Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=15000
{ "count": 39502, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=15100", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=14900", "results": [ { "pk": 60793, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7w73f2qc", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T12:17:12-05:00", "date_accepted": "2019-12-06T12:17:12-05:00", "date_published": "2019-12-06T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60793/galley/46755/download/" } ] }, { "pk": 60796, "title": "The Legal Landscape of America's Landlocked Property", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "accessible wilderness" }, { "word": "western checkerboard" }, { "word": "eminent domain" } ], "section": "Comments", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1kx576dv", