Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=14400
{ "count": 38741, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=14500", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=14300", "results": [ { "pk": 44780, "title": "Anesthetic Management of a Patient with Lubag Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0nk2775k", "frozenauthors": [ { "first_name": "Sara", "middle_name": "", "last_name": "Arastoo", "name_suffix": "MS4", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Tsai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Fei", "middle_name": "", "last_name": "Zheng-Ward", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-12-16T11:05:18-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44780/galley/33573/download/" } ] }, { "pk": 44779, "title": "Perioperative Management of a Patient with Osteogenesis Imperfecta Undergoing Orthopedic Surgery", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5d1297vf", "frozenauthors": [ { "first_name": "Bryan", "middle_name": "", "last_name": "Huebner", "name_suffix": "MS4", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Tsai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Fei", "middle_name": "", "last_name": "Zheng-Ward", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-12-16T11:02:12-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44779/galley/33572/download/" } ] }, { "pk": 41711, "title": "A new drepanosauromorph, \nAncistronychus paradoxus\n n. gen. et sp., from the Chinle Formation of Petrified Forest National Park, Arizona, USA", "subtitle": null, "abstract": "Drepanosauromorpha is an extinct group of reptiles known from the Middle Triassic to Late Triassic (237–212 Ma). The clade currently includes seven genera (\nAvicranium, Dolabrosaurus, Drepanosaurus, Hypuronector, Kyrgzsaurus, Megalancosaurus, and Vallesaurus\n) that are known from fossils collected in Europe, North America, and Asia. These discoveries have helped shape our understanding of the biology and diversity of drepanosauromorphs. Here we describe \nAncistronychus paradoxus\n n. gen. et sp. from the Chinle Formation in Petrified Forest National Park, Arizona based on the ungual phalanx of the second digit of the manus. A characteristic that this taxon shares with \nDrepanosaurus unguicaudatus\n is the pronounced size of the ungual relative to the penultimate element. It differs significantly from \nD. unguicaudatus\n and the Hayden Quarry \nDrepanosaurus\n in the shortened proximal dorsoventral height of the claw, its great transverse breath, the presence of both a furrow on the midline of the extensor surface and a cleft on the apex, and a broad and flattened terminus. We suggest that\n A. paradoxus\n is likely closely related to \nD. unguicaudatus\n and the Hayden Quarry \nDrepanosaurus\n, but missing phylogenetic data precludes a more definitive assessment at this point. \nAncistronychus paradoxus\n highlights unsuspected morphological variation within Drepanosauromorpha and suggests that different drepanosauromorphs used their enlarged second manual unguals for distinct functions enabling them to fill different ecological niches.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-ShareAlike 4.0", "short_name": "CC BY-NC-SA 4.0", "text": "<p><!-- x-tinymce/html --></p>\n<p>Readers are free to:</p>\n<ul>\n<li><strong>Share</strong> — copy and redistribute the material in any medium or format</li>\n<li><strong>Adapt</strong> — remix, transform, and build upon the material<br><br>The licensor cannot revoke these freedoms as long as you follow the license terms.</li>\n</ul>\n<p>Under the following terms:</p>\n<ul>\n<li><strong>Attribution</strong> — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li>\n<li><strong>NonCommercial</strong> — You may not use the material for commercial purposes .</li>\n<li><strong>ShareAlike</strong> — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.<br><br>No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</li>\n</ul>\n<p>Notices:</p>\n<p>You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.</p>\n<p>No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.</p>", "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "Drepanosauromorpha, Ancistronychus, Triassic, Norian, ungual" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8x7767f8", "frozenauthors": [ { "first_name": "Gabriel", "middle_name": "S.", "last_name": "Gonçalves", "name_suffix": "", "institution": "Department of Biology, University of Washington, Box 351800 Seattle, WA 98195-1800", "department": "None" }, { "first_name": "Christian", "middle_name": "A.", "last_name": "Sidor", "name_suffix": "", "institution": "Department of Biology, University of Washington, Box 351800 Seattle, WA 98195-1800; Burke Museum, University of Washington, Box 353010 Seattle, WA 98195-3010", "department": "None" } ], "date_submitted": "2019-12-15T18:31:06-08:00", "date_accepted": "2019-12-15T18:31:06-08:00", "date_published": "2019-12-15T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41711/galley/31202/download/" } ] }, { "pk": 5536, "title": "Adaptive Neural Networks Accounted for by Five Instances of “Respondent-Based” Conditioning", "subtitle": null, "abstract": "Neural Networks may be made much faster and more efficient by reducing the amount of memory and computation used. In this paper, a new type of neural network called an Adaptive Neural Network is introduced. The proposed neural network is comprised of five unique pairings of events. Each pairing is a module and the modules are connected within a single neural network. The pairings are a simulation of respondent conditioning. The simulations do not necessarily represent conditioning in actual organisms. In the theory presented here, the pairings in respondent conditioning become aggregated together to form a basis for operant conditioning. The specific pairings are as follows. The first pairing is between the reinforcer and the neural stimulus that elicits the behavior. This pairing strengthens and makes salient that eliciting neural stimulus. The second pairing is that of the now salient neural stimulus with the external environmental stimulus that precedes the operant behavior. The third is the pairing of the environmental stimulus event with the reinforcing stimulus. The fourth is the pairing of the stimulus elicited by the drive with the reinforcement event, changing the strength of the reinforcer. The fifth pairing is that after repeated exposure the external environmental stimulus is paired with the drive stimulus. This drive stimulus is generated by an intensifying drive.\n \nWithin each module, a “0” means no occurrence of a pairing \nA \nof Stimuli A and a “1” means an occurrence of a pairing \nA \nof Stimuli A. Similarly, a “0” means no occurrence of a pairing \nB\nand a “1” means an occurrence of a pairing \nB\n, and so on for all 5 pairings. To obtain an output one multiplies the values of pairings through\n \n \nE\n. In one trial or instance, all 5 pairings will occur. The results of the multiplications are then accumulated and divided by the number of instances. The use of these simple respondent pairings as a basis for neural networks reduces errors. Examples of problems that may be addressable by such networks are included.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Neural Networks" }, { "word": "Respondent Conditioning" }, { "word": "Adaptive Learning" } ], "section": "SI: ISCP bienniel meeting (2018)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5rj9821g", "frozenauthors": [ { "first_name": "Michael", "middle_name": "Lamport", "last_name": "Commons", "name_suffix": "", "institution": "Harvard Medical School", "department": "None" }, { "first_name": "Patrice", "middle_name": "Marie", "last_name": "Miller", "name_suffix": "", "institution": "Salem State University", "department": "None" }, { "first_name": "Simran", "middle_name": "", "last_name": "Malhotra", "name_suffix": "", "institution": "Dare Institute", "department": "None" }, { "first_name": "Shutong", "middle_name": "", "last_name": "Wei", "name_suffix": "", "institution": "Dare Institute", "department": "None" } ], "date_submitted": "2019-05-17T07:41:21-07:00", "date_accepted": "2019-05-17T07:41:21-07:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5536/galley/3352/download/" } ] }, { "pk": 52763, "title": "A Failure to Care: Colonial Power and Healthcare in Africa, 1850-1939", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Healthcare, Colonialism, Modern Africa, British Government, Malaria" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4340t0tw", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "", "last_name": "Stilson", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-13T11:49:09-08:00", "date_accepted": "2019-12-13T11:49:09-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52763/galley/39798/download/" } ] }, { "pk": 41710, "title": "A protocol for differentiating late Quaternary leporids in southern California with remarks on Project 23 lagomorphs at Rancho La Brea, Los Angeles, California, USA", "subtitle": null, "abstract": "Leporid remains are common in Quaternary fossil assemblages and are useful paleoenvironmental indicators. Identifying leporid fossils to species is challenging, though previous work has shown that identifications are more feasible if fossils can be narrowed down to a subset of potential species occurring across limited spatial scales. We sampled 120 adult and nine juvenile dentaries of six extant western North American species (\nLepus americanus\n, \nL. californicus\n,\n L. townsendii\n, \nSylvilagus audubonii\n, \nS. bachmani\n, and \nS. nuttallii\n) to establish useful characters for genus and species-level identification of late Quaternary leporid fossils in California. Most individuals can be differentiated from individuals of other species using a combination of lower third premolar enamel folding patterns and dental measurements. However, it is difficult to discriminate dental elements among\n L. californicus\n and\n L. townsendii\n and elements of \nS. nuttallii\n from\n S. audubonii\n, \nS. bachmani\n, and \nL. americanus\n. Here we present criteria for differentiating western leporid dental remains, apply the criteria to identify specimens recovered from several late Quaternary fossil deposits at Rancho La Brea (RLB), California, collectively known as Project 23, and reconstruct changes in relative fossil leporid abundances there. Using our criteria, we identified two extant species, \nS. audubonii\n and \nS. bachmani\n, among the Project 23 fossils. In addition to relative abundance changes across several RLB deposits, \nS. audubonii\n and \nS. bachmani\n generally become larger through time, possibly in response to local environmental changes. Establishing region-specific identification criteria as done here may prove useful for discerning morphologically similar species at prehistoric sites elsewhere.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-ShareAlike 4.0", "short_name": "CC BY-NC-SA 4.0", "text": "<p><!-- x-tinymce/html --></p>\n<p>Readers are free to:</p>\n<ul>\n<li><strong>Share</strong> — copy and redistribute the material in any medium or format</li>\n<li><strong>Adapt</strong> — remix, transform, and build upon the material<br><br>The licensor cannot revoke these freedoms as long as you follow the license terms.</li>\n</ul>\n<p>Under the following terms:</p>\n<ul>\n<li><strong>Attribution</strong> — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li>\n<li><strong>NonCommercial</strong> — You may not use the material for commercial purposes .</li>\n<li><strong>ShareAlike</strong> — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.<br><br>No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</li>\n</ul>\n<p>Notices:</p>\n<p>You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.</p>\n<p>No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.</p>", "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "fossil, Lepus, morphometrics, p3, Pleistocene, Sylvilagus" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9tr0d3wq", "frozenauthors": [ { "first_name": "Nathaniel", "middle_name": "S.", "last_name": "Fox", "name_suffix": "", "institution": "Environmental Systems Graduate Group, 5200 North Lake Road, University of California,\nMerced, CA, USA 95343", "department": "None" }, { "first_name": "Gary", "middle_name": "T.", "last_name": "Takeuchi", "name_suffix": "", "institution": "The La Brea Tar Pits and Museum, 5801 Wilshire Boulevard, Los Angeles, CA, USA 90036", "department": "None" }, { "first_name": "Aisling", "middle_name": "B.", "last_name": "Farrell", "name_suffix": "", "institution": "The La Brea Tar Pits and Museum, 5801 Wilshire Boulevard, Los Angeles, CA, USA 90036", "department": "None" }, { "first_name": "Jessica", "middle_name": "L.", "last_name": "Blois", "name_suffix": "", "institution": "Department of Life and Environmental Sciences, 5200 North Lake Road, University of California, Merced, CA, USA 95343", "department": "None" } ], "date_submitted": "2019-12-13T20:56:09-08:00", "date_accepted": "2019-12-13T20:56:09-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41710/galley/31201/download/" } ] }, { "pk": 52756, "title": "Chinatown Declared a Nuisance: Creating a Public Health Crisis in Merced, California, 1883-1908", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Chinatown, Public Health Officer, Anti-Chinese Discrimination, Racism, Merced" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rs4s3fz", "frozenauthors": [ { "first_name": "Madelyn", "middle_name": "", "last_name": "Lara", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-08T11:37:36-08:00", "date_accepted": "2019-12-08T11:37:36-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52756/galley/39794/download/" } ] }, { "pk": 52759, "title": "Clean Sweeps and Chain Gangs: Extending the Carceral Net in Merced, California, 1880-1890", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Police, Race, Merced, Chinatown, Mexican Quarter, Space and Place" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/45q3z8hq", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-10T12:14:07-08:00", "date_accepted": "2019-12-10T12:14:07-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52759/galley/39795/download/" } ] }, { "pk": 52760, "title": "Constructing Safavid Iran: Space, Pastoralism, Power, and Identity in Safavid Iran 930-1077/1524-1666", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Safavid Iran, Space, Race, Gender, Intersectionality" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/77w989c6", "frozenauthors": [ { "first_name": "T.R.", "middle_name": "", "last_name": "Salsman", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-10T12:29:20-08:00", "date_accepted": "2019-12-10T12:29:20-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52760/galley/39796/download/" } ] }, { "pk": 52764, "title": "Front Matter", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Front Matter" } ], "section": "Forematter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8r5552cq", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-13T14:15:10-08:00", "date_accepted": "2019-12-13T14:15:10-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52764/galley/39799/download/" } ] }, { "pk": 52765, "title": "Full Issue", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Full Issue" } ], "section": "Full Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8hx516r2", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-13T14:22:01-08:00", "date_accepted": "2019-12-13T14:22:01-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52765/galley/39800/download/" } ] }, { "pk": 52754, "title": "The Fight for Family Farms: Farm Worker Success in the Westlands, 1960-1986", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Westlands, Irrigation, NLP, Activism, Labor Movement, California" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6j5663pk", "frozenauthors": [ { "first_name": "Omar", "middle_name": "", "last_name": "González", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-12-08T11:32:55-08:00", "date_accepted": "2019-12-08T11:32:55-08:00", "date_published": "2019-12-13T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ssha_uhj/article/52754/galley/39792/download/" } ] }, { "pk": 62806, "title": "Integration of Transport, Survival, and Sampling Efficiency in a Model of South Delta Entrainment", "subtitle": null, "abstract": "A Bayesian hierarchical model that integrated information about state and observation processes was used to estimate the number of adult Delta Smelt entrained into the southern Sacramento−San Joaquin Delta during water export operations by the California State Water Project and the Central Valley Project. The model hierarchy accounted for dynamic processes of transport, survival, sampling efficiency, and observation. Water export, mark−recapture, and fish facility count data informed each process. Model diagnostics and simulation testing indicated a good fit of the model, and that parameters were jointly estimable in the Bayesian hierarchical model framework. The model was limited, however, by sparse data to estimate survival and State Water Project sampling efficiency. Total December to March entrainment of adult Delta Smelt ranged from an estimated 142,488 fish in 2000 to 53 fish in 2014, and the efficiency of louvers used to divert entrained fish to fish facilities appeared to decline at high and low primary intake channel velocities. Though applied to Delta Smelt, the hierarchical modeling framework was sufficiently flexible to estimate the entrainment of other pelagic species.", "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": "Bayesian hierarchical model" }, { "word": "Sacramento-San Joaquin Delta" }, { "word": "Delta Smelt" }, { "word": "entrainment" }, { "word": "sampling efficiency" }, { "word": "State Water Project" }, { "word": "Central Valley Project" }, { "word": "Tracy Fish Facility" }, { "word": "Skinner Fish Facility" }, { "word": "pre-screen loss" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/893826f3", "frozenauthors": [ { "first_name": "William", "middle_name": "E.", "last_name": "Smith", "name_suffix": "", "institution": "US Fish and Wildlife Service", "department": "" } ], "date_submitted": "2019-11-22T07:09:06-08:00", "date_accepted": "2019-11-22T07:09:06-08:00", "date_published": "2019-12-12T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62806/galley/48487/download/" } ] }, { "pk": 62803, "title": "Review of and Recommendations for Monitoring Contaminants and their Effects in the San Francisco Bay−Delta", "subtitle": null, "abstract": "Legacy and current-use contaminants enter into and accumulate throughout the San Francisco Bay−Delta (Bay−Delta), and are present at concentrations with known effects on species important to this diverse watershed. There remains major uncertainty and a lack of focused research able to address and provide understanding of effects across multiple biological scales, despite previous and ongoing emphasis on the need for it. These needs are challenging specifically because of the established regulatory programs that often monitor on a chemical-by-chemical basis, or in which decisions are grounded in lethality-based endpoints. To best address issues of contaminants in the Bay−Delta, monitoring efforts should consider effects of environmentally relevant mixtures and sub-lethal impacts that can affect ecosystem health. These efforts need to consider the complex environment in the Bay−Delta including variable abiotic (e.g., temperature, salinity) and biotic (e.g., pathogens) factors. This calls for controlled and focused research, and the development of a multi-disciplinary contaminant monitoring and assessment program that provides information across biological scales. Information gained in this manner will contribute toward evaluating parameters that could alleviate ecologically detrimental outcomes. This review is a result of a Special Symposium convened at the University of California−Davis (UCD) on January 31, 2017 to address critical information needed on how contaminants affect the Bay−Delta. The UCD Symposium focused on new tools and approaches for assessing multiple stressor effects to freshwater and estuarine systems. Our approach is similar to the recently proposed framework laid out by the U.S. Environmental Protection Agency (USEPA) that uses weight of evidence to scale toxicological responses to chemical contaminants in a laboratory, and to guide the conservation of priority species and habitats. As such, we also aimed to recommend multiple endpoints that could be used to promote a multi-disciplinary understanding of contaminant risks in Bay−Delta while supporting management needs.