation" }, { "word": "college students" }, { "word": "Future Plans" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6vg307th", "frozenauthors": [ { "first_name": "Marah", "middle_name": "", "last_name": "Salloum", "name_suffix": "", "institution": "", "department": "Psychology" }, { "first_name": "Ye", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "University of California, Riverside", "department": "School of Business Administration" } ], "date_submitted": "2025-08-22T18:40:17.713000Z", "date_accepted": "2025-08-22T18:41:51.475000Z", "date_published": "2025-08-21T19:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucr_undergrad_research_j/article/50730/galley/38789/download/" } ] }, { "pk": 35468, "title": "The Category of Engagement in Chhitkul-Rākchham (West-Himalayish): The Post-Verbal Clitic =<em>niŋ</em>", "subtitle": null, "abstract": "<p>Chhitkul-Rākchham has a postverbal marker, =<em>niŋ</em>, denoting “engagement”, a newly proposed category that encodes the relative accessibility of a state of affairs to the speaker and addressee. Statistically rare (60 instantiations in an 8-hour corpus consisting of monologues, conversations and stimuli tasks) and with its occurrence entirely pragmatically motivated, =<em>niŋ</em> is constrained to contexts where the speaker confidently assumes that the interlocutor shares the knowledge about the situation expressed by the clause to which it is attached. As such, it differs from two additional members of the same category, the tags <em>man</em>=<em>ta</em> and <em>ne</em>=<em>te</em>, which convey a lesser degree of assertiveness in comparison. Whereas =<em>niŋ</em> is independent from evidentiality (but not from reliability judgements), the previous two tags, where the perceptual =<em>ta</em> or an alternant (=<em>te</em>) is a key component, are not. Engagement is otherwise found to be incompatible with unexpectedness and common knowledge, two pragmatic functions sometimes served by evidentials cross-linguistically. The Chhitkul-Rākchham case thus suggests that any idea of a clear-cut distinction between engagement and evidentiality is inconclusive. </p>", "language": "eng", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "knowledge management" }, { "word": "evidentiality" }, { "word": "epistemic modality" }, { "word": "common knowledge" }, { "word": "Engagement" }, { "word": "Intersubjectivity" }, { "word": "Tibeto-Burman" }, { "word": "Chhitkul-Rākchham" }, { "word": "Kurtőp" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zw4c601", "frozenauthors": [ { "first_name": "Philippe", "middle_name": "Antoine", "last_name": "Martinez", "name_suffix": "", "institution": "Other", "department": "" } ], "date_submitted": "2024-09-19T10:48:38.544000Z", "date_accepted": "2025-06-13T05:31:00.424000Z", "date_published": "2025-08-21T18:40:00Z", "render_galley": null, "galleys": [ { "label": "Final author approved typeset article", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/35468/galley/38788/download/" } ] }, { "pk": 46983, "title": "Rethinking “Action” in Critical Language Pedagogy: A Snapshot of Multimodal Resistance and Pedagogical Possibilities in China", "subtitle": null, "abstract": "<p>This study explored the application of Critical Pedagogy (CP) frameworks at a Chinese university, focusing on a persuasive speech task in an English as a Foreign Language (EFL) speaking class. Situated within the theoretical foundations of Critical Language Pedagogy (CLP), the study investigated how first-year EFL students in China engaged with CLP-inspired materials and curriculum. The analysis of student-generated presentation slides revealed that the students adeptly undertook the CLP-inspired task, identifying issues, formulating solutions, and enacting local changes, albeit within the constraints of their challenging environment. The students’ strategic utilization of multimodal resources, such as personal anecdotes, metaphoric expressions, and visual aids, played a significant role in enhancing the persuasiveness and criticality of their arguments. The findings underscore the importance of considering contextual and situational factors when implementing CLP principles, as the efficacy of this approach cannot be assumed to be universally applicable, especially across diverse groups of Chinese students. Factors like the students’ educational background, institutional dynamics, and socio-political climate shape their willingness and capacity to engage in transformative praxis. Future research should explore the impact of teacher-student dialogue on the production of CLP-inspired tasks within relatively oppressive and hierarchical structures.