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{ "count": 38741, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=14600", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=14400", "results": [ { "pk": 41434, "title": "Biography of Stephen M Garnsey", "subtitle": null, "abstract": "Biography of Stephen M Garnsey", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Biographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0k87r40c", "frozenauthors": [ { "first_name": "W", "middle_name": "O", "last_name": "Dawson", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-10-21T23:34:50+02:00", "date_accepted": "2019-10-21T23:34:50+02:00", "date_published": "2019-10-22T01:08:48+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41434/galley/31020/download/" } ] }, { "pk": 750, "title": "Colpocephaly Diagnosed in a Neurologically Normal Adult in the Emergency Department", "subtitle": null, "abstract": "Colpocephaly is a form of congenital ventriculomegaly characterized by enlarged occipital horns of the lateral ventricles with associated neurologic abnormalities. The diagnosis of colpocephaly is typically made in infancy. Its diagnosis in adulthood without associated clinical symptoms is exceptionally rare. We report a case of colpocephaly diagnosed incidentally in an adult without neurologic abnormalities in the emergency department. To our knowledge, this is only the ninth reported case in an asymptomatic adult and the first to be described in the emergency medicine literature.", "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/800265mw", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "", "last_name": "Parker", "name_suffix": "", "institution": "University of Illinois College of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Wesley", "middle_name": "", "last_name": "Eilbert", "name_suffix": "", "institution": "University of Illinois College of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Timothy", "middle_name": "", "last_name": "Meehan", "name_suffix": "", "institution": "University of Illinois College of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Colbert", "name_suffix": "", "institution": "University of Illinois College of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-10-22T00:55:22+02:00", "date_accepted": "2019-10-22T00:55:22+02:00", "date_published": "2019-10-22T00:56:09+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/750/galley/505/download/" } ] }, { "pk": 749, "title": "A Rare Case of Hemorrhagic Shock: Morel-Lavallée Lesion", "subtitle": null, "abstract": "Hemorrhage is a major cause of death among trauma patients. Controlling the bleeding is essential but can be difficult when the source of bleeding remains unidentified. We present a 67-year-old healthy male with a hypovolemic shock after a suicide attempt by jumping from a height. Apart from a bilateral pneumothorax with multiple rib fractures, a femur fracture and spine fractures, computer tomography (CT) revealed a closed, degloving injury of the back, also known as a Morel-Lavallée lesion. Hemodynamic instability due to hemorrhage caused by a Morel-Lavallée lesion in the lumbar region is very rare and easily overlooked. This case demonstrates the importance of clinical signs of Morel-Lavallée, and illustrates the need for total body CTs to exclude other locations of bleeding and to detect contrast extravasation. This report also discusses the possible treatment options for Morel-Lavallée lesions.", "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/4903g27m", "frozenauthors": [ { "first_name": "Lieke", "middle_name": "", "last_name": "Claassen", "name_suffix": "", "institution": "Zuyderland Medical Centre, Department of Emergency Medicine, Heerlen, The Netherlands", "department": "None" }, { "first_name": "Myriam", "middle_name": "Anna", "last_name": "Franssen", "name_suffix": "", "institution": "Zuyderland Medical Centre, Department of Emergency Medicine, Heerlen, The Netherlands", "department": "None" }, { "first_name": "Erik", "middle_name": "Robert", "last_name": "de Loos", "name_suffix": "", "institution": "Zuyderland Medical Centre, Department of Surgery, Heerlen, The Netherlands", "department": "None" } ], "date_submitted": "2019-10-22T00:50:25+02:00", "date_accepted": "2019-10-22T00:50:25+02:00", "date_published": "2019-10-22T00:51:07+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/749/galley/504/download/" } ] }, { "pk": 748, "title": "Atypical Presentation of Median Arcuate Ligament Syndrome in the Emergency Department", "subtitle": null, "abstract": "Celiac artery compression syndrome, also called median arcuate ligament syndrome (MALS), is a rare condition in which the diaphragmatic crura compresses the celiac axis. This results in a constellation of primarily gastrointestinal (GI) symptoms including nausea, vomiting, postprandial abdominal pain, and weight loss. It is typically a diagnosis of exclusion and may be detected via several imaging techniques including ultrasound and computed tomography angiography. We present an atypical case of MALS detected in the emergency department (ED). We review the symptomatology, diagnostic workup, and treatment options here, as well as discuss implications concerning revisits to the ED for recurrent GI symptoms.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9j35547v", "frozenauthors": [ { "first_name": "Abby", "middle_name": "", "last_name": "Sapadin", "name_suffix": "", "institution": "Midwestern University Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Misek", "name_suffix": "", "institution": "Midwestern University Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois", "department": "None" } ], "date_submitted": "2019-10-22T00:43:54+02:00", "date_accepted": "2019-10-22T00:43:54+02:00", "date_published": "2019-10-22T00:44:28+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/748/galley/503/download/" } ] }, { "pk": 747, "title": "Gestational Trophoblastic Disease-Induced Thyroid Storm", "subtitle": null, "abstract": "In the United States, gestational trophoblastic diseases (GTD), including molar pregnancies, occur in 121 out of 100,000 pregnancies.1 Many patients with GTD may develop hyperthyroidism. GTD-induced thyroid storm is a rare but life-threatening complication of GTD.2 Once patients are hemodynamically stable, the mainstay of definitive treatment is evacuation of the mole.3 We present a case of molar pregnancy-induced thyroid storm presenting as vaginal bleeding, fever, and tachycardia.", "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/6248n7nv", "frozenauthors": [ { "first_name": "Carly", "middle_name": "", "last_name": "Blick", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Kraftin", "middle_name": "E.", "last_name": "Schreyer", "name_suffix": "", "institution": "Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-10-22T00:40:36+02:00", "date_accepted": "2019-10-22T00:40:36+02:00", "date_published": "2019-10-22T00:41:20+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/747/galley/502/download/" } ] }, { "pk": 746, "title": "Postmortem Sperm Retrieval in the Emergency Department: A Case Report and Review of Available Guidelines", "subtitle": null, "abstract": "Postmortem sperm retrieval (PMSR) requests and retrievals are increasing in the emergency department (ED) setting. Few EDs have protocols in place, and many emergency physicians (EP) lack the knowledge of how to proceed when such situations arise. We report the case of a 31-year-old male cardiac-arrest victim who expired in the ED, after which his wife requested PMSR. We review the guidelines, procedures, and issues of consent that arise with PMSR. EPs must be aware of their institution’s policies and consultant availability should a request for PMSR arise.", "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/9mx3d55j", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "R.", "last_name": "Zinkel", "name_suffix": "", "institution": "University of Minnesota Medical School, Department of Emergency Medicine, Minneapolis, Minnesota; HealthPartners, Bloomington, Minnesota", "department": "None" }, { "first_name": "Felix", "middle_name": "K.", "last_name": "Ankel", "name_suffix": "", "institution": "University of Minnesota Medical School, Department of Emergency Medicine, Minneapolis, Minnesota; HealthPartners Institute, Bloomington, Minnesota", "department": "None" }, { "first_name": "Aaron", "middle_name": "J.", "last_name": "Milbank", "name_suffix": "", "institution": "Minnesota Urology, Department of Infertility and Urology, Woodbury, Minnesota", "department": "None" }, { "first_name": "Colleen", "middle_name": "I.", "last_name": "Casey", "name_suffix": "", "institution": "Center for Reproductive Medicine, Department of Reproductive Endocrinology, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Jeremy", "middle_name": "J.", "last_name": "Sundheim", "name_suffix": "", "institution": "HealthPartners, Department of Risk Management, Bloomington, Minnesota", "department": "None" } ], "date_submitted": "2019-10-22T00:34:07+02:00", "date_accepted": "2019-10-22T00:34:07+02:00", "date_published": "2019-10-22T00:34:51+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/746/galley/501/download/" } ] }, { "pk": 745, "title": "Ketamine Implicated in New Onset Seizure", "subtitle": null, "abstract": "Ketamine is used widely in emergency departments for a variety of purposes, including procedural sedation and pain management. A major benefit of using ketamine is the rapid onset and lack of respiratory depression. The known side effects include emergence reactions, hallucinations, hypertension, dizziness, nausea, and vomiting. Recent studies have shown the benefit of ketamine for refractory status epilepticus; however, this application of the drug is still being studied. We present a case where ketamine likely induced a seizure in a patient on whom it was used as a single agent in procedural sedation. Seizure is not a known side effect of ketamine in patients without a seizure history. Given the eagerness over additional uses for ketamine, this novel case of a seizure following procedural sedation with ketamine should be of interest to emergency providers.", "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/4nt2p0ht", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "W.", "last_name": "Meaden", "name_suffix": "", "institution": "St. Joseph’s University Medical Center, Department of Emergency Medicine, Paterson, New Jersey", "department": "None" }, { "first_name": "Stacey", "middle_name": "", "last_name": "Barnes", "name_suffix": "", "institution": "St. Joseph’s University Medical Center, Department of Emergency Medicine, Paterson, New Jersey", "department": "None" } ], "date_submitted": "2019-10-22T00:28:26+02:00", "date_accepted": "2019-10-22T00:28:26+02:00", "date_published": "2019-10-22T00:28:59+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/745/galley/500/download/" } ] }, { "pk": 744, "title": "Defensive Medicine: A Case and Review of Its Status and Possible Solutions", "subtitle": null, "abstract": "Malpractice liability systems exist, in part, to provide compensation for medical malpractice, corrective justice for those injured by it, and to incentivize quality care by punishing substandard care. Defensive medicine is loosely defined as practice based primarily on the fear of litigation rather than on expected patient outcomes. It is largely motivated by a physician’s belief that the malpractice system is unfair, slow, and ineffective; these perceptions make malpractice concerns one of the largest physician stressors. A physician’s perception of malpractice rarely correlates with the stringency of their state’s tort system, overestimates their own risk, and overestimates the cost of defensive practices. While estimates are difficult to make, defensive medicine likely only accounts for 2.8% of total healthcare expenses. The phrase “tort reform” has been frequently used to suggest fixes to the malpractice system and to defensive practices. Safe harbors, clinical practice guidelines, comparative fault reform, reducing plaintiff attorney fees, and apology laws have each been evaluated as potential remedies to defensive practice, although most are unproven and all must be deployed in a state-by-state approach.", "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": "Medical Legal Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9hh890nz", "frozenauthors": [ { "first_name": "Eric", "middle_name": "D.", "last_name": "Katz", "name_suffix": "", "institution": "University of Arizona College of Medicine-Phoenix, Maricopa Integrated Health Systems, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" } ], "date_submitted": "2019-10-21T22:26:34+02:00", "date_accepted": "2019-10-21T22:26:34+02:00", "date_published": "2019-10-21T22:27:57+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/744/galley/499/download/" } ] }, { "pk": 743, "title": "Acquired Pediatric Right Diaphragmatic Hernia Following Automatic Implantable Cardioverter-Defibrillator Placement", "subtitle": null, "abstract": "Diaphragmatic hernias are an uncommon occurrence in the pediatric population; however, they can cause significant morbidity and mortality if the diagnosis is missed or delayed. This case discusses the radiographic and clinical exam findings of a one-year-old patient with this pathology.", "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/3mx5w86p", "frozenauthors": [ { "first_name": "Adria", "middle_name": "", "last_name": "Ottoboni", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Larissa", "middle_name": "", "last_name": "Morsky", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Laura", "middle_name": "C.", "last_name": "Castro", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Rhoades", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Quesada", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California; LA+USC Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Phillip", "middle_name": "", "last_name": "Aguìñiga-Navarrete", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" } ], "date_submitted": "2019-10-21T22:21:39+02:00", "date_accepted": "2019-10-21T22:21:39+02:00", "date_published": "2019-10-21T22:22:43+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/743/galley/498/download/" } ] }, { "pk": 742, "title": "Arrow to the Chest", "subtitle": null, "abstract": "A 33-year-old male was brought to the emergency department after a penetrating arrow injury to the chest. Initial evaluation revealed the arrow was penetrating the sternum, lung, and aortic arch. Because the patient was in a remote area, timely transfer to a specialized center for definitive operative repair was delayed approximately 24 hours. Treatment was focused on minimizing risk of hemorrhage with tight blood pressure control, while tube thoracostomy was deferred to avoid a change in intrathoracic pressure. The left-sided hemothorax was monitored with serial point-of-care ultrasounds. Ultimately he was successfully transferred and underwent successful surgical 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": [], "section": "Astonishing Cases and Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6nw1n83q", "frozenauthors": [ { "first_name": "Sherab", "middle_name": "", "last_name": "Wangdi", "name_suffix": "", "institution": "Khesar Gyalpo University of Medical Sciences of Bhutan, Department of Emergency Medicine,Thimphu, Bhutan", "department": "None" }, { "first_name": "Shankar", "middle_name": "", "last_name": "LeVine", "name_suffix": "", "institution": "Jigme Dorji Wangchuck National Referral Hospital, Department of Emergency Medicine,Thimphu, Bhutan", "department": "None" }, { "first_name": "Melanie", "middle_name": "", "last_name": "Watts", "name_suffix": "", "institution": "Jigme Dorji Wangchuck National Referral Hospital, Department of Emergency Medicine,Thimphu, Bhutan", "department": "None" } ], "date_submitted": "2019-10-21T22:15:37+02:00", "date_accepted": "2019-10-21T22:15:37+02:00", "date_published": "2019-10-21T22:17:10+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/742/galley/497/download/" } ] }, { "pk": 741, "title": "Acute Auricular Perichondritis With an Effusion", "subtitle": null, "abstract": "A 62-year-old man presented to the emergency department with acute, atraumatic, swelling of his left ear. Incision and drainage revealed serous fluid without blood or purulence. He was diagnosed with acute perichondritis with an effusion and managed with oral antibiotics. Perichondritis must be recognized and treated promptly to avoid necrosis of the underlying avascular cartilage and auricular deformity.", "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/3dj8x58s", "frozenauthors": [ { "first_name": "Agnes", "middle_name": "", "last_name": "Usoro", "name_suffix": "", "institution": "Johns Hopkins, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Michael", "middle_name": "R.", "last_name": "Ehmann", "name_suffix": "", "institution": "Johns Hopkins, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2019-10-21T22:05:46+02:00", "date_accepted": "2019-10-21T22:05:46+02:00", "date_published": "2019-10-21T22:06:40+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/741/galley/496/download/" } ] }, { "pk": 740, "title": "An Unusual Case of Unilateral Papilledema", "subtitle": null, "abstract": "Neuroretinitis from neurosyphilis is an uncommon finding in previously healthy young individuals. A 37-year-old presented with three days of painless, unilateral vision loss with an associated diffuse erythematous non-pruritic truncal rash. Physical exam demonstrated vision loss in the left eye. Fundoscopic exam showed unilateral peripapillary hemorrhage, papilledema and venous engorgement. Labs showed positive syphilis antibody qualitative. Magnetic resonance imaging demonstrated 12 millimeters of high right frontal lobe cerebrospinal fluid density. The patient was treated with benzylpenicillin and within 18 hours had improvement of his vision.", "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/7641s559", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Quesada", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California; LA+USC Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Stapleton", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Jadipak", "middle_name": "", "last_name": "Heer", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Phillip", "middle_name": "", "last_name": "Aguìñiga-Navarrete", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Luke", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" } ], "date_submitted": "2019-10-21T21:58:31+02:00", "date_accepted": "2019-10-21T21:58:31+02:00", "date_published": "2019-10-21T21:59:10+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/740/galley/495/download/" } ] }, { "pk": 739, "title": "50-year-old Male with Chest Pain", "subtitle": null, "abstract": "A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient’s diagnosis.", "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": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2bd5015c", "frozenauthors": [ { "first_name": "William", "middle_name": "L.", "last_name": "Fernandez", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Laura", "middle_name": "J.", "last_name": "Bontempo", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Zachary", "middle_name": "D.W.", "last_name": "Dezman", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2019-10-21T21:38:39+02:00", "date_accepted": "2019-10-21T21:38:39+02:00", "date_published": "2019-10-21T21:39:16+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/739/galley/494/download/" } ] }, { "pk": 12954, "title": "Impact of an Extraglottic Device on Pediatric Airway Management in an Urban Prehospital System", "subtitle": null, "abstract": "Introduction: \nPrehospital pediatric endotracheal intubation has lower first-pass success rates compared to adult intubations and in general may not offer a survival benefit. Increasingly, emergency medical services (EMS) systems are deploying prehospital extraglottic airways (EGA) for primary pediatric airway management, yet little is known about their efficacy. We evaluated the impact of a pediatric prehospital airway management protocol change, inclusive of EGAs, on airway management and patient outcomes in children in cardiac arrest or respiratory failure.\nMethods:\n Using data from a large, metropolitan, fire-based EMS service, we performed an observational study of pediatric patients with respiratory failure or cardiac arrest who were transported by EMS before and after implementation of an evidence-based airway management protocol inclusive of the addition of the EGA. The primary outcome was change in frequency of intubation attempts when paired with an initial EGA. Secondary outcomes included EGA and intubation success rates and patient survival to hospitalization and discharge.\nResults:\n We included 265 patients age <16 years old, with 142 pre- and 123 post-protocol change. Patient demographics and event characteristics were similar between groups. Intubation attempts declined from 79.6% pre- to 44.7% (p<0.01) post-protocol change. In patients with an intubation attempt, overall intubation success declined from 81.4% to 63.6% (p<0.01). Post-protocol change, an EGA was attempted in 52.8% of patients with 95.4% success.