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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": "aquatic toxicology" }, { "word": "effect-based" }, { "word": "resistance" }, { "word": "pesticycle" }, { "word": "mixtures" }, { "word": "multiple stressors' omics" }, { "word": "metabarcoding" } ], "section": "Policy and Program Analysis", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5kg548b3", "frozenauthors": [ { "first_name": "Richard", "middle_name": "E.", "last_name": "Connon", "name_suffix": "", "institution": "University of California, Davis", "department": "" }, { "first_name": "Simone", "middle_name": "", "last_name": "Hasenbein", "name_suffix": "", "institution": "Technical University of Munich, Freising", "department": "" }, { "first_name": "Susanne", "middle_name": "M.", "last_name": "Brander", "name_suffix": "", "institution": "Oregon State University, Corvallis", "department": "" }, { "first_name": "Helen", "middle_name": "C.", "last_name": "Poynton", "name_suffix": "", "institution": "University of Massachusetts, Boston", "department": "" }, { "first_name": "Erika", "middle_name": "B.", "last_name": "Holland", "name_suffix": "", "institution": "California State University, Long Beach", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Schlenk", "name_suffix": "", "institution": "University of California, Riverside", "department": "" }, { "first_name": "James", "middle_name": "L.", "last_name": "Orlando", "name_suffix": "", "institution": "US Geological Survey", "department": "" }, { "first_name": "Michelle", "middle_name": "L.", "last_name": "Hladik", "name_suffix": "", "institution": "US Geological Survey", "department": "" }, { "first_name": "Tracy", "middle_name": "K.", "last_name": "Collier", "name_suffix": "", "institution": "Western Washington University", "department": "" }, { "first_name": "Nathaniel", "middle_name": "L.", "last_name": "Scholz", "name_suffix": "", "institution": "National Marine Fisheries Service, NOAA", "department": "" }, { "first_name": "John", "middle_name": "P.", "last_name": "Incardona", "name_suffix": "", "institution": "National Marine Fisheries Service, NOAA", "department": "" }, { "first_name": "Nancy", "middle_name": "D.", "last_name": "Denslow", "name_suffix": "", "institution": "University of Florida, Gainesville", "department": "" }, { "first_name": "Amro", "middle_name": "", "last_name": "Hamdoun", "name_suffix": "", "institution": "University of California, San Diego", "department": "" }, { "first_name": "Sascha", "middle_name": "C. E.", "last_name": "Nicklisch", "name_suffix": "", "institution": "University of California, Davis", "department": "" }, { "first_name": "Natàlia", "middle_name": "", "last_name": "Garcia–Reyero", "name_suffix": "", "institution": "US Army Engineer Research and Development Center", "department": "" }, { "first_name": "Edward", "middle_name": "J.", "last_name": "Perkins", "name_suffix": "", "institution": "US Army Engineer Research and Development Center", "department": "" }, { "first_name": "Evan", "middle_name": "P.", "last_name": "Gallagher", "name_suffix": "", "institution": "University of Washington, Seattle", "department": "" }, { "first_name": "Xin", "middle_name": "", "last_name": "Deng", "name_suffix": "", "institution": "California Department of Pesticide Regulation", "department": "" }, { "first_name": "Dan", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "California Department of Fish and Wildlife", "department": "" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Fong", "name_suffix": "", "institution": "California Department of Fish and Wildlife", "department": "" }, { "first_name": "Richard", "middle_name": "S.", "last_name": "Breuer", "name_suffix": "", "institution": "California State Water Resources Control Board", "department": "" }, { "first_name": "Mehrdad", "middle_name": "", "last_name": "Hajibabaei", "name_suffix": "", "institution": "University of Guelph, Ontario", "department": "" }, { "first_name": "James", "middle_name": "B.", "last_name": "Brown", "name_suffix": "", "institution": "University of Birmingham, Edgbaston", "department": "" }, { "first_name": "John", "middle_name": "K.", "last_name": "Colbourne", "name_suffix": "", "institution": "University of Birmingham, Edgbaston", "department": "" }, { "first_name": "Thomas", "middle_name": "M.", "last_name": "Young", "name_suffix": "", "institution": "University of California, Davis", "department": "" }, { "first_name": "Gary", "middle_name": "", "last_name": "Cherr", "name_suffix": "", "institution": "University of California, Davis", "department": "" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Whitehead", "name_suffix": "", "institution": "University of California, Davis", "department": "" }, { "first_name": "Anne", "middle_name": "E.", "last_name": "Todgham", "name_suffix": "", "institution": "University of California, Davis", "department": "" } ], "date_submitted": "2019-11-22T06:46:57-08:00", "date_accepted": "2019-11-22T06:46:57-08:00", "date_published": "2019-12-12T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62803/galley/48484/download/" } ] }, { "pk": 62804, "title": "Sixteen Years of San Francisco Estuary and Watershed Science: A Retrospective", "subtitle": null, "abstract": "Sixteen years ago, in October 2003, \nSan Francisco Estuary and Watershed Science\n (\nSFEWS\n) published its first article. An anniversary like this is a good time to remind ourselves of our history, and to ask if the journal is living up to the goals we set in 2003. And if so, are those goals consistent with today’s needs? In 2004, CDL’s eScholarship Publishing Group counted an average of 254 requests per month for \nSFEWS\n online articles. In 2010, that increased to 1,232 requests per month, and in 2014 to 1,764 per month. In the first 10 months of 2019, 4,420 articles were requested per month. Downloads have been consistently 35% to 40% of requests. Taking data from 2014 through 2017, the search engine Scopus’ CiteScore for \nSFEWS\n increased from 0.32 to 1.64; its rank is 82nd of 203 journals in the Water Science and Technology category for 2018, a remarkable climb from being ranked 120 of 179 in 2014. \nSFEWS\n is ranked fifth among 53 open access journals in the aquatic sciences, according to the Science Journal Ranking index; and in the top 25% among all 218 aquatic science journals ranked by that index. Thus, \nSFEWS\n has grown from an outlet designed to expand access to regional science to a well-respected scientific journal in its own right. Our look back shows that \nSFEWS\n has probably grown beyond our original expectations in size, influence, and stature.", "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": "California water issues" }, { "word": "environmental science" }, { "word": "Sacramento‒San Joaquin Delta" }, { "word": "San Francisco Bay, Bay‒Delta, literature review" }, { "word": "open access publishing" } ], "section": "Editorial", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mw4j7fz", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "N.", "last_name": "Luoma", "name_suffix": "", "institution": "University of California–Davis", "department": "" }, { "first_name": "Lauren", "middle_name": "D.", "last_name": "Muscatine", "name_suffix": "", "institution": "Muir Institute, University of California–Davis", "department": "" } ], "date_submitted": "2019-11-22T06:53:34-08:00", "date_accepted": "2019-11-22T06:53:34-08:00", "date_published": "2019-12-12T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62804/galley/48485/download/" } ] }, { "pk": 62805, "title": "Where Predators and Prey Meet: Anthropogenic Contact Points Between Fishes in a Freshwater Estuary", "subtitle": null, "abstract": "The Sacramento–San Joaquin Delta has been invaded by several species of non-native predatory fish that are presumed to be impeding native fish population recovery efforts. Since eradication of predators is unlikely, there is substantial interest in removing or altering manmade structures in the Delta that may exacerbate predation on native fish (contact points). It is presumed that these physical structures influence predator-prey dynamics, but how habitat features influence species interactions is poorly understood, and physical structures in the Delta that could be remediated to benefit native fish have not been inventoried completely. To inform future research efforts, we reviewed literature that focused on determining the effects of predator-prey interactions between fish, based on contact points that are commonly found in the Delta. We also performed a geospatial analysis to determine the extent of potential contact points in the Delta. We found that the effects of submerged aquatic vegetation (SAV) and artificial illumination are well studied and documented to influence predation in other freshwater systems worldwide. Conversely, other common structures in the Delta—such as docks, pilings, woody debris, revetment, and water diversions—did not have the same breadth of research. In the Delta, the spatial extent of the different types of contact points differed considerably. For example, 22% of the Delta water surface area is occupied by SAV, whereas docks only cover 0.44%. Our conclusion, based on both the literature review and spatial analysis, is that the effects of SAV and artificial illumination on predation warrant the most immediate future investigation in the Delta.", "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": "predator" }, { "word": "prey" }, { "word": "light" }, { "word": "aquatic vegetation" }, { "word": "dock" }, { "word": "riprap" }, { "word": "habitat" }, { "word": "river" }, { "word": "estuary" } ], "section": "Policy and Program Analysis", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2dg499z4", "frozenauthors": [ { "first_name": "Brendan", "middle_name": "M.", "last_name": "Lehman", "name_suffix": "", "institution": "National Oceanic and Atmospheric Administration", "department": "" }, { "first_name": "Meagan", "middle_name": "P.", "last_name": "Gary", "name_suffix": "", "institution": "National Oceanic and Atmospheric Administration", "department": "" }, { "first_name": "Nicholas", "middle_name": "", "last_name": "Demetras", "name_suffix": "", "institution": "National Oceanic and Atmospheric Administration", "department": "" }, { "first_name": "Cyril", "middle_name": "J.", "last_name": "Michel", "name_suffix": "", "institution": "National Oceanic and Atmospheric Administration", "department": "" } ], "date_submitted": "2019-11-22T07:05:22-08:00", "date_accepted": "2019-11-22T07:05:22-08:00", "date_published": "2019-12-12T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62805/galley/48486/download/" } ] }, { "pk": 2280, "title": "Niet Neuken in de Keuken: Teaching Dutch on the Berkeley Campus", "subtitle": null, "abstract": "A former lecturer reflects on her missionary work, teaching Dutch on the Berkeley campus.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [], "section": "Teachers' Forum: Instructors' Perspectives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0hz1p0xg", "frozenauthors": [ { "first_name": "Inez", "middle_name": "", "last_name": "Hollander", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2019-12-05T14:32:35-08:00", "date_accepted": "2019-12-05T14:32:35-08:00", "date_published": "2019-12-11T22:32:25-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2280/galley/1433/download/" } ] }, { "pk": 12995, "title": "Diving In: Experiential Learning about Research", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "research, junior physicians, mentorship, career development," } ], "section": "Editorial", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1k03d3ms", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "H.", "last_name": "Schnapp", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2019-07-15T14:50:08-07:00", "date_accepted": "2019-07-15T14:50:08-07:00", "date_published": "2019-12-10T14:28:30-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12995/galley/6809/download/" } ] }, { "pk": 12809, "title": "What’s All the Chatter? A Mixed-Methods Analysis of Emergency Physicians’ Tweets", "subtitle": null, "abstract": "Introduction:\n Twitter is growing in popularity and influence among emergency physicians (EP), with over 2200 self-identified EP users. As Twitter’s popularity has increased among EPs so too has its influence. While there has been debate about the value of Twitter as an effective educational delivery tool, little attention has been paid to the nature of the conversation occurring on Twitter. We aim to describe how influential EPs use Twitter by characterizing the language, purpose, frequencies, content, and degree of engagement of their tweets.\nMethods: \nWe performed a mixed-methods analysis following a combined content analysis approach. We conducted qualitative and quantitative analyses of a sample of tweets from the 61 most influential EPs on Twitter. We present descriptive tweet characteristics and noteworthy themes.\nResults: \nWe analyzed 1375 unique tweets from 57 unique users, representing 93% of the influential Twitter EPs. A majority of tweets (1104/1375, 80%) elicited some response in the form of retweets, likes, or replies, demonstrating community engagement. The qualitative analysis identified 15 distinct categories of tweets.\nConclusion:\n Influential EPs on Twitter were engaged in largely medical conversations in which most messages generated some form of interaction. They shared resources and opinions while also building social rapport in a community of practice. This data can help EPs make informed decisions about social media engagement.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Twitter, social media, community of practice, communication" } ], "section": "Original Research - Print", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7zh7g4j7", "frozenauthors": [ { "first_name": "Jeff", "middle_name": "", "last_name": "Riddell", "name_suffix": "", "institution": "University of Southern California Keck School of Medicine, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Alisha", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Lynne", "middle_name": "", "last_name": "Robins", "name_suffix": "", "institution": "University of Washington, Department of Biomedical Informatics and Medical Education, Seattle, Washington", "department": "None" }, { "first_name": "Rafae", "middle_name": "", "last_name": "Nauman", "name_suffix": "", "institution": "University of Nevada, Las Vegas School of Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Jeanette", "middle_name": "", "last_name": "Yang", "name_suffix": "", "institution": "University of Washington, Department of Surgery-Surgical Outcomes Research Center, Seattle, Washington", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Jauregui", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "None" } ], "date_submitted": "2019-06-07T04:46:06-07:00", "date_accepted": "2019-06-07T04:46:06-07:00", "date_published": "2019-12-10T11:48:14-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12809/galley/6749/download/" } ] }, { "pk": 12968, "title": "Early Impact of the Western Journal of Emergency Medicine CDEM/CORD Special Issue in Educational Research & Practice", "subtitle": null, "abstract": "Introduction:\n In 2015, with a stated goal of disseminating best teaching practices and developing a community of educational scholars, the Council of Emergency Medicine Directors (CORD) and th eClerkship Directors of Emergency Medicine (CDEM) created an annual Special Issue in Educational Research and Practice (Special Issue) in cooperation with the \nWestern Journal of Emergency Medicine\n. The intention of this study was to analyze the impact of this effort to date.\nMethods: \nBibliometric data was gathered on all four special issues, 2015-2019, from the Web of Scienceand then verified with the eScholarship website. Authorship, academic affiliation, date published, articletype, and format were tabulated for descriptive analysis. Using metrics from Google Scholar, alternative scholarly impact metrics (altmetrics), and the eScholarship website, the authors identified top articles and grouped them into themes.\nResults: \nOf the 136 articles included in the first four years of the Special Issue, 126 represented peer reviewed publications with an overall acceptance rate of 25.0% (126/505). Authors from this cohort represented 103 of the 182 (56.6%) Accreditation Council for Graduate Medical Education (ACGME) programs in existence at the time of the inaugural issue. Multi-institutional studies represented 34.9% (44/126) of the peer-reviewed publications. Traditional and alternative publication metrics are reported to assess the impact of articles from the Special Issues.\nConclusion:\n The Special Issue is a proven outlet to share best practices, innovations, and research related to education. Additionally, the infrastructure of this process promotes the development of individual faculty and a community of teaching scholars.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Education, Scholarship, Impact, Community of Practice" } ], "section": "Educational Advances", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0jr8v9zw", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "N.", "last_name": "Love", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington,\nDistrict of Columbia", "department": "None" }, { "first_name": "Sally", "middle_name": "A.", "last_name": "Santen", "name_suffix": "", "institution": "Virginia Commonwealth University, Department of Emergency Medicine, Richmond,\nVirginia", "department": "None" }, { "first_name": "David", "middle_name": "P.", "last_name": "Way", "name_suffix": "", "institution": "Ohio State University, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Brendan", "middle_name": "W.", "last_name": "Munzer", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Chris", "middle_name": "", "last_name": "Merritt", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine &\nPediatrics, Providence, Rhode Island", "department": "None" }, { "first_name": "Douglas", "middle_name": "S.", "last_name": "Ander", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta,\nGeorgia", "department": "None" }, { "first_name": "John", "middle_name": "W.", "last_name": "Cyrus", "name_suffix": "", "institution": "Virginia Commonwealth University, Tompkins-McCaw Library for the Health\nSciences, Richmond, Virginia", "department": "None" } ], "date_submitted": "2019-07-15T05:42:46-07:00", "date_accepted": "2019-07-15T05:42:46-07:00", "date_published": "2019-12-09T15:18:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12968/galley/6801/download/" } ] }, { "pk": 12900, "title": "Misunderstanding the Match: Do Students Create Rank Lists Based on True Preferences?", "subtitle": null, "abstract": "Introduction:\n The “stable marriage” algorithm underlying the National Residency Match Program (NRMP) has been shown to create optimal outcomes when students submit true preference lists. Previous research has shown students may allow external information to affect their rank lists. The objective of this study was to determine whether medical students consistently make rank lists that reflect their true preferences.\nMethods:\n A voluntary online survey was sent to third-year students at a single midwestern medical school. Students were given hypothetical scenarios that either should or should not affect their true residency preferences and rated the importance of six factors to their final rank list. The survey was edited by a group of education scholars and revised based on feedback from a pilot with current postgraduate year 1 residents.\nResults: \nOf 175 students surveyed, 140 (80%) responded; 63% (88/140) reported that their “perceived competitiveness” would influence their rank list at least a “moderate amount. Of 135 students, 31 (23%) moved a program lower on their list if they learned they were ranked “low” by that program, while 6% (8/135) of respondents moved a program higher if they learned they were ranked “at the top of the list.” Participants responded similarly (κ = 0.71) when presented with scenarios asking what they would do vs what a classmate should do.