</p>", "language": "eng", "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": "critical language pedagogy" }, { "word": "China" }, { "word": "critical discourse studies" }, { "word": "Resistance" }, { "word": "EFL" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9rm3b5pg", "frozenauthors": [ { "first_name": "Wonguk", "middle_name": "", "last_name": "Cho", "name_suffix": "", "institution": "University of Massachusetts Boston", "department": "Applied Linguistics" } ], "date_submitted": "2025-03-10T18:40:44.375000Z", "date_accepted": "2025-06-06T19:18:03.298000Z", "date_published": "2025-08-20T22:30:00Z", "render_galley": { "label": "Final Galley", "type": "pdf", "path": "https://journalpub.escholarship.org/l2/article/46983/galley/38785/download/" }, "galleys": [ { "label": "Galley v1", "type": "other", "path": "https://journalpub.escholarship.org/l2/article/46983/galley/38784/download/" }, { "label": "Final Galley", "type": "pdf", "path": "https://journalpub.escholarship.org/l2/article/46983/galley/38785/download/" } ] }, { "pk": 41212, "title": "Emergency Medical Services Time on Scene and Non-Transport: Role of Communication Barriers", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Clear communication is essential for emergency medical services (EMS) clinicians to assess a situation and make appropriate transport decisions. When barriers are present that impede communication between emergency responders and patients, EMS clinicians report difficulty navigating these encounters. As communication barriers potentially delay definitive care, it remains unclear the amount of time that EMS clinicians spend on scene during these encounters and how often they result in non-transport. In this study we sought to characterize the association between the presence of communication barriers, time spent on scene, and non-transport.</p>\n<p><strong>Methods:</strong> We conducted an observational analysis using 2022 data from the ESO Data Collaborative, a deidentified national prehospital electronic health record dataset. Encounters were restricted to 9-1-1 responses in which the responding ambulance was first on scene, the patient was alive, ≥ 18 year of age, and able to refuse transport. The primary outcomes were time on scene and non-transport. We used logistic regression models to estimate non-transport by communication barrier (including non-English language preference, speech disability, deaf or hard of hearing, and blind or low vision) and control for key patient and encounter characteristics.</p>\n<p><strong>Results:</strong> Of 3,477,008 EMS responses, 233,084 (6.7%) resulted in non-transport and 99,263 (2.9%) had a communication barrier identified. Among encounters with a communication barrier identified, EMS clinicians spent more time on scene with patients who were not transported (21.0 minutes) compared to patients who were transported for definitive care (15.9 minutes). Compared to those without an identified barrier, encounters with a patient who had a non-English language preference (odds ratio [OR] 0.51, confidence interval [CI] 0.49-0.53, P < .001), patients who had a speech disability (OR 0.36, CI 0.33-0.40, P < .001), were deaf or hard of hearing (OR 0.71, CI 0.66-0.76, P < .001), or were blind or had low vision (OR 0.80, CI 0.69-0.92, P < .001) were less likely to result in non-transport, with non-transport rates of 3.6%, 1.9%, 4.0%, and 4.4% respectively. </p>\n<p><strong>Conclusion:</strong> Encounters with communication barriers were less likely to end in non-transport. When communication barriers were identified, EMS clinicians spent 32% (5.1 minutes) longer on scene on encounters that resulted in non-transport, showing that EMS clinicians may be dedicating additional time and resources caring for this population.</p>", "language": "eng", "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": "Hearing Loss" }, { "word": "Articulation Disorders" }, { "word": "Vision Disorders" }, { "word": "emergency medical services" }, { "word": "communication barriers" }, { "word": "limited English proficiency" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7rk296q6", "frozenauthors": [ { "first_name": "Elina", "middle_name": "", "last_name": "Kurkurina", "name_suffix": "", "institution": "Quinnipiac University, Frank H. Netter MD School of Medicine, North