\nConclusion:\n Implementation of an evidenced-based airway management algorithm for pediatric patients, inclusive of an EGA device for all age groups, was associated with fewer prehospital intubations. Intubation success may be negatively impacted due to decreases in procedural frequency.", "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": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93n7611r", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Ostermayer", "name_suffix": "", "institution": "McGovern Medical School, University of Texas Health Sciences Center, Department of Emergency Medicine, Houston, Texas\nHouston Fire Department, Houston, Texas", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "A.", "last_name": "Camp", "name_suffix": "", "institution": "Baylor College of Medicine, Texas Children’s Hospital, Department of Pediatrics, Section of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "James", "middle_name": "R.", "last_name": "Langabeer", "name_suffix": "", "institution": "McGovern Medical School, University of Texas Health Sciences Center, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Charles", "middle_name": "A.", "last_name": "Brown", "name_suffix": "", "institution": "University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Juan", "middle_name": "", "last_name": "Mondragon", "name_suffix": "", "institution": "Baylor College of Medicine, Texas Children’s Hospital, Department of Pediatrics, Section of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "David", "middle_name": "E.", "last_name": "Persse", "name_suffix": "", "institution": "Houston Fire Department, Houston, Texas", "department": "None" }, { "first_name": "Manish", "middle_name": "I.", "last_name": "Shah", "name_suffix": "", "institution": "Baylor College of Medicine, Texas Children’s Hospital, Department of Pediatrics, Section of Emergency Medicine, Houston, Texas", "department": "None" } ], "date_submitted": "2019-07-14T07:54:41+02:00", "date_accepted": "2019-07-14T07:54:41+02:00", "date_published": "2019-10-21T21:10:21+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12954/galley/6797/download/" } ] }, { "pk": 5527, "title": "A Comparison of Sequential Learning Errors Made by Apes and Monkeys Reveals Individual but not Species Differences in Learning", "subtitle": null, "abstract": "Using methods comparable to those used previously to test closely-related taxa (\nPan troglodytes \nand \nMacaca mulatta\n), our aim was to better understand how gorillas (\nGorilla gorilla gorilla\n) and Japanese macaques (\nM. fuscata\n) learn sequences. Using a disappearing-type simultaneous chain, we trained five gorillas and eight macaques on a two-item list of colored stimuli presented via touchscreens. There was no difference across species in the number of trials required to learn the two-item list. We added a third item to the list as each subject reached criterion. We then analyzed the subjects’ first 30 trials with the three-item list and found that the rate of successfully sequencing the list varied by subject but not by species. In their first 30 trials of the three-item list, subjects selected the second item correctly only at chance, suggesting they had only encoded the first symbol when learning the two-item list. One gorilla, tested on longer sequences, showed similar responses: when first presented with a newly-lengthened list, he only selected the penultimate item at chance levels. Thus, the primates’ errors with newly-lengthened lists is suggestive of the chaining theory of learning. These results highlight similarities in list learning of these two distantly-related primate species as well as the clear intra-species variation in learning.", "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": "serial learning" }, { "word": "memory" }, { "word": "disappearing-type simultaneous chain" }, { "word": "Gorilla" }, { "word": "Japanese macaque" } ], "section": "Brief Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/024578f5", "frozenauthors": [ { "first_name": "Crystal", "middle_name": "L", "last_name": "Egelkamp", "name_suffix": "", "institution": "Lincoln Park Zoo", "department": "None" }, { "first_name": "Sarah", "middle_name": "L", "last_name": "Jacobson", "name_suffix": "", "institution": "The Graduate Center CUNY", "department": "None" }, { "first_name": "Katherine", "middle_name": "A", "last_name": "Cronin", "name_suffix": "", "institution": "Lincoln Park Zoo", "department": "None" }, { "first_name": "Katherine", "middle_name": "E", "last_name": "Wagner", "name_suffix": "", "institution": "Lincoln Park Zoo", "department": "None" }, { "first_name": "Stephen", "middle_name": "R", "last_name": "Ross", "name_suffix": "", "institution": "Lincoln Park Zoo", "department": "None" }, { "first_name": "Lydia", "middle_name": "M", "last_name": "Hopper", "name_suffix": "", "institution": "Lincoln Park Zoo", "department": "None" } ], "date_submitted": "2019-02-12T16:02:52+01:00", "date_accepted": "2019-02-12T16:02:52+01:00", "date_published": "2019-10-20T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5527/galley/3345/download/" } ] }, { "pk": 5523, "title": "Rats’ Choice in a Coordination Task", "subtitle": null, "abstract": "We designed a free-operant choice procedure that represents a technical improvement to assess the control of mutual reinforcement contingencies over the choice of coordinated behavior. We demonstrate the advantages of the new procedure with eight rats that were trained to continuously move a steel ball from end to end of a gutter. Subjects were assigned to pairs and had to choose between two response options: one in which reinforcement was contingent upon an individual response, and another in which reinforcement depended on the coordination of intra-pair behavior. We evaluated (a) the effect of reinforcement magnitude over the distribution of responses, and (b) the role of behavioral cues on the rats’ coordinated actions via dividing the experimental chamber in two compartments with a clear/opaque partition. The coordinated actions were more likely when the larger reinforcer was initially associated with the mutual reinforcement option. The visual interaction between subjects did not impact their coordinated actions. The possibility to control organisms’ preference for social or nonsocial alternatives opens potential lines of research. For instance, identifying how the coordination of activities combines with the future value of outcomes to produce stable cooperative equilibria.", "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": "Spatiotemporal Coordination" }, { "word": "Cooperation" }, { "word": "Mutual Reinforcement Contingencies" }, { "word": "Choice" }, { "word": "Rolling-ball Response" }, { "word": "rats" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4wh6t6jg", "frozenauthors": [ { "first_name": "Alejandro", "middle_name": "", "last_name": "Segura", "name_suffix": "", "institution": "Universidad de Guadalajara", "department": "None" }, { "first_name": "Arturo", "middle_name": "", "last_name": "Clavijo", "name_suffix": "", "institution": "Universidad Nacional de Colombia", "department": "None" }, { "first_name": "Arturo", "middle_name": "", "last_name": "Bouzas", "name_suffix": "", "institution": "Universidad Nacional Autónoma de México", "department": "None" } ], "date_submitted": "2018-12-31T23:36:16+01:00", "date_accepted": "2018-12-31T23:36:16+01:00", "date_published": "2019-10-20T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5523/galley/3343/download/" } ] }, { "pk": 12899, "title": "The Standardized Letter of Evaluation Narrative: Differences in Language Use by Gender", "subtitle": null, "abstract": "Introduction:\n Prior research demonstrates gender differences in language used in letters of recommendation. The emergency medicine (EM) Standardized Letter of Evaluation (SLOE) format limits word count and provides detailed instructions for writers. The objective of this study is to examine differences in language used to describe men and women applicants within the SLOE narrative.\nMethods:\n All applicants to a four-year academic EM residency program within a single application year with a first rotation SLOE available were included in the sample. We used the Linguistic Inquiry and Word Count (LIWC) program to analyze word frequency within 16 categories. Descriptive statistics, chi-squared, and t-tests were used to describe the sample; gender differences in word frequency were tested for using Mann-Whitney U tests.\nResults:\n Of 1117 applicants to the residency program, 822 (82%) first-rotation SLOEs were available; 64% were men, and 36% were women. We did not find a difference in baseline characteristics including age (mean 27 years), top 25 schools (22.5%), Alpha Omega Alpha Honor Medical Society rates (13%), and having earned advanced degrees (10%). The median word count per SLOE narrative for men was 171 and for women was 180 (p = 0.15). After adjusting for letter length, word frequency differences between genders were only present in two categories: social words (women: 23 words/letter; men: 21 words/letter, p = 0.02) and ability words (women: 2 words/letter; men: 1 word/letter, p = 0.04). We were unable to detect a statistical difference between men and women applicants in the remaining categories, including words representing communal traits, agentic traits, standout adjectives, grindstone traits, teaching words, and research words.\nConclusion:\n The small wording differences between genders noted in two categories were statistically significant, but of unclear real-world significance. Future work is planned to evaluate how the SLOE format may contribute to this relative lack of bias compared to other fields and formats.", "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": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2nv960fs", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "T.", "last_name": "Miller", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Danielle", "middle_name": "M.", "last_name": "McCarthy", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine. Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Abra", "middle_name": "L.", "last_name": "Fant", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine. Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Simiao", "middle_name": "", "last_name": "Li-Sauerwine", "name_suffix": "", "institution": "Ohio State University College of Medicine, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Aimee", "middle_name": "", "last_name": "Ali", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine. Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Amy", "middle_name": "V.", "last_name": "Kontrick", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine. Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-07-03T17:55:28+02:00", "date_accepted": "2019-07-03T17:55:28+02:00", "date_published": "2019-10-17T23:24:43+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12899/galley/6782/download/" } ] }, { "pk": 13246, "title": "Author Response to: “Ketamine as Monotherapy in Difficult Airways Is Not Ready for Prime Time”", "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": "Letters to the Editor", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5764x64w", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "H.", "last_name": "Merelman", "name_suffix": "", "institution": "Rocky Vista University College of Osteopathic Medicine, Parker, Colorado", "department": "None" }, { "first_name": "Michael", "middle_name": "C.", "last_name": "Perlmutter", "name_suffix": "", "institution": "University of Minnesota Medical School, Minneapolis, Minnesota \nNorth Memorial Health Ambulance and AirCare, Brooklyn Center, Minnesota", "department": "None" }, { "first_name": "Reuben", "middle_name": "J.", "last_name": "Strayer", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" } ], "date_submitted": "2019-09-11T21:33:39+02:00", "date_accepted": "2019-09-11T21:33:39+02:00", "date_published": "2019-10-17T23:20:33+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13246/galley/6974/download/" } ] }, { "pk": 12780, "title": "Ketamine as Monotherapy in Difficult Airways Is Not Ready for Prime Time", "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": "Letters to the Editor", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8vb0v6jg", "frozenauthors": [ { "first_name": "Brian", "middle_name": "E", "last_name": "Driver", "name_suffix": "", "institution": "Hennepin County Medical Center, Minneapolis, MN", "department": "None" }, { "first_name": "Robert", "middle_name": "F.", "last_name": "Reardon", "name_suffix": "", "institution": "Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Jarrod", "middle_name": "", "last_name": "Mosier", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Section of Pulmonary, Critical Care, Allergy, and Sleep, Department of Medicine, Tucson, Arizona", "department": "None" } ], "date_submitted": "2019-05-28T17:21:38+02:00", "date_accepted": "2019-05-28T17:21:38+02:00", "date_published": "2019-10-17T23:16:14+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12780/galley/6737/download/" } ] }, { "pk": 12832, "title": "Safety of Tiered-Dispatch for 911 Calls for Abdominal Pain", "subtitle": null, "abstract": "Introduction:\n Many dispatch systems send Advanced Life Support (ALS) resources to patientscomplaining of abdominal pain even though the majority of these incidents require only Basic LifeSupport (BLS). With increasing 911-call volume, resource utilization has become more important toensure that ALS resources are available for time-critical emergencies. In 2015, a large, urban firedepartment implemented an internally developed, tiered-dispatch system. Under this system, patientsreporting a chief complaint of abdominal pain received the closest BLS ambulance dispatched aloneemergency if located within three miles of the incident. The objective of this study was to determine thesafety of BLS-only dispatch to abdominal pain by determining the frequency of time-sensitive events.\nMethods:\n This was a retrospective review of electronic health records of one emergency medicalservice provider agency from May 2015-2018. Inclusion criteria were a chief complaint of abdominalpain from a first- or second-party caller, age over 15, and the patient was reported to be alert andbreathing normally. The primary outcome was the prevalence of time-sensitive events, includingcardiopulmonary resuscitation (CPR), defibrillation, or airway management. Secondary outcomeswere hypotension (systolic blood pressure < 90 mmHg); or a prehospital 12 lead-electrocardiogram(ECG) demonstrating ST-elevation myocardial infarction (STEMI) criteria or a wide complex arrhythmia.Descriptive statistics were used.\nResults: \nDuring the study period, there were 1,220,820 EMS incidents, of which 33,267 (2.72%) metinclusion criteria. The mean age was 49.9 years (range 16-111, standard deviation [SD] 19.6); 14,556patients (56.2%) were female. Time-sensitive events occurred in seven cases (0.021%), mean age was75.3 years (range 30-86, SD18.7); 85.7% were female. Airway management was required in sevencases (0.021%), CPR in six cases (0.018%), and defibrillation in one case (0.003%). Two of the seven(28.6%) cases involved dispatch protocol deviations. Hypotension was present in 240 (0.72%) cases;six (0.018%) cases had 12-lead ECGs meeting STEMI criteria; and no cases demonstrated widecomplex arrhythmia.\nConclusion:\n Among adult 911 patients with a dispatch chief complaint of abdominal pain, time-sensitiveevents were exceedingly rare. Dispatching a BLS ambulance alone appears to be safe.", "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": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5x47d800", "frozenauthors": [ { "first_name": "Tiffany", "middle_name": "M.", "last_name": "Abramson", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of\nEmergency Medicine, Division of Emergency Medical Services, Los Angeles, California", "department": "None" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Sanko", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of\nEmergency Medicine, Division of Emergency Medical Services, Los Angeles, California\nLos Angeles Fire Department, Emergency Medical Services Bureau, Los Angeles,\nCalifornia", "department": "None" }, { "first_name": "Saman", "middle_name": "", "last_name": "Kashani", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of\nEmergency Medicine, Division of Emergency Medical Services, Los Angeles, California\nLos Angeles Fire Department, Emergency Medical Services Bureau, Los Angeles,\nCalifornia", "department": "None" }, { "first_name": "Marc", "middle_name": "", "last_name": "Eckstein", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of\nEmergency Medicine, Division of Emergency Medical Services, Los Angeles, California\nLos Angeles Fire Department, Emergency Medical Services Bureau, Los Angeles,\nCalifornia", "department": "None" } ], "date_submitted": "2019-07-18T06:19:30+02:00", "date_accepted": "2019-07-18T06:19:30+02:00", "date_published": "2019-10-17T23:12:25+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12832/galley/6760/download/" } ] }, { "pk": 12825, "title": "Time Cost of Standardized Nursing Screens in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n Various policies require that screening questions be asked of all patients who present to the emergency department (ED). No studies have previously examined the potential time costs of standardized screens. Our objective was to analyze the time nursing spent conducting standardized nursing screens and calculate the corresponding time cost.\nMethods:\n This was a prospective observational study of ED registered nurses (RN) performing triage assessments on adults presenting to the ED. A study author timed nurses while the RN asked five pre-selected questions from their current triage protocol. The time cost of each question was determined by multiplying the length of time spent asking the question each year by the mean hourly wage of RNs at the study hospital. (T/3,600) x V x S; T = mean time per question (in seconds); V = annual patient volume; S = mean hourly RN wage.\nResults:\n We observed 200 triage assessments. During the triage assessments, 130 patients (65%) were asked about pneumococcal vaccine status; 161 (80.5%) about tetanus vaccine status; 184 (92%) about medication allergies; 172 (86%) about influenza vaccine; and 73 (36.5%) about recent travel. The mean time spent per question ranged from 4.37-6.26 seconds. The estimated annual time used to ask the five questions in the study ED is 590.73 hours, which equates to $20,675.50 in nursing costs per year.\nConclusion:\n There are potential monetary and time costs of standardized screening questions in the ED. The values heavily impact time and cost efficiency in the ED and could be redirected to more pertinent patient care. The required screening questions often have an unclear utility on the care that the patient receives in the ED. Further studies are needed to determine cost effectiveness of required ED screenings.", "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": "Triage, nurse screening, Emergency Department" } ], "section": "Emergency Department Administration", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6rp0750n", "frozenauthors": [ { "first_name": "Victoria", "middle_name": "L.", "last_name": "Migdal", "name_suffix": "", "institution": "Medical College of Georgia, Augusta University, Department of Emergency Medicine, Augusta, Georgia", "department": "None" }, { "first_name": "Kaitlin", "middle_name": "", "last_name": "Harper", "name_suffix": "", "institution": "Medical College of Georgia, Augusta University, Department of Emergency Medicine, Augusta, Georgia", "department": "None" }, { "first_name": "Nazish", "middle_name": "", "last_name": "Haqqani", "name_suffix": "", "institution": "Medical College of Georgia, Augusta University, Department of Emergency Medicine, Augusta, Georgia", "department": "None" }, { "first_name": "Bruce", "middle_name": "", "last_name": "Janiak", "name_suffix": "", "institution": "Medical College of Georgia, Augusta University, Department of Emergency Medicine, Augusta, Georgia", "department": "None" } ], "date_submitted": "2019-06-12T18:27:10+02:00", "date_accepted": "2019-06-12T18:27:10+02:00", "date_published": "2019-10-17T00:35:21+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12825/galley/6757/download/" } ] }, { "pk": 12617, "title": "Barriers to Accessing Acute Care for Newly Arrived Refugees", "subtitle": null, "abstract": "Introduction:\n Over the past decade, the number of refugees arriving in the United States (U.S.) has increased dramatically. Refugees arrive with unmet health needs and may face barriers when seeking care. However, little is known about how refugees perceive and access care when acutely ill. The goal of this study was to understand barriers to access of acute care by newly arrived refugees, and identify potential improvements from refugees and resettlement agencies.\nMethods: \nThis was an in-depth, qualitative interview study of refugees and employees from refugee resettlement and post-resettlement agencies in a city in the Northeast U.S. Interviews were audiotaped, transcribed, and coded independently by two investigators. Interviews were conducted until thematic saturation was reached. We analyzed transcripts using a modified grounded theory approach.\nResults:\n Interviews were completed with 16 refugees and 12 employees from refugee resettlement/post-resettlement agencies. Participants reported several barriers to accessing acute care including challenges understanding the U.S. healthcare system, difficulty scheduling timely outpatient acute care visits, significant language barriers in all acute care settings, and confusion over the intricacies of health insurance. The novelty and complexity of the U.S. healthcare system drives refugees to resettlement agencies for assistance. Resettlement agency employees express concern with directing refugees to appropriate levels of care and report challenges obtaining timely access to sick visits. While receiving emergency department (ED) care, refugees experience communication barriers due to limitations in consistent interpretation services.\nConclusion:\n Refugees face multiple barriers when accessing acute care. Interventions in the ED, outpatient settings, and in resettlement agencies, have the potential to reduce barriers to care. Examples could include interpretation services that allow for clinic phone scheduling and easier access to interpreter services within the ED. Additionally, extending the Refugee Medical Assistance program may limit gaps in insurance coverage and avoid insurance-related barriers to seeking care.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Societal Impact on Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5xw8h4cd", "frozenauthors": [ { "first_name": "Amy", "middle_name": "J.", "last_name": "Zeidan", "name_suffix": "", "institution": "Emory School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Utsha", "middle_name": "G.", "last_name": "Khatri", "name_suffix": "", "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Munyikwa", "name_suffix": "", "institution": "University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Aba", "middle_name": "", "last_name": "Barden", "name_suffix": "", "institution": "University of Pennsylvania Perelman School of Medicine, Department of Internal Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Margaret", "middle_name": "", "last_name": "Samuels-Kalow", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-03-19T00:20:35+01:00", "date_accepted": "2019-03-19T00:20:35+01:00", "date_published": "2019-10-17T00:30:17+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12617/galley/6683/download/" } ] }, { "pk": 12661, "title": "Vitamin D Deficiency and Long-Term Cognitive Impairment Among Older Adult Emergency Department Patients", "subtitle": null, "abstract": "Introduction: \nApproximately 16% of acutely ill older adults develop new, long-term cognitive impairment (LTCI), many of whom initially seek care in the emergency department (ED). Currently, no effective interventions exist to prevent LTCI after an acute illness. Identifying early and modifiable risk factors for LTCI is the first step toward effective therapy. We hypothesized that Vitamin D deficiency at ED presentation was associated with LTCI in older adults.\nMethods:\n This was an observational analysis of a prospective cohort study that enrolled ED patients ≥ 65 years old who were admitted to the hospital for an acute illness. All patients were enrolled within four hours of ED presentation. Serum Vitamin D was measured at enrollment and Vitamin D deficiency was defined as serum concentrations <20 mg/dL. We measured pre-illness and six-month cognition using the short form Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE), which ranges from 1 to 5 (severe cognitive impairment). Multiple linear regression was performed to determine whether Vitamin D deficiency was associated with poorer six-month cognition adjusted for pre-illness IQCODE and other confounders. We incorporated a two-factor interaction into the regression model to determine whether the relationship between Vitamin D deficiency and six-month cognition was modified by pre-illness cognition.\nResults: \nWe included a total of 134 older ED patients; the median (interquartile range [IQR]) age was 74 (69, 81) years old, 61 (46%) were female, and 14 (10%) were nonwhite race. The median (IQR) vitamin D level at enrollment was 25 (18, 33) milligrams per deciliter and 41 (31%) of enrolled patients met criteria for vitamin D deficiency. Seventy-seven patients survived and had a six-month IQCODE. In patients with intact pre-illness cognition (IQCODE of 3.13), Vitamin D deficiency was significantly associated with worsening six-month cognition (β-coefficient: 0.43, 95% CI, 0.07 to 0.78, p = 0.02) after adjusting for pre-illness IQCODE and other confounders. Among patients with pre-illness dementia (IQCODE of 4.31), no association with Vitamin D deficiency was observed (β-coefficient: -0.1;, 95% CI, [-0.50-0.27], p = 0.56).\nConclusion:\n Vitamin D deficiency was associated with poorer six-month cognition in acutely ill older adult ED patients who were cognitively intact at baseline. Future studies should determine whether early Vitamin D repletion in the ED improves cognitive outcomes in acutely ill older patients.