\nConclusion:\n Students’ hypothetical rank lists did not consistently match their true residency preferences. These results may stem from a misunderstanding of the Match algorithm. Medical schools should consider augmenting explicit education related to the NRMP Match algorithm to ensure optimal outcomes for students.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "medical education, Match, residency, medical school" } ], "section": "Brief Research Report - Print", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9666w4hp", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "H.", "last_name": "Schnapp", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Katie", "middle_name": "", "last_name": "Ulrich", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Jamie", "middle_name": "", "last_name": "Hess", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Aaron", "middle_name": "S.", "last_name": "Kraut", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Tillman", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Mary", "middle_name": "", "last_name": "Westergaard", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2019-07-02T11:42:45-07:00", "date_accepted": "2019-07-02T11:42:45-07:00", "date_published": "2019-12-09T15:15:36-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12900/galley/6783/download/" } ] }, { "pk": 12905, "title": "A Multimodal Curriculum With Patient Feedback to Improve Medical Student Communication: Pilot Study", "subtitle": null, "abstract": "Introduction:\n Despite the extraordinary amount of time physicians spend communicating withpatients, dedicated education strategies on this topic are lacking. The objective of this study was todevelop a multimodal curriculum including direct patient feedback and assess whether it improvescommunication skills as measured by the Communication Assessment Tool (CAT) in fourth-yearmedical students during an emergency medicine (EM) clerkship.\nMethods:\n This was a prospective, randomized trial of fourth-year students in an EM clerkship atan academic medical center from 2016-2017. We developed a multimodal curriculum to teachcommunication skills consisting of 1) an asynchronous video on communication skills, and 2)direct patient feedback from the CAT, a 15-question tool with validity evidence in the emergencydepartment setting. The intervention group received the curriculum at the clerkship midpoint. Thecontrol group received the curriculum at the clerkship’s end. We calculated proportions and oddsratios (OR) of students achieving maximum CAT score in the first and second half of the clerkship.\nResults:\n A total of 64 students were enrolled: 37 in the control group and 27 in the interventiongroup. The percentage of students achieving the maximum CAT score was similar between groupsduring the first half (OR 0.70, p = 0.15). Following the intervention, students in the intervention groupachieved a maximum score more often than the control group (OR 1.65, p = 0.008).\nConclusion: \nStudents exposed to the curriculum early had higher patient ratings on communicationcompared to the control group. A multimodal curriculum involving direct patient feedback may be aneffective means of teaching communication skills.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "patient feedback, medical students, curriculum" } ], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/62q700s7", "frozenauthors": [ { "first_name": "Nicole", "middle_name": "M.", "last_name": "Dubosh", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center/Harvard Medical School, Department of\nEmergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Matthew", "middle_name": "M.", "last_name": "Hall", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center/Harvard Medical School, Department of\nEmergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Victor", "middle_name": "", "last_name": "Novack", "name_suffix": "", "institution": "Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University\nof the Negev, Beer-Sheva, Israel", "department": "None" }, { "first_name": "Tali", "middle_name": "", "last_name": "Shafat", "name_suffix": "", "institution": "Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University\nof the Negev, Beer-Sheva, Israel", "department": "None" }, { "first_name": "Nathan", "middle_name": "I.", "last_name": "Shapiro", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center/Harvard Medical School, Department of\nEmergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Edward", "middle_name": "", "last_name": "Ullman", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center/Harvard Medical School, Department of\nEmergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-07-03T08:42:06-07:00", "date_accepted": "2019-07-03T08:42:06-07:00", "date_published": "2019-12-09T15:13:45-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12905/galley/6786/download/" } ] }, { "pk": 13314, "title": "The End of the Accidental Academician", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4f76p08r", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Stehman", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" } ], "date_submitted": "2019-10-14T13:53:29-07:00", "date_accepted": "2019-10-14T13:53:29-07:00", "date_published": "2019-12-09T15:12:28-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13314/galley/7003/download/" } ] }, { "pk": 12992, "title": "Teaching Endotracheal Intubation Using a Cadaver Versus a Manikin-based Model: a Randomized Controlled Trial", "subtitle": null, "abstract": "Introduction:\n The optimal method to train novice learners to perform endotracheal intubation (ETI)is unknown. The study objective was to compare two models: unembalmed cadaver vs simulationmanikin.\nMethods:\n Fourth-year medical students, stratified by baseline ETI experience, were randomized 1:1to train on a cadaver or simulation manikin. Students were tested and video recorded on a separatecadaver; two reviewers, blinded to the intervention, assessed the videos. Primary outcome wastime to successful ETI, analyzed with a Cox proportional hazards model. Authors also comparedpercentage of glottic opening (POGO), number of ETI attempts, learner confidence, and satisfaction.\nResults: \nOf 97 students randomized, 78 were included in the final analysis. Median time to ETI didnot differ significantly (hazard ratio [HR] 1.1; 95% CI [confidence interval], 0.7-1.8): cadaver group =34.5 seconds (interquartile ratio [IQR]: 23.3-55.8) vs manikin group = 35.5 seconds (IQR: 23.8-80.5),with no difference in first-pass success (odds ratio [OR] = 1; 95% CI, 0.1-7.5) or median POGO: 80%cadaver vs 90% manikin (95% CI, -14-34%). Satisfaction was higher for cadavers (median difference= 0.5; p = 0.002; 95% CI, 0-1) as was change in student confidence (median difference = 0.5; p= 0.03; 95% CI, 0-1). Students rating their confidence a 5 (“extremely confident”) demonstrateddecreased time to ETI (HR = 4.2; 95% CI, 1.0-17.2).\nConclusion: \nManikin and cadaver training models for ETI produced similar time to ETI, POGO,and first-pass success. Cadaver training was associated with increased student satisfaction andconfidence; subjects with the highest confidence level demonstrated decreased time to ETI.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "education" }, { "word": "intubation" } ], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0wn696m8", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Pedigo", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California\nLos Angeles Biomedical Research Institute, Torrance, California\nDavid Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los\nAngeles, California", "department": "None" }, { "first_name": "Juliana", "middle_name": "", "last_name": "Tolles", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California\nLos Angeles Biomedical Research Institute, Torrance, California\nDavid Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los\nAngeles, California", "department": "None" }, { "first_name": "Daena", "middle_name": "", "last_name": "Watcha", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California\nLos Angeles Biomedical Research Institute, Torrance, California", "department": "None" }, { "first_name": "Amy", "middle_name": "H.", "last_name": "Kaji", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California\nLos Angeles Biomedical Research Institute, Torrance, California\nDavid Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los\nAngeles, California", "department": "None" }, { "first_name": "Roger", "middle_name": "J.", "last_name": "Lewis", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California\nLos Angeles Biomedical Research Institute, Torrance, California\nDavid Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los\nAngeles, California", "department": "None" }, { "first_name": "Elena", "middle_name": "", "last_name": "Stark", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA, Department of Pathology and Laboratory\nMedicine, Los Angeles, California", "department": "None" }, { "first_name": "Jaime", "middle_name": "", "last_name": "Jordan", "name_suffix": "", "institution": "Los Angeles Biomedical Research Institute, Torrance, California\nDavid Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los\nAngeles, California\nUCLA Ronald Reagan Medical Center, Department of Emergency Medicine, Los\nAngeles, California", "department": "None" } ], "date_submitted": "2019-07-15T14:06:30-07:00", "date_accepted": "2019-07-15T14:06:30-07:00", "date_published": "2019-12-09T15:07:36-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12992/galley/6808/download/" } ] }, { "pk": 12787, "title": "Difficult Delivery and Neonatal Resuscitation: A Novel Simulation for Emergency Medicine Residents", "subtitle": null, "abstract": "Introduction:\n Newborn delivery and resuscitation are rare, but essential, emergency medicine (EM) skills. We evaluated the effect of simulation on EM residents’ knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation.\nMethods: \nWe developed a novel simulation that integrates a shoulder dystocia with neonatal resuscitation and studied a convenience sample of EM residents. Each 15-minute simulation was run with one learner, a simulated nurse, and a standardized patient in situ in the emergency department. The learner was required to reduce a shoulder dystocia and then perform neonatal resuscitation. We debriefed with plus/delta format, standardized teaching points, and individualized feedback. We assessed knowledge with a nine-question multiple choice test, confidence with five-point Likert scales, and clinical performance using a checklist of critical actions. Residents repeated all measures one year after the simulation.\nResults:\n A total of 23 residents completed all measures. At one-year post-intervention, residents scored 15% higher on the knowledge test. All residents increased confidence in managing shoulder dystocia on a five-point Likert scale (1.4 vs 2.8) and 80% increased confidence in performing neonatal resuscitation (1.8 vs 3.0). Mean scores on the checklist of critical actions improved by 19% for shoulder dystocia and by 27% for neonatal resuscitation.\nConclusion: \nImplementing simulation may improve EM residents’ knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "simulation, shoulder dystocia, neonatal resuscitation, emergency medicine, medical education" } ], "section": "Educational Advances", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6q2828h1", "frozenauthors": [ { "first_name": "Jillian", "middle_name": "Elizabeth", "last_name": "Nickerson", "name_suffix": "", "institution": "Children’s National Medical Center, Department of Emergency Medicine and Trauma Services, Washington, District of Colombia", "department": "None" }, { "first_name": "Taryn", "middle_name": "", "last_name": "Webb", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Lorraine", "middle_name": "", "last_name": "Boehm", "name_suffix": "", "institution": "Elmhurst Hospital Center, Simulation Center, Elmhurst, New York", "department": "None" }, { "first_name": "Hayley", "middle_name": "", "last_name": "Neher", "name_suffix": "", "institution": "Elmhurst Hospital Center, Simulation Center, Elmhurst, New York", "department": "None" }, { "first_name": "Lillian", "middle_name": "", "last_name": "Wong", "name_suffix": "", "institution": "Elmhurst Hospital Center, Department of Emergency Medicine, Elmhurst, New York", "department": "None" }, { "first_name": "Julia", "middle_name": "", "last_name": "LaMonica", "name_suffix": "", "institution": "Elmhurst Hospital Center, Department of Emergency Medicine, Elmhurst, New York", "department": "None" }, { "first_name": "Suzanne", "middle_name": "", "last_name": "Bentley", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York\n\nElmhurst Hospital Center, Department of Emergency Medicine, Elmhurst, New York", "department": "None" } ], "date_submitted": "2019-05-30T15:07:56-07:00", "date_accepted": "2019-05-30T15:07:56-07:00", "date_published": "2019-12-09T15:04:16-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12787/galley/6740/download/" } ] }, { "pk": 12816, "title": "Post-interview Thank-you Communications Influence Both Applicant and Residency Program Rank Lists in Emergency Medicine", "subtitle": null, "abstract": "Introduction:\n The National Residency Matching Program (NRMP) allows post-interview contactbetween residency applicants and residency programs. Thank-you communications representone of the most common forms, but data on their value to applicants and program directors (PD)are limited. The objective of this study was to assess the effect of thank-you communications onapplicant- and residency-program rank lists.\nMethods:\n Two anonymous, voluntary surveys were sent after the 2018 NRMP Match, one toapplicants who were offered an interview at a single academic site in the 2017-2018 Match cycle,and one to EM PDs nationwide. The surveys were designed in conjunction with a nationallyrecognizedsurvey center and piloted and revised based on feedback from residents and faculty.\nResults:\n Of 196 residency applicants, 97 (49.5%) responded to the survey. Of these, 73/95 (76.8%)reported sending thank-you communications. Twenty-two of 73 (30%) stated that they sent thank-youcommunications to improve their spot on a program’s rank list; and 16 of 73 (21.9%) reported that theychanged their rank list based upon the responses they received to their thank-you communications. Of 163 PDs, 99 (60.7%) responded to the survey. Of those PDs surveyed, 22.6% reported that anapplicant could be moved up their program’s rank list and 10.8% reported that an applicant could movedown a program’s rank list based on their thank-you communications (or lack thereof).\nConclusion: \nThe majority of applicants to EM are sending thank-you communications. Asignificant minority of applicants and PDs changed their rank list due to post-interview thank-youcommunications.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Post-Interview Communication, Medical Student, Residency Match" } ], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4nq946xb", "frozenauthors": [ { "first_name": "Corlin", "middle_name": "", "last_name": "Jewell", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Berbee Walsh Department\nof Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Tillman", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Berbee Walsh Department\nof Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Aaron", "middle_name": "", "last_name": "Kraut", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Berbee Walsh Department\nof Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Jamie", "middle_name": "", "last_name": "Hess", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Berbee Walsh Department\nof Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Mary", "middle_name": "", "last_name": "Westergaard", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Berbee Walsh Department\nof Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Schnapp", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Berbee Walsh Department\nof Emergency Medicine, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2019-06-09T13:23:38-07:00", "date_accepted": "2019-06-09T13:23:38-07:00", "date_published": "2019-12-09T15:03:03-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12816/galley/6751/download/" } ] }, { "pk": 12955, "title": "A Roadmap for the Student Pursuing a Career in Pediatric Emergency Medicine", "subtitle": null, "abstract": "Introduction:\n Three pathways are available to students considering a pediatric emergency medicine(PEM) career: pediatric residency followed by PEM fellowship (Peds-PEM); emergency medicineresidency followed by PEM fellowship (EM-PEM); and combined EM and pediatrics residency(EM&Peds). Questions regarding differences between the training pathways are common amongmedical students. We present a comparative analysis of training pathways highlighting majorcurricular differences to aid in students’ understanding of these training options.\nMethods:\n All currently credentialed training programs for each pathway with curricula publishedon their websites were included. We analyzed dedicated educational units (EU) core to all threepathways: emergency department (ED), pediatric-only ED, critical care, and research. Minimumrequirements for primary residencies were assumed for fellowship trainees.\nResults:\n Of the 75 Peds-PEM, 34 EM-PEM, and 4 EM&Peds programs screened, 85% of Peds-PEM and EM-PEM and all EM&Peds program curricula were available for analysis. AveragePeds-PEM EUs were 20.4 EM, 20.1 pediatric-only EM, 5.8 critical care, and 9.0 research. AverageEM-PEM EUs were 33.2 EM, 18.3 pediatric-only EM, 6.5 critical care, and 3.3 research. AverageEM&Peds EUs were 26.1 EM, 8.0 pediatric-only EM, 10.0 critical care, and 0.3 research.\nConclusion:\n All three pathways exceed pediatric-focused training required for EM or pediatricresidency. Peds-PEM has the most research EUs, EM-PEM the most EM EUs, and EM&Pedsthe most critical care EUs. All prepare graduates for a pediatric emergency medicine career. Understanding the difference in emphasis between pathways can inform students to select the bestpathway for their own careers.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "pediatric emergency medicine" }, { "word": "Emergency Medicine" }, { "word": "faculty training" }, { "word": "Fellowship training" }, { "word": "residency training" }, { "word": "postgraduate medical education" } ], "section": "Original Research - Print", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8kz419d9", "frozenauthors": [ { "first_name": "Aaron", "middle_name": "N.", "last_name": "Leetch", "name_suffix": "", "institution": "The University of Arizona College of Medicine, Department of Emergency Medicine and\nPediatrics, Tucson, Arizona", "department": "None" }, { "first_name": "Joshua", "middle_name": "A.", "last_name": "Glasser", "name_suffix": "", "institution": "The University of Arizona College of Medicine, Department of Emergency Medicine and\nPediatrics, Tucson, Arizona", "department": "None" }, { "first_name": "Dale", "middle_name": "P.", "last_name": "Woolridge", "name_suffix": "", "institution": "The University of Arizona College of Medicine, Department of Emergency Medicine and\nPediatrics, Tucson, Arizona", "department": "None" } ], "date_submitted": "2019-07-14T08:37:08-07:00", "date_accepted": "2019-07-14T08:37:08-07:00", "date_published": "2019-12-09T14:56:49-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12955/galley/6798/download/" } ] }, { "pk": 12586, "title": "Efficacy of and Satisfaction with an In-house Developed Natural Rubber Cardiopulmonary Resuscitation Manikin", "subtitle": null, "abstract": "Introduction: \nA barrier to cardiopulmonary resuscitation (CPR) training in low-income countries is limitedresources. Our goal was to build a CPR training model of simple design that would provide a goodfeedback system.\nMethods:\n We developed a low-cost, Basic Life Support training manikin made entirely of natural rubber.Our in-house manikin provides feedback when performing correct chest compression and rescuebreathing. The properties of the manikin were tested using simulated chest compression in a laboratoryand compared with a commercial manikin. Forty healthy nurse volunteers with CPR experienceperformed CPR in both types of manikins and responded to questionnaires.