Haven, Connecticut", "department": "" }, { "first_name": "Craig", "middle_name": "", "last_name": "Rothenberg", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Couturier", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "" }, { "first_name": "Amelia", "middle_name": "", "last_name": "Breyre", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Yang", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "" }, { "first_name": "Alexander", "middle_name": "R.", "last_name": "Nelson", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "" }, { "first_name": "Alexis", "middle_name": "", "last_name": "Cordone", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "" }, { "first_name": "Arjun", "middle_name": "K.", "last_name": "Venkatesh", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut; Yale University School of Medicine, Center for Outcomes Research and Evaluation, New Haven, Connecticut", "department": "" }, { "first_name": "Cameron", "middle_name": "J.", "last_name": "Gettel", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut; Yale University School of Medicine, Center for Outcomes Research and Evaluation, New Haven, Connecticut", "department": "" } ], "date_submitted": "2024-12-16T16:29:55.276000Z", "date_accepted": "2025-05-14T16:41:55.665000Z", "date_published": "2025-08-20T14:19:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41212/galley/40002/download/" } ] }, { "pk": 33524, "title": "Refusal of Emergency Medical Transport After a Fall: Patient Characteristics and Outcomes of Repeat Callers", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Lift assistance represents a high proportion of emergency medical services (EMS) calls, yet data is limited regarding the long-term outcomes of these patients who subsequently refuse transport. In this study, our objective was to examine the outcomes of patients who require lift assistance but refuse transport and to determine factors associated with repeated EMS utilization.</p>\n<p><strong>Methods:</strong> We conducted a retrospective, observational cohort study of EMS calls in southern New Jersey in patients ≥18 years of age who declined EMS transport after a fall between July 1, 2021–July 1, 2022. Repeat callers were defined as making one additional call within 30 days, and we defined super-users as those making ≥four calls within six months. The primary outcome was repeat emergency department (ED) visits within 30 days from the initial transport refusal visit. </p>\n<p><strong>Results:</strong> We analyzed 116 of 203 (57%) patients. The mean patient age was 66.3 years, and 53.6% were female. Forty-seven (37.9%) patients were repeat callers, and 27 (21.8%) were super-users. Repeat callers and super-users had increased odds of 30-day ED visits (odds ratio [OR] 17.2, 95% confidence interval [CI] 6.4-47.6, and OR 8.8, 95% CI 3.3-23.7, respectively), and six-month ED visits (OR 4.9, 95% CI 2.2-11.2, and OR 12.9, 95% CI 3.9-56.5). Similarly, there were increased odds of 30-day admission for repeat and super-user callers (OR 6.6, 95% CI 2.5-18.2, and OR 10.8, 95% CI 4.0-29.8, respectively), and six-month admissions (OR 3.0, 95% CI 1.4-6.5,and OR 6.8, 95% CI 2.6-19.9, respectively). No differences in death at one year were observed in either group (repeat callers OR 1.4, 95% CI 0.4-4.5; super-users OR 1.1, 95% CI 0.2-4.1) Repeat callers had higher proportions of anticoagulation/antiplatelet therapy and non-ambulatory status (42.9% vs 61.7%, P=.046 and 29.0% vs 56.8%, P=.006, respectively). </p>\n<p><strong>Conclusion:</strong> Repeat EMS calls for lift assistance may be used to identify patients at high risk for ED visits and hospitalizations. As patients decline transport, EMS may be their sole healthcare encounter. Future directions would entail training EMS personnel in screening or referring patients for more intensive outpatient interventions.</p>", "language": "eng", "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": "Lift-Assist" }, { "word": "Fall Victim" }, { "word": "Repeat Callers" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/20v4370x", "frozenauthors": [ { "first_name": "Jacob", "middle_name": "", "last_name": "Barr", "name_suffix": "", "institution": "Cooper Medical School of Rowan University, Camden, New Jersey", "department": "" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Selman", "name_suffix": "", "institution": "Cooper Medical School of Rowan University, Camden, New Jersey; Cooper University Health Care, Department of Emergency Medicine, Camden, New Jersey", "department": "" }, { "first_name": "Krystal", "middle_name": "", "last_name": "Hunter", "name_suffix": "", "institution": "Cooper Medical School of Rowan University, Camden, New Jersey", "department": "" }, { "first_name": "Alexander", "middle_name": "", "last_name": "Kuc", "name_suffix": "", "institution": "Cooper