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Aging, Geriatrics, Vitamin D, Cognition" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/92w0m112", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "S.", "last_name": "Evans", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Wesley", "middle_name": "", "last_name": "Self", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Adit", "middle_name": "A.", "last_name": "Ginde", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Rameela", "middle_name": "", "last_name": "Chandrasekhar", "name_suffix": "", "institution": "Vanderbilt University, Department of Biostatistics, Nashville, Tennessee", "department": "None" }, { "first_name": "E. Wesley", "middle_name": "", "last_name": "Ely", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Medicine, Division of Allergy Pulmonary, and Critical Care Medicine, Nashville, Tennessee", "department": "None" }, { "first_name": "Jin", "middle_name": "H.", "last_name": "Han", "name_suffix": "", "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine and Geriatric Research, Education, and Clinical Center, Tennessee Valley Healthcare System, Nashville, Tennessee", "department": "None" } ], "date_submitted": "2019-04-03T21:36:13+02:00", "date_accepted": "2019-04-03T21:36:13+02:00", "date_published": "2019-10-17T00:18:53+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12661/galley/6697/download/" } ] }, { "pk": 12647, "title": "Predicting Emergency Department “Bouncebacks”: A Retrospective Cohort Analysis", "subtitle": null, "abstract": "Introduction:\n The short-term return visit rate among patients discharged from emergency departments (ED) is a quality metric and target for interventions. The ability to accurately identify which patients are more likely to revisit the ED could allow EDs and health systems to develop more focused interventions, but efforts to reduce revisits have not yet found success. Whether patients with a high number of ED visits are at increased risk of a return visit remains underexplored.\nMethods:\n This was a population-based, retrospective, cohort study using administrative data from a large physician partnership. We included patients discharged from EDs from 80 hospitals in seven states from July 2014 – June 2016. We performed multivariable logistic regression of short-term return visits on patient, visit, hospital, and community characteristics. The primary outcome was the proportion of patients who had a return visit within 14 days of an index ED visit.\nResults:\n Among 6,699,717 index visits, the overall risk of 14-day revisit was 12.6%. Frequent visitors accounted for 18.7% of all visits and 40.2% of all 14-day revisits. Frequent visitor status was associated with the highest odds of a revisit (odds ratio [OR] 3.06; 95% confidence interval [CI], 3.041 – 3.073). Other predictors of revisits were cellulitis (OR 2.131; 95% CI, 2.106 – 2.156), alcohol-related disorders (OR 1.579; 95%CI, 1.548 – 1.610), congestive heart failure (OR 1.175; 95% CI, 1.126 – 1.226), and public insurance (Medicaid OR 1.514; 95% CI, 1.501 – 1.528; Medicare OR 1.601; 95% CI, 1.583 – 1.620).\nConclusion:\n Previous ED use – even a single previous visit – was a stronger predictor of a return visit than any other patient, hospital, or community characteristic. Clinicians should consider previous ED use when considering treatment decisions and risk of return visit, as should stakeholders targeting patients at risk of a return visit.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine" }, { "word": "Frequent Users" }, { "word": "bouncebacks" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/70h7b7z3", "frozenauthors": [ { "first_name": "Juan Carlos", "middle_name": "C.", "last_name": "Montoy", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Tamayo-Sarver", "name_suffix": "", "institution": "Vituity Healthcare, Emeryville, California", "department": "None" }, { "first_name": "Gregg", "middle_name": "A.", "last_name": "Miller", "name_suffix": "", "institution": "Vituity Healthcare, Emeryville, California", "department": "None" }, { "first_name": "Amy", "middle_name": "E.", "last_name": "Baer", "name_suffix": "", "institution": "Vituity Healthcare, Emeryville, California", "department": "None" }, { "first_name": "Christopher", "middle_name": "R.", "last_name": "Peabody", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2019-03-27T22:55:54+01:00", "date_accepted": "2019-03-27T22:55:54+01:00", "date_published": "2019-10-17T00:11:44+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12647/galley/6691/download/" } ] }, { "pk": 13162, "title": "Another Perspective on Cannabis and Emergency Medicine in Colorado", "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": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37b9q2nn", "frozenauthors": [ { "first_name": "Kennon", "middle_name": "", "last_name": "Heard", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Section\nof Medical Pharmacology and Toxicology, Aurora, Colorado\nRocky Mountain Poison and Drug Center, Denver, Colorado", "department": "None" }, { "first_name": "Andrew", "middle_name": "A.", "last_name": "Monte", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Section\nof Medical Pharmacology and Toxicology, Aurora, Colorado\nRocky Mountain Poison and Drug Center, Denver, Colorado", "department": "None" }, { "first_name": "George", "middle_name": "Sam", "last_name": "Wang", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Section\nof Medical Pharmacology and Toxicology, Aurora, Colorado\nRocky Mountain Poison and Drug Center, Denver, Colorado\nUniversity of Colorado School of Medicine, Department of Pediatrics, Section of Pediatric\nEmergency Medicine, Aurora, Colorado", "department": "None" } ], "date_submitted": "2019-08-12T20:07:29+02:00", "date_accepted": "2019-08-12T20:07:29+02:00", "date_published": "2019-10-17T00:02:56+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13162/galley/6923/download/" } ] }, { "pk": 731, "title": "Kawasaki Disease Presenting as Acute Acalculous Cholecystitis", "subtitle": null, "abstract": "Acute acalculous cholecystitis (AAC) is a rare, potentially serious disease that has been associated with Kawasaki disease (KD) in children. Studies suggest that patients presenting with severe abdominal symptoms secondary to KD have increased resistance to intravenous immunoglobulin (IVIG), and a higher rate of coronary artery aneurysms. We describe an eight-year-old boy who presented to the emergency department with severe abdominal pain and was diagnosed with AAC and KD. He was treated with IVIG and high-dose aspirin, achieving good response with complete symptom resolution. He had no coronary artery aneurysms or further complications and was discharged after three days.", "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/3485r2k7", "frozenauthors": [ { "first_name": "Demis", "middle_name": "N.", "last_name": "Lipe", "name_suffix": "", "institution": "MD Anderson Cancer Center, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Lindsey", "middle_name": "C.", "last_name": "Bridges", "name_suffix": "", "institution": "Navicent Health, Department of Surgery, Macon, Georgia", "department": "None" } ], "date_submitted": "2019-10-15T03:03:05+02:00", "date_accepted": "2019-10-15T03:03:05+02:00", "date_published": "2019-10-16T21:25:21+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/731/galley/486/download/" } ] }, { "pk": 728, "title": "Iatrogenic Aortic Dissection Presenting with Leg Pain Diagnosed with Point-of-care Ultrasound", "subtitle": null, "abstract": "Iatrogenic aortic dissection (IAD) status-post-cardiac catheterization is a rare complication often isolated to the proximal aorta. This is a case of IAD isolated to the distal aorta in a 41-year-old female who presented to the emergency department with right leg pain after undergoing three cardiac catheterizations. The diagnosis of IAD was made upon discovery of an intimal flap in the distal aorta and femoral artery while performing a point-of-care ultrasound to evaluate for deep vein thrombosis.", "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/08q2c2pd", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "", "last_name": "Friedman", "name_suffix": "", "institution": "North Shore University Hospital-Northwell Health, Department of Emergency Medicine, Manhasset, New York", "department": "None" }, { "first_name": "Armin", "middle_name": "", "last_name": "Gollogly", "name_suffix": "", "institution": "Long Island Jewish Medical Center-Northwell Health, Department of Emergency Medicine, New Hyde Park, New York", "department": "None" }, { "first_name": "Enrique", "middle_name": "", "last_name": "Pena", "name_suffix": "", "institution": "North Shore University Hospital-Northwell Health, Department of Emergency Medicine, Manhasset, New York", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "North Shore University Hospital-Northwell Health, Department of Emergency Medicine, Manhasset, New York", "department": "None" }, { "first_name": "Tina", "middle_name": "", "last_name": "Dulani", "name_suffix": "", "institution": "Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Emergency Medicine, Manhasset, New York", "department": "None" } ], "date_submitted": "2019-10-15T02:21:07+02:00", "date_accepted": "2019-10-15T02:21:07+02:00", "date_published": "2019-10-16T21:14:02+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/728/galley/483/download/" } ] }, { "pk": 738, "title": "Difficult Intraoperative Heparinization Following Andexanet Alfa Administration", "subtitle": null, "abstract": "Direct oral anticoagulants are now commonplace, and reversal agents are recently becoming available. Andexanet alfa (AnXa), approved by the United States Food and Drug Administration in 2018, is a novel decoy molecule that reverses factor Xa inhibitors in patients with major hemorrhage. We present a case of a 70-year-old man taking rivaroxaban with hemodynamic instability from a ruptured abdominal aortic aneurysm. He received AnXa prior to endovascular surgery, and intraoperatively he could not be heparinized for graft placement. Consideration should be given to the risks and benefits of AnXa administration in patients who require anticoagulation after hemorrhage has been controlled.", "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/7x43z9r3", "frozenauthors": [ { "first_name": "C.", "middle_name": "James", "last_name": "Watson", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Sara", "middle_name": "L.", "last_name": "Zettervall", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Division of Vascular and Endovascular Surgery, Boston, Massachusetts", "department": "None" }, { "first_name": "Matthew", "middle_name": "M.", "last_name": "Hall", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Ganetsky", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-10-15T03:52:52+02:00", "date_accepted": "2019-10-15T03:52:52+02:00", "date_published": "2019-10-15T03:53:51+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/738/galley/493/download/" } ] }, { "pk": 737, "title": "Pitfalls and Pearls in Delusional Parasitosis", "subtitle": null, "abstract": "Delusional parasitosis is an uncommon psychiatric disorder that manifests as having parasitic delusions. Due to its rarity, delusional parasitosis is a challenging and costly diagnosis of exclusion and proves difficult to manage for many providers. Although this syndrome is frequently discussed in psychiatric and dermatology reports, it is not commonly described in emergency medicine (EM) literature. As a result, best practices for workup and treatment remain unclear from an EM perspective. Patients typically return multiple times for medical evaluation and exhaust numerous resources. In this case report we review the appropriate steps for initial evaluation of patients with suspected delusional parasitosis, differential diagnoses, and increase awareness for prudent treatment strategies.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4xh101f2", "frozenauthors": [ { "first_name": "Allen", "middle_name": "", "last_name": "Gold", "name_suffix": "", "institution": "Northwell Health, Emergency Department, Manhasset, New York", "department": "None" }, { "first_name": "Zhanna", "middle_name": "", "last_name": "Roit", "name_suffix": "", "institution": "Northwell Health, Emergency Department, Manhasset, New York", "department": "None" }, { "first_name": "Ingrid", "middle_name": "", "last_name": "Llovera", "name_suffix": "", "institution": "Northwell Health, Emergency Department, Manhasset, New York", "department": "None" } ], "date_submitted": "2019-10-15T03:44:26+02:00", "date_accepted": "2019-10-15T03:44:26+02:00", "date_published": "2019-10-15T03:44:54+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/737/galley/492/download/" } ] }, { "pk": 736, "title": "Intracranial Hemorrhage and Pneumocephaly After Cervical Epidural Injection", "subtitle": null, "abstract": "Cervical epidural injections are commonly used to treat patients with radicular neck pain. The following is a description of a case of subarachnoid hemorrhage, subdural hemorrhage, and pneumocephaly following cervical epidural injection.", "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/5bj5f990", "frozenauthors": [ { "first_name": "Nishit", "middle_name": "", "last_name": "Mehta", "name_suffix": "", "institution": "Summa Health Barberton Hospital, Department of Emergency Medicine, Barberton, Ohio", "department": "None" } ], "date_submitted": "2019-10-15T03:37:41+02:00", "date_accepted": "2019-10-15T03:37:41+02:00", "date_published": "2019-10-15T03:38:12+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/736/galley/491/download/" } ] }, { "pk": 735, "title": "Disseminated Intravascular Coagulation with Purpura Fulminans Presentation of Acute Promyelocytic Leukemia", "subtitle": null, "abstract": "A 47-year-old male presented to the emergency department with 12 hours of nausea, vomiting, abdominal pain, and a widespread skin eruption with mottled, irregular, purpuric lesions with subsequent rapid decompensation. Laboratory analysis revealed thrombocytopenia, bandemia, elevated metamyelocytes, abnormal coagulation panel, decreased fibrinogen, elevated fibrin split products, renal dysfunction, bacterial rods, dohle bodies, and toxic granulation. Acute promyelocytic leukemia (APML) was confirmed via bone marrow biopsy, flow cytometry, and fluorescence in situ hybridization analysis. Disseminated intravascular coagulation (DIC) may be the initial presentation of APML. When treated promptly, APML can achieve high remission rates; however, conditions such as DIC continue to increase mortality requiring early recognition to improve survival rates.", "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/5rz1t8qg", "frozenauthors": [ { "first_name": "Douglas", "middle_name": "", "last_name": "Ader", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" }, { "first_name": "Muhammad", "middle_name": "", "last_name": "Durrani", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" }, { "first_name": "Eric", "middle_name": "", "last_name": "Blazar", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" } ], "date_submitted": "2019-10-15T03:33:29+02:00", "date_accepted": "2019-10-15T03:33:29+02:00", "date_published": "2019-10-15T03:34:09+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/735/galley/490/download/" } ] }, { "pk": 734, "title": "Ventricular Fibrillation Cardiac Arrest in Young Female from Diffuse Left Anterior Descending Coronary Vasospasm", "subtitle": null, "abstract": "This is a case of the most severe and potentially fatal complication of coronary artery vasospasm. We report a case of a 40-year-old female presenting to the emergency department (ED) via emergency medical services with chest pain. The patient experienced a ventricular fibrillation cardiac arrest while in the ED. Post-defibrillation electrocardiogram showed changes suggestive of an ST-elevation myocardial infarction (STEMI). Cardiac catheterization showed severe left anterior descending spasm with no evidence of disease. Coronary vasospasm is a consideration in the differential causes of ventricular fibrillation and STEMI seen in the ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/46w8b4mg", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "J.", "last_name": "Wilson", "name_suffix": "", "institution": "Geisinger Commonwealth School of Medicine, Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "Eric", "middle_name": "", "last_name": "Melnychuk", "name_suffix": "", "institution": "Geisinger Commonwealth School of Medicine, Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Bernett", "name_suffix": "", "institution": "Geisinger Commonwealth School of Medicine, Geisinger Wyoming Valley, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" } ], "date_submitted": "2019-10-15T03:27:05+02:00", "date_accepted": "2019-10-15T03:27:05+02:00", "date_published": "2019-10-15T03:28:03+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/734/galley/489/download/" } ] }, { "pk": 733, "title": "Man With Bilateral Leg Swelling", "subtitle": null, "abstract": "A 52-year-old man without known medical history presented with painful, progressive, bilateral lower extremity edema over a two-week period. An abdominal exam noted a firm left upper quadrant mass. Emergency department (ED) point-of-care ultrasound (POCUS) revealed a hyperechoic, heterogeneous structure in the inferior vena cava that was determined to represent a tumor thrombus extending from a primary renal cell carcinoma. This case demonstrates how POCUS was valuable in rapidly diagnosing this rare cause of lower extremity edema and its usefulness in directing the initial ED management of this patient.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0gn5q74d", "frozenauthors": [ { "first_name": "Jake", "middle_name": "", "last_name": "Toy", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "None" }, { "first_name": "Alexander", "middle_name": "", "last_name": "Garrett", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "None" }, { "first_name": "Yiju", "middle_name": "Teresa", "last_name": "Liu", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "None" } ], "date_submitted": "2019-10-15T03:21:02+02:00", "date_accepted": "2019-10-15T03:21:02+02:00", "date_published": "2019-10-15T03:23:13+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/733/galley/488/download/" } ] }, { "pk": 732, "title": "A Rare Oncologic Emergency: Spontaneous Tumor Lysis Syndrome in Metastatic Colon Adenocarcinoma", "subtitle": null, "abstract": "Tumor lysis syndrome is an oncologic emergency that can present with variable symptoms and is truly a laboratory-based diagnosis without pathognomonic clinical findings. The classical teaching is to consider this diagnosis in cancer patients undergoing chemotherapy. We present the case of a 66-year-old female with newly diagnosed metastatic liver adenocarcinoma, not on chemotherapy, who was diagnosed with spontaneous tumor lysis syndrome. Cognizance of this syndrome and associated laboratory findings are paramount to diagnosis and rapid 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": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5cx862wh", "frozenauthors": [ { "first_name": "Kathleen", "middle_name": "E.", "last_name": "Kalmbach", "name_suffix": "", "institution": "University of Massachusetts Medical School, Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts; School of Education, Human and Health Sciences: Physician Assistant Studies, Bay Path University, Longmeadow, Massachusetts", "department": "None" }, { "first_name": "Leena", "middle_name": "T.", "last_name": "Rahmat", "name_suffix": "", "institution": "Johns Hopkins University, Sidney Kimmel Comprehensive Cancer Center, Department of Oncology, Washington, District of Columbia", "department": "None" }, { "first_name": "Justyna", "middle_name": "A.", "last_name": "Wos", "name_suffix": "", "institution": "Springfield College, Department of Physician Assistant Studies, Springfield, Massachusetts", "department": "None" }, { "first_name": "Nicholas", "middle_name": "J.", "last_name": "Daniel", "name_suffix": "", "institution": "University of Massachusetts Medical School, Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" } ], "date_submitted": "2019-10-15T03:10:38+02:00", "date_accepted": "2019-10-15T03:10:38+02:00", "date_published": "2019-10-15T03:11:42+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/732/galley/487/download/" } ] }, { "pk": 730, "title": "Varicella Zoster Virus Encephalitis", "subtitle": null, "abstract": "Varicella zoster virus in the adult patient most commonly presents as shingles. Shingles is a painful vesicular eruption localized to a specific dermatome of the body. One of the potential complications of this infection is involvement of the central nervous system causing encephalitis. An increased risk of this complication is associated with the immunocompromised patient. In this case report, we review the history and physical exam findings that should raise clinical suspicion for varicella zoster encephalitis, as well as the epidemiology, risk factors, treatment, and prognosis of this type of infection.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/661614bt", "frozenauthors": [ { "first_name": "Jared", "middle_name": "", "last_name": "Lizzi", "name_suffix": "", "institution": "Memorial Health System, Department of Emergency Medicine, Marietta, Ohio", "department": "None" }, { "first_name": "Tyler", "middle_name": "", "last_name": "Hill", "name_suffix": "", "institution": "Memorial Health System, Department of Emergency Medicine, Marietta, Ohio", "department": "None" }, { "first_name": "Julian", "middle_name": "", "last_name": "Jakubowski", "name_suffix": "", "institution": "Memorial Health System, Department of Emergency Medicine, Marietta, Ohio", "department": "None" } ], "date_submitted": "2019-10-15T02:57:46+02:00", "date_accepted": "2019-10-15T02:57:46+02:00", "date_published": "2019-10-15T02:58:19+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/730/galley/485/download/" } ] }, { "pk": 729, "title": "Pennies for Your Thoughts: A Case Series of Pancytopenia Due to Zinc-Induced Copper Deficiency in the Same Patient", "subtitle": null, "abstract": "A 47-year-old schizophrenic male presented on three separate occasions with pancytopenia and sideroblastic anemia due to copper deficiency from massive zinc penny ingestion. The poisoning was treated differently on each visit: intravenous (IV) copper plus surgical decontamination and chelation with calcium disodium versenate (CaNa2EDTA); IV copper plus whole bowel irrigation; and IV copper with surgical decontamination only. Serum zinc half-lives were 80.0 hours, 233.2 hours, and 83.9 hours, respectively. Importantly, chelation with CaNa2EDTA did not significantly alter the elimination half-life. This is the first reported case of the same patient being treated on three different occasions with three different regimens for this condition.