\nResults:\n A tensile test in a laboratory demonstrated that both types of manikins had acceptable rangesof properties for real-situation CPR in cardiac arrest patients. There were no differences in aestheticproperties, and the manikins felt to the volunteers like a real patient when they were performing chestcompression. The feedback response was clear when chest compressions and rescue breathing wereperformed correctly, and the overall satisfaction with the manikin was good. In addition, the mean scoresin terms of the manikin feeling like a real patient when performing rescue breathing and the positivefeedback from the rubber manikin were statistically higher than those for the commercial manikin(p=0.001 vs. p=0.023).\nConclusion:\n The in-house developed CPR manikin employing real-time feedback by simple mechanicsis effective compared with a commercial manikin. The advantage of our manikin is that it is easy to buildand costs substantially less than a commercial manikin. The use of an in-house developed manikin couldmake effective CPR training more available in limited-resource areas.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "cardiopulmonary resuscitation" }, { "word": "manikin" } ], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/00f4h44m", "frozenauthors": [ { "first_name": "Sittichoke", "middle_name": "", "last_name": "Anuntaseree", "name_suffix": "", "institution": "Prince of Songkla University, Department of Orthopedics, Faculty of Medicine,\nSongkhla, Thailand", "department": "None" }, { "first_name": "Ekwipoo", "middle_name": "", "last_name": "Kalkornsurapranee", "name_suffix": "", "institution": "Prince of Songkla University, Department of Materials Science and Technology,\nFaculty of Science, Songkhla, Thailand", "department": "None" }, { "first_name": "Varah", "middle_name": "", "last_name": "Yuenyongviwat", "name_suffix": "", "institution": "Prince of Songkla University, Department of Orthopedics, Faculty of Medicine,\nSongkhla, Thailand", "department": "None" } ], "date_submitted": "2019-03-15T01:53:12-07:00", "date_accepted": "2019-03-15T01:53:12-07:00", "date_published": "2019-12-09T14:51:59-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12586/galley/6670/download/" } ] }, { "pk": 12835, "title": "Establishing an Elective Rotation Director and Its Effect on Elective Opportunities and Satisfaction", "subtitle": null, "abstract": "Elective rotations are valuable, allowing trainees to personalize their educational experience, focuson areas of weakness, and offer personal and professional development. Emergency medicine(EM) residency program elective rotations may be limited due to the absence of awareness ofopportunities and administrative support. We sought to increase the breadth of elective rotationopportunities, improve residents’ satisfaction with their elective rotations, and enhance theopportunities for clinical training. To increase the breadth of our elective rotation opportunities, weestablished an elective rotation director—a dedicated faculty member to aid in elective planningand provide administrative support. This faculty member met with all residents during their secondyear, coordinated new electives with the graduate medical education office, and assisted withadministrative tasks. Ten new rotations (two local, five domestic away, three international away)were established during the position’s first two years, increasing available rotations from nine to 19.A survey was sent to graduates of the program two years before and two years after the positionwas established to inquire about their elective experience. Of 64 graduates, 49 (76.6%) participatedin the survey. Graduates exposed to the dedicated faculty member reported increased exposure tonovel learning environments (p<0.001), improved wellness (p<0.001), and were more likely than predirectorgraduates to choose the same elective rotation (p=0.006). Programs with multiple electiverotations may benefit more from this position, but additional resources may be needed given theassociated increase in administrative time.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Residency, Elective Rotation, Administration" } ], "section": "Brief Research Report - Print", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0cc584mh", "frozenauthors": [ { "first_name": "Adam", "middle_name": "J.", "last_name": "Janicki", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Department of Emergency Medicine,\nPittsburgh, Pennsylvania", "department": "None" }, { "first_name": "Michele", "middle_name": "L.", "last_name": "Dorfsman", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Department of Emergency Medicine,\nPittsburgh, Pennsylvania", "department": "None" } ], "date_submitted": "2019-06-14T11:48:11-07:00", "date_accepted": "2019-06-14T11:48:11-07:00", "date_published": "2019-12-09T14:47:44-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12835/galley/6762/download/" } ] }, { "pk": 12818, "title": "Targeting Implicit Bias in Medicine: Lessons from Art and Archaeology", "subtitle": null, "abstract": "Implicit bias training is not currently a required component of residency education, yet implicit bias in medicine exists and may influence care provided to patients. We propose an innovative exercise that allows trainees to explore implicit bias outside of the clinical environment, in an interdisciplinary manner with museum anthropologists and archaeologists. The curriculum was designed with leaders at the Penn Museum and focuses on differentiating between objective and subjective assessments of historical objects. The first part of the exercise consists of a pre-brief, to introduce trainees to bias through the lens of an anthropologist/archaeologist. The second part guides trainees through“deep description,” where they explore objective and subjective findings of three different objects. The exercise concludes with a debrief and application of concepts learned to everyday clinical practice. This innovation was successful at introducing trainees to implicit bias in a nontraditional environment, and participants reported an improved understanding of implicit bias. Residency programs could consider partnering with local museums to implement a similar exercise as acomponent of conference curriculum.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "implicit bias" } ], "section": "Brief Educational Advances - Print", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7hk2p9h6", "frozenauthors": [ { "first_name": "Amy", "middle_name": "", "last_name": "Zeidan", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Anne", "middle_name": "", "last_name": "Tiballi", "name_suffix": "", "institution": "University of Pennsylvania, Museum of Archaeology and Anthropology, Philadelphia,\nPennsylvania", "department": "None" }, { "first_name": "Melanie", "middle_name": "", "last_name": "Woodward", "name_suffix": "", "institution": "University of Pennsylvania, Perelman School of Medicine, Department of Internal\nMedicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Isha Marina", "middle_name": "", "last_name": "Di Bartolo", "name_suffix": "", "institution": "Rowan University School of Medicine/Cooper Hospital, Department of Internal Medicine,\nCamden, New Jersey", "department": "None" } ], "date_submitted": "2019-06-10T10:28:41-07:00", "date_accepted": "2019-06-10T10:28:41-07:00", "date_published": "2019-12-09T14:42:51-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12818/galley/6752/download/" } ] }, { "pk": 12901, "title": "Maggots, Mucous and Monkey Meat: Does Disgust Sensitivity Affect Case Mix Seen During Residency?", "subtitle": null, "abstract": "Introduction:\n Emergency physicians encounter scenarios daily that many would consider “disgusting,” including exposure to blood, pus, and stool. Physicians in procedural specialties such as surgery and emergency medicine (EM) have lower disgust sensitivity overall, but the role this plays in clinical practice is unclear. The objective of this study was to determine whether emergency physicians with higher disgust sensitivity see fewer “disgusting” cases during training.\nMethods:\n All EM residents at a midsize urban EM program were eligible to complete the Disgust Scale Revised (DS-R). We preidentified cases as “disgust elicitors” based on diagnoses likely to induce disgust due to physician exposure to bodily fluids, anogenital anatomy, or gross deformity. The “disgust elicitor” case percent was determined by “disgust elicitor” cases seen as the primary resident divided by the number of cases seen thus far in residency. We calculated Pearson’s r, t-tests and descriptive statistics on resident and population DS-R scores and “disgust elicitor” casesper month.\nResults:\n Mean DS-R for EM residents (n = 40) was 1.20 (standard deviation [SD] 1.24), significantly less than the population mean of 1.67 (SD 0.61, p<0.05). There was no correlation (r = -0.04) between “disgust elicitor” case (n = 2191) percent and DS-R scores. There was no significant difference between DS-R scores for junior residents (31.1, 95% confidence interval [CI], 26.8-35.4) and for senior residents (29.0, 95% CI, 23.4-34.6).\nConclusion:\n Higher disgust sensitivity does not appear to be correlated with a lower percentage of “disgust elicitor” cases seen during EM residency.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "disgust, residency, graduate medical education, personality, traits" } ], "section": "Brief Research Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85q8f492", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "H.", "last_name": "Schnapp", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh\nDepartment of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Fleming", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh\nDepartment of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Aaron", "middle_name": "", "last_name": "Kraut", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh\nDepartment of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Mary", "middle_name": "", "last_name": "Westergaard", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh\nDepartment of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Robert", "middle_name": "J.", "last_name": "Batt", "name_suffix": "", "institution": "University of Wisconsin, Department of Operations and Information Management,\nMadison, Wisconsin", "department": "None" }, { "first_name": "Brian", "middle_name": "W.", "last_name": "Patterson", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, BerbeeWalsh\nDepartment of Emergency Medicine, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2019-07-02T11:51:02-07:00", "date_accepted": "2019-07-02T11:51:02-07:00", "date_published": "2019-12-09T14:41:05-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12901/galley/6784/download/" } ] }, { "pk": 12880, "title": "Exploring Action Items to Address Resident Mistreatment through an Educational Workshop", "subtitle": null, "abstract": "Mistreatment of trainees is common in the clinical learning environment. Resident mistreatment is less frequently tracked than medical student mistreatment, but data suggest mistreatment remains prevalent at the resident level. To address resident mistreatment, the authors developedan Educational Advance to engage emergency medicine residents and faculty in understanding and improving their learning environment. The authors designed a small-group session with the following goals: 1) Develop a shared understanding of mistreatment and its magnitude; 2) Recognize the prevalence of resident mistreatment data and identify the most common types ofmistreatment; 3) Relate study findings to personal or institutional experiences; and 4) Generate strategies for combating mistreatment and strengthening the clinical learning environment attheir home institutions. Design was a combination of presentation, small group discussion, and facilitated discussion. Results were presented to participants from a previously administered surveyof resident mistreatment. Public humiliation and sexist remarks were the most commonly reported forms. Faculty were the most frequent perpetrators, followed by residents and nurses. A majority of respondents who experienced mistreatment did not report the incident. Session participants were then asked to brainstorm strategies to combat mistreatment. Participants rated the session as effective in raising awareness about resident mistreatment and helping departments develop methods to improve the learning environment. Action items proposed by the group included coaching residents about how to respond to mistreatment, displaying signage in support of a positive learning environment, zero tolerance for mistreatment, clear instructions for reporting, and intentionality training to improve behavior.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Medical Education" }, { "word": "Mistreatment" }, { "word": "Learning Environment" }, { "word": "Resident wellness" } ], "section": "Educational Advances - Print", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5sc8v1hb", "frozenauthors": [ { "first_name": "Max", "middle_name": "", "last_name": "Griffith", "name_suffix": "", "institution": "Michigan Medicine/St. Joseph Mercy Ann Arbor, Department of Emergency Medicine,\nAnn Arbor, Michigan", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Clery", "name_suffix": "", "institution": "Emory University School of Medicine, Grady Memorial Hospital, Department of\nEmergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Butch", "middle_name": "", "last_name": "Humbert", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine,\nIndianapolis, Indiana", "department": "None" }, { "first_name": "J.", "middle_name": "Michael", "last_name": "Joyce", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency\nMedicine, Richmond, Virginia", "department": "None" }, { "first_name": "Marcia", "middle_name": "", "last_name": "Perry", "name_suffix": "", "institution": "Michigan Medicine, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Robin", "middle_name": "R.", "last_name": "Hemphill", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency\nMedicine, Richmond, Virginia", "department": "None" }, { "first_name": "Sally", "middle_name": "A.", "last_name": "Santen", "name_suffix": "", "institution": "Virginia Commonwealth University School of Medicine, Department of Emergency\nMedicine, Richmond, Virginia", "department": "None" } ], "date_submitted": "2019-06-26T09:23:53-07:00", "date_accepted": "2019-06-26T09:23:53-07:00", "date_published": "2019-12-09T14:39:23-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12880/galley/6772/download/" } ] }, { "pk": 12708, "title": "Synchronous Online Journal Club Connects Subspecialty Trainees Across Geographic Barriers", "subtitle": null, "abstract": "Introduction: \nJournal club holds a well-respected place in medical education by promoting critical review of the literature and fostering scholarly discussions. Journal clubs are often not available to trainees with niche interests due to the geographic limitations of subspecialty programs such assimulation, medical education, disaster medicine, ultrasound, global health, and women’s health.\nMethods:\n A recurring online journal club was held on a quarterly basis to connect simulation fellows. An online conferencing program with screen-sharing capabilities served as the platform for this scholarly exchange. Articles were presented by fellows supported by more seasoned mentors. We surveyed participants to evaluate the program and provide feedback to the presenter.\nResults: \nThe first eight sessions drew participants from across the United States and Canada. The program was highly rated by participants who commented specifically on its value. Presenters were also highly rated, suggesting that fellows, with online support and mentoring, were effective in providing a quality program.\nConclusion:\n Online synchronous journal clubs can fill an educational niche for subspecialists andtheir trainees, as demonstrated with this curriculum piloted with simulation fellows. Challenges of scheduling across time zones, distribution of materials, and recruitment of participants can be overcome by a dedicated team of facilitators aided by readily accessible technology.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Journal Club, Online Education, Simulation Fellowship, Emergency Medicine" } ], "section": "Educational Advances - Print", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3j6295zs", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "N.", "last_name": "Musits", "name_suffix": "", "institution": "Brown University Warren Alpert Medical School, Department of Emergency Medicine,\nProvidence, Rhode Island", "department": "None" }, { "first_name": "Alexandra", "middle_name": "L.", "last_name": "Mannix", "name_suffix": "", "institution": "University of Florida College of Medicine-Jacksonville, Department of Emergency\nMedicine, Jacksonville, Florida", "department": "None" } ], "date_submitted": "2019-04-26T08:33:21-07:00", "date_accepted": "2019-04-26T08:33:21-07:00", "date_published": "2019-12-09T14:37:58-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12708/galley/6712/download/" } ] }, { "pk": 12504, "title": "Usability of Learning Moment: Features of an E-learning Tool That Maximize Adoption by Students", "subtitle": null, "abstract": "Introduction:\n E-learning is widely used in medical education. To maximize the potential of E-learning tools, every effort should be made to encourage adoption by optimizing usability. We created Learning Moment (LM), a web-based application that integrates principles of asynchronous learning and learning portfolios into a platform on which students can document and share learning experiences that occur during clinical work. We sought to evaluate the usability of LM and identify features that optimize adoption by users.\nMethods:\n We implemented LM in August 2016 at a busy, urban, tertiary care emergency department that hosts an emergency medicine residency, robust third and fourth year medical student clerkships as well as a physician assistant student rotation. We conducted a single-center, mix-methods study using the System Usability Scale (SUS) questionnaire and qualitative interviews. We sent e-mail invitations with subsequent reminders to all students who rotated in our emergency medicine clerkship from August 2016 to April 2017 to complete the SUS questionnaire anonymously and to participate in qualitative interviews. We employed purposive sampling to recruit students who used LM during their rotation to participate in our qualitative interviews. We conducted semi-structured interviews with 13 participants (10 individual interviews and one 3-person group interview) between January and March 2017 using an ethnographic approach and utilized a general inductive method to analyze and code for potential themes.\nResults:\n Thirty of the seventy students invited to participate completed the SUS questionnaire (Response rate of 42.8%). The mean SUS score is 80.9 (SD 18.2, 80% CI 76.5 – 85.3). The internal consistency of the responses achieved the Cronbach’s Alpha of 0.95. The participants stressed the importance of the following in the adoption of LM: maximal simplicity and usability, compatibility with learning preferences, and department-wide acceptance and integration.\nConclusion:\n The overall perceived usability of LM was high. Our qualitative data revealed important implications for future designers to maximize adoption: include target users in every step of the design and development process to maximize simplicity and usability; build features that cater to a diversity of learning preferences; involve the entire department and find ways to incorporate the tool into the educational infrastructure and daily workflow.