Medical School of Rowan University, Camden, New Jersey; Cooper University Health Care, Department of Emergency Medicine, Camden, New Jersey", "department": "" } ], "date_submitted": "2024-08-01T18:57:23.615000Z", "date_accepted": "2025-02-20T02:21:08.234000Z", "date_published": "2025-08-20T13:11:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/33524/galley/39924/download/" } ] }, { "pk": 41787, "title": "New species of the deep-water bivalve genera Acesta (Limidae, Bivalvia, Mollusca) and a questionable Malletia (Malletiidae, Bivalvia, Mollusca) from the Eocene of southern California", "subtitle": null, "abstract": "<p>Fossils of two rarely encountered molluscan bivalve genera, Acesta (Limidae, Bivalvia, Mollusca) and questionably Malletia (Malletiidae, Bivalvia, Mollusca) were collected from in the early Eocene Ardath Shale, La Jolla Group from La Jolla, San Diego County, California. These specimens represent new species easily distinguished from other members of the genera from the northeastern Pacific Cenozoic and Holocene. The new Acesta is similar in size and outline to the modern Philippine species A. rathbuni (Bartsch 1913), while the new Malletia is most similar to the Holocene northeastern Pacific species M. faba Dall (1897).</p>", "language": "eng", "license": { "name": "Creative Commons Attribution-NonCommercial-ShareAlike 4.0", "short_name": "CC BY-NC-SA 4.0", "text": "<p><!-- x-tinymce/html --></p>\n<p>Readers are free to:</p>\n<ul>\n<li><strong>Share</strong> — copy and redistribute the material in any medium or format</li>\n<li><strong>Adapt</strong> — remix, transform, and build upon the material<br><br>The licensor cannot revoke these freedoms as long as you follow the license terms.</li>\n</ul>\n<p>Under the following terms:</p>\n<ul>\n<li><strong>Attribution</strong> — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li>\n<li><strong>NonCommercial</strong> — You may not use the material for commercial purposes .</li>\n<li><strong>ShareAlike</strong> — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.<br><br>No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</li>\n</ul>\n<p>Notices:</p>\n<p>You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.</p>\n<p>No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.</p>", "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "eocene" }, { "word": "Ardath Shale" }, { "word": "La Jolla Group" }, { "word": "Mollusca" }, { "word": "Bivalvia" }, { "word": "Acesta" }, { "word": "Malletia." } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3zn190m3", "frozenauthors": [ { "first_name": "Charles", "middle_name": "L.", "last_name": "Powell", "name_suffix": "II", "institution": "USGS retired", "department": "" }, { "first_name": "N.", "middle_name": "Scott", "last_name": "Rugh", "name_suffix": "", "institution": "None", "department": "None" } ], "date_submitted": "2024-04-09T17:43:42Z", "date_accepted": "2025-08-15T20:53:16.252000Z", "date_published": "2025-08-19T02:55:00Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41787/galley/38774/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41787/galley/38774/download/" } ] }, { "pk": 38069, "title": "Case Report: Bigeminy with Alternating Injury Pattern Morphologies in a Young Woman After Cardiac Arrest", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Coronary artery disease is uncommon in adults under the age of 35, and studies show a lower incidence in women of this age group. Physicians should suspect myocardial infarction in all patients who present with cardiac arrest and a shockable rhythm.</p>\n<p><strong>Case Report: </strong>We report a case of a 34-year-old female who presented after return of spontaneous circulation following both pulseless electrical activity and ventricular fibrillation. The initial emergency department 12-lead electrocardiogram (ECG) demonstrated ST-segment elevation in the anterior precordial leads. The second, more notable, ECG showed a unique ischemic pattern of ventricular bigeminy with each beat containing a different morphology of injury pattern. Emergent cardiac catheterization found a 100% occlusion of the proximal left anterior descending artery.</p>\n<p><strong>Conclusion</strong>: Premature ventricular (or junctional) contractions can indicate ischemia when the morphology consists of excessive discordance between the QRS complex and the ST segment and T wave. This case illustrates the importance of scrutinizing each beat in every lead to increase sensitivity for ischemia.</p>", "language": "eng", "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": "electrocardiogram" }, { "word": "myocardial infarction" }, { "word": "Bigeminy" }, { "word": "discordance" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3cr6b7pf", "frozenauthors": [ { "first_name": "Madelyn", "middle_name": "", "last_name": "Huttner", "name_suffix": "", "institution": "University of Louisville, School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Mitchell", "middle_name": "", "last_name": "McMurray", "name_suffix": "", "institution": "University of Louisville, School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Sohail", "middle_name": "", "last_name": "Ikram", "name_suffix": "", "institution": "University of Louisville, School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Martin", "middle_name": "", "last_name": "Huecker", "name_suffix": "", "institution": "University of Louisville, School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" } ], "date_submitted": "2024-10-16T18:49:14.414000Z", "date_accepted": "2025-05-25T01:17:11.290000Z", "date_published": "2025-08-18T20:09:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/38069/galley/40133/download/" } ] }, { "pk": 41826, "title": "A Case Report of Thyroid Storm with Cardiovascular Collapse After Propranolol Administration", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Thyroid storm is a rare, life-threatening emergency with a 3.6-17% mortality rate despite proper management. Elevated levels of circulating thyroid hormones can increase metabolic demand, leading to adverse effects on multiple organ systems, particularly critical cardiovascular complications such as cardiomyopathy, myocardial infarction, ventricular arrhythmias, or coronary vasospasm. Precipitating factors can include infection, surgery, or trauma, with infection being the most common. The potential for cardiovascular mortality is high. While beta blockers are key for treatment, they can potentially reduce necessary cardiac output, risking hemodynamic collapse. Traditionally, propranolol has been recommended. We report a rare case of an adolescent experiencing cardiac arrest after propranolol administration in thyroid storm and acute appendicitis.</p>\n<p><strong>Case Report: </strong>A 17-year-old female with a history of Grave disease, non-adherent to methimazole, underwent evaluation and treatment of thyroid storm and concomitant acute appendicitis. Aggressive initial treatment measures were started, including intravenous and oral propranolol. She went into cardiac arrest approximately six hours after initial medication administration, with subsequent return of spontaneous circulation achieved. The patient underwent aggressive resuscitation and multidisciplinary management. She had a prolonged course in the intensive care unit and was ultimately discharged from the hospital approximately three weeks later.</p>\n<p><strong>Conclusion</strong>: Beta-blocker use in the management of thyrotoxicosis can potentially cause cardiovascular collapse. We suggest consideration of shorter acting beta blockers, such as esmolol or landiolol.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "case report" }, { "word": "propranolol" }, { "word": "Thyroid storm" }, { "word": "appendicitis" }, { "word": "beta blockers" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7786n3st", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Ringer", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California; Pomona Valley Hospital Medical Center, Department of Emergency Medicine, Pomona, California", "department": "" }, { "first_name": "Tammy", "middle_name": "", "last_name": "Phan", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "" }, { "first_name": "Emmelyn", "middle_name": "", "last_name": "Samones", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "" }, { "first_name": "Brian", "middle_name": "", "last_name": "Wolk", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "" } ], "date_submitted": "2025-01-13T16:47:55.110000Z", "date_accepted": "2025-05-30T20:25:31.333000Z", "date_published": "2025-08-18T20:00:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/41826/galley/40139/download/" } ] }, { "pk": 50664, "title": "Forms of Social Solidarity in American Politics", "subtitle": null, "abstract": "<p>On January 6, 2021, a mob of rioters attacked the U.S. Capitol and, in many ways, American democracy itself. QAnon, a conspiracy centered around the clandestine activities of the elite, was a key group in the attack. Since then, QAnon has featured in many headline-worthy national crimes, including multiple attempts to harm elected officials. While there is value in questioning how QAnon became so powerful, it is more instructive to consider why people are compelled to live, die, and kill for an ideology so outrageous. In this paper, I ask why pockets of mechanical solidarity exist within societies governed by organic solidarity. Following Émile Durkheim’s theory of social solidarity, I interrogate QAnon’s rise and conclude that QAnon exists within two large organic societies—the United States and the internet writ large. However, QAnon exists as a pocket of mechanical solidarity, and its rise is deeply connected to how people seek out and choose their communities. By comparing Durkheim’s theories to those of other scholars, I find that the supposedly anachronistic presence of mechanical solidarity distills a question of trust. I posit the idea that certain people have an affinity for supported trust, naturally occurring in mechanical solidarity. Simultaneously, the unique landscape of platform capitalism exaggerates feelings of rapid change while disseminating sensational and bias-confirming information. QAnon and similar communities provide an alluring respite.</p>", "language": "eng", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3cx4j3fc", "frozenauthors": [ { "first_name": "Caitlyn", "middle_name": "", "last_name": "Wilt", "name_suffix": "", "institution": "UC Berkeley", "department": "Legal Studies" } ], "date_submitted": "2025-08-15T02:19:31.284000Z", "date_accepted": "2025-08-15T02:19:56.343000Z", "date_published": "2025-08-15T03:34:59.894000Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50664/galley/38771/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50664/galley/38771/download/" } ] }, { "pk": 50663, "title": "From People's Park Annex to Ohlone Park: The Wandering Body and Accessible Park Space", "subtitle": null, "abstract": "<p>This paper focuses on disability access in urban greenspace through the case study of Ohlone Park in Berkeley, California. Initially built as People’s Park Annex in the 1960s, Ohlone Park was used as an alternative space for political activism after the first closing of People’s Park. This paper argues that the development pattern of Ohlone Park as a controlled public space away from its radical past suggests an anticipation of an idealized type of user that occupies the park as a temporary recreational area, which perpetuates the exclusion of disabled and unhoused bodies in the park. This idealization extends to the questions of bodies and space as well as perpetuates the hypervisibility of crip movement. The combination of lawn and lane in the park suggests that the dichotomy of nature and culture in landscape design is inter-perpetual with the imagination of an able-bodied walker. This paper explores how the question of body underlies themes including elements of nature in the built environment, history of the Free Speech Movement, and different forms of moving through greenspaces. This paper ends with the proposal of wandering as a methodology that counters the walker’s imagination and recognizes the multiplicity of spatialities formed moving through the park.</p>", "language": "eng", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/75h622r7", "frozenauthors": [ { "first_name": "Yuqi", "middle_name": "", "last_name": "Tian", "name_suffix": "", "institution": "UC Berkeley", "department": "Geography" } ], "date_submitted": "2025-08-15T02:14:33.536000Z", "date_accepted": "2025-08-15T02:15:03.509000Z", "date_published": "2025-08-15T03:34:49.516000Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50663/galley/38770/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50663/galley/38770/download/" } ] }, { "pk": 50662, "title": "Characteristics and Effectiveness of Child Malnutrition Programs in the Philippines", "subtitle": null, "abstract": "<p>Child malnutrition remains a persistent problem in the Philippines despite the steady implementation of government-sponsored nutrition programs and policies. This study aims to evaluate the effectiveness of child malnutrition programs in the Philippines. Six child malnutrition programs were examined in the Philippines through in-person interviews and literature reviews. A semi-structured interview guide was used to address four major topics about each program: background information; target population; implementation and challenges; and evaluation methods. This study presented each malnutrition program with its implementation approach and scope. The six programs were compared in their approaches toward health education, feeding, gardening, and medical treatment. Five of