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5956p39r", "frozenauthors": [ { "first_name": "Bram", "middle_name": "A.", "last_name": "Dolcourt", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "James", "middle_name": "H.", "last_name": "Paxton", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Keenan", "middle_name": "M.", "last_name": "Bora", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Cynthia", "middle_name": "K.", "last_name": "Aaron", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine, Detroit, Michigan", "department": "None" } ], "date_submitted": "2019-10-15T02:41:47+02:00", "date_accepted": "2019-10-15T02:41:47+02:00", "date_published": "2019-10-15T02:52:24+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/729/galley/484/download/" } ] }, { "pk": 727, "title": "Opioid Overdose With Parkinsonian Features", "subtitle": null, "abstract": "A 54-year-old man presented to the emergency department with confusion and Parkinsonian features after suspected heroin snorting. He had magnetic resonance imaging of the brain demonstrating isolated symmetric bilateral globus pallidus (GP) restricted diffusion and edema consistent with hypoxic ischemic encephalopathy. In contrast to other anoxic/ischemic insults, where the GP is preferentially spared, autopsy reports on intravenous heroin users have found the GP to be specifically affected, often demonstrating symmetric bilateral lesions. Opioid toxicity should be considered in patients presenting with Parkinsonian features on examination or pallidal lesions on imaging, especially in younger adults where infarction is less common.", "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/4v04g7t4", "frozenauthors": [ { "first_name": "Paul", "middle_name": "", "last_name": "Cohen", "name_suffix": "", "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Jason", "middle_name": "B.", "last_name": "Hack", "name_suffix": "", "institution": "Brown University, Department of Emergency Medicine, Division of Medical Toxicology, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2019-10-15T02:03:32+02:00", "date_accepted": "2019-10-15T02:03:32+02:00", "date_published": "2019-10-15T02:04:15+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/727/galley/482/download/" } ] }, { "pk": 12765, "title": "An Academic Relative Value Unit System: Do Transparency, Consensus, and Accountability Work?", "subtitle": null, "abstract": "Introduction: \nAcademic medicine continues to struggle in its efforts to compensate scholarly productivity. Academic achievements receive less recognition compared to clinical work, evidenced by a lack of reduced clinical hours or financial incentive. Core departmental education responsibilities are often distributed inequitably across academic departments. An approach using an incentive program, which emphasizes transparency, equity, and consensus may help academic departments share core education responsibilities and reward scholarly activity.\nMethods:\n We launched a two-stage approach to confront the inequitable distribution of educational responsibilities and to recognize the scholarly work among our faculty. In the first stage, baseline education expectations were implemented for all faculty members, which included accountability procedures tied to a financial incentive. The second stage involved the creation of an aAcademic rRelative vValue uUnit (ARVU) system which contained additional activities that were derived and weighted based on stakeholder consensus. The points earned in the ARVU system were applied towards additional financial incentive at academic year-end. We compared education contributions before and after implementation as well as total points earned in the ARVU system.\nResults:\n In the first year of implementing education expectations, 87% of faculty fulfilled requirements. Those with a heavier clinical load made up the majority of deficient faculty. Those who did not meet education expectations were notified and had their year-end incentive reduced to reflect this. Faculty conference attendance increased by 21% (P<.001) and the number of resident assessments completed increased by 30% (P<.001) compared to the previous year. To date, faculty across the department have logged a total of 1,240 academic activities in the database, which will be converted into financial bonus amounts at year-end.\nConclusion:\n We have seen significant increases in faculty participation in educational activities and learner assessments as well as documentation of activities in the ARVU system. A similar system using different specialty-specific activities may be generalizable and employed at other institutions.", "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": "ARVU, academic relative value unit system" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34n6b8vd", "frozenauthors": [ { "first_name": "Kristin", "middle_name": "", "last_name": "Carmody", "name_suffix": "", "institution": "New York University School of Medicine, Ronald O. Perelman Department of Emergency Medicine, New York, New York", "department": "None" } ], "date_submitted": "2019-05-21T22:32:56+02:00", "date_accepted": "2019-05-21T22:32:56+02:00", "date_published": "2019-10-14T23:49:31+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12765/galley/6734/download/" } ] }, { "pk": 12796, "title": "Identifying and Overcoming Barriers to Resident Use of Point-of-Care Ultrasound", "subtitle": null, "abstract": "Introduction:\n Emergency medicine residency programs have rigorous point-of-care ultrasound (POCUS) curricula. However, this training does not always readily translate to routine use in clinical decision-making. This study sought to identify and overcome barriers that could prevent resident physicians from performing POCUS during clinical shifts.\nMethods:\n This was a two-step process improvement study. First, a survey was deployed to all residents of a three-year academic residency program to identify barriers to clinical use of POCUS. This survey identified the perceived lack of a uniform documenting protocol as the most important barrier to performing POCUS on shift. Second, as an intervention to overcome this barrier, a streamlined documentation protocol was developed and presented to residents. The primary outcome was the number of patients who had POCUS used in medical decision-making one year before and after intervention. Secondary outcomes were the level of training of residents performing exams and whether faculty overseeing exams were trained through an ultrasound fellowship program.\nResults:\n POCUS use by residents increased from 82 to 223 patients before and after the intervention, respectively. Per resident, this translates to an absolute increase from 2.2 (95% confidence intervall [CI], 1.4, 3) to 5.8 (95% CI, 4, 7.6) or 3.6 (95% CI, 1.8, 5.4) exams/resident over the study period. We observed no significant difference in the proportions of scans attributable to the resident level of training (χ2 = 0.5, p = 0.47). The proportion of exams by non-ultrasound fellowship trained faculty increased significantly more compared to fellowship trained faculty (χ2 = 19, p<0.0001); however, both ultrasound fellowship trained and non-ultrasound fellowship trained faculty increased the absolute number of exams performed.\nConclusion:\n A key perceived barrier to resident-performed POCUS is unfamiliarity with documenting ultrasounds for medical decision-making. Educating residents in person about a POCUS documentation protocol may help overcome this barrier. Incorporating resident input and motivation into POCUS incentivization may increase utilization. Future studies in optimizing POCUS on shift will need to focus on streamlining documentation, addressing time constraints, and faculty support for resident-performed POCUS.", "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/3qt9j7bx", "frozenauthors": [ { "first_name": "Nikolai", "middle_name": "", "last_name": "Schnittke", "name_suffix": "", "institution": "Oregon Health and Science University, Department of Emergency Medicine, Portland, Oregon", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Damewood", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Department of Emergency Medicine, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2019-06-05T20:42:11+02:00", "date_accepted": "2019-06-05T20:42:11+02:00", "date_published": "2019-10-14T23:45:01+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12796/galley/6743/download/" } ] }, { "pk": 12690, "title": "Efficacy of a Short Role-Play Training on Breaking Bad News in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n Breaking bad news (BBN) in the emergency department (ED) represents a challenging and stressful situation for physicians. Many medical students and residents feel stressed and uncomfortable with such situations because of insufficient training. Our randomized controlled study aimed to assess the efficacy of a four-hour BBN simulation-based training on perceived self-efficacy, the BBN process, and communication skills.\nMethods:\n Medical students and residents were randomized into a 160-hour ED clinical rotation without a formal BBN curriculum (control group [CG], n = 31) or a 156-hour ED clinical rotation and a four-hour BBN simulation-based training (training group [TG], n = 37). Both groups were assessed twice: once at the beginning of the rotation (pre-test) and again four weeks later. Assessments included a BBN evaluation via a simulation with two actors playing family members and the completion of a questionnaire on self-efficacy. Two blinded raters assessed the BBN process with the SPIKES (a delivery protocol for delivering bad news) competence form and communication skills with the modified BBN Assessment Schedule.\nResults: \nGroup-by-time effects adjusted by study year revealed a significant improvement in TG as compared with CG on self-efficacy (P < 0.001), the BBN process (P < 0.001), and communication skills (P < 0.001). TG showed a significant gain regarding the BBN process (+33.3%, P < 0.001). After the training, students with limited clinical experience prior to the rotation showed BBN performance skills equal to that of students in the CG who had greater clinical experience.\nConclusion:\n A short BBN simulation-based training can be added to standard clinical rotations. It has the potential to significantly improve self-efficacy, the BBN process, and 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": [], "section": "Patient Communication", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0xx0w6b9", "frozenauthors": [ { "first_name": "Jean-Christophe", "middle_name": "", "last_name": "Servotte", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium\nUniversity of Liege, Interdisciplinary Medical Simulation Center of Liège, Liège, Belgium", "department": "None" }, { "first_name": "Isabelle", "middle_name": "", "last_name": "Bragard", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium\nUniversity of Liege, Interdisciplinary Medical Simulation Center of Liège, Liège, Belgium", "department": "None" }, { "first_name": "Demian", "middle_name": "", "last_name": "Szyld", "name_suffix": "", "institution": "Institute for Medical Simulation, Center for Medical Simulation, Brigham and Women’s Hospital, Harvard Medical School", "department": "None" }, { "first_name": "Pauline", "middle_name": "", "last_name": "Van Ngoc", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium", "department": "None" }, { "first_name": "Béatrice", "middle_name": "", "last_name": "Scholtes", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium", "department": "None" }, { "first_name": "Isabelle", "middle_name": "", "last_name": "Van Cauwenberghe", "name_suffix": "", "institution": "University Hospital Centre of Liège, Department of Emergency Medicine, Liège, Belgium", "department": "None" }, { "first_name": "Anne-Françoise", "middle_name": "", "last_name": "Donneau", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium", "department": "None" }, { "first_name": "Nadia", "middle_name": "", "last_name": "Dardenne", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium", "department": "None" }, { "first_name": "Manon", "middle_name": "", "last_name": "Goosse", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium", "department": "None" }, { "first_name": "Bruno", "middle_name": "", "last_name": "Pilote", "name_suffix": "", "institution": "Université Laval, Faculté des sciences infirmières, Québec, Canada", "department": "None" }, { "first_name": "Michèle", "middle_name": "", "last_name": "Guillaume", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium", "department": "None" }, { "first_name": "Alexandre", "middle_name": "", "last_name": "Ghuysen", "name_suffix": "", "institution": "University of Liège, Department of Public Health Sciences, Liège, Belgium\nUniversity of Liege, Interdisciplinary Medical Simulation Center of Liège, Liège, Belgium", "department": "None" } ], "date_submitted": "2019-04-17T09:54:55+02:00", "date_accepted": "2019-04-17T09:54:55+02:00", "date_published": "2019-10-14T23:40:49+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12690/galley/6706/download/" } ] }, { "pk": 13153, "title": "Author Response to: “Randomized Controlled Trial of Simulation vs Standard Training for Teaching Medical Students High-quality Cardiopulmonary Resuscitation: The Methodological 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": "Letters to the Editor", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/00d8f5bp", "frozenauthors": [ { "first_name": "C.", "middle_name": "Eric", "last_name": "McCoy", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2019-08-06T21:37:41+02:00", "date_accepted": "2019-08-06T21:37:41+02:00", "date_published": "2019-10-14T23:32:49+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13153/galley/6919/download/" } ] }, { "pk": 12748, "title": "Randomized Controlled Trial of Simulation vs Standard Training for Teaching Medical Students High-quality Cardiopulmonary Resuscitation: The Methodological 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": "Letters to the Editor", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/07m3x0fg", "frozenauthors": [ { "first_name": "Reza", "middle_name": "", "last_name": "Farahmand Rad", "name_suffix": "", "institution": "Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran", "department": "None" }, { "first_name": "Akram", "middle_name": "", "last_name": "Zolfaghari Sadrabad", "name_suffix": "", "institution": "Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran", "department": "None" }, { "first_name": "Shahab", "middle_name": "", "last_name": "Rezaeian", "name_suffix": "", "institution": "Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran", "department": "None" } ], "date_submitted": "2019-05-10T15:10:10+02:00", "date_accepted": "2019-05-10T15:10:10+02:00", "date_published": "2019-10-14T23:29:31+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12748/galley/6729/download/" } ] }, { "pk": 12643, "title": "Impact of Global Budget Revenue Policy on Emergency Department Efficiency in the State of Maryland", "subtitle": null, "abstract": "Introduction:\n On January 1, 2014, the State of Maryland implemented the Global Budget Revenue (GBR) program. We investigate the impact of GBR on length of stay (LOS) for inpatients in emergency departments (ED) in Maryland.\nMethods:\n We used the Hospital Compare data reports from the Centers for Medicare and Medicaid Services (CMS) and CMS Cost Reports Hospital Form 2552-10 from January 1, 2012–March 31, 2016, with GBR hospitals from Maryland and hospitals from West Virginia (WV), Delaware (DE), and Rhode Island (RI). We implemented difference-in-differences analysis and investigated the impact of GBR implementation on the LOS or ED1b scores of Maryland hospitals using a mixed-effects model with a state-level fixed effect, a hospital-level random effect, and state-level heterogeneity.\nResults:\n The GBR impact estimator was 9.47 (95% confidence interval [CI], 7.06 to 11.87, p-value<0.001) for Maryland GBR hospitals, which implies, on average, that GBR implementation added 9.47 minutes per year to the time that hospital inpatients spent in the ED in the first two years after GBR implementation. The effect of the total number of hospital beds was 0.21 (95% CI, 0.089 to 0.330, p-value = 0 .001), which suggests that the bigger the hospital, the longer the ED1b score. The state-level fixed effects for WV were -106.96 (95% CI, -175.06 to -38.86, p-value = 0.002), for DE it was 6.51 (95% CI, -8.80 to 21.82, p-value=0.405), and for RI it was -54.48 (95% CI, -82.85 to -26.10, p-value<0.001).\nConclusion:\n Our results indicate that GBR implementation has had a statistically significant negative impact on the efficiency measure ED1b of Maryland hospital EDs from January 2014 to April 2016. We also found that the significant state-level fixed effect implies that the same inpatient might experience different ED processing times in each of the four states that we studied. [West J Emerg Med.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Department Efficiency" }, { "word": "Global Budgeting" }, { "word": "Global Budget Revenue" }, { "word": "Difference-in-Difference" }, { "word": "Healthcare Policy Impact" } ], "section": "Health Policy Analysis", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6xg3733b", "frozenauthors": [ { "first_name": "Ai", "middle_name": "", "last_name": "Ren", "name_suffix": "", "institution": "University of Maryland, Robert H. Smith School of Business, Decision, Operations, and Information Technologies, College Park, Maryland", "department": "None" }, { "first_name": "Bruce", "middle_name": "", "last_name": "Golden", "name_suffix": "", "institution": "University of Maryland, Robert H. Smith School of Business, Decision, Operations, and\nInformation Technologies, College Park, Maryland", "department": "None" }, { "first_name": "Frank", "middle_name": "", "last_name": "Alt", "name_suffix": "", "institution": "University of Maryland, Robert H. Smith School of Business, Decision, Operations, and Information Technologies, College Park, Maryland", "department": "None" }, { "first_name": "Edward", "middle_name": "", "last_name": "Wasil", "name_suffix": "", "institution": "American University, Kogod School of Business, Department of Information Technology and Analytics, Washington, District of Colombia", "department": "None" }, { "first_name": "Margret", "middle_name": "", "last_name": "Bjarnadottir", "name_suffix": "", "institution": "University of Maryland, Robert H. Smith School of Business, Decision, Operations, and Information Technologies, College Park, Maryland", "department": "None" }, { "first_name": "Jon Mark", "middle_name": "", "last_name": "Hirshon", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Pimentel", "name_suffix": "", "institution": "University of Maryland, Robert H. Smith School of Business, Decision, Operations, and Information Technologies, College Park, Maryland", "department": "None" } ], "date_submitted": "2019-03-26T05:58:40+01:00", "date_accepted": "2019-03-26T05:58:40+01:00", "date_published": "2019-10-14T23:26:58+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12643/galley/6689/download/" } ] }, { "pk": 12293, "title": "Musculoskeletal Injuries and Outcomes Pre- and Post- Emergency Medicine Training Program", "subtitle": null, "abstract": "Introduction:\n Musculoskeletal injuries (MSI) comprise a large portion of the trauma burden in low- and middle-income countries (LMIC). Rwanda recently launched its first emergency medicine training program (EMTP) at the University Teaching Hospital-Kigali (UTH-K), which may help to treat such injuries; yet no current epidemiological data is available on MSI in Rwanda.\nMethods\n: We conducted this pre-post study during two data collection periods at the UTH-K from November 2012 to July 2016. Data collection for MSI is limited and thus is specific to fractures. We included all patients with open, closed, or mixed fractures, hereafter referred to as MSI. Gathered information included demographics and outcomes including death, traumatic complications, and length of hospital stay, before and after the implementation of the EMTP.\nResults:\n We collected data from 3609 patients. Of those records, 691 patients were treated for fractures, and 674 of them had sufficient EMTP data measured for inclusion in the analysis of results (279 from pre-EMTP and 375 from post-EMTP). Patient demographics demonstrate that a majority of MSI cases are male (71.6% male vs 28.4% female) and young (64.3% below 35 years of age). Among mechanisms of injury, major causes included road traffic accidents (48.1%), falls (34.2%), and assault (6.0%). There was also an observed association between EMTP and trends of the three primary outcomes: a reduction of death in the emergency department (ED) from those with MSI by 89.9%, from 2.51% to 0.25% (p = 0.0077); a reduction in traumatic complications for MSI patients by 71.7%, from 3.58% to 1.01% (p = 0.0211); and a reduction in duration of stay in the ED among those with MSI by 52.7% or 2.81 days on average, from 5.33 to 2.52 days (p = 0.0437).\nConclusion:\n This study reveals the current epidemiology of MSI morbidity and mortality for a major Rwandan teaching hospital and the potential impacts of EM training implementation among those with MSI. Residency training programs such as EMTP appear capable of reducing mortality, complications, and ED length of stay among those with MSI caused by fractures. Such findings underscore the efficacy and importance of investments in educating the next generation of health professionals to combat prevalent MSI within their communities.", "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": "Global Health, Musculoskeletal Injuries, Emergency Medicine" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5fw4j84x", "frozenauthors": [ { "first_name": "Peter", "middle_name": "C.", "last_name": "Mattson", "name_suffix": "", "institution": "Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Ezechiel", "middle_name": "", "last_name": "Nteziryayo", "name_suffix": "", "institution": "Centre Hospitalier Universitaire de Kigali Rwanda, Kigali, Rwanda", "department": "None" }, { "first_name": "Adam", "middle_name": "R.", "last_name": "Aluisio", "name_suffix": "", "institution": "Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Henry", "name_suffix": "", "institution": "Columbia University Vagelos College of Physicians and Surgeons, New York, New York", "department": "None" }, { "first_name": "Noah", "middle_name": "", "last_name": "Rosenberg", "name_suffix": "", "institution": "Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Zeta", "middle_name": "A.", "last_name": "Mutabazi", "name_suffix": "", "institution": "Centre Hospitalier Universitaire de Kigali Rwanda, Kigali, Rwanda", "department": "None" }, { "first_name": "Jeanne", "middle_name": "", "last_name": "D’Arc Nyinawankusi", "name_suffix": "", "institution": "Centre Hospitalier Universitaire de Kigali Rwanda, Kigali, Rwanda", "department": "None" }, { "first_name": "Jean Claude", "middle_name": "", "last_name": "Byiringiro", "name_suffix": "", "institution": "Centre Hospitalier Universitaire de Kigali Rwanda, Kigali, Rwanda", "department": "None" }, { "first_name": "Adam", "middle_name": "C.", "last_name": "Levine", "name_suffix": "", "institution": "Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Naz", "middle_name": "", "last_name": "Karim", "name_suffix": "", "institution": "Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2019-03-25T02:38:42+01:00", "date_accepted": "2019-03-25T02:38:42+01:00", "date_published": "2019-10-14T23:13:53+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12293/galley/6561/download/" } ] }, { "pk": 12602, "title": "Risk Factors Associated with Emergency Department Recidivism in the Older Adult", "subtitle": null, "abstract": "Our objective was to review risk factors predictive of older adult recidivism in the emergency department. Certain risk factors and themes commonly occurred in the literature. These recurring factors included increasing age, male gender, certain diagnoses (abdominal pain, traumatic injuries, and respiratory complaints), psychosocial factors (depression, anxiety, poor social support, and limited health literacy), and poor general health (cognitive health and physical functioning). Many of the identified risk factors are not easily modifiable posing a significant challenge in the quest to develop and implement effective intervention strategies.