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "e-learning" }, { "word": "usability" }, { "word": "Adoption" }, { "word": "Medical Education" }, { "word": "Learning Moment" }, { "word": "experiential learning" } ], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6q43908v", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Chu", "name_suffix": "", "institution": "Boston University School of Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Dea", "middle_name": "", "last_name": "Biancarelli", "name_suffix": "", "institution": "Boston University School of Public Health, Department of Health Law, Policy and\nManagement, Boston, Massachusetts\nBoston University School of Medicine, Evans Center for Implementation and\nImprovement Sciences, Boston, Massachusetts", "department": "None" }, { "first_name": "Mari-Lynn", "middle_name": "", "last_name": "Drainoni", "name_suffix": "", "institution": "Boston University School of Public Health, Department of Health Law, Policy and\nManagement, Boston, Massachusetts\nBoston University School of Medicine, Evans Center for Implementation and\nImprovement Sciences, Boston, Massachusetts\nBoston University School of Medicine, Section of Infectious Diseases, Department of\nMedicine, Boston, Massachusetts\nEdith Nourse Rogers Memorial Veterans Hospital, Center for Healthcare Organization\nand Implementation Research, Bedford, Massachusetts", "department": "None" }, { "first_name": "James", "middle_name": "H.", "last_name": "Liu", "name_suffix": "", "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "I.", "last_name": "Schneider", "name_suffix": "", "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Sullivan", "name_suffix": "", "institution": "Lawrence General Hospital, Emergency Center, Lawrence, Massachusetts", "department": "None" }, { "first_name": "Alexander", "middle_name": "Y.", "last_name": "Sheng", "name_suffix": "", "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-02-04T07:25:58-08:00", "date_accepted": "2019-02-04T07:25:58-08:00", "date_published": "2019-12-09T14:34:20-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12504/galley/6633/download/" } ] }, { "pk": 60795, "title": "An Analysis of the International Climate Change Adaptation Regime and its Response to Global Public Health Concerns", "subtitle": null, "abstract": "Since climate change action has been on the international agenda, policies have focused on mitigating the issue with proposals to reduce emissions and increase sinks of greenhouse gases in an attempt to limit the extent of climate change damages. However, the likelihood of slowing down climate change enough to prevent detrimental changes is quickly diminishing. The recognition of this problem is exemplified by the international climate change regime’s growing focus on measures that seek to encourage capacity-building efforts to face climate change impacts and strengthen resilience. Existing climate change impacts are especially apparent in the context of global public health. Impacts on health can be seen through victims of severe weather, heatwaves, air pollution, malnutrition, and the rise in infectious diseases. Protection against global health problems requires international cooperation and governance. The United Nation’s Framework Convention on Climate Change has the potential to make significant advancements in addressing global health problems through its institutions, work programmes, and reporting commitments, especially those being developed under its growing adaptation regime. This Article argues that the adaptation regime is the most feasible option for alleviating climate change impacts on global public health and addresses remaining obstacles to the implementation of that regime, such as lack of funding and incentives.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "climate change" }, { "word": "Global" }, { "word": "Public health" }, { "word": "Framework Convention on Climate Change" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2mg130mq", "frozenauthors": [ { "first_name": "Lauren", "middle_name": "", "last_name": "Cullum", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T09:25:43-08:00", "date_accepted": "2019-12-06T09:25:43-08:00", "date_published": "2019-12-06T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60795/galley/46757/download/" } ] }, { "pk": 60792, "title": "Front Matter", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/02q0j325", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T09:16:30-08:00", "date_accepted": "2019-12-06T09:16:30-08:00", "date_published": "2019-12-06T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60792/galley/46754/download/" } ] }, { "pk": 60797, "title": "Incorporating Analysis of Sea-Level Rise Into Environmental Impact Reports", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Sea-level rise" }, { "word": "environmental impact report" }, { "word": "Ballona Wetlands" }, { "word": "Environmental Quality Act" } ], "section": "Comments", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/44h558wz", "frozenauthors": [ { "first_name": "Emily", "middle_name": "", "last_name": "Warfield", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T09:30:30-08:00", "date_accepted": "2019-12-06T09:30:30-08:00", "date_published": "2019-12-06T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60797/galley/46759/download/" } ] }, { "pk": 60794, "title": "Prior Appropriation and the Commons", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Garrett Hardin" }, { "word": "tragedy of the commons" }, { "word": "Water Allocation" }, { "word": "prior appropriation" }, { "word": "Water Rights" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6qm8z5xj", "frozenauthors": [ { "first_name": "Robert", "middle_name": "Haskell", "last_name": "Abrams", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T09:20:22-08:00", "date_accepted": "2019-12-06T09:20:22-08:00", "date_published": "2019-12-06T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60794/galley/46756/download/" } ] }, { "pk": 60793, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7w73f2qc", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T09:17:12-08:00", "date_accepted": "2019-12-06T09:17:12-08:00", "date_published": "2019-12-06T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60793/galley/46755/download/" } ] }, { "pk": 60796, "title": "The Legal Landscape of America's Landlocked Property", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "accessible wilderness" }, { "word": "western checkerboard" }, { "word": "eminent domain" } ], "section": "Comments", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1kx576dv", "frozenauthors": [ { "first_name": "John", "middle_name": "W.", "last_name": "Sheridan", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T09:28:31-08:00", "date_accepted": "2019-12-06T09:28:31-08:00", "date_published": "2019-12-06T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60796/galley/46758/download/" } ] }, { "pk": 57043, "title": "Congreso Internacional en Ocasión de María Del Carmen: Enrique Granados y Su Época", "subtitle": null, "abstract": "", "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": "Conference" }, { "word": "Granados" }, { "word": "Spain" }, { "word": "Musicology" }, { "word": "music history" } ], "section": "EDITOR'S NOTE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7dc573xt", "frozenauthors": [ { "first_name": "Walter Aaron", "middle_name": "", "last_name": "Clark", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-11-28T10:11:06-08:00", "date_accepted": "2019-11-28T10:11:06-08:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57043/galley/43243/download/" } ] }, { "pk": 57039, "title": "El tratamiento temático en María del Carmen: Un acercamiento al verismo español", "subtitle": null, "abstract": "María del Carmen\n se estrena en el eje del cambio de siglo, el 12 de noviembre de 1898, en una época crucial en cuanto al cambio de modelos e ideales del país. La ópera española libra su batalla particular en diversos frentes y Granados, en su primera obra lírica estrenada, decide apostar por esta baza renovadora. La pieza causará tanta admiración como desconcierto, por sus cualidades estructurales y renovadoras, y partiendo desde el análisis de su fuente original, la partitura del estreno de 1898 (recientemente rescatada por Walter Aaron Clark de un coleccionista privado) nos permite confirmar el tratamiento formal de la ópera, cercano al de la Giovane Scuola italiana. Se ratifica, por tanto, su consideración como obra moderna, y así nos permite rastrear las influencias contemporáneas que actúan sobre su composición.", "language": "es", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8qg3d17n", "frozenauthors": [ { "first_name": "Borja", "middle_name": "", "last_name": "Mariño", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-10-21T10:47:18-07:00", "date_accepted": "2019-10-21T10:47:18-07:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57039/galley/43239/download/" } ] }, { "pk": 57040, "title": "Enrique Granados y Antonio Noguera: Dos músicos «insensatos» en la Mallorca finisecular", "subtitle": null, "abstract": "La relación entre Enrique Granados y Antonio Noguera se inició mediante correspondencia epistolar en el año 1893, gracias a la intervención de Felipe Pedrell, maestro de ambos compositores y figura esencial que incidió activamente en su relación. El interés de Noguera por el compositor catalán hizo que asumiera su estilo compositivo como referente, que publicitara su obra en la prensa mallorquina, y que lo considerara como miembro activo de los insensatos, aquella nueva generación de literatos e intelectuales, que a partir del modelo del movimiento catalán, siguieron criterios modernistas y regionalistas en la isla a finales del siglo XIX. Cabe destacar que Granados viajó por primera vez a Mallorca en 1896 para realizar un concierto en la sociedad Círculo Mallorquín, gracias a las gestiones realizadas por Noguera, regresando a los pocos meses junto al Cuarteto Crickboom para ofrecer los llamados Conciertos clásicos. A partir de ese momento, la relación Granados-Noguera se intensificó volviéndose más estrecha. Enrique Granados se trasladó sistemáticamente a la isla hasta en ocho ocasiones documentadas para participar en los conciertos organizados por Noguera, llegando incluso a dirigir el concierto-homenaje al compositor mallorquín tras su muerte en 1904. Este artículo pretende realizar una primera aproximación a la relación entre Enrique Granados y Antonio Noguera, crítico, folclorista y compositor mallorquín, analizar su influencia en los conciertos ofrecidos por el catalán en la Mallorca finisecular y examinar la repercusión de la figura y la obra de Granados tras dichos conciertos.", "language": "es", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0q17964x", "frozenauthors": [ { "first_name": "Eugenia", "middle_name": "", "last_name": "Gallego Cañellas", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-10-21T10:50:28-07:00", "date_accepted": "2019-10-21T10:50:28-07:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57040/galley/43240/download/" } ] }, { "pk": 57041, "title": "Granados through the Rolls: The Presence of Enrique Granados in the Spanish Pianola Market", "subtitle": null, "abstract": "This article examines the presence of Enrique Granados’s music in the Spanish pianola market, both for metronomic and reproducing rolls. The analyzed material comes from several digitization and cataloging projects carried out by the Musicology Department Research Group at the Universitat Autònoma de Barcelona. These projects include the study of the main Spanish collections, such as the National Library of Spain (2016), the Music Museum of Barcelona (2014), the National Library of Catalunya (2012) and several private collections, which started in 2017 and are still in progress at the moment. The quantitative analysis on the volume of works by Granados published by the main companies in the sector, allows us to learn about the presence of the Catalan composer in a music market, now practically forgotten, that had a massive impact during the beginning of the twentieth century. On the other hand, by comparing these data from the catalogs with the results of our research on institutional and private collections, we can venture some aspects about the relationship between supply and demand in this particular context. What we present is, therefore, a first approach to the Iberian market of the pianola focusing on the figure of one of its central composers.", "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": "Enrique Granados, player piano, pianola rolls, reproducing piano rolls" } ], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/33k533pv", "frozenauthors": [ { "first_name": "Jordi", "middle_name": "", "last_name": "Roquer", "name_suffix": "", "institution": "Universitat Autònoma de Barcelona", "department": "" }, { "first_name": "Ángel", "middle_name": "", "last_name": "Monasterio", "name_suffix": "", "institution": "Universitat Autònoma de Barcelona", "department": "" }, { "first_name": "Joaquín", "middle_name": "", "last_name": "Ródenas", "name_suffix": "", "institution": "Universitat Autònoma de Barcelona", "department": "" } ], "date_submitted": "2019-10-21T10:53:35-07:00", "date_accepted": "2019-10-21T10:53:35-07:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57041/galley/43241/download/" } ] }, { "pk": 57042, "title": "La fuerza del regionalismo: Recepción de la obra de Enrique Granados en la ciudad de Murcia (1916–1922)", "subtitle": null, "abstract": "La recepción musical es un fenómeno que responde a una complejidad que sobrepasa con mucho la partitura. La clásica tripartición de Merriam es especialmente útil para comprender la afición musical en una época en la que el sonido no puede desvincularse de ningún modo de la carga ideológica y simbólica atribuida, que se traduce en un concepto y, sobre todo, en un comportamiento determinado hacia “una” música concreta. Bajo estas premisas pretendemos comprender la recepción en la ciudad de Murcia de la obra de Enrique Granados -desconocido para el público murciano hasta la creación de \nMaría del Carmen \n(1898), y, a raíz de la ópera de ambientación huertana, asumido como “propio”- tras el fallecimiento del compositor.", "language": "es", "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": "Granados, Murcia, recepción musical, siglo XX, nacionalismo" } ], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1j07g6n6", "frozenauthors": [ { "first_name": "Enrique", "middle_name": "", "last_name": "Encabo", "name_suffix": "", "institution": "Universidad de Murcia", "department": "" } ], "date_submitted": "2019-10-21T10:55:51-07:00", "date_accepted": "2019-10-21T10:55:51-07:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57042/galley/43242/download/" } ] }, { "pk": 57044, "title": "María del Carmen: Birth, Death, and Resurrection of Enrique Granados’s Operatic chef d’oeuvre", "subtitle": null, "abstract": "Granados is best known to opera-goers as the composer of the musically enchanting (if dramatically lackluster) \nGoyescas\n, a work derived from his eponymous piano suite, both compositions having been inspired by the art and epoch of the great Spanish painter Francisco de Goya (1746–1828). However, conspicuous by a lengthy absence has been his other Spanish opera, \nMaría del Carmen\n (1898), the stagework the composer himself esteemed most. This is the opera for which Granados \nshould\n be famous. The fact that it is not poses several questions. Why did this opera languish in obscurity for decades, being revived only in 2003—outside of Spain—and then in a revision of uncertain faithfulness to the composer’s intentions? Indeed, is this the work that Granados originally conceived? If not, where is Granados’s original score? And why should we care? What significance, if any, does this opera have in the history of Spanish music, culture, and even politics? The following paragraphs present the answers to these questions.", "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": "Enrique, Eduardo, and Víctor Granados" }, { "word": "María del Carmen" }, { "word": "Josep Feliu i Codina" }, { "word": "Nathaniel Shilkret" } ], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zf599wk", "frozenauthors": [ { "first_name": "Walter Aaron", "middle_name": "", "last_name": "Clark", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-11-28T10:13:25-08:00", "date_accepted": "2019-11-28T10:13:25-08:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57044/galley/43244/download/" } ] }, { "pk": 5545, "title": "Pre-and Post-Partum Whistle Production of a Bottlenose Dolphin (Tursiops truncatus) Social Group", "subtitle": null, "abstract": "The signature whistle of the Atlantic bottlenose dolphin (\nTursiops truncatus\n) is a well-studied acoustic signal know for broadcasting identity and maintaining contact with conspecifics. Several studies have investigated the use of this signal surrounding the birth of calves to dolphin social groups, although there appears to be discrepancies between the findings of these studies. We aimed to add to the current literature in an attempt to reconcile some of these inconsistencies through investigation of signature whistle production by a bottlenose dolphin group two months prior to and two months following the birth of a calf to one of the social group members. We found that the production of signature whistles matching the contour belonging to our dolphin mother increased significantly in both the pre- and post-partum period. Heightened production of the mother’s signature whistle type in the first week of our focal calf’s life supports the establishment of a recognition system within this time period. Given that learning processes associated with the sound environment appear to begin shortly after calf birth, we also explored the signature whistle rates of the other social group members in an effort to determine whether any signature whistle production influenced the development of the dolphin calf’s own signature whistle type. We found that the signature whistles of the other social group members were significantly lower than production of the mother’s signature whistle until after the first week post-partum. None of the signature whistle types appeared to influence the signature whistle development of our focal calf within the scope of this study, however, as the calf did not develop a signature whistle in her first two months of life.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "signature whistle, dolphin, calf, develop, partum, maternal, production, rate" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z28x94p", "frozenauthors": [ { "first_name": "Audra", "middle_name": "E", "last_name": "Ames", "name_suffix": "", "institution": "Fundación Oceanogràfic de la Comunitat Valenciana", "department": "None" }, { "first_name": "Riley", "middle_name": "P", "last_name": "Macgregor", "name_suffix": "", "institution": "The University of Southern Mississippi", "department": "None" }, { "first_name": "Sara", "middle_name": "J", "last_name": "Wielandt", "name_suffix": "", "institution": "Six Flags Discovery Kingdom", "department": "None" }, { "first_name": "Dianne", "middle_name": "M", "last_name": "Cameron", "name_suffix": "", "institution": "Six Flags Discovery Kingdom", "department": "None" }, { "first_name": "Stan", "middle_name": "A", "last_name": "Kuczaj", "name_suffix": "", "institution": "The University of Southern Mississippi", "department": "None" }, { "first_name": "Heather", "middle_name": "M", "last_name": "Hill", "name_suffix": "", "institution": "St. Mary's University", "department": "None" } ], "date_submitted": "2019-06-17T04:32:19-07:00", "date_accepted": "2019-06-17T04:32:19-07:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5545/galley/3357/download/" } ] }, { "pk": 5539, "title": "The Role of Biological Significance in Human Learning and Memory", "subtitle": null, "abstract": "Deeply rooted within the history of experimental psychology is the search for general laws of learning that hold across tasks and species. Central to this enterprise has been the notion of equipotentiality; that any two events have the same likelihood of being associated with one another as any other pair of events. Much work, generally summarized as ‘biological constraints on learning,’ has challenged this view, and demonstrates pre-existing relations between cues and outcomes, based on genes and prior experience, that influence potential associability. Learning theorists and comparative psychologists have thus recognized the need to consider how the evolutionary history as well as prior experience of the organism being studied influences its ability to learn about and navigate its environment. We suggest that current models of human memory, and human memory research in general, lack sufficient consideration of how human evolution has shaped human memory systems. We review several findings that suggest the human memory system preferentially processes information relevant to biological fitness, and highlight potential theoretical and applied benefits afforded by adopting this functionalist perspective.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "adaptive memory" }, { "word": "equipotentiality" }, { "word": "learning" }, { "word": "memory" } ], "section": "SI: ISCP bienniel meeting (2018)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67k6r0n9", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "M", "last_name": "Seitz", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" }, { "first_name": "Aaron", "middle_name": "P", "last_name": "Blaisdell", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" }, { "first_name": "Cody", "middle_name": "P", "last_name": "Polack", "name_suffix": "", "institution": "State University of New York at Binghamton", "department": "None" }, { "first_name": "Ralph", "middle_name": "R", "last_name": "Miller", "name_suffix": "", "institution": "State University of New York at Binghamton", "department": "None" } ], "date_submitted": "2019-06-02T18:23:19-07:00", "date_accepted": "2019-06-02T18:23:19-07:00", "date_published": "2019-12-03T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5539/galley/3354/download/" } ] }, { "pk": 42964, "title": "About the Contributors", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "<p>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. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</p>", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Contributors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7cb7x4df", "frozenauthors": [ { "first_name": "Managing Editor", "middle_name": "", "last_name": "Sabine Kim", "name_suffix": "", "institution": "Mainz University", "department": "None" } ], "date_submitted": "2019-12-30T11:00:23-08:00", "date_accepted": "2019-12-30T11:00:23-08:00", "date_published": "2019-12-01T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42964/galley/32017/download/" } ] }, { "pk": 41892, "title": "When Even Spirit Has No Place to Call Home: Cultural Appropriation, Microagressions, and Structural Racism in the Yoga Workplace", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [], "section": "Personal Narratives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mn5k1m1", "frozenauthors": [ { "first_name": "Lakshmi", "middle_name": "", "last_name": "Nair", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-18T19:05:58-07:00", "date_accepted": "2019-08-18T19:05:58-07:00", "date_published": "2019-11-30T00:00:00-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/raceandyoga/article/41892/galley/31298/download/" } ] }, { "pk": 44778, "title": "Intralesional Corticosteroid as a Treatment Option for Primary Cutaneous B-Cell Lymphomas: A Case Series and Literature Review", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5661r664", "frozenauthors": [ { "first_name": "Natalie", "middle_name": "M.", "last_name": "Villa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lorraine", "middle_name": "", "last_name": "Young", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:48:24-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44778/galley/33571/download/" } ] }, { "pk": 44777, "title": "Autoimmune Pancreatitis and Immunotherapy", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/84v964nn", "frozenauthors": [ { "first_name": "Evangelia", "middle_name": "", "last_name": "Kirimis", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:46:31-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44777/galley/33570/download/" } ] }, { "pk": 44776, "title": "Post-Transplant Erythrocytosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0cz036fk", "frozenauthors": [ { "first_name": "Evangelia", "middle_name": "", "last_name": "Kirimis", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:44:39-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44776/galley/33569/download/" } ] }, { "pk": 44775, "title": "Iron Man: Understanding the Many Clinical Manifestations of Hereditary Hemochromatosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3zx9q84g", "frozenauthors": [ { "first_name": "Mufaddal", "middle_name": "", "last_name": "Dahodwala", "name_suffix": "MD, MS", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:42:24-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44775/galley/33568/download/" } ] }, { "pk": 44774, "title": "Influenza Vaccine Skepticism", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7mn6h4mt", "frozenauthors": [ { "first_name": "Jack", "middle_name": "", "last_name": "Dougherty", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:40:35-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44774/galley/33567/download/" } ] }, { "pk": 44773, "title": "Clinical Outcome Measures for Patients Attending Type 2 Diabetes Education Workshops", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3z80442x", "frozenauthors": [ { "first_name": "Vanessa", "middle_name": "", "last_name": "Arguello-Schmidt", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Dan", "middle_name": "", "last_name": "Erdman", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Matthew", "middle_name": "J.", "last_name": "Freeby", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:38:36-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44773/galley/33566/download/" } ] }, { "pk": 44772, "title": "Pancreatic Cancer", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9qv9j154", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Ovsiowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cho", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:36:18-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44772/galley/33565/download/" } ] }, { "pk": 44771, "title": "Bleeding Dieulafoy’s Lesion in the Colon", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6hw9t20f", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Ovsiowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cho", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:34:45-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44771/galley/33564/download/" } ] }, { "pk": 44770, "title": "Unilateral Renal Cystic Disease: A Rare Disease", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7nn1160s", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "Jessie", "last_name": "Aldan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Igor", "middle_name": "", "last_name": "Kagan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:32:35-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44770/galley/33563/download/" } ] }, { "pk": 44769, "title": "The Clinical Utility and Accuracy of Four Equations Predicting Delta Serum Na+ Over Shorter Timeframes (2-4 Hours) The accuracy of delta Na+ modeling equations revisited over shorter time periods", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5t49t9wb", "frozenauthors": [ { "first_name": "Ramy", "middle_name": "M.", "last_name": "Hanna", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "James", "middle_name": "", "last_name": "Wilson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ira", "middle_name": "", "last_name": "Kurtz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:30:28-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44769/galley/33562/download/" } ] }, { "pk": 44768, "title": "Appendiceal Tumor Presenting as Acute Appendicitis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8dr9b90z", "frozenauthors": [ { "first_name": "Mary", "middle_name": "", "last_name": "Farid", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lynn", "middle_name": "", "last_name": "Connolly", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:27:45-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44768/galley/33561/download/" } ] }, { "pk": 44767, "title": "Esophageal Eosinophilia – When to Blame the Medications", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4td405z1", "frozenauthors": [ { "first_name": "Lynn", "middle_name": "", "last_name": "Connolly", "name_suffix": "MD, MSCR", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mary", "middle_name": "", "last_name": "Farid", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:25:03-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44767/galley/33560/download/" } ] }, { "pk": 44766, "title": "Cancer and Depression", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0kj4m6kw", "frozenauthors": [ { "first_name": "Gloria", "middle_name": "", "last_name": "Kim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:22:58-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44766/galley/33559/download/" } ] }, { "pk": 44765, "title": "Vertebral Osteomyelitis in Intravenous Drug Abuser", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4h97w6zn", "frozenauthors": [ { "first_name": "Roya", "middle_name": "", "last_name": "Mojarrad", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:20:23-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44765/galley/33558/download/" } ] }, { "pk": 44764, "title": "A Rare Case of Parvimonas Micra Bacteremia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2x89q979", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "C.", "last_name": "Ross", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:17:53-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44764/galley/33557/download/" } ] }, { "pk": 44763, "title": "UCLA Internal Medicine-Pediatrics Routine Health Maintenance Guidelines", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Brief Clinical Update" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4fz95686", "frozenauthors": [ { "first_name": "Mridula", "middle_name": "", "last_name": "Watt", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Janet", "middle_name": "", "last_name": "Ma", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:15:28-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44763/galley/33556/download/" } ] }, { "pk": 44762, "title": "Bradycardia and Hypothermia in a Patient with Dementia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3rq2n8xh", "frozenauthors": [ { "first_name": "Marie", "middle_name": "", "last_name": "Adachi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Erin", "middle_name": "A.", "last_name": "Cook", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T13:13:26-08:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44762/galley/33555/download/" } ] }, { "pk": 5535, "title": "A Portable System for Detecting Infrasound Using a Microcontroller", "subtitle": null, "abstract": "The purpose of this project was to create a device to detect infrasound communication from elephants. The device was designed and prototyped to be capable of monitoring an input signal for infrasound. If infrasound is detected, an audible alarm is sounded. This device can record audio signals for long periods of time to a digital storage device. It can be utilized for other areas of study with some modification. For example, by selecting appropriate sensors the device can be used for studying vibrations in structures. The device is low-cost so it would be able to be procured more easily and in higher quantities than more expensive and cumbersome laboratory monitoring equipment. This device could also be used as an educational and research device for students studying animal behavior in the field and laboratory. Infrasound is not limited to only elephants, but hippopotamuses, rhinoceroses and giraffes also communicate with infrasound. Environmental infrasound from sources such as wind turbines, sonic booms, explosions, tornadoes, and earthquakes can also be monitored.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Infrasound detection" }, { "word": "microcontroller" }, { "word": "Elephants" }, { "word": "fast Fourier transform" }, { "word": "Seismometer" }, { "word": "geophone" } ], "section": "Brief Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/49j4h509", "frozenauthors": [ { "first_name": "Steven", "middle_name": "", "last_name": "Bergren", "name_suffix": "", "institution": "Oklahoma State University", "department": "None" }, { "first_name": "Carl", "middle_name": "D", "last_name": "Latino", "name_suffix": "", "institution": "Oklahoma State University", "department": "None" }, { "first_name": "Christopher", "middle_name": "A", "last_name": "Varnon", "name_suffix": "", "institution": "Converse College", "department": "None" }, { "first_name": "Charles", "middle_name": "I", "last_name": "Abramson", "name_suffix": "", "institution": "Oklahoma State Uniersity", "department": "None" } ], "date_submitted": "2019-05-01T00:03:45-07:00", "date_accepted": "2019-05-01T00:03:45-07:00", "date_published": "2019-11-26T10:55:17-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5535/galley/3351/download/" } ] }, { "pk": 757, "title": "Neurosyphilis: Old Disease, New Implications for Emergency Physicians", "subtitle": null, "abstract": "Recent epidemiologic data demonstrate increasing rates of neurosyphilis, particularly among those in the community of men who have sex with men and those coinfected with the human immunodeficiency virus (HIV). Here we discuss a case of early neurosyphilis and new HIV diagnosis in a 27-year-old previously-healthy trans woman presenting for the second time with progressive, ascending weakness and cranial nerve VI palsy. Emergency physicians should consider this rare but highly morbid diagnosis, given the rising prevalence of neurosyphilis among at-risk patients and those with new neurologic deficits.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0gp0n4x6", "frozenauthors": [ { "first_name": "Laura", "middle_name": "", "last_name": "Mercurio", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island; Alpert Medical School of Brown University, Department of Pediatrics, Providence, Rhode Island", "department": "None" }, { "first_name": "Lynn", "middle_name": "E.", "last_name": "Taylor", "name_suffix": "", "institution": "University of Rhode Island Providence Campus, CODAC Behavioral Health, Providence, Rhode Island", "department": "None" }, { "first_name": "Angela", "middle_name": "F.", "last_name": "Jarman", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2019-11-19T13:26:24-08:00", "date_accepted": "2019-11-19T13:26:24-08:00", "date_published": "2019-11-19T13:27:12-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/757/galley/512/download/" } ] }, { "pk": 756, "title": "Disseminated Gonorrhea", "subtitle": null, "abstract": "Sexually transmitted infections have risen sharply over the last decade in the United States. The incidence of gonorrhea has risen to 172 reported cases per 100,000 people over the past year. This likely represents an under-representation due to many cases going unreported. Disseminated gonorrhea can present with nonspecific symptoms including arthralgia, cutaneous lesions, or tenosynovitis. Diagnosis is based upon a degree of high clinical suspicion and serology. Emergency department treatment includes ceftriaxone and azithromycin.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37p3n2z7", "frozenauthors": [ { "first_name": "Janelle", "middle_name": "", "last_name": "Estrada", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "Shane", "middle_name": "", "last_name": "Sergent", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Ashurst", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" } ], "date_submitted": "2019-11-19T13:16:27-08:00", "date_accepted": "2019-11-19T13:16:27-08:00", "date_published": "2019-11-19T13:17:19-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/756/galley/511/download/" } ] }, { "pk": 755, "title": "Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula Oxygen", "subtitle": null, "abstract": "Carbon monoxide (CO) poisoning is typically treated by administration of oxygen via non-rebreather mask (NRB). High-flow nasal cannula (HFNC) is an alternative to NRB in a variety of disease states. We report a case of the novel use of HFNC in the treatment of acute CO poisoning. A 29-year-old man presented with a carboxyhemoglobin (COHb) level of 29.8%. He was treated with HFNC, and COHb levels declined to 5.4% in 230 minutes. Given several theoretical advantages of HFNC relative to NRB, HFNC is a potential option for use in the treatment of CO poisoning.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/54p5v2g4", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Southern New Hampshire Medical Center, Department of Emergency Medicine, Nashua, New Hampshire", "department": "None" }, { "first_name": "Steven", "middle_name": "D.", "last_name": "Salhanick", "name_suffix": "", "institution": "Massachusetts/Rhode Island Center for Poison Control and Information, Staff Toxicologist, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-11-19T12:02:07-08:00", "date_accepted": "2019-11-19T12:02:07-08:00", "date_published": "2019-11-19T12:02:42-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/755/galley/510/download/" } ] }, { "pk": 754, "title": "Bilateral Luxatio Erecta Humeri With Acute Anterior-inferior Re-dislocation", "subtitle": null, "abstract": "Luxatio erecta is a description for a specific and rare type of shoulder dislocation where the humeral head dislocates directly inferior. This rare form of glenohumeral dislocation accounts for only 0.5% of shoulder dislocations. It is even less common for both shoulders to be bilaterally dislocated inferiorly with the characteristic “hands up” posture. A limited number of these bilateral occurrences are described in the literature to date and most have been from higher energy trauma. We have described a low energy case of bilateral luxatio erecta and the reduction method used and the continued instability following successful reduction under procedural anesthesia.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2cg281ks", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Kessler", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" }, { "first_name": "Jacob", "middle_name": "", "last_name": "Hinkley", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Houserman", "name_suffix": "", "institution": "Des Moines University, Des Moines, Iowa", "department": "None" }, { "first_name": "Jacob", "middle_name": "", "last_name": "Lytle", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Sorscher", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" } ], "date_submitted": "2019-11-19T11:56:20-08:00", "date_accepted": "2019-11-19T11:56:20-08:00", "date_published": "2019-11-19T11:58:10-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/754/galley/509/download/" } ] }, { "pk": 753, "title": "Pseudo-duplication of the Gallbladder", "subtitle": null, "abstract": "Phrygian cap and its rare relative, pseudo-duplication of the gallbladder, are two radiologic findings that may be revealed on ultrasound evaluation. Correct identification of Phrygian cap and pseudo-duplication should trigger a careful survey of the gallbladder in its entirety to rule out pathology. These anatomic variants may lead to partial under-distension of the gallbladder and can cause the gallbladder wall to appear falsely thickened. Asymptomatic patients with this finding may be safely discharged while symptomatic patients may require further surgical consultation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/70x1p2ph", "frozenauthors": [ { "first_name": "Jamie", "middle_name": "", "last_name": "Adamski", "name_suffix": "", "institution": "Jefferson Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Divya", "middle_name": "", "last_name": "Mohan", "name_suffix": "", "institution": "Jefferson Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania; Jefferson Northeast, Department of Family Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Waasdorp", "name_suffix": "", "institution": "Jefferson Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania; Jefferson Northeast, Department of Family Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-11-19T11:50:34-08:00", "date_accepted": "2019-11-19T11:50:34-08:00", "date_published": "2019-11-19T11:51:19-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/753/galley/508/download/" } ] }, { "pk": 41887, "title": "Be Still, Be Present: Black Girl Yoga and Digital Counter Spaces", "subtitle": null, "abstract": "Controlling images of Black womanhood and the exclusivity of mainstream wellness spaces complicate Black women’s relationship to yoga. The purpose of this study is to explore how a popular Instagram page, Black Girl Yoga, engages Black women with the spiritual practice. A combined Visual Discourse Analysis (VDA) and Critical Discourse Analysis (CDA) revealed that BGY engages Black women with yoga by a) constructing a culture of inclusivity, b) affirming the individuality of Black women, c) intertextualizing African American cultural discourse and yogic principles, d) decentering Black women’s oppression, and e) creating continuity with physical yoga counter spaces. Implications for theory and praxis are discussed.