these programs teach nutrition education, two of which cover health topics beyond nutrition. In regard to feeding, two programs provide malnourished children with ready-to-use-therapeutic-food (RUTF). Of the six programs, three utilize gardening to tackle malnutrition. Two programs provide medical treatment to malnourished children. Additionally, each program’s funding, partnerships, and evaluation methods were gathered and analyzed. All programs are funded by the Philippine government, with two receiving additional funding from international organizations. Four programs possess methods to evaluate their effectiveness, but data collection and analysis vary widely. Malnutrition programs in the Philippines face challenges in terms of funding, partnerships, and evaluation methods. The findings highlight the critical role of international funding and partnerships in improving program effectiveness and sustainability. Moreover, this study highlights the need for a robust evaluation system involving key stakeholders to identify areas for improvement and to tailor interventions to meet specific community needs.</p>", "language": "eng", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9nq168nb", "frozenauthors": [ { "first_name": "Erika", "middle_name": "", "last_name": "Rizal", "name_suffix": "", "institution": "UC Berkeley", "department": "Public Health" } ], "date_submitted": "2025-08-15T02:09:51.627000Z", "date_accepted": "2025-08-15T02:10:18.447000Z", "date_published": "2025-08-15T03:34:19.491000Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50662/galley/38769/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50662/galley/38769/download/" } ] }, { "pk": 50660, "title": "Paths toward Sustainable Development in the 21st Century: A Comparative Analysis of “Exceptionalist” Development Models in Costa Rica and Kerala, India", "subtitle": null, "abstract": "<p>In working to overcome the greatest challenges of the century, populous societies and governments have not properly recognized how to improve social conditions within the limits of our biosphere. In search of paths toward sustainable development in the 21st century, I analyzed two case studies known for their remarkable development outcomes: Costa Rica and the Indian State of Kerala. Publicly available data was used to visualize their development and sustainability progress over time. My analysis reveals that Costa Rica serves as a model for sustainable development, although its egregious overuse of agrochemicals is generally overlooked and must be replaced with regenerative agriculture practices. Although the success of the Kerala model is evident in the data, Kerala should not be considered a model of sustainable development due to its rampant pollution, limited economic opportunities, and overreliance on remittances sourced from unsustainable economies. Instead, I call for a continued study of Kerala as the Indian state transitions from development to sustainable development. Based on my findings, the developmental state emerges as a viable path for states worldwide to engage in sustainable development.</p>", "language": "eng", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/01r4x3wk", "frozenauthors": [ { "first_name": "Rohith", "middle_name": "A", "last_name": "Moolakatt", "name_suffix": "", "institution": "UC Berkeley", "department": "" } ], "date_submitted": "2025-08-15T01:42:43.873000Z", "date_accepted": "2025-08-15T01:44:11.054000Z", "date_published": "2025-08-15T03:34:09.159000Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50660/galley/38768/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50660/galley/38768/download/" } ] }, { "pk": 50659, "title": "The Harms of Withdrawal", "subtitle": null, "abstract": "<p>In this paper, I will explain: 1) Scanlon’s paradigm case of “Exit-Style Blame” (ESB), 2) how Agnes Callard’s “co-valuing” framework makes sense of our relational obligations in relationships of attachment, 3) how communicating one’s Strawsonian reactive attitudes is necessary for emotional vulnerability and valuing others, and 4) why exit-style blame is wrong and fails to express our subjective experience and solidify relational expectations. Some may argue that reactive communication of blame will only incite unproductive counter-anger or that this argument wrongly prescribes behavior universally. Nevertheless, without communicating some degree of our reactive attitudes when we are subject to them, we fail to express what we find valuable or harmful in the actions of those closest to us. This exclusion of our emotional experience wrongs the recipient of ESB, as it fails two epistemic and one practical obligation we have in relationships of attachment. Epistemically, we are obliged to explain what actions elicited reactive attitudes and some degree of our subjective affective experience. And since those we are close to regularly rely on our support and valuing, we are practically obligated to grant an opportunity for the wrongdoer to apologize and make amends for their wrong.