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Older Adults" }, { "word": "geriatric" }, { "word": "emergency department recidivism" }, { "word": "emergency department return visits" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6mn5105m", "frozenauthors": [ { "first_name": "Sophia", "middle_name": "", "last_name": "Sheikh", "name_suffix": "", "institution": "University of Florida–Jacksonville, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" } ], "date_submitted": "2019-03-13T14:59:44+01:00", "date_accepted": "2019-03-13T14:59:44+01:00", "date_published": "2019-10-14T23:07:11+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12602/galley/6679/download/" } ] }, { "pk": 5531, "title": "Targets, tactics, and cooperation in the play fighting of two genera of old world monkeys (Mandrillus and Papio): Accounting for similarities and differences", "subtitle": null, "abstract": "Play fighting in many species involves partners competing to bite one another while avoiding being bitten. Species can differ in the body targets that are bitten and the tactics used to attack and defend those targets. However, even closely related species that attack and defend the same body target using the same tactics can differ markedly in how much the competitiveness of such interactions is mitigated by cooperation. A degree of cooperation is necessary to ensure that some turn-taking between the roles of attacker and defender occurs, as this is critical in preventing play fighting from escalating into serious fighting. In the present study, the dyadic play fighting of captive troops of 4 closely related species of Old World monkeys, 2 each from 2 genera of \nPapio\n and \nMandrillus\n, was analyzed. All 4 species have a comparable social organization, are large bodied with considerable sexual dimorphism, and are mostly terrestrial. In all species, the target of biting is the same – the area encompassing the upper arm, shoulder, and side of the neck – and they have the same tactics of attack and defense. However, the \nPapio\n species exhibit more cooperation in their play than do the \nMandrillus\n species, with the former using tactics that make biting easier to attain and that facilitate close bodily contact. It is possible that species differences in how rigidly dominance relationships are maintained are expressed in the play of juveniles by altering the balance between competition and cooperation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "social styles, egalitarian, despotic, play asymmetry, reciprocity, social tolerance" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1kf57119", "frozenauthors": [ { "first_name": "Kelly", "middle_name": "L", "last_name": "Kraus", "name_suffix": "", "institution": "The University of Lethbridge", "department": "None" }, { "first_name": "Vivien", "middle_name": "C", "last_name": "Pellis", "name_suffix": "", "institution": "The University of Lethbridge", "department": "None" }, { "first_name": "Sergio", "middle_name": "M", "last_name": "Pellis", "name_suffix": "", "institution": "The University of Lethbridge", "department": "None" } ], "date_submitted": "2019-02-26T05:02:28+01:00", "date_accepted": "2019-02-26T05:02:28+01:00", "date_published": "2019-10-06T23:20:52+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5531/galley/3347/download/" } ] }, { "pk": 5524, "title": "Common bottlenose dolphin, Tursiops truncatus, seasonal habitat use and associations with habitat characteristics in Roanoke Sound, North Carolina", "subtitle": null, "abstract": "Understanding how habitat characteristics influence common bottlenose dolphin, \nTursiops truncatus\n, distribution and behavior can be useful for conservation. The dolphin community in Roanoke Sound, North Carolina primarily exhibits seasonal residency and there is limited information on their habitat use. The objectives of this study were to increase habitat use knowledge and determine the relationship between habitat characteristics and dolphin distribution using standardized photographic-identification data (2009 – 2017). A hot spot (Getis-Ord Gi*) analysis showed dolphins frequently use the southern region containing the mouth of the estuary for feeding and traveling. Habitat characteristics were modeled with zero-altered gamma (ZAG), generalized linear (GLM), and generalized additive (GAM) models to predict dolphin group density. Models showed that groups were more likely to be present in areas with greater benthic slope variation and shallow areas closer to land, and that different habitat characteristics were associated with feed, social, and travel activities. This study suggests that Roanoke Sound provides a seasonal foraging area and travel corridor between the estuaries and coastal waters. This information contributes baseline knowledge of how habitat potentially influences dolphin distribution and behavior which can be useful for management and conservation, especially in areas where habitat changes and impacts need to be assessed.", "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": "Habitat utilization" }, { "word": "hot spot (Getis-Ord Gi*)" }, { "word": "species distribution models" }, { "word": "habitat-based density models" }, { "word": "zero-inflated models" }, { "word": "Cetacean" }, { "word": "standardized photographic-identification surveys" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2fn0n4wf", "frozenauthors": [ { "first_name": "Shauna", "middle_name": "", "last_name": "McBride-Kebert", "name_suffix": "", "institution": "1) Chicago Zoological Society's Sarasota Dolphin Research Program, c/o Mote Marine Laboratory, 1600 Ken Thompson Pkwy, Sarasota, FL 34236\n2) School of Psychology, University of Southern Mississippi, 118 College Dr., Hattiesburg, MS 39406", "department": "None" }, { "first_name": "Jessica", "middle_name": "S.", "last_name": "Taylor", "name_suffix": "", "institution": "Outer Banks Center for Dolphin Research, P.O. Box 7721, Kill Devil Hills, NC 27948", "department": "None" }, { "first_name": "Krystan", "middle_name": "A.", "last_name": "Wilkinson", "name_suffix": "", "institution": "1) Chicago Zoological Society's Sarasota Dolphin Research Program, c/o Mote Marine Laboratory, 1600 Ken Thompson Pkwy, Sarasota, FL 34236\n2) School of Natural Resources and Environment, University of Florida, 1128 Center Drive Box 116455, Gainesville, Florida 32611", "department": "None" }, { "first_name": "Heidi", "middle_name": "", "last_name": "Lyn", "name_suffix": "", "institution": "Department of Psychology, University of South Alabama, 75 South University Blvd., Mobile, AL 36688", "department": "None" }, { "first_name": "Frank", "middle_name": "R.", "last_name": "Moore", "name_suffix": "", "institution": "School of Biological, Environmental, and Earth Sciences, University of Southern Mississippi, 118 College Dr., Hattiesburg, MS 39406", "department": "None" }, { "first_name": "Donald", "middle_name": "F.", "last_name": "Sacco", "name_suffix": "", "institution": "School of Psychology, University of Southern Mississippi, 118 College Dr., Hattiesburg, MS 39406", "department": "None" }, { "first_name": "Bandana", "middle_name": "", "last_name": "Kar", "name_suffix": "", "institution": "National Security Emerging Technologies Division, Oak Ridge National Laboratory\nP.O. Box 2008, 1 Bethel Valley, Road Oak Ridge, TN 37831-6134", "department": "None" }, { "first_name": "Stan", "middle_name": "A.", "last_name": "Kuczaj II", "name_suffix": "", "institution": "School of Psychology, University of Southern Mississippi, 118 College Dr., Hattiesburg, MS 39406", "department": "None" } ], "date_submitted": "2019-01-20T07:59:22+01:00", "date_accepted": "2019-01-20T07:59:22+01:00", "date_published": "2019-10-06T23:18:10+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5524/galley/3344/download/" } ] }, { "pk": 726, "title": "Young Man With Suspected Foreign Body Ingestion", "subtitle": null, "abstract": "As United States emergency departments (ED) and hospitals continue to contend with increasing numbers of patients presenting with complications of substance abuse, emergency physicians should also be aware of patients who may be smuggling illicit drugs. We report the case of a 26-year-old man who was transported to the ED for suspected drug smuggling. Abdominal computed tomography was notable for the presence of multiple tubular foreign bodies throughout the colon that were later identified as packets containing heroin. Body-packing patients present a high-risk clinical scenario that may result in massive, inadvertent drug exposure.", "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/2nq2s955", "frozenauthors": [ { "first_name": "Erin", "middle_name": "F.", "last_name": "Shufflebarger", "name_suffix": "", "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "Matthew", "middle_name": "C.", "last_name": "DeLaney", "name_suffix": "", "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "David", "middle_name": "C.", "last_name": "Pigott", "name_suffix": "", "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" } ], "date_submitted": "2019-09-30T23:34:47+02:00", "date_accepted": "2019-09-30T23:34:47+02:00", "date_published": "2019-09-30T23:35:21+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/726/galley/481/download/" } ] }, { "pk": 725, "title": "Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow", "subtitle": null, "abstract": "Acute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular injury after isolated penetrating trauma. Physical examination demonstrated a strong distal radial pulse; however, point-of-care ultrasound facilitated an evaluation of the directionality of arterial flow, demonstrating that flow was retrograde via the palmar arch. We subsequently identified a proximal and complete arterial laceration.", "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/5324z8hx", "frozenauthors": [ { "first_name": "Nadia", "middle_name": "Aracelliz", "last_name": "Villarroel", "name_suffix": "", "institution": "UMASS Medical School-Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Wagner", "name_suffix": "", "institution": "UMASS Medical School-Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Schoenfeld", "name_suffix": "", "institution": "UMASS Medical School-Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" } ], "date_submitted": "2019-09-30T23:28:40+02:00", "date_accepted": "2019-09-30T23:28:40+02:00", "date_published": "2019-09-30T23:29:43+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/725/galley/480/download/" } ] }, { "pk": 724, "title": "Pseudogout Diagnosed By Point-of-care Ultrasound", "subtitle": null, "abstract": "A 71-year-old male presented to the emergency department (ED) for worsening right knee pain for the prior 3-4 weeks. Point-of-care ultrasound (POCUS) of the right knee showed a pseudo-double contour sign. Subsequent ultrasound-guided arthrocentesis of the knee joint was performed, and fluid studies showed the presence of calcium pyrophosphate crystals, which was consistent with pseudogout. Ultrasound for detection of calcium pyrophosphate crystals in pseudogout and chondrocalcinosis has sensitivity of 86.7% and specificity of 96.4% making POCUS a valuable tool for diagnosing crystalline-induced arthropathy in the ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5zv6503p", "frozenauthors": [ { "first_name": "Anthony", "middle_name": "J.", "last_name": "Halupa", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "Robert", "middle_name": "J.", "last_name": "Strony", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "David", "middle_name": "H.", "last_name": "Bulbin", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Rheumatology, Danville, Pennsylvania", "department": "None" }, { "first_name": "Chadd", "middle_name": "K.", "last_name": "Kraus", "name_suffix": "", "institution": "Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" } ], "date_submitted": "2019-09-30T23:22:07+02:00", "date_accepted": "2019-09-30T23:22:07+02:00", "date_published": "2019-09-30T23:23:19+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/724/galley/479/download/" } ] }, { "pk": 723, "title": "Gastric Outlet Obstruction Due to Malposition of Replacement Gastrostomy Tube", "subtitle": null, "abstract": "A 78-year old male presented to the emergency department after accidental dislodgement of his chronic gastrostomy tube. A replacement gastrostomy tube was passed easily through the existing stoma and flushed without difficulty. Confirmatory abdominal radiography demonstrated contrast in the proximal small bowel, but the patient subsequently developed epigastric pain and refractory vomiting. Computed tomography revealed the tip of the gastrostomy tube terminating in the pylorus or proximal duodenum. This case highlights gastric outlet obstruction complicating the replacement of a gastrostomy tube and the associated radiographic findings.", "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/9h66v950", "frozenauthors": [ { "first_name": "Brent", "middle_name": "A.", "last_name": "Becker", "name_suffix": "", "institution": "Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" }, { "first_name": "Travis", "middle_name": "C.", "last_name": "Walker", "name_suffix": "", "institution": "Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" } ], "date_submitted": "2019-09-30T23:11:51+02:00", "date_accepted": "2019-09-30T23:11:51+02:00", "date_published": "2019-09-30T23:12:29+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/723/galley/478/download/" } ] }, { "pk": 722, "title": "Retained Catheter in the Aorta", "subtitle": null, "abstract": "Due to the recent increase in endovascular procedures, retained foreign bodies such as stents and catheters in vasculature have become a common and serious complication. Treatments for these complications vary depending on the acuity and stability of the foreign body in the vessel. We discuss a rare case of an adult found to have an incidental retained umbilical artery catheter in the aorta.", "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/1p53v6vw", "frozenauthors": [ { "first_name": "Alex", "middle_name": "", "last_name": "Huang", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Quesada", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California; LAC + USC Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Phillip", "middle_name": "", "last_name": "Aguìñiga-Navarrete", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Rosbrugh", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Alexander", "middle_name": "", "last_name": "Wan", "name_suffix": "", "institution": "Kern Medical Center, Department of Emergency Medicine, Bakersfield, California", "department": "None" } ], "date_submitted": "2019-09-30T23:07:36+02:00", "date_accepted": "2019-09-30T23:07:36+02:00", "date_published": "2019-09-30T23:08:23+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/722/galley/477/download/" } ] }, { "pk": 721, "title": "Cardiac Standstill With Intracardiac Clot Formation", "subtitle": null, "abstract": "This case describes and depicts cardiac standstill with thrombosed blood within the chambers of the heart. This was likely due to stasis of blood from a prolonged no-flow state. After viewing this ultrasound finding, the decision was made to halt resuscitative efforts in this case of a patient in cardiac arrest.", "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/31v6g4kp", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "Tadashi", "last_name": "Sakamoto", "name_suffix": "", "institution": "Stanford/Kaiser Emergency Medicine Residency Program, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Ian", "middle_name": "", "last_name": "Storch", "name_suffix": "", "institution": "University of Florida College of Medicine Jacksonville, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" }, { "first_name": "Laleh", "middle_name": "", "last_name": "Gharahbaghian", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" } ], "date_submitted": "2019-09-30T23:00:07+02:00", "date_accepted": "2019-09-30T23:00:07+02:00", "date_published": "2019-09-30T23:02:51+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/721/galley/476/download/" } ] }, { "pk": 720, "title": "Mango Dermatitis After Urushiol Sensitization", "subtitle": null, "abstract": "Prior exposure to poison ivy and poison oak, which are plants in the Anacardiacea family and contain high levels of urushiol, appear to be a risk factor for delayed hypersensitivity reactions to mango fruits. Cross-sensitization between these plants and mangos is believed to be secondary to an overlap in the urushiol antigen and 5-resorcinol, found predominately in mango peels. This unique combination of sensitization and reaction constitutes a type IV hypersensitivity response, mediated and driven by T cells reacting to similar antigens. We present a case of an otherwise healthy man, with a remote history of poison ivy exposure, who presented with a delayed but significant reaction to mango fruit. Obtaining the patient’s history of prior plant exposures and reactions was key to isolating the likely underlying causation of his presentation.", "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/5x9873jk", "frozenauthors": [ { "first_name": "Michael", "middle_name": "J.", "last_name": "Yoo", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Brandon", "middle_name": "M.", "last_name": "Carius", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" } ], "date_submitted": "2019-09-30T22:51:59+02:00", "date_accepted": "2019-09-30T22:51:59+02:00", "date_published": "2019-09-30T22:53:22+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/720/galley/475/download/" } ] }, { "pk": 2217, "title": "Reflecting on the ‘It’s just like learning to swim’ Analogy", "subtitle": null, "abstract": "A Spanish professor on sabbatical enrolls in a beginning swim class and comes face to face with old adage that learning a language is like learning to swim.\nResponses from: Lisa Merschel, Diane Ceo-DiFrancesco, Natalia Jacovkis, and Amy Rossomondo", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "language learning, language teaching" } ], "section": "Teachers' Forum: Instructors' Perspectives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1689r9r4", "frozenauthors": [ { "first_name": "Regina", "middle_name": "", "last_name": "Roebuck", "name_suffix": "", "institution": "University of Louisville", "department": "None" }, { "first_name": "Lisa", "middle_name": "", "last_name": "Merschel", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Diane", "middle_name": "", "last_name": "Ceo-DiFrancesco", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Natalia", "middle_name": "", "last_name": "Jacovkis", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Rossomondo", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2018-10-04T03:04:28+02:00", "date_accepted": "2018-10-04T03:04:28+02:00", "date_published": "2019-09-25T22:20:56+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2217/galley/1420/download/" } ] }, { "pk": 2224, "title": "Professional Identity (Re)Construction of L2 Writing Scholars", "subtitle": null, "abstract": "Little research has been conducted on the professional identities of L2 writing scholars despite the increasing number of researchers, teachers, and graduate students identifying themselves as L2 writing specialists. While the (re)construction of L2 writing scholars’ professional identities have real consequences for their career, the challenges and opportunities resulting from their work, situated in several related disciplines, have neither been explicitly nor adequately discussed. Through an analytic autoethnography (Anderson, 2006), this study examines the cases of two L2 writing faculty as they (re)construct their professional identities within their institutions and broader academic communities. Using identity in practice as its theoretical framework, the study provides a rich, in-depth account of how the focal L2 writing scholars continue to negotiate and reconcile their professional identities among adjacent fields such as applied linguistics, TESOL, composition, and education. Results reveal that L2 writing scholars (re)construct their professional identities by negotiating their identity positions within their institutional and disciplinary contexts, by defining the boundaries of their professional identities through community membership, and by participating in multiple academic communities. Drawing on these results, the study considers how L2 writing scholars’ professional identity (re)construction reflects the development of L2 writing as a field/profession.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "second language writing" }, { "word": "Professional Identity" }, { "word": "L2 Writing Faculty" }, { "word": "Identity Construction" }, { "word": "communities of practice" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4j82s0ng", "frozenauthors": [ { "first_name": "Soo Hyon", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "University of New Hampshire", "department": "None" }, { "first_name": "Tanita", "middle_name": "", "last_name": "Saenkhum", "name_suffix": "", "institution": "University of Tennessee, Knoxville", "department": "None" } ], "date_submitted": "2018-12-26T00:29:15+01:00", "date_accepted": "2018-12-26T00:29:15+01:00", "date_published": "2019-09-25T22:18:06+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2224/galley/1422/download/" } ] }, { "pk": 2248, "title": "Fostering Intellectual Investment and Foreign Language Learning Through Role-Immersion Pedagogy", "subtitle": null, "abstract": "Recent scholarship has highlighted the importance of increasing the intellectual viability of lower-level foreign language (FL) study while facilitating connections between academic practice, learners’ lives, and global communities. This article reports on a content-based role-immersion simulation (RIS) designed to incite a critical orientation toward language learning, as 16 postsecondary intermediate Spanish learners adopted alternate identities and took part in a culturally grounded scenario centering on resolving problems related to drug trafficking and violence at the U.S.-Mexico border. Self-reported data from this qualitative study reveal that a majority of participants considered the simulation to approximate an intellectually stimulating real-world immersive encounter; however, some learners approached it as a language-learning exercise. The article elaborates on criteria that contributed to these divergent perceptions and concludes with implications for foreign language curriculum design.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Critical thinking" }, { "word": "role-immersion" }, { "word": "Simulation" }, { "word": "Spanish" }, { "word": "foreign language pedagogy" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4g35c2m4", "frozenauthors": [ { "first_name": "Sara", "middle_name": "", "last_name": "Finney", "name_suffix": "", "institution": "The University of Minnesota", "department": "None" } ], "date_submitted": "2019-05-23T21:11:40+02:00", "date_accepted": "2019-05-23T21:11:40+02:00", "date_published": "2019-09-25T22:16:38+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2248/galley/1424/download/" } ] }, { "pk": 719, "title": "Retinal Artery and Vein Occlusions Successfully Treated with Hyperbaric Oxygen", "subtitle": null, "abstract": "We present six cases of central retinal artery occlusion (CRAO) and central retinal vein occlusion (CRVO) that we recently treated with hyperbaric oxygen (HBO2). Patients in three of the six cases, including the CRVO case, experienced near to complete restoration of their vision. Another case had marked improvement. Our findings are similar to other case studies with approximately 65-70% improvement in patients treated for CRAO. Physicians should be aware that rapid referral of CRAO and CRVO patients to HBO2 is efficacious. Such patients should be placed on 100% oxygen by non-rebreather mask as soon as the diagnosis is suspected, pending transportation to HBO2.