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Black women" }, { "word": "Controlling Images" }, { "word": "Digital Counter Spaces" }, { "word": "the Mammy" }, { "word": "Wellness" }, { "word": "Yoga" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6q3473t2", "frozenauthors": [ { "first_name": "Shanice", "middle_name": "Jones", "last_name": "Cameron", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2019-02-28T13:00:41-08:00", "date_accepted": "2019-02-28T13:00:41-08:00", "date_published": "2019-11-16T15:07:14-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/raceandyoga/article/41887/galley/31296/download/" } ] }, { "pk": 752, "title": "Euglycemic Diabetic Ketoacidosis in Pregnancy", "subtitle": null, "abstract": "The clinical presentation of diabetic ketoacidosis in pregnancy (DKP) is similar to that observed in nonpregnant women, although reports suggest the presenting blood glucose level may not be as high. It is hypothesized that lower, maternal fasting glucose levels are a result of both the fetus and the placenta consuming glucose. We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0js333b7", "frozenauthors": [ { "first_name": "Júlio", "middle_name": "César", "last_name": "Garcia de Alencar", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Geovane", "middle_name": "", "last_name": "Wiebelling da Silva", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Sabrina", "middle_name": "", "last_name": "Correa da Costa Ribeiro", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Júlio", "middle_name": "Flavio", "last_name": "Meirelles Marchini", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Rodrigo", "middle_name": "Antonio", "last_name": "Brandao Neto", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Heraldo", "middle_name": "", "last_name": "Possolo de Souza", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" } ], "date_submitted": "2019-11-15T14:53:06-08:00", "date_accepted": "2019-11-15T14:53:06-08:00", "date_published": "2019-11-15T14:54:03-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/752/galley/507/download/" } ] }, { "pk": 12572, "title": "Teamwork between Engineering and Medicine: Collaborative Training in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nEntrustable Professional Activities (EPAs) 9 and 13 are to “collaborate as a member of an interprofessional team” and to “identify system failures thereby contributing to a culture of safety and improvement.” Addressing EPA 9, an interprofessional initiative was begun using a project team between two university programs: medical education and health systems engineering. Addressing EPA 13, this team set out to provide diagnostic analytics for Length of Stay (LOS) delays in the Emergency Department (ED).\nMethods: \nThis project was performed in 2018 at an ED with 42 beds, an annual census of 70,000, and a 38% admission rate. Two healthcare systems engineering students and a medical student performed on-site observations to identify specific bottlenecks that could contribute to ED LOS. This data and data generated from the electronic medical record were analyzed and correlated with observations. Factors (44) that affect ED processes were analyzed, including time interval metrics such as arrival to triage, arrival to admit, disposition to departure, and bed request to admit. \nResults: \nPatients had an average LOS of 5.9 hours. A total of 4,940 adult, non-psychiatric cases presented; 1,599 (32.4%) of these were admitted. Process evaluation (Figure, mean and median minutes) showed differences between day (7a-7p) and night (7p-7a) flow patterns. These quantitative results (EPA 13) were determined by the interprofessional collaborative work efforts of the students (qualitatively, the outcome of EPA 9).This project demonstrated a synergistic educational experience that allowed the blending of medical education with process engineering, ultimately improving knowledge gaps of both. This unique process allowed for diagnostics to be performed that were necessary for the ED and simultaneously provided a stronger foundation for QI undertakings for both engineering and medical students.\n \nConclusion: \nMedical students can benefit from working alongside systems engineers, allowing them to see the value of using tools (simulation modeling, statistical analysis, process flow mapping, etc.) to uncover evidence-based improvements to a variety of medical processes. Healthcare systems engineering students can gain valuable experience in a complex medical environment. Looking for solutions to the disparity between flow during the day and night is an opportunity for future study.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Interprofessional Team" }, { "word": "Length of Stay" }, { "word": "emergency department" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zh386w6", "frozenauthors": [ { "first_name": "Philip", "middle_name": "T.", "last_name": "Bowers", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Xiandong", "middle_name": "", "last_name": "Peng", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Elyse", "middle_name": "R.", "last_name": "Stevens", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Ana-Iulia", "middle_name": "", "last_name": "Alexandrescu-Anselm", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Richard", "middle_name": "S.", "last_name": "Mackenzie", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Terrill", "middle_name": "E.", "last_name": "Theman", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Andrew", "middle_name": "C.", "last_name": "Miller", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Ann", "middle_name": "L.", "last_name": "Gallagher", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Marna", "middle_name": "R.", "last_name": "Greenberg", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" } ], "date_submitted": "2019-03-04T13:18:38-08:00", "date_accepted": "2019-03-04T13:18:38-08:00", "date_published": "2019-11-05T13:50:58-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12572/galley/6664/download/" } ] }, { "pk": 12578, "title": "Attitudes, Behavior & Knowledge of Emergency Medicine Healthcare Providers Regarding LGBT+ Patient Care", "subtitle": null, "abstract": "Introduction: \nThere is evidence that healthcare providers are lacking in knowledge and confidence when it comes to treating LGBT+ patients.\nObjective:\n To assess providers’ LGBT+ health-care knowledge, willingness to treat LGBT+ patients, communication behaviors, and whether there is a need for additional training. This involved an assessment that measured respondents’ knowledge of LGBT+ patients’ reluctance to communicate with providers, risk for certain cancers, and risk for suicide. Secondary outcomes assessed providers’ attitudes and practices toward LGBT+ patients.\nMethods:\n 16 physicians and 24 nurses in the emergency department of an urban Level 1 trauma center were asked to participate in a survey regarding LGBT+ health. The survey was modified from published work and included questions about transgender patients. The effects of age, gender, and type of provider were contrasted with their willingness to treat and knowledge of LGBT+ healthcare. Descriptive statistics, Fisher’s exact test, and the Wilcoxon rank-sum and Kruskal-Wallis tests were used. This study was approved by the IRB and all data was de-identified.\nResults:\n Compared to nurses, physicians were 9.0 (95% CI: 2.09–38.79) times more likely to agree with the statement “LGBT+ patients avoid accessing healthcare due to difficulty communicating with providers” (p=.003). Further, providers under the age 45 had a higher level of agreement with the statement “There should be more education in health professional schools on LGBT+ health needs” (p=.03) and with “being listed as an LGBT-friendly provider” (p=.001), as did nurses (p = .04) and those who identify as LGBT+ or know someone who identifies as LGBT+ (p=.005). Finally, respondents reported higher agreement to the statement “There should be educational events at my hospital about LGBT+ health needs” (Mdn=4, IQR=3–5) than to “I am well informed on the health needs of the LGBT patients” (Mdn=2, IQR=2–3).\nConclusions: \nThere is a need and desire for educational events at the professional school and provider level, in addition it is recommended to conduct an educational intervention.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "LGBT" }, { "word": "emergency providers" }, { "word": "Gay" }, { "word": "transgender" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3ww409ff", "frozenauthors": [ { "first_name": "Lera", "middle_name": "", "last_name": "Driver", "name_suffix": "", "institution": "Loyola University Chicago, Stritch School of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Adams", "name_suffix": "", "institution": "Loyola University Chicago, Stritch School of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Jacqueline", "middle_name": "", "last_name": "Dziedzic", "name_suffix": "", "institution": "Loyola University Chicago, Stritch School of Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-03-05T11:33:45-08:00", "date_accepted": "2019-03-05T11:33:45-08:00", "date_published": "2019-11-05T13:31:11-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12578/galley/6667/download/" } ] }, { "pk": 12599, "title": "The Incidence of Septic Patients Identified Using a Sepsis Order Bundle", "subtitle": null, "abstract": "Introduction: \nSepsis order sets improve compliance with the established guidelines, but clinicians must be careful to initiate these protocols on appropriate patients. Many conditions can mimic sepsis as defined by SEP-1 (two or more SIRS* criteria and a suspected infection) such as trauma, COPD, etc. SEP-1 criteria alone can lead to initiating a sepsis protocol without true infection based solely on vital signs.\nObjective: \nTo assess the incidence of patients who had a sepsis order set, but an infection was not discovered during their hospital course.\nMethods: \nThis study is a single-center retrospective chart review of all “SIRS positive” patients >21 years old who presented to a busy community ED who had the sepsis order set initiated from the emergency department in 2017. A total of 1577 encounters met inclusion criteria. The discharge diagnoses were reviewed to identify unique diagnoses. Similar diagnoses (e.g. RLQ abdominal pain and abdominal pain) were grouped together into the more generalized diagnosis. Several of the unique discharge diagnoses (161) were vague and required individual chart review by two people.\nResults: \nTwo hundred fifty-one unique discharge diagnoses were identified and then categorized as infectious or not. Conditions which may be inflammatory versus infectious (e.g. diverticulitis), but are classically treated with antibiotics were counted as infectious. One hundred sixty-one charts were reviewed by two physicians, of which, 130 (81%) were identified as having an infectious condition (K = 0.87). The most common sepsis mimic was abdominal pain, followed by COPD, and cough. A third (33.6%) did not have an infection identified.\n \nConclusion:\n SEP-1 criteria for diagnosis and treating sepsis are not specific, with one-third false positives. Identification criteria with higher specificity is needed, and may reduce healthcare expense.\n*SIRS (Systemic Inflammatory Response Syndrome) is defined as temperature > 38C° or < 36C°, heart rate > 90 beats per minute, respiratory rate > 20 or PaCO2 < 32 mmHg, and WBC > 12k or < 4k/mm3.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "sepsis" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1c1521sp", "frozenauthors": [ { "first_name": "Nathan", "middle_name": "", "last_name": "Nazzise", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, West Islip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Gekle", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, West Islip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Bramante", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, West Islip, New York", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-03-11T19:09:38-07:00", "date_accepted": "2019-03-11T19:09:38-07:00", "date_published": "2019-11-05T13:30:23-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12599/galley/6677/download/" } ] }, { "pk": 12435, "title": "Scenario-based Pilot Testing of EMS Provider Interpretation of a Novel Pediatric Triage Protocol", "subtitle": null, "abstract": "Introduction: \nPediatric care is increasingly concentrated in a small number of hospitals. No widely operative triage protocols guide emergency medical services’ (EMS) pediatric destination decision for non trauma patients. The PDTree tool is an evidence-based protocol validated by expert consensus, which was developed to assist EMS providers’ in choosing a pediatric destination facility capable of definitive care. The PDTree defines four tiers of pediatric care (specialty/trauma center, comprehensive pediatric facility, regional pediatric facility and closest ED), and matches patients by condition and EMS assessment.\nObjective: \nTo pilot test the PDTree tool with practicing EMS providers for accuracy of interpretation and performance across the range of practice levels and prior experience\nMethods: \nMaryland EMS providers voluntarily participated in online testing. Demographic data included certification level, location of primary EMS jurisdiction, and years of experience. Providers were provided with a copy of the PDTree tool and presented 14 patient scenarios; each scenario was written to match one condition description in the PDTree tool with a clear recommendation for destination facility capability level. For each scenario, providers were asked to name their most likely destination, and to select the level of care suggested by their interpretation of the PDTree tool.\nResults: \n100 providers (52 ALS, 48 BLS) completed the electronic pilot test. Providers named a destination hospital with appropriate capabilities in 60% of scenarios. Providers’ interpretation of the PDTree’s advised destination level agreed with the intended response for 71% of scenarios. Greater than 90% agreement was seen for burns, witnessed child abuse, and cervical spine injury. Less than 50% agreement was seen for shock and a non distressed child with a tracheostomy. Rates of agreement differed for diabetic ketoacidosis and non distressed medically complex child based on provider level, and for elbow injury with deformity with years of experience (Chi Square p value = 0.01 and p value = 0.04, respectively).\nConclusion: \nEMS providers accurately interpreted the PDTree tool to determine the advised destination for a majority of pediatric scenarios. Future evaluation will focus on conditions with lower rates of agreement to determine if educational interventions or tool alterations are required. Virtual pilot testing using clinical vignettes is a reasonable first step in assessing the usability of a novel clinical decision-making tool.\nAcknowledgement: \nFunding was provided by a grant from the United States Health Resources and Service Administration (HRSA-16-053: PDTree: A Tool for Prehospital Pediatric Destination Choice).", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2q4148dm", "frozenauthors": [ { "first_name": "Kyle", "middle_name": "A.", "last_name": "Fratta", "name_suffix": "", "institution": "Johns Hopkins University, School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baltimore, MD", "department": "None" }, { "first_name": "Jennifer", "middle_name": "N.", "last_name": "Fishe", "name_suffix": "", "institution": "University of Florida College of Medicine – Jacksonville, Department of Emergency Medicine, Jacksonville, FL", "department": "None" }, { "first_name": "Jennifer", "middle_name": "F.", "last_name": "Anders", "name_suffix": "", "institution": "Johns Hopkins University, School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baltimore, MD", "department": "None" } ], "date_submitted": "2019-01-14T14:56:49-08:00", "date_accepted": "2019-01-14T14:56:49-08:00", "date_published": "2019-11-05T13:29:55-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12435/galley/6608/download/" } ] }, { "pk": 12571, "title": "Reducing Substance Use by an Emergency Department Intervention", "subtitle": null, "abstract": "Introduction: \nSubstance use and misuse is prevalent in emergency department (ED) patients. We set out to determine substance use reduction rates after a brief ED intervention for patients with tobacco, alcohol, or drug use. \nMethods: \nIn this pilot prospective study, we approached a convenience sample of subjects in 2 EDs in PA during scheduled provider nonclinical times. One site was a trauma center while the other was a smaller community hospital. Subjects had to be ≥18 yo, have capacity to answer survey questions and participate in the program interventions, could not be critically ill, and had to be willing to participate. Participating subjects admitted to definitions of unhealthy use of one or more of: tobacco products, alcohol, street drugs, or addictive prescription drugs. Subjects received a structured survey and intervention tool that was previously validated (Project ASSERT), a brief intervention based on motivational interviewing, and referral to treatment, which took on average 5-10 minutes1. The intervention was carried out by a medical student, Emergency Medicine (EM) Resident, or an Addiction Recovery Specialist (a licensed social worker and certified recovery specialist with lived substance use disorder experience). These providers had training in Project ASSERT prior to the study start. Phone follow-up was used to determine current substance use by the patient. Subjects received no financial incentives.\nResults: \nOne-hundred ninety-one patients were recruited (105 for tobacco usage, 54 for alcohol, and 32 for drugs). At follow-up, 16/105 tobacco users (15.0%) reported stopping smoking, 51 (48.6%) a decrease in the number of cigarettes per day, and 32 (30.5%) attempting to quit. Of 54 patients in the high-risk alcohol utilization group, 40 (74.1%) reported either a decrease in the number of days per week of drinking, or a decrease in the number of drinks per day. Of the 32 patients who used drugs, 25 (78.1%) reported a decrease in usage.\nConclusion:\n In this pilot study involving medical students, EM residents and drug counselors at 2 EDs, we found that a brief intervention to patients with unhealthy tobacco, alcohol, and drug use resulted in overall decreased use. A more robust study, with a larger patient sample size is indicated.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Substance use" }, { "word": "Intervention" }, { "word": "Emergency Medicine" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0qw1m11r", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "E.", "last_name": "Fieman", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Matthew", "middle_name": "D.", "last_name": "Marschall", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Smeet", "middle_name": "R.", "last_name": "Bhimani", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Derek", "middle_name": "J.", "last_name": "Fikse", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Ryan", "middle_name": "A.", "last_name": "Anderson", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Paige", "middle_name": "", "last_name": "Roth", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Jennifer", "middle_name": "S.", "last_name": "Stephens", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Internal Medicine", "department": "None" }, { "first_name": "Manuel", "middle_name": "F.", "last_name": "Colon", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Kevin", "middle_name": "R.", "last_name": "Weaver", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "David", "middle_name": "M.", "last_name": "Richardson", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "David", "middle_name": "B.", "last_name": "Burmeister", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Marna", "middle_name": "R.", "last_name": "Greenberg", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Robert", "middle_name": "D.", "last_name": "Cannon", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" } ], "date_submitted": "2019-03-04T12:58:32-08:00", "date_accepted": "2019-03-04T12:58:32-08:00", "date_published": "2019-11-05T13:27:50-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12571/galley/6663/download/" } ] }, { "pk": 13349, "title": "WestJEM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "WestJEM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5gs6t2rq", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Louis", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Dana", "middle_name": "", "last_name": "Le", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2019-11-05T13:03:28-08:00", "date_accepted": "2019-11-05T13:03:28-08:00", "date_published": "2019-11-05T13:04:43-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13349/galley/7011/download/" } ] }, { "pk": 39765, "title": "New records of Plagyrona Gittenberger, 1977 (Gastropoda: Eupulmonata: Valloniidae) from Europe and problems about specific determination", "subtitle": null, "abstract": "The genus \nPlagyrona\n Gittenberger, 1977, includes only two small species of terrestrial snail: \nPlagyrona angusta \nHolyoak and Holyoak, 2012, and \nPlagyrona placida \n(Shuttleworth, 1852). While \nP. angusta\n is known only from Portugal, \nP. placida \nhas a vast but fragmented distribution: it is known from some of the Macaronesian islands (Madeira and the Canary Archipelago) and some European countries: Portugal, France (in Corsica only), Italy (including Sardinia and the Tuscan Archipelago), Albania, Greece (in the Ionian Islands only) and North Africa (Algeria). New research has led to redefine the distribution range of \nP. angusta\n, identifying new populations in Spain (Balearic Islands), continental France (Var department), southern Italy (Campania), Sardinia and Greece (Kerkyra Island) and to discover new sites of \nP. placida \non Pantelleria island and of \nPlagyrona \nspp. in Zannone island and southern Italy. The specific determination of these and others populations by examination of recent literature from Sardinia, Campania and Calabria, was carried out on a morphometric basis, but, for some populations, the variability of the diagnostic characters and the limited number of available specimens, do not allow a precise assignment. On the other hand, the existence of two distinct species is not evident at all, at least in the Mediterranean countries.", "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": "Mediterranean area" }, { "word": "Plagyrona placida" }, { "word": "Plagyrona angusta" }, { "word": "species distribution" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0pv4w2rg", "frozenauthors": [ { "first_name": "Enrico", "middle_name": "", "last_name": "Talenti", "name_suffix": "", "institution": "Museo di Storia Naturale del Sistema Museale d’Ateneo dell’Università di Firenze, Sezione Zoologica “La Specola”, Via Romana 17, 50125 Florence", "department": "None" }, { "first_name": "Simone", "middle_name": "", "last_name": "Cianfanelli", "name_suffix": "", "institution": "Museo di Storia Naturale del Sistema Museale d’Ateneo dell’Università di Firenze, Sezione Zoologica “La Specola”, Via Romana 17, 50125 Florence", "department": "None" }, { "first_name": "Marco", "middle_name": "", "last_name": "Bodon", "name_suffix": "", "institution": "Museo di Storia Naturale del Sistema Museale d’Ateneo dell’Università di Firenze, Sezione Zoologica “La Specola”, Via Romana 17, 50125 Florence", "department": "None" } ], "date_submitted": "2019-05-02T10:01:11-07:00", "date_accepted": "2019-05-02T10:01:11-07:00", "date_published": "2019-11-05T05:27:24-08:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39765/galley/29949/download/" } ] }, { "pk": 751, "title": "CPC-EM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "CPC-EM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9nm7p16f", "frozenauthors": [ { "first_name": "Cassandra", "middle_name": "", "last_name": "Saucedo", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2019-10-31T15:44:43-07:00", "date_accepted": "2019-10-31T15:44:43-07:00", "date_published": "2019-10-31T15:48:24-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/751/galley/506/download/" } ] }, { "pk": 44761, "title": "Integrative Approach Incorporating Acupuncture and Trigger Point Injection to Treat Occipital Neuralgia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/28k0q7fh", "frozenauthors": [ { "first_name": "Rachael", "middle_name": "", "last_name": "Maciasz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lawrence", "middle_name": "B.", "last_name": "Taw", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T11:37:17-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44761/galley/33554/download/" } ] }, { "pk": 44760, "title": "Favorable Outcomes of Maintenance Lenalidomide can be Reproduced in an Unselected Myeloma Patient Population at a Single Academic Center", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65q3951f", "frozenauthors": [ { "first_name": "Monica", "middle_name": "D.", "last_name": "Mead", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Maxwell", "middle_name": "J.", "last_name": "Kroloff", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sarah", "middle_name": "M.", "last_name": "Larson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T11:34:30-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44760/galley/33553/download/" } ] }, { "pk": 44759, "title": "Treatment of Amyloidosis in a Geriatric Patient", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67r77834", "frozenauthors": [ { "first_name": "Maija", "middle_name": "", "last_name": "Sanna", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Hong-Phuc", "middle_name": "", "last_name": "Tran", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T11:31:38-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44759/galley/33552/download/" } ] }, { "pk": 44758, "title": "Manual Mobilization and Displacement of a Soft Palate Mass by Patient Facilitates Awake Nasal Fiberoptic Intubation", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6hf7s4sb", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Goh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Peter", "middle_name": "", "last_name": "Lee", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T11:29:14-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44758/galley/33551/download/" } ] }, { "pk": 12399, "title": "Incidence of Clostridium difficile Infection After Sepsis Protocol Antibiotics", "subtitle": null, "abstract": "Introduction:\n The management of sepsis includes the prompt administration of intravenous antibiotics.There is concern that sepsis treatment protocols may be inaccurate in identifying true sepsis andexposing patients to potentially harmful antibiotics, sometimes unnecessarily. This study was designed toinvestigate those concerns by focusing on in-hospital Clostridium difficile infection (CDI), which is a knowncomplication of exposure to antibiotics.\nMethods:\n Our emergency department (ED) recently implemented a protocol to help combat sepsis andincrease compliance with the 2017 Sepsis CMS Core Measures (SEP-1) guidelines. In this single-center,retrospective cohort analysis we queried the electronic health record to gather data on nosocomial CDIand antibiotics prescribed over a five-year period to analyze the effect of the introduction of a sepsisprotocol order set. The primary goal of this study was to measure the hospital-wide CDI rate for threeyears prior to implementation of the sepsis bundle, and then compare this to the hospital-wide CDI rate twoyears post-implementation. As a secondary outcome, we compared the number of antibiotics prescribed inthe ED 12 months prior to administration of the sepsis protocol vs 12 months post-initiation.\nResults:\n Over the course of five years, the hospital averaged 9.4 nosocomial CDIs per 10,000 patienthours. Prior to implementation of the sepsis bundle, the average CDI rate was 11.6 (±1.11, 95%) and afterimplementation the average rate dropped to 6.2 (±1.27, 95%, p<0.01). The mean number of antibioticsordered per patient visit was 0.33 (±0.015, 95%) prior to bundle activation, and, following sepsis bundleactivation, the rate was 0.38 (±0.019, 95%, p<0.01). This accounted for 38% of all ED patient visitsreceiving antibiotics, a 5% increase after the sepsis bundle was introduced.\nConclusion:\n In this study, we found that CDI infections declined after implementation of a sepsisbundle. There was, however an increase in the number of patients being exposed to antibiotics afterthis hospital policy change. There are more risks than just CDI with antibiotic exposure, and thesewere not measured in this study. Subsequent studies should focus on the ongoing effects of timed,protocolized care and the associated risks.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ACOEP Original Research (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8ft8b52r", "frozenauthors": [ { "first_name": "Jordan", "middle_name": "", "last_name": "LaFave", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Gekle", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Bramante", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" } ], "date_submitted": "2018-12-21T14:40:28-08:00", "date_accepted": "2018-12-21T14:40:28-08:00", "date_published": "2019-10-24T14:38:28-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12399/galley/6595/download/" } ] }, { "pk": 12752, "title": "Diagnosis of Acute Heart Failure in the Emergency Department: An Evidence-Based Review", "subtitle": null, "abstract": "Heart failure is a common presentation to the emergency department (ED), which can be confusedwith other clinical conditions. This review provides an evidence-based summary of the currentED evaluation of heart failure. Acute heart failure is the gradual or rapid decompensation of heartfailure, resulting from either fluid overload or maldistribution. Typical symptoms can include dyspnea,orthopnea, or systemic edema. The physical examination may reveal pulmonary rales, an S3 heartsound, or extremity edema. However, physical examination findings are often not sensitive or specific.ED assessments may include electrocardiogram, complete blood count, basic metabolic profile, liverfunction tests, troponin, brain natriuretic peptide, and a chest radiograph. While often used, natriureticpeptides do not significantly change ED treatment, mortality, or readmission rates, although they maydecrease hospital length of stay and total cost. Chest radiograph findings are not definitive, and severalother conditions may mimic radiograph findings. A more reliable modality is point-of-care ultrasound,which can facilitate the diagnosis by assessing for B-lines, cardiac function, and inferior vena cavasize. These modalities, combined with clinical assessment and gestalt, are recommended.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0k69n8p8", "frozenauthors": [ { "first_name": "Brit", "middle_name": "", "last_name": "Long", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston,\nTexas", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Koyfman", "name_suffix": "", "institution": "University of Texas Southwestern Medical Center, Department of Emergency Medicine,\nDallas, Texas", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-05-12T14:41:06-07:00", "date_accepted": "2019-05-12T14:41:06-07:00", "date_published": "2019-10-24T14:23:18-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12752/galley/6730/download/" } ] }, { "pk": 12877, "title": "Identifying Emergency Department Symptom-Based Diagnoses with the Unified Medical Language System", "subtitle": null, "abstract": "Introduction:\n Many patients who are discharged from the emergency department (ED) with asymptom-based discharge diagnosis (SBD) have post-discharge challenges related to lack of adefinitive discharge diagnosis and follow-up plan. There is no well-defined method for identifyingpatients with a SBD without individual chart review. We describe a method for automated identificationof SBDs from ICD-10 codes using the Unified Medical Language System (UMLS) Metathesaurus.\nMethods:\n We mapped discharge diagnosis, with use of ICD-10 codes from a one-month period ofED discharges at an urban, academic ED to UMLS concepts and semantic types. Two physicianreviewers independently manually identified all discharge diagnoses consistent with SBDs. Wecalculated inter-rater reliability for manual review and the sensitivity and specificity for our automatedprocess for identifying SBDs against this “gold standard.”\nResults:\n We identified 3642 ED discharges with 1382 unique discharge diagnoses that correspondedto 875 unique ICD-10 codes and 10 UMLS semantic types. Over one third (37.5%, n = 1367) of EDdischarges were assigned codes that mapped to the “Sign or Symptom” semantic type. Inter-raterreliability for manual review of SBDs was very good (0.87). Sensitivity and specificity of our automatedprocess for identifying encounters with SBDs were 84.7% and 96.3%, respectively.\nConclusion:\n Use of our automated process to identify ICD-10 codes that classify into the UMLS “Signor Symptom” semantic type identified the majority of patients with a SBD. While this method needsrefinement to increase sensitivity of capture, it has potential to automate an otherwise highly timeconsumingprocess. This novel use of informatics methods can facilitate future research specific topatients with SBDs.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2mp288x5", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "H.", "last_name": "Slovis", "name_suffix": "", "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Department of\nEmergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Danielle", "middle_name": "M.", "last_name": "McCarthy", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois", "department": "None" }, { "first_name": "Garrison", "middle_name": "", "last_name": "Nord", "name_suffix": "", "institution": "Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia,\nPennsylvania.", "department": "None" }, { "first_name": "Amanda", "middle_name": "MB", "last_name": "Doty", "name_suffix": "", "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Department of\nEmergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Piserchia", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois", "department": "None" }, { "first_name": "Kristin", "middle_name": "L.", "last_name": "Rising", "name_suffix": "", "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Department of\nEmergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-06-24T12:04:51-07:00", "date_accepted": "2019-06-24T12:04:51-07:00", "date_published": "2019-10-24T14:19:17-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12877/galley/6771/download/" } ] }, { "pk": 12589, "title": "Status of Emergency Signal Functions in Myanmar Hospitals: A Cross-Sectional Survey", "subtitle": null, "abstract": "Introduction:\n Low- and middle-income countries (LMICs) have a large percentage of globalmortality and morbidity rates from non-communicable diseases, including trauma. Theestablishment and development of emergency care systems is crucial for addressing thisproblem. Defining gaps in the resources and capacity to provide emergency healthcare in LMICsis essential for proper design and operation of ECS (emergency care services) reinforcementprograms. Myanmar has particular challenges with road access for providing timely emergencymedical care, and a shortage of trained health workers. To examine the ECS capacity in Myanmar,we used the Emergency Care Assessment Tool (ECAT), which features newly developed toolsfor assessing sentinel conditions and signal functions (key interventions to address morbidity andmortality) in emergency care facilities.\nMethods:\n ECAT is composed of six emergent sentinel conditions and corresponding signalfunctions. We surveyed a total of nine hospitals in five states in Myanmar. A constructed surveysheet was delivered by e-mail, and follow-up interviews were conducted via messenger to clarifyambiguous answers.\nResults: \nWe categorized the nine participating institutions according to predefined criteria:four basic-level hospitals; four intermediate-level; and one advanced-level hospital. All basichospitals were weak in trauma care, and two of 12 signal functions were unavailable. Half of theintermediate hospitals showed weakness in trauma care, as well as critical care such as shockmanagement. Only half had a separate triage area for patients. In contrast, all signal functions andresources listed in ECAT were available in the advanced-level hospital.\nConclusion:\n Basic-level facilities in Myanmar were shown to be suboptimal in traumamanagement, with critical care also inadequate in intermediate facilities. To reinforce signalfunctions in Myanmar health facilities, stakeholders should consider expanding critical functionsin selected lower-level health facilities. A larger scale survey would provide more comprehensivedata to improve emergency care in Myanmar.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "International Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5c98v3ds", "frozenauthors": [ { "first_name": "Dong Hyun", "middle_name": "", "last_name": "Seo", "name_suffix": "", "institution": "Na-eun Hospital, Department of Emergency Medicine, Incheon, Korea", "department": "None" }, { "first_name": "Hoon", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Kyung Hwan", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Junseok", "middle_name": "", "last_name": "Park", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Dong Wun", "middle_name": "", "last_name": "Shin", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Joon Min", "middle_name": "", "last_name": "Park", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Hyunjong", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Woochan", "middle_name": "", "last_name": "Jeon", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Jung Eon", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" } ], "date_submitted": "2019-03-07T18:21:04-08:00", "date_accepted": "2019-03-07T18:21:04-08:00", "date_published": "2019-10-24T14:06:25-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12589/galley/6672/download/" } ] }, { "pk": 44757, "title": "Nicolau Syndrome: A Rare Injection Site Reaction", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0jt4k3dt", "frozenauthors": [ { "first_name": "Linda", "middle_name": "", "last_name": "Czypinski", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Wehr", "name_suffix": "MSN, FNP-BC", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gary", "middle_name": "", "last_name": "Feigenbaum", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T10:05:20-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44757/galley/33550/download/" } ] }, { "pk": 44756, "title": "The Girl Who Cried Wolf", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99m5n32j", "frozenauthors": [ { "first_name": "Amar", "middle_name": "C.", "last_name": "Nawathe", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Michael", "middle_name": "E.", "last_name": "Lazarus", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T10:02:42-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44756/galley/33549/download/" } ] }, { "pk": 44755, "title": "Staphylococcal Scalded Skin Syndrome in an Immunocompromised 78-Year-Old-Man", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3tp03231", "frozenauthors": [ { "first_name": "Shanice", "middle_name": "A.", "last_name": "McKenzie", "name_suffix": "BS", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Anabella", "middle_name": "", "last_name": "Pascucci", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T09:52:29-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44755/galley/33548/download/" } ] }, { "pk": 44754, "title": "Prekallikrein Deficiency", "subtitle": null, "abstract": "", 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