</p>", "language": "eng", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/14g1d99g", "frozenauthors": [ { "first_name": "Camille", "middle_name": "", "last_name": "Miner", "name_suffix": "", "institution": "UC Berkeley", "department": "Philosophy" } ], "date_submitted": "2025-08-15T01:33:00.999000Z", "date_accepted": "2025-08-15T01:33:46.328000Z", "date_published": "2025-08-15T03:33:53.195000Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50659/galley/38767/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50659/galley/38767/download/" } ] }, { "pk": 50658, "title": "Moved by the Immobile: A Phenomenological Study of the Moving Presence of Works in Alberto Giacometti’s Mature Period (1945–1966)", "subtitle": null, "abstract": "<p>The impetus of this thesis lies in the moving presence of the art of twentieth-century modern artist Alberto Giacometti (1901–1966), understood in the literal and figurative senses of the word “movement.” Its focus is on the way Giacometti’s inanimate works animate their viewers—stirring, moving, and inviting them to move through, around, and alongside his works. In this way, I liken the moving presence of Giacometti’s art to the presence of a human before us. Aided by the insights of twentieth-century philosopher Maurice Merleau-Ponty, readers will be moved to their own phenomenological experiences of Giacometti’s work. Formal studies will reveal the palpable relationships between stillness and movement as well as distance and proximity within Giacometti’s works’ texture, scale, and finally, his artistic process. Drawing upon both formal analysis and phenomenological aesthetic theory, I argue that Giacometti’s lifelong struggle to find an ending point to his works was his primary strength, in allowing his viewers to finish the works with their own eyes.</p>", "language": "eng", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/57g251wb", "frozenauthors": [ { "first_name": "Erica", "middle_name": "", "last_name": "Lizundia", "name_suffix": "", "institution": "UC Berkeley", "department": "History of Art" } ], "date_submitted": "2025-08-15T01:26:29.367000Z", "date_accepted": "2025-08-15T01:27:26.303000Z", "date_published": "2025-08-15T03:33:04.280000Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50658/galley/38766/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50658/galley/38766/download/" } ] }, { "pk": 50657, "title": "Movement or Moment?: Exploring the Modern Struggle for Democracy in Iran", "subtitle": null, "abstract": "<p>In a time where democratic backsliding threatens the sanctity of our democratic strongholds, studies on the world’s would-be democracies have been placed on the back-burner. The Middle East has commonly been called a democracy desert: a region where the branches of democracy are incapable of taking root. Whether it be an inhospitable culture or the looming effects of colonial influence, the Middle East has existed in a democracy deficit since its inception following Sykes-Picot. Although semblances of democracy have taken place in various Middle Eastern countries, Iran has remained under authoritarian rule for centuries: from the Qajars to the Islamic regime. Despite wide-spread civil unrest, a lively civil society, and a diaspora who yearns for a democratic Iran, Iran has never democratized. Analyzing the two most modern pro-democracy movements in Iranian history, the 2009 Green Revolution and 2022 Women, Life, Freedom Movement, this paper seeks to explore why Iran has been unable to democratize.</p>", "language": "eng", "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": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4s4494mh", "frozenauthors": [ { "first_name": "Nadia", "middle_name": "", "last_name": "Kazempoor", "name_suffix": "", "institution": "UC Berkeley", "department": "Political Science" } ], "date_submitted": "2025-08-15T01:19:02.385000Z", "date_accepted": "2025-08-15T01:20:11.462000Z", "date_published": "2025-08-15T03:32:45.170000Z", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50657/galley/38765/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/our_buj/article/50657/galley/38765/download/" } ] } ] }