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8dd4t818", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "R.", "last_name": "Johnson", "name_suffix": "", "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "S.", "last_name": "Cooper", "name_suffix": "", "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska", "department": "None" } ], "date_submitted": "2019-09-25T20:29:38+02:00", "date_accepted": "2019-09-25T20:29:38+02:00", "date_published": "2019-09-25T20:30:21+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/719/galley/474/download/" } ] }, { "pk": 718, "title": "Acute Toxin-Mediated Rhabdomyolysis During Treatment ith Trimethoprim-Sulfamethoxazole", "subtitle": null, "abstract": "Rhabdomyolysis is a condition in which skeletal muscle breakdown causes the release of intracellular components into the bloodstream – defined as elevations in serum creatine kinase levels. The etiology of rhabdomyolysis is varied and may be the result of toxin-mediated mechanisms or metabolic derangements, or they may develop secondary to other conditions such as seizures, trauma and prolonged immobilization. In this case, we present a patient with suspected acute toxin-mediated rhabdomyolysis in the setting of trimethoprim-sulfamethoxazole (TMP-SMX) therapy for urinary tract infection. To our knowledge, this marks the fifth case report of an otherwise healthy patient diagnosed with rhabdomyolysis thought to be secondary to TMP-SMX.", "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/9fd334vk", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Sperandeo", "name_suffix": "", "institution": "Northwell Health at North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York; Northwell Health at Long Island Jewish Medical Center, Department of Emergency Medicine, New Hyde Park, New York; Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York", "department": "None" }, { "first_name": "Dorjan", "middle_name": "", "last_name": "Pantic", "name_suffix": "", "institution": "Northwell Health at North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York; Northwell Health at Long Island Jewish Medical Center, Department of Emergency Medicine, New Hyde Park, New York; Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Army", "name_suffix": "", "institution": "Northwell Health at North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York; Northwell Health at Long Island Jewish Medical Center, Department of Emergency Medicine, New Hyde Park, New York; Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York", "department": "None" } ], "date_submitted": "2019-09-23T21:36:25+02:00", "date_accepted": "2019-09-23T21:36:25+02:00", "date_published": "2019-09-23T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/718/galley/473/download/" } ] }, { "pk": 61775, "title": "Establishing Emergency Medicine in Iran: a Post-implementation Perspective", "subtitle": null, "abstract": "In the 1990s, a comprehensive evaluation of national emergency care (EC) system was performed by the Iranian Ministry of Health and Medical Education (I-MOHME) to identify gaps in timely and proper EC delivery. It was then concluded that a refurbished patient-centered specialty, namely emergency medicine (EM), could reduce or close these gaps.", "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": "Emergency Medicine" }, { "word": "burnout" }, { "word": "development" }, { "word": "Iran" }, { "word": "health" } ], "section": "Perspective", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/56q76359", "frozenauthors": [ { "first_name": "Keihan", "middle_name": "", "last_name": "Golshani", "name_suffix": "", "institution": "Isfahan University of Medical Sciences, Isfahan, Iran", "department": "" } ], "date_submitted": "2019-10-10T00:48:28+02:00", "date_accepted": "2019-10-10T00:48:28+02:00", "date_published": "2019-09-20T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61775/galley/47662/download/" } ] }, { "pk": 61772, "title": "Impact of Internally Developed Electronic Prescription on Prescribing Errors at Discharge from the Emergency Department", "subtitle": null, "abstract": "Introduction: Medication errors are common, with studies reporting at least one error per patient encounter. At hospital discharge, medication errors vary from 15%-38%. However, studies assessing the effect of an internally developed electronic (E)-prescription system at discharge from an emergency department (ED) are comparatively minimal. Additionally, commercially available electronic solutions are cost-prohibitive in many resource-limited settings. We assessed the impact of introducing an internally developed, low-cost E-prescription system, with a list of commonly prescribed medications, on prescription error rates at discharge from the ED, compared to handwritten prescriptions.\nMethods: We conducted a pre- and post-intervention study comparing error rates in a randomly selected sample of discharge prescriptions (handwritten versus electronic) five months pre and four months post the introduction of the E-prescription. The internally developed, E-prescription system included a list of 166 commonly prescribed medications with the generic name, strength, dose, frequency and duration. We included a total of 2,883 prescriptions in this study: 1,475 in the pre-intervention phase were handwritten (HW) and 1,408 in the post-intervention phase were electronic. We calculated rates of 14 different errors and compared them between the pre- and post-intervention period.\nResults: Overall, E-prescriptions included fewer prescription errors as compared to HW- prescriptions. Specifically, E-prescriptions reduced missing dose (11.3% to 4.3%, p <0.0001), missing frequency (3.5% to 2.2%, p=0.04), missing strength errors (32.4% to 10.2%, p <0.0001) and legibility (0.7% to 0.2%, p=0.005). E-prescriptions, however, were associated with a significant increase in duplication errors, specifically with home medication (1.7% to 3%, p=0.02).\nConclusion: A basic, internally developed E-prescription system, featuring commonly used medications, effectively reduced medication errors in a low-resource setting where the costs of sophisticated commercial electronic solutions are prohibitive.", "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": "electronic prescription" }, { "word": "emergency room" }, { "word": "medication" }, { "word": "medication error" }, { "word": "prescribing error" } ], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/21z2771v", "frozenauthors": [ { "first_name": "Eveline", "middle_name": "", "last_name": "Hitti", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon.", "department": "" }, { "first_name": "Hani", "middle_name": "", "last_name": "Tamim", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Internal Medicine and Clinical Research Institute, Beirut, Lebanon.", "department": "" }, { "first_name": "Rinad", "middle_name": "", "last_name": "Bakhti", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon.", "department": "" }, { "first_name": "Dina", "middle_name": "", "last_name": "Zebian", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon.", "department": "" }, { "first_name": "Afif", "middle_name": "", "last_name": "Mufarrij", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon.", "department": "" } ], "date_submitted": "2019-10-10T00:22:53+02:00", "date_accepted": "2019-10-10T00:22:53+02:00", "date_published": "2019-09-20T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61772/galley/47659/download/" } ] }, { "pk": 61774, "title": "Psoriasis and Heart Failure: Literature Review and a Case Challenge", "subtitle": null, "abstract": "Psoriasis is a disease characterized by chronic inflammation with a global prevalence of 1-2%. It has a strong genetic component with a systemic immunological response mainly driven by T helper (Th) 1 and 17 lymphocytes. The relationship between HF and psoriasis is not well-described. In this paper we describe 2 cases of concomitant psoriasis and heart failure. Furthermore, we revisit the pathogenesis of those entities and discuss the available evidence on their association, and the proper evaluation of psoriasis in the management of heart failure in patients present with both diseases.", "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": "Cardiovascular disease" }, { "word": "heart faulure" }, { "word": "immunology" }, { "word": "Inflammation" }, { "word": "pathogenesis" }, { "word": "psoriasis" } ], "section": "Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8kg6x75k", "frozenauthors": [ { "first_name": "Maruli", "middle_name": "Tua", "last_name": "Sianipar", "name_suffix": "", "institution": "Department of Cardiology & Vascular Medicine, University of Indonesia, Jakarta, Indonesia", "department": "" }, { "first_name": "Bambang", "middle_name": "Budi", "last_name": "Siswanto", "name_suffix": "", "institution": "National Cardiovascular Centre, University of Indonesia, Jakarta, Indonesia", "department": "" } ], "date_submitted": "2019-10-10T00:44:39+02:00", "date_accepted": "2019-10-10T00:44:39+02:00", "date_published": "2019-09-20T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61774/galley/47661/download/" } ] }, { "pk": 61771, "title": "The Mediterranean Journal of Emergency Medicine & Acute Care: Why", "subtitle": null, "abstract": "Certainly, we cannot launch a new open access journal such as MedJEM without justifying why we aredoing so and what will be different about it.\nFirst, we believe the specialty of emergency medicine (EM) as well as emergency, urgent and acutecare around the Mediterranean basin have reached over the last three decades a level of development,complexity and needs that require the establishment of a regional internationally-driven medical journal.The publication of such a journal constitutes a major milestone in the development of any specialty ingeneral - and of EM and emergency medical services in particular.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Other", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6m56n11g", "frozenauthors": [ { "first_name": "Amin", "middle_name": "", "last_name": "Kazzi", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-10-10T00:15:19+02:00", "date_accepted": "2019-10-10T00:15:19+02:00", "date_published": "2019-09-20T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61771/galley/47658/download/" } ] }, { "pk": 61773, "title": "Utility of a Bedside Pocket-Sized Ultrasound Device to Promptly Manage Abdominal Pain in the Emergency Department", "subtitle": null, "abstract": "Introduction: Abdominal pain is a frequent reason for Emergency Department (ED) admission; it amounts for around 5–10% of all ED visits. Early assessment should focus on immediately distinguishing cases of acute abdomen that require urgent surgical intervention. The clinical localization of pain is crucial, suggesting an initial evaluation of the origin of the abdominal pain; however, imaging is often required for final diagnosis. Ultrasound (US) represents a rapid imaging modality that is readily available in the ED and does not involve radiation or contrast agent administration. A new generation of portable, battery-powered, low-cost, hand-carried ultrasound devices have become available recently; these devices can provide immediate diagnostic information in patients presenting with abdominal pain in ED.The aim of the study was to demonstrate the diagnostic usefulness of a bedside pocket-sized ultrasound (BPU) device (Vscan from General Electrics) in non-traumatic patients complaining of acute abdominal pain in a tertiary care university hospital in Italy.\nMethods: Patients with acute non-traumatic abdominal pain presenting in ED were prospectively enrolled and underwent physical examination, traditional imaging and BPU.\nResults: A total number of 230 patients with acute non-traumatic abdominal pain were enrolled. Overall agreement between routine standard imaging and BPU turned out to be equal for computed tomography (K=0.3) and traditional ultrasound (K=0.29). Receiver operating characteristics curve (ROC) analysis for diagnostic power of the BPU in comparison with traditional US showed an area under the curve of 0.65, sensitivity and specificity of 87.2% and 42.31% respectively.\nConclusions: Emergency use of BPU in patients with non-traumatic abdominal pain demonstrated good diagnostic performance when compared to traditional imaging, with the potential advantage of reducing costs and delay in patient final disposition.", "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": "abdominal pain" }, { "word": "computed tomography" }, { "word": "Diagnosis" }, { "word": "emergency department" }, { "word": "ultrasound" } ], "section": "Original Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2f36s90w", "frozenauthors": [ { "first_name": "Bongiovanni", "middle_name": "", "last_name": "Cristina", "name_suffix": "", "institution": "Department of Medical-Surgery Sciences and Translational Medicine, “Sapienza” University Sant’Andrea Hospital, Via di Grottarossa, Rome, Italy", "department": "" }, { "first_name": "Gori", "middle_name": "", "last_name": "Chiara", "name_suffix": "", "institution": "Department of Medical-Surgery Sciences and Translational Medicine, “Sapienza” University Sant’Andrea Hospital, Via di Grottarossa, Rome, Italy", "department": "" }, { "first_name": "De Berardinis", "middle_name": "", "last_name": "Benedetta", "name_suffix": "", "institution": "Department of Medical-Surgery Sciences and Translational Medicine, “Sapienza” University Sant’Andrea Hospital, Via di Grottarossa, Rome, Italy", "department": "" }, { "first_name": "Marino", "middle_name": "", "last_name": "Rossella", "name_suffix": "", "institution": "Department of Medical-Surgery Sciences and Translational Medicine, “Sapienza” University Sant’Andrea Hospital, Via di Grottarossa, Rome, Italy", "department": "" }, { "first_name": "Laghi", "middle_name": "", "last_name": "Andrea", "name_suffix": "", "institution": "Department of Radiological, Oncological and Pathological Sciences, “Sapienza” University, Viale del Policlinico, Rome, Italy", "department": "" }, { "first_name": "Di Somma", "middle_name": "", "last_name": "Salvatore", "name_suffix": "", "institution": "Department of Medical-Surgery Sciences and Translational Medicine, “Sapienza” University Sant’Andrea Hospital, Via di Grottarossa, Rome, Italy\n\nGreat Network Italy", "department": "" } ], "date_submitted": "2019-10-10T00:32:01+02:00", "date_accepted": "2019-10-10T00:32:01+02:00", "date_published": "2019-09-20T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_medjem/article/61773/galley/47660/download/" } ] }, { "pk": 62800, "title": "Chemical and Toxicological Effects on Cache Slough after Storm-Driven Contaminant Inputs", "subtitle": null, "abstract": "Chemical and toxicological testing in the Cache Slough complex (the slough) of the North Delta indicated the aquatic biota are exposed to a variety of wastewater-derived food additives, pharmaceuticals, and personal care products in highest concentration during dry periods, and many insecticides, herbicides and fungicides with peak concentrations after winter rains. The insecticide groups currently known to be of greatest toxicological concern are the pyrethroids and the fiproles (i.e., fipronil and its degradation products). After stormwater runoff enters the system via Ulatis Creek, both pesticide groups attained concentrations that posed a threat to aquatic life. When the commonly used testing species, Hyalella azteca, was placed in Cache Slough, toxicity — and, at times, near total mortality — was seen over at least an 8-km reach of Cache Slough that extended from the uppermost end almost to the junction with the Deep Water Ship Channel. Previous work over many years has shown similar results after other winter storms. However, when H. azteca that carried a mutation providing resistance to pyrethroid pesticides were also deployed in the slough, no ill effects were observed, which provided strong evidence that pyrethroids were responsible for toxicity to the non-resistant strain. Abundant resident H. azteca in Cache Slough carry any of four mutations that provide resistance to pyrethroids. They also carry a mutation that provides resistance to organophosphate pesticides, and likely carbamate pesticides as well. After many years of exposure, sensitive genotypes have been nearly eliminated from the system, and replaced by a population unaffected by many insecticides now in common use. We offer a variety of reasons why this shift to a population with mutant genotypes is of considerable concern, but also note that society has yet to fully consider the ecological and regulatory ramifications of the evolutionary attainment of pollutant resistance.", "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": "pesticides" }, { "word": "pyrethroids" }, { "word": "fipronil" }, { "word": "Hyalella" }, { "word": "pesticide resistance" }, { "word": "Cache Slough" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0dj612s2", "frozenauthors": [ { "first_name": "Donald", "middle_name": "P.", "last_name": "Weston", "name_suffix": "", "institution": "Department of Integrative Biology, \nUniversity of California, Berkeley", "department": "" }, { "first_name": "Christoph", "middle_name": "", "last_name": "Moschet", "name_suffix": "", "institution": "Department of Civil and Environmental Engineering, University of California, Davis; \n\nInterkantonales Labor, Schaffhausen, Switzerland", "department": "" }, { "first_name": "Thomas", "middle_name": "M.", "last_name": "Young", "name_suffix": "", "institution": "Department of Civil and Environmental Engineering, University of California, Davis", "department": "" }, { "first_name": "Nadhirah", "middle_name": "", "last_name": "Johanif", "name_suffix": "", "institution": "School for the Environment,\nUniversity of Massachusetts, Boston", "department": "" }, { "first_name": "Helen", "middle_name": "C.", "last_name": "Poynton", "name_suffix": "", "institution": "School for the Environment, \nUniversity of Massachusetts, Boston", "department": "" }, { "first_name": "Kaley", "middle_name": "M.", "last_name": "Major", "name_suffix": "", "institution": "School for the Environment, \nUniversity of Massachusetts, Boston; \n\nDepartment of Environmental and Molecular Toxicology, Oregon State University", "department": "" }, { "first_name": "Richard", "middle_name": "E.", "last_name": "Connon", "name_suffix": "", "institution": "School of Veterinary Medicine and\nDepartment of Anatomy, Physiology and Cell Biology, University of California, Davis", "department": "" }, { "first_name": "Simone", "middle_name": "", "last_name": "Hasenbein", "name_suffix": "", "institution": "School of Veterinary Medicine,\nDepartment of Anatomy, Physiology and Cell Biology, University of California, Davis; \n\nDepartment of Ecology and Ecosystem Management, Technical University of Munich, Germany", "department": "" } ], "date_submitted": "2019-09-13T23:47:53+02:00", "date_accepted": "2019-09-13T23:47:53+02:00", "date_published": "2019-09-19T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62800/galley/48480/download/" } ] }, { "pk": 62797, "title": "Chemically Enhanced Treatment Wetland to Improve Water Quality and Mitigate Land Subsidence in the Sacramento‒San Joaquin Delta: Cost and Design Considerations", "subtitle": null, "abstract": "Water quality impairment and land surface subsidence threaten the viability of the Sacramento–San Joaquin Delta (Delta), a critical component of California’s water conveyance system. Current-day irrigation drainage through Delta island peat soils affects drinking water treatment and is linked to mercury transport, potentially posing both ecological and public health concerns. To cost-effectively treat agricultural drainage water from subsided Delta islands to reduce the export of drinking Water Quality Constituents of Concern and mitigate land subsidence through accretion, we studied hybrid coagulation-treatment wetland systems, termed Chemically Enhanced Treatment Wetlands (CETWs). We provide cost estimates and design recommendations to aid broader implementation of this technology. Over a 20-year horizon using a Total Annualized Cost analysis, we estimate treatment costs of $602 to $747 per acre-foot (ac‑ft) water treated, and $36 to $70 per kg dissolved organic carbon (DOC) removed, depending upon source water DOC concentrations for a small 3-acre CETW system. For larger CETW systems scaled for island sizes of 3,500 to 14,000 acres, costs decrease to $108 to $239 per ac-ft water treated, and $11 to $14 per kg DOC removed. We estimated the footprints of CETW systems to be approximately 3% of the area being treated for 4-day hydraulic retention time (HRT) systems, but they would decrease to less than 1% for 1-day HRT systems. CETWs ultimately address several of the Delta’s key internal issues while keeping water treatment costs competitive with other currently available treatment technologies at similar scales on a per-carbon-removed basis. CETWs offer a reliable system to reduce out-going DOC and mercury loads, and they provide the additional benefit of sediment accretion. System costs and treatment efficacy depend significantly on inflow source water conditions, land availability, and other practical matters. To keep costs low and removal efficacy high, wetland design features will need site-specific evaluation.", "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": "coagulation" }, { "word": "hybrid treatment wetland" }, { "word": "in situ water treatment" }, { "word": "dissolved organic carbon" }, { "word": "mercury" }, { "word": "disinfection byproducts" }, { "word": "nutrients" }, { "word": "cost analysis" }, { "word": "treatment system design" }, { "word": "land accretion" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/968934w3", "frozenauthors": [ { "first_name": "Philip", "middle_name": "A. M.", "last_name": "Bachand", "name_suffix": "", "institution": "Bachand & Associates", "department": "" }, { "first_name": "Tamara", "middle_name": "E. C.", "last_name": "Kraus", "name_suffix": "", "institution": "California Water Science Center\nU.S. Geological Survey", "department": "" }, { "first_name": "William", "middle_name": "R.", "last_name": "Horwarth", "name_suffix": "", "institution": "Department of Land, Air, and Water Resources\nUniversity of California, Davis", "department": "" }, { "first_name": "Nathan", "middle_name": "R.", "last_name": "Hatch", "name_suffix": "", "institution": "Bachand & Associates", "department": "" }, { "first_name": "Sandra", "middle_name": "M.", "last_name": "Bachand", "name_suffix": "", "institution": "Bachand & Associates", "department": "" } ], "date_submitted": "2019-09-13T23:10:08+02:00", "date_accepted": "2019-09-13T23:10:08+02:00", "date_published": "2019-09-19T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62797/galley/48478/download/" } ] }, { "pk": 62801, "title": "Effects of Drought and the Emergency Drought Barrier on the Ecosystem of the California Delta", "subtitle": null, "abstract": "In 2015, the fourth year of the recent drought, the California Department of Water Resources installed a rock barrier across False River west of Franks Tract to limit salt intrusion into the Delta at minimal cost in freshwater. This Barrier blocked flow in False River, greatly reducing landward salt transport by decreasing tidal dispersion in Franks Tract. We investigated some ecological consequences of the Barrier, examining its effects on water circulation and exchange, on distributions of submerged aquatic vegetation (SAV) and bivalves, and on phytoplankton and zooplankton. The Barrier allowed SAV to spread to areas of Franks Tract that previously had been clear. The distributions of bivalves (Potamocorbula and Corbicula) responded to the changes in salinity at time–scales of months for newly settled individuals, to 1 or more years for adults, but the Barrier’s effect was confounded with that of the drought. Nutrients, phytoplankton biomass, and a Microcystis abundance index showed little response to the Barrier. Transport of copepods — determined using output from a particle-tracking model — indicated some intermediate-scale reduction with the Barrier in place, but monitoring data did not show a larger-scale response in abundance. These studies were conducted separately and synthesized after the fact, and relied on reference conditions that were not always suitable for identifying the Barrier’s effects. If barriers are considered in the future, we rcommend a modest program of investigation to replicate study elements, and to ensure suitable reference conditions are available to allow barrier effects to be distinguished unambiguously from other sources of variability.", "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": "hydrodynamics" }, { "word": "box model" }, { "word": "tidal barrier" }, { "word": "copepod" }, { "word": "water quality" }, { "word": "phytoplankton" }, { "word": "submerged aquatic vegetation" }, { "word": "bivalve" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0b3731ph", "frozenauthors": [ { "first_name": "Wim", "middle_name": "", "last_name": "Kimmerer", "name_suffix": "", "institution": "Estuary & Ocean Science Center\nSan Francisco State University", "department": "" }, { "first_name": "Frances", "middle_name": "", "last_name": "Wilkerson", "name_suffix": "", "institution": "Estuary & Ocean Science Center\nSan Francisco State University", "department": "" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Downing", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Richard", "middle_name": "", "last_name": "Dugdale", "name_suffix": "", "institution": "Estuary & Ocean Science Center\nSan Francisco State University", "department": "" }, { "first_name": "Edward", "middle_name": "S.", "last_name": "Gross", "name_suffix": "", "institution": "Resource Management Associates, Inc.", "department": "" }, { "first_name": "Karen", "middle_name": "", "last_name": "Kayfetz", "name_suffix": "", "institution": "Delta Science Program,\nDelta Stewardship Council", "department": "" }, { "first_name": "Shruti", "middle_name": "", "last_name": "Khanna", "name_suffix": "", "institution": "California Department of Fish and Wildlife", "department": "" }, { "first_name": "Alexander", "middle_name": "E.", "last_name": "Parker", "name_suffix": "", "institution": "California State University Maritime Academy", "department": "" }, { "first_name": "Janet", "middle_name": "", "last_name": "Thompson", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" } ], "date_submitted": "2019-09-13T23:55:52+02:00", "date_accepted": "2019-09-13T23:55:52+02:00", "date_published": "2019-09-19T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62801/galley/48481/download/" } ] }, { "pk": 62802, "title": "Movement and Apparent Survival of Acoustically Tagged Juvenile Late-Fall Run Chinook Salmon Released Upstream of Shasta Reservoir, California", "subtitle": null, "abstract": "Stakeholder interests have spurred the reintroduction of the critically endangered populations of Chinook Salmon to tributaries upstream of Shasta Dam, in northern California. We released two groups of acoustically tagged, juvenile hatchery, late-fall Chinook Salmon to determine how juvenile salmon would distribute and survive. We measured travel times to Shasta Dam, and the number of fish that moved between locations within Shasta Reservoir. We used mark-recapture methods to determine detection and apparent survival probabilities of the tagged fish as they traveled through five reaches of the Sacramento River from the McCloud River to San Francisco Bay (~590 km) over the two 3-month observation periods. After our first (February) release of 262 tagged fish, 182 fish (70%) were detected at least once at the dam, 41 (16%) were detected at least once downstream of Shasta Dam, and 3 (1%) traveled as far as San Francisco Bay. After the second (November) release of 355 tagged fish, only 4 (1%) were detected at Shasta Dam. No fish were detected below Shasta Dam, so we could not estimate survival for this second release group. The first release of fish was fortuitously exposed to exceptionally high river flows and dam discharges, which may have contributed to the more distant downstream migration and detection of these fish — though other factors such as season, diploid versus triploid, and fish maturation and size may have also contributed to release differences. The reported fish travel times as well as detection and survival rates are the first estimates of juvenile salmon emigration from locations above Shasta Dam in more than 70 years. This information should help inform resource managers about how best to assess juvenile winter-run Chinook Salmon and assist in their reintroduction to watersheds upstream of Shasta Dam.", "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": "juvenile salmon survival" }, { "word": "Shasta Dam" }, { "word": "Chinook Salmon reintroduction" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2fh3p8mv", "frozenauthors": [ { "first_name": "John", "middle_name": "", "last_name": "Plumb", "name_suffix": "", "institution": "Western Fisheries Research Center\nColumbia River Research Laboratory\nU.S. Geological Survey", "department": "" }, { "first_name": "Amy", "middle_name": "", "last_name": "Hansen", "name_suffix": "", "institution": "Western Fisheries Research Center\nColumbia River Research Laboratory\nU.S. Geological Survey", "department": "" }, { "first_name": "Noah", "middle_name": "", "last_name": "Adams", "name_suffix": "", "institution": "Western Fisheries Research Center\nColumbia River Research Laboratory\nU.S. Geological Survey", "department": "" }, { "first_name": "Scott", "middle_name": "", "last_name": "Evans", "name_suffix": "", "institution": "Western Fisheries Research Center\nColumbia River Research Laboratory\nU.S. Geological Survey", "department": "" }, { "first_name": "John", "middle_name": "", "last_name": "Hannon", "name_suffix": "", "institution": "U.S. Bureau of Reclamation", "department": "" } ], "date_submitted": "2019-09-14T00:19:16+02:00", "date_accepted": "2019-09-14T00:19:16+02:00", "date_published": "2019-09-19T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62802/galley/48483/download/" } ] }, { "pk": 62799, "title": "The Role of Seed Bank and Germination Dynamics in the Restoration of a Tidal Freshwater Marsh in the Sacramento–San Joaquin Delta", "subtitle": null, "abstract": "Liberty Island, California, is a historical freshwater tidal wetland that was converted to agricultural fields in the early 1900s. Liberty Island functioned as farmland until an accidental levee break flooded the area in 1997, inadvertently restoring tidal marsh hydrology. Since then, wetland vegetation has naturally recolonized part of the site. We conducted a seed bank assay at the site and found that despite a lack of germination or seedling recruitment at the site, the seed bank contained a diverse plant community, indicating that the site’s continuous flooding was likely suppressing germination. Additionally, the frequency of germinating seeds in the seed bank did not represent the dominant adult plant community. We conducted a cold stratification study to determine if this observed disparity could be explained by seed germination dynamics, and whether germination could be enhanced using a pre-germination cold exposure, particularly for species of concern for wetland restoration. The cold stratification study showed that longer durations of pre-germination cold enhanced germination in Schoenoplectus acutus, but reduced germination in Schoenoplectus californicus, and had no effect on Typha latifolia. Overall, germination of S. californicus and S. acutus was much lower than T. latifolia. Our findings suggest that seeding may not be an effective restoration technique for Schoenoplectus spp., and, to improve restoration techniques, further study is needed to more comprehensively understand the reproduction ecology of important marsh 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": "cold stratification" }, { "word": "dormancy" }, { "word": "restoration" }, { "word": "Schoenoplectus, self-design" }, { "word": "tidal freshwater" }, { "word": "Typha" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6st5g43d", "frozenauthors": [ { "first_name": "Taylor", "middle_name": "M.", "last_name": "Sloey", "name_suffix": "", "institution": "Division of Science\nYale-NUS College", "department": "" }, { "first_name": "Mark", "middle_name": "W.", "last_name": "Hester", "name_suffix": "", "institution": "Department of Biology\nUniversity of Louisiana, Lafayette", "department": "" } ], "date_submitted": "2019-09-13T23:29:17+02:00", "date_accepted": "2019-09-13T23:29:17+02:00", "date_published": "2019-09-19T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62799/galley/48479/download/" } ] }, { "pk": 716, "title": "Fatal Tension Hemothorax Combined with Exanguination: A Rare Complication of Neurofibromatosis", "subtitle": null, "abstract": "Neurofibromatosis (NF) is a common autosomal dominant disorder that can be subdivided into type 1, type 2, and schwannomatosis. Patients with NF1 typically develop café-au-lait spots, scoliosis, and benign neurofibromas. In addition, NF1 predisposes to vascular complications including stenosis, arterial ectasia, and aneurysms. Here, we report the case of an otherwise healthy 32-year-old man who developed a fatal tension hemothorax due to vertebral artery aneurysm rupture. Based on the available literature, we discuss the presentation, workup, and available therapeutic approaches to this complication of neurofibromatosis.", "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/6fv1b3rc", "frozenauthors": [ { "first_name": "Roz", "middle_name": "", "last_name": "Bidad", "name_suffix": "", "institution": "University of Vermont Medical Center, Department of Emergency Medicine, Burlington, Vermont", "department": "None" }, { "first_name": "Caroline", "middle_name": "", "last_name": "Hall", "name_suffix": "", "institution": "University of Vermont Medical Center, Department of Emergency Medicine, Burlington, Vermont", "department": "None" }, { "first_name": "Eike", "middle_name": "", "last_name": "Blohm", "name_suffix": "", "institution": "University of Vermont Medical Center, Department of Emergency Medicine, Burlington, Vermont", "department": "None" } ], "date_submitted": "2019-09-18T20:46:52+02:00", "date_accepted": "2019-09-18T20:46:52+02:00", "date_published": "2019-09-18T20:47:47+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/716/galley/472/download/" } ] }, { "pk": 715, "title": "Sonographic Detection of Cutaneous Myiasis", "subtitle": null, "abstract": "Cutaneous maggots are occasionally encountered in the emergency department. We present a case in which maggots were visually identified and ultrasound was used to detect additional maggots below the skin crevices in a patient with elephantiasis nostras verrucosa.", "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/5kp3j4jk", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "", "last_name": "Nicholas", "name_suffix": "", "institution": "Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Gaskin", "name_suffix": "", "institution": "Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Susan", "middle_name": "", "last_name": "Wojcik", "name_suffix": "", "institution": "Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" } ], "date_submitted": "2019-09-18T20:34:56+02:00", "date_accepted": "2019-09-18T20:34:56+02:00", "date_published": "2019-09-18T20:37:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/715/galley/471/download/" } ] }, { "pk": 714, "title": "Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department", "subtitle": null, "abstract": "Perineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal and rectal abscesses and fistulas are often the primary concerns prompting diagnostic imaging in the ED. Currently, computed tomography is the preferred imaging modality. Recently, transperineal ultrasound has emerged as an optimal imaging modality for the diagnosis of perineal and perianal abscesses. We present a case in which point-of-care ultrasound accurately detected an intersphincteric abscess, and review the appropriate ultrasound technique to evaluate patients with suspected perianal and rectal abscesses.", "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/1kp9s5pf", "frozenauthors": [ { "first_name": "Hamid", "middle_name": "", "last_name": "Shokoohi", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts; The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Pyle", "name_suffix": "", "institution": "The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia", "department": "None" }, { "first_name": "Sarah", "middle_name": "E.", "last_name": "Frasure", "name_suffix": "", "institution": "The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia", "department": "None" }, { "first_name": "Ubah", "middle_name": "", "last_name": "Dimbil", "name_suffix": "", "institution": "The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia", "department": "None" }, { "first_name": "Ali", "middle_name": "", "last_name": "Pourmand", "name_suffix": "", "institution": "The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia", "department": "None" } ], "date_submitted": "2019-09-18T20:24:21+02:00", "date_accepted": "2019-09-18T20:24:21+02:00", "date_published": "2019-09-18T20:25:38+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/714/galley/470/download/" } ] }, { "pk": 41428, "title": "From spinach chloroplasts to endogenous bacteria causing diseases in citrus: an autobiography of Joseph Marie Bové", "subtitle": null, "abstract": "From spinach chloroplasts to endogenous bacteria causing diseases in citrus: an autobiography of Joseph Marie Bové", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Autobiographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0gb471cv", "frozenauthors": [ { "first_name": "J", "middle_name": "M", "last_name": "Bové", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-09-10T02:08:22+02:00", "date_accepted": "2019-09-10T02:08:22+02:00", "date_published": "2019-09-11T20:11:38+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41428/galley/31015/download/" } ] }, { "pk": 48230, "title": "Challenges and Supports to Elementary Teacher Education: Case Study of Preservice Teachers’ Perspectives on Arts Integration", "subtitle": null, "abstract": "This case study investigates the factors that challenge and support preservice teachers’ (PST) arts integration beliefs and practices. The participants include a total of 74 PSTs enrolled in a mandatory university arts course at a large Southern university across three consecutive semesters. Concurrent with arts class enrollment, PSTs are also enrolled in their capstone, semester-long, student teaching experience. The authors used PSTs’ end-of-semester reflections and the primary data source. Findings illustrate that PSTs can be creative through arts integration within teaching and learning, while still acknowledging challenges at the school level. The authors detail how they revamped existing elementary preservice arts classes to focus on arts-integrated instructional practices. In addition, findings illustrate the need for strategic inservice training for mentor teachers on the efficacy of arts integration in elementary settings and for administrative support for the arts at the school level.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Arts Integration" }, { "word": "teacher preparation" }, { "word": "Elementary Education Programming" }, { "word": "United States" }, { "word": "pedagogical approaches" } ], "section": "Teacher Preparation and Professional Development", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5cm0r163", "frozenauthors": [ { "first_name": "Jamie", "middle_name": "", "last_name": "Hipp", "name_suffix": "", "institution": "Louisiana State University", "department": "None" }, { "first_name": "Margaret-Mary", "middle_name": "", "last_name": "Sulentic Dowell", "name_suffix": "", "institution": "Louisiana State University", "department": "None" } ], "date_submitted": "2019-07-16T16:33:57+02:00", "date_accepted": "2019-07-16T16:33:57+02:00", "date_published": "2019-09-08T02:52:17+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48230/galley/36322/download/" } ] }, { "pk": 48204, "title": "Connecting Arts Integration to Social-Emotional Learning among Special Education Students", "subtitle": null, "abstract": "Little is known about the connection between arts-integrated education and social-emotional learning, particularly for students with disabilities. This paper draws on data from a case study of a federally-funded arts integration program called Everyday Arts for Special Education (EASE) to identify the mechanisms by which arts-integrated teaching promotes engagement, self-control, interpersonal skills, and leadership among special education students. We draw on observational and interview data to present a conceptual model for understanding the impact of arts-integrated education on student social-emotional outcomes. The data suggest that arts integration impacts students' social-emotional outcomes in two ways: by providing teachers with simple, easy-to-implement activities that explicitly encourage growth on one or more social-emotional competencies; and by providing teachers with a methodology that encourages student engagement, which in turn encourages social-emotional growth. We conclude with a discussion of some of the factors required in order for arts integration to be adopted and implemented effectively within classrooms.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "arts integration, social-emotional learning, special education" } ], "section": "Teaching and Learning through the Arts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/33q136b1", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "", "last_name": "Casciano", "name_suffix": "", "institution": "Glass Frog Solutions", "department": "None" }, { "first_name": "Lina", "middle_name": "", "last_name": "Cherfas", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Jobson-Ahmed", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2018-07-11T00:40:26+02:00", "date_accepted": "2018-07-11T00:40:26+02:00", "date_published": "2019-09-08T02:51:12+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48204/galley/36310/download/" } ] }, { "pk": 48196, "title": "Stakeholder Perceptions of the Effects of a Public School-Based Theatre Program for Children with ASD", "subtitle": null, "abstract": "Arts programs are often credited with helping children with autism spectrum disorders (ASD) gain cognitive and social skills. As with all claims of transfer from experience in the arts to abilities in non-arts domains, empirical evidence is mixed, and often criticized for both imprecise methodologies and a lack of connection back to the art form itself. Exact measurement of programs’ mechanisms and effects are rare. To investigate the effect of theatre experiences for children with ASD, we completed a systematic study of adult stakeholders of a large, school-based, successful musical theatre program. We found stakeholders emphasized modeling, routines, and relaxation as useful strategies, endorsing that the program built imitation, motor abilities and turn-taking skills. These observations raise questions for standard theories of the effects of arts that focus and accentuate only higher order social and emotional or academic skills, and emphasize the importance of including stakeholders in theorizing and measuring the effects of arts programs for all populations.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "autism spectrum disorders, social development, stakeholders" }, { "word": "Drama" }, { "word": "schools" } ], "section": "Teaching and Learning through the Arts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5qg6j1n5", "frozenauthors": [ { "first_name": "Thalia", "middle_name": "R.", "last_name": "Goldstein", "name_suffix": "", "institution": "George Mason University", "department": "None" }, { "first_name": "Matthew", "middle_name": "D", "last_name": "Lerner", "name_suffix": "", "institution": "Stony Brook University", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Paterson", "name_suffix": "", "institution": "Temple University", "department": "None" }, { "first_name": "Lena", "middle_name": "", "last_name": "Jaeggi", "name_suffix": "", "institution": "University of Basel", "department": "None" }, { "first_name": "Tamara", "middle_name": "Spiewak", "last_name": "Toub", "name_suffix": "", "institution": "Temple University", "department": "None" }, { "first_name": "Kathy", "middle_name": "", "last_name": "Hirsh-Pasek", "name_suffix": "", "institution": "Temple University", "department": "None" }, { "first_name": "Roberta", "middle_name": "", "last_name": "Golinkoff", "name_suffix": "", "institution": "University of Delaware", "department": "None" } ], "date_submitted": "2017-11-03T16:10:23+01:00", "date_accepted": "2017-11-03T16:10:23+01:00", "date_published": "2019-09-08T02:49:51+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48196/galley/36305/download/" } ] }, { "pk": 48191, "title": "Csikszentmihaliyi’s Concept of Flow and Theories of Motivation Connection to the Arts in an Urban Public High School", "subtitle": null, "abstract": "The concept of flow, or being so immersed in an activity that awareness of self becomes inextricable from the action, and motivational theory can work collectively to help us better understand how fine arts curricula can impact student motivation and learning. In this article, we use Csikszentmihaliyi’s concept of flow as a way to explore high school students’ experiences when completing challenging learning activities within a fine arts education program. In this study, focus groups were conducted to explore 19 high school age performing arts students' experiences of flow and how those experiences affected their engagement, motivation, and academic outcomes. From the researchers' perspectives, participants, who did not know the concept of flow, described rich, descriptions of flow experiences revealing aspects of growth mindset, emotional intelligence, and self-actualization. There were also connections to academic subjects that included the desire to stay in the program and the requirements of maintaining good grades, using art as a platform for assignments in other classes and applying the skills developed through arts education to do well.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Education, Fine Arts Programs, High School, Flow, Motivation" } ], "section": "Research Approaches", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1m040625", "frozenauthors": [ { "first_name": "Jane", "middle_name": "A.", "last_name": "Beese", "name_suffix": "", "institution": "Youngstown State University", "department": "None" }, { "first_name": "Jennifer", "middle_name": "L.", "last_name": "Martin", "name_suffix": "", "institution": "University of Illinois Springfield", "department": "None" } ], "date_submitted": "2017-06-24T16:47:03+02:00", "date_accepted": "2017-06-24T16:47:03+02:00", "date_published": "2019-09-08T02:48:34+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48191/galley/36301/download/" } ] }, { "pk": 39518, "title": "Do children want environmental rights? Ask the Children!", "subtitle": null, "abstract": "In this paper, we argue for the importance of application and safeguarding of the ‘environmental rights of children,’ and further argue that an understanding of children’s perspectives towards nature and their rights to a viable and healthy environment can help both educational and policy development. To that end, we present a case study of preliminary qualitative research conducted in the United Kingdom that \nasks children themselves\ntheir views and degree of exposure to the natural environment. This research is underpinned by an environmental rights-based approach for environmental education, and a novel argument for incorporating children’s own understandings and perspectives in application of environmental rights. We conclude with recommendations for strengthening children’s environmental engagement, protection of rights, and education, and recognize that there is a need for further research to better understand children’s perspectives to their own environmental rights.", "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": "environmental education" }, { "word": "Environmental rights" }, { "word": "children's rights" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2190v4vb", "frozenauthors": [ { "first_name": "Karen", "middle_name": "E", "last_name": "Makuch", "name_suffix": "", "institution": "Centre for Environmental Policy, Imperial College London", "department": "None" }, { "first_name": "Miriam", "middle_name": "R", "last_name": "Aczel", "name_suffix": "", "institution": "Centre for Environmental Policy, Imperial College London", "department": "None" }, { "first_name": "Sunya", "middle_name": "", "last_name": "Zaman", "name_suffix": "", "institution": "Centre for Environmental Policy, Imperial College London", "department": "None" } ], "date_submitted": "2019-03-03T21:39:23+01:00", "date_accepted": "2019-03-03T21:39:23+01:00", "date_published": "2019-09-07T00:24:15+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39518/galley/29828/download/" } ] }, { "pk": 39516, "title": "Assessment of Environmental Consciousness among Patrons in Selected Academic and Public Libraries in Lagos Metropolis", "subtitle": null, "abstract": "The study examined environmental consciousness patterns among patrons in academic and public libraries. Using the survey method, \ndata was collected from 383 patrons who were conveniently selected from six libraries in Lagos metropolis. \nCronbach’s alpha coefficient was used to determine the internal consistency and reliability of the multiple item scales. The least Cronbach’s Alpha value returned for the variables in the questionnaire was 0.79. Q\nuantitative \ndata\n \nwas analysed using descriptive and inferential statistics. Waste disposal was found to be the most disturbing environmental issue. Respondents from both academic and public libraries agreed that there is not enough useful information on adopting pro-environmental behaviours (PEBs). Further findings showed that respondents from both academic and public libraries demonstrate similar pattern of motivation towards environmental consciousness. It is recommended that libraries should include services that will foster eco-friendly behaviour among library patrons.", "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": "Environmental Consciousness" }, { "word": "Green Library" }, { "word": "Library Patrons" }, { "word": "academic libraries" }, { "word": "public libraries" }, { "word": "Lagos" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/835304vx", "frozenauthors": [ { "first_name": "Adefunke", "middle_name": "O.", "last_name": "Alabi", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2019-02-08T12:35:58+01:00", "date_accepted": "2019-02-08T12:35:58+01:00", "date_published": "2019-09-07T00:23:27+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39516/galley/29827/download/" } ] }, { "pk": 39770, "title": "Vicariance and ecological dispersal in Papilio subgenus Achillides (Papilionidae) and some other butterflies of Asia and the Southwest Pacific", "subtitle": null, "abstract": "Biogeographic patterns are reviewed for four widespread Southeast Asia butterfly groups in the superfamily Papilionoidea: \nPapilio\n subgenus \nAchillides \nHübner, 1819 (Papilionidae), the birdwing butterflies (Papilionidae tribe Troidini), Genus \nPolyura \nBillberg, 1820 (Nymphalidae), and Genus \nVanessa \nFabricius, 1807 (Nymphalidae). The patterns of allopatry and sympatry are shown to be consistent with the vicariance of widespread ancestors with distributions including parts of Asia and Australasia, followed by secondary range expansion. Aspects of the distributions that are correlated with tectonic structures provide evidence of the age and origin of these butterflies in South-east Asia and Australasia. The transpacific affinities of the Troidini are consistent with a Pacific ancestry linked with former Cretaceous landscapes. The multi-island ranges of many of the butterfly species in Southeast Asia represent examples of metapopulation structure in which groups survive and persist in a region over long periods of time, even where individual islands are ephemeral.", "language": "New York", "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": "allopatry, Gondwana, panbiogeography, Papilio, South-east Asia, vicariance" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8hk1d63p", "frozenauthors": [ { "first_name": "John", "middle_name": "R", "last_name": "Grehan", "name_suffix": "", "institution": "Reasearch Associate, McGuire Center, Florida Museum of Natural History, Gainesville, FL 32611(USA)", "department": "None" } ], "date_submitted": "2019-07-03T19:06:18+02:00", "date_accepted": "2019-07-03T19:06:18+02:00", "date_published": "2019-09-05T11:03:43+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39770/galley/29953/download/" } ] }, { "pk": 13226, "title": "Volume 20, Issue 5", "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/0mn9x75q", "frozenauthors": [ { "first_name": "Christine", "middle_name": "A.", "last_name": "Louis", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Dana", "middle_name": "H.", "last_name": "Le", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-09-03T20:50:07+02:00", "date_accepted": "2019-09-03T20:50:07+02:00", "date_published": "2019-09-03T20:50:36+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13226/galley/6964/download/" } ] }, { "pk": 39768, "title": "On the non-malacostracan crustaceans (Crustacea: Branchiopoda, Copepoda, Ostracoda) from the inland waters of Fthiotida (Greece)", "subtitle": null, "abstract": "In the frame of the activities of the LIFE11 NAT/GR/1014 ForOpenForests, some water bodies occurring in the \"Ethnikos Drymos Oitis” (GR2440004) and “Oros Kallidromo” (GR2440006) (Sterea Ellada) were investigated with the aim of providing a first census of the composition and diversity of their crustacean fauna. Overall, the sampling of 15 water bodies (7 of them listed as “Mediterranean temporary ponds” \nsensu\n EU “Habitats Directive”) led to the finding of 13 branchiopod, 11 copepod, and 7 ostracod taxa, including 4 species new for mainland Greece, i.e. the copepods \nArctodiaptomus alpinus\n (Imhoff, 1885) and \nDiaptomus \ncf. \nserbicus\n, and the branchiopods \nLeptestheria dahalacensis\n (Rüppel, 1837) and \nWlassicsia pannonica \nDaday, 1904. The comparative analysis of the observed species assemblages and richness suggests that the protection of those ponds identified as “priority habitats” according to the “Habitats Directive” is effective for the specialized and peculiar crustacean biota of these ecosystems, but it is not sufficient in order to preserve efficiently the whole diversity of temporary pond-dwelling crustaceans occurring in the study area. Therefore, the implementation of synergistic conservation measures dedicated to both “priority” and “non-priority” habitats is desirable.", "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": "Temporary ponds" }, { "word": "Cross-taxon congruence" }, { "word": "Diaptomus cf. serbicus" }, { "word": "Leptestheria dahalacensis" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rg409vd", "frozenauthors": [ { "first_name": "Federico", "middle_name": "", "last_name": "Marrone", "name_suffix": "", "institution": "University of Palermo", "department": "None" }, { "first_name": "Marco", "middle_name": "", "last_name": "Arculeo", "name_suffix": "", "institution": "University of Palermo", "department": "None" }, { "first_name": "Christos", "middle_name": "", "last_name": "Georgiadis", "name_suffix": "", "institution": "University of Athens", "department": "None" }, { "first_name": "Fabio", "middle_name": "", "last_name": "Stoch", "name_suffix": "", "institution": "Evolutionary Biology & Ecology, Université Libre de Bruxelles, Avenue F.D. Roosevelt 50, 1050 Brussels, Belgium", "department": "None" } ], "date_submitted": "2019-05-27T11:33:58+02:00", "date_accepted": "2019-05-27T11:33:58+02:00", "date_published": "2019-09-03T09:00:00+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39768/galley/29952/download/" } ] }, { "pk": 12506, "title": "Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States", "subtitle": null, "abstract": "Introduction:\n There is increasing concern about the effects of occupational stressors on thewellness of healthcare providers. Given high patient acuity, circadian rhythm disruption, andother workplace stressors, emergency physicians (EP) would be predicted to have high rates ofoccupational stress. We conducted this study to assess the prevalence of post-traumatic stressdisorder (PTSD) in attending EPs practicing in the United States.\nMethods:\n A link to an electronic questionnaire was distributed through the emergency medicinecentricpublication Emergency Medicine News. We compared the prevalence of PTSD in EPs tothe general population using a chi-square goodness of fit test, and performed logistic regression toassess for significance of risk factors.\nResults:\n We received survey responses from 526 persons. In this study, EPs had a PTSD pointprevalence of 15.8%. Being a victim of a prior trauma or abuse is the primary predictor of PTSD(odds ratio [OR] [95% confidence interval {CI}, 2.16 (1.21 – 3.86)], p = 0.009) and PTSD severityscore (OR [95% CI, 1.16 (1.07 – 1.26)], p <0.001).\nConclusion:\n Emergency physicians have a substantial burden of PTSD, potentially jeopardizingtheir own health and career longevity. Future studies should focus on identifying subgroups at higherrisk for PTSD and modifiable risk factors. Prevention and treatment strategies should be developedand tested in healthcare providers.", "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": "PTSD" }, { "word": "Emergency Medicine" }, { "word": "career satisfaction" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3b02x51n", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "A.", "last_name": "DeLucia", "name_suffix": "", "institution": "Saint Louis University School of Medicine, Department of Surgery/Division of\nEmergency Medicine, Saint Louis, Missouri", "department": "None" }, { "first_name": "Cindy", "middle_name": "", "last_name": "Bitter", "name_suffix": "", "institution": "Saint Louis University School of Medicine, Department of Surgery/Division of\nEmergency Medicine, Saint Louis, Missouri", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Fitzgerald", "name_suffix": "", "institution": "Saint Louis University School of Medicine, Department of Surgery/Division of\nEmergency Medicine, Saint Louis, Missouri", "department": "None" }, { "first_name": "Miggie", "middle_name": "", "last_name": "Greenberg", "name_suffix": "", "institution": "Saint Louis University School of Medicine, Department of Psychiatry, Saint Louis,\nMissouri", "department": "None" }, { "first_name": "Preeti", "middle_name": "", "last_name": "Dalwari", "name_suffix": "", "institution": "Saint Louis University School of Medicine, Department of Surgery/Division of\nEmergency Medicine, Saint Louis, Missouri", "department": "None" }, { "first_name": "Paula", "middle_name": "", "last_name": "Buchanan", "name_suffix": "", "institution": "Saint Louis University, Saint Louis University Center for Health Outcomes Research,\nSaint Louis, Missouri", "department": "None" } ], "date_submitted": "2019-02-05T23:38:48+01:00", "date_accepted": "2019-02-05T23:38:48+01:00", "date_published": "2019-08-28T22:14:19+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12506/galley/6634/download/" } ] }, { "pk": 41886, "title": "Transforming Space? Spatial Implications of Yoga in Prisons and Other Carceral Sites", "subtitle": null, "abstract": "Yoga programs have taken root, and in some cases flourished, in correctional institutions across the globe, yet few scholars have examined this phenomenon from critical theoretical and qualitative perspectives. The goals of this paper are to explicitly link scholarly discussions of yoga in prisons with theoretical developments in criminology, sociology, and human geography; and to use these diverse perspectives to develop a theoretical understanding of the possibilities and limits of yoga as a transformative spatial practice in carceral settings. Drawing on qualitative data collected on prison yoga, primarily in Canada, this paper considers three lines of theoretical inquiry. Firstly, it examines yoga classes as an “institutional display” that facilitates social interaction between prisoners and community members, yet also serves administrative interests. Secondly, it considers the possibilities for yoga spaces to enable forms of emotional expression that may not be permitted in other areas of the institution. And thirdly, it discusses the implications of yoga in carceral spaces beyond prisons. The paper draws heavily on the emergent field of carceral geography, as well as sociological and criminological research, to advance these arguments. In presenting these theoretical analyses, this paper advocates for a deeper theoretical exploration of the multiplicity of spatial meanings of yoga in carceral settings.", "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": "Yoga" }, { "word": "prison" }, { "word": "Space" }, { "word": "incarceration" }, { "word": "Carceral Geography" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/967104x2", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Norman", "name_suffix": "", "institution": "McMaster University", "department": "None" } ], "date_submitted": "2019-01-16T03:56:22+01:00", "date_accepted": "2019-01-16T03:56:22+01:00", "date_published": "2019-08-27T01:00:02+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/raceandyoga/article/41886/galley/31295/download/" } ] }, { "pk": 13205, "title": "Impact of Trauma Levels on Survival of Patients Arriving with No Signs of Life to U.S. Trauma Centers", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/11r967jd", "frozenauthors": [ { "first_name": "AV", "middle_name": "", "last_name": "Dakessian", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "RH", "middle_name": "", "last_name": "Bachir", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "MJ", "middle_name": "", "last_name": "El Sayed", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:02:22+02:00", "date_accepted": "2019-08-26T23:02:22+02:00", "date_published": "2019-08-26T23:29:47+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13205/galley/6949/download/" } ] }, { "pk": 13213, "title": "Burnout in Resident Physicians: Correlation with Mistreatment and Workplace Violence", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4p8812pq", "frozenauthors": [ { "first_name": "JG", "middle_name": "", "last_name": "Norvell", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "K", "middle_name": "", "last_name": "Dougherty", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "B", "middle_name": "", "last_name": "Behravesh", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "N", "middle_name": "", "last_name": "Nazir", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "G", "middle_name": "", "last_name": "Unruh", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:23:28+02:00", "date_accepted": "2019-08-26T23:23:28+02:00", "date_published": "2019-08-26T23:23:51+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13213/galley/6957/download/" } ] }, { "pk": 13212, "title": "“Secure-Preserve-Fight” or “Run-Hide- Fight”: Expectations of an Emergency Department Patient Population During an Active Assailant Event", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/12k2j55v", "frozenauthors": [ { "first_name": "E", "middle_name": "", "last_name": "Kakish", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "P", "middle_name": "", "last_name": "Rega", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "B", "middle_name": "", "last_name": "Fink", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "K", "middle_name": "", "last_name": "Kenney", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:21:37+02:00", "date_accepted": "2019-08-26T23:21:37+02:00", "date_published": "2019-08-26T23:21:54+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13212/galley/6956/download/" } ] }, { "pk": 13211, "title": "The Impact of a Liaison Program on Patient Satisfaction in the Emergency Department", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/88v4h005", "frozenauthors": [ { "first_name": "CA", "middle_name": "", "last_name": "Lim", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "E", "middle_name": "", "last_name": "Eiting", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "L", "middle_name": "", "last_name": "Satpathy", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "E", "middle_name": "", "last_name": "Cowan", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "B", "middle_name": "", "last_name": "Barnett", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Y", "middle_name": "", "last_name": "Calderon", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:19:45+02:00", "date_accepted": "2019-08-26T23:19:45+02:00", "date_published": "2019-08-26T23:20:02+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13211/galley/6955/download/" } ] }, { "pk": 13210, "title": "Telephone Follow-Up After Pediatric Emergency Department Discharge – Does It Impact the Likelihood of Return Visits?", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6qg1n3ph", "frozenauthors": [ { "first_name": "CJ", "middle_name": "", "last_name": "Chen", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "L", "middle_name": "", "last_name": "Cochon", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "S", "middle_name": "", "last_name": "Tat", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "I", "middle_name": "", "last_name": "Green-Hopkins", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:17:50+02:00", "date_accepted": "2019-08-26T23:17:50+02:00", "date_published": "2019-08-26T23:18:05+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13210/galley/6954/download/" } ] }, { "pk": 13209, "title": "Comprehensive Approach to Sustainable Reduction in Emergency Department Opioid Prescribing", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85b0p788", "frozenauthors": [ { "first_name": "M", "middle_name": "", "last_name": "Anhalt", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "A", "middle_name": "", "last_name": "Tippery", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "R", "middle_name": "", "last_name": "Bidad", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "D", "middle_name": "", "last_name": "Anhalt", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "E", "middle_name": "", "last_name": "Blohm", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:16:04+02:00", "date_accepted": "2019-08-26T23:16:04+02:00", "date_published": "2019-08-26T23:16:24+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13209/galley/6953/download/" } ] }, { "pk": 13208, "title": "Can Prehospital Personnel Accurately Triage Patients for Large Vessel Occlusion Strokes?", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2bz5x874", "frozenauthors": [ { "first_name": "BC", "middle_name": "", "last_name": "Guillory", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "LA", "middle_name": "", "last_name": "Boge", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "NL", "middle_name": "", "last_name": "Warren", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "XL", "middle_name": "", "last_name": "Cubeddu", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "DA", "middle_name": "", "last_name": "Farcy", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:13:47+02:00", "date_accepted": "2019-08-26T23:13:47+02:00", "date_published": "2019-08-26T23:14:04+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13208/galley/6952/download/" } ] }, { "pk": 13206, "title": "Safety And Efficacy of Prehospital Paramedic Administration of Ketamine In Adult Civilian Population", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/40k6b3fx", "frozenauthors": [ { "first_name": "A", "middle_name": "", "last_name": "Jabourian", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "F", "middle_name": "", "last_name": "Dong", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "P", "middle_name": "", "last_name": "Lux", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "R", "middle_name": "", "last_name": "Vaezazizi", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "K", "middle_name": "", "last_name": "Mackey", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "T", "middle_name": "", "last_name": "Troy Pennington", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "NM", "middle_name": "", "last_name": "Neeki", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:09:48+02:00", "date_accepted": "2019-08-26T23:09:48+02:00", "date_published": "2019-08-26T23:12:06+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13206/galley/6950/download/" } ] }, { "pk": 13207, "title": "Prognostic Factors of Poor Outcome in Geriatric Traumatology Patients in the Emergency Department", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/87z1f9dv", "frozenauthors": [ { "first_name": "R", "middle_name": "", "last_name": "Jebri", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "V", "middle_name": "", "last_name": "Mac", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "M", "middle_name": "", "last_name": "Carlier", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "M", "middle_name": "", "last_name": "Christian", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T23:11:39+02:00", "date_accepted": "2019-08-26T23:11:39+02:00", "date_published": "2019-08-26T23:11:58+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13207/galley/6951/download/" } ] }, { "pk": 13191, "title": "MEMC Abstracts Special Issue Supplement 2019 (Full Text)", "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/5c05h37b", "frozenauthors": [ { "first_name": "Dana", "middle_name": "H.", "last_name": "Le", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Christine", "middle_name": "A.", "last_name": "Louis", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T22:18:15+02:00", "date_accepted": "2019-08-26T22:18:15+02:00", "date_published": "2019-08-26T22:55:39+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13191/galley/6936/download/" } ] }, { "pk": 13201, "title": "Which Wellness Activities Correlate with Lower Resident Physician Burnout?", "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": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/51v2d3h8", "frozenauthors": [ { "first_name": "JG", "middle_name": "", "last_name": "Norvell", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "B", "middle_name": "", "last_name": "Behravesh", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "N", "middle_name": "", "last_name": "Nazir", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "A", "middle_name": "", "last_name": "Milner", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "G", "middle_name": "", "last_name": "Unruh", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-26T22:50:29+02:00", "date_accepted": "2019-08-26T22:50:29+02:00", "date_published": "2019-08-26T22:54:21+02:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13201/galley/6945/download/" } ] }, { "pk": 13204, "title": "Impact of Universal Non-Targeted Hepatitis C Screening in an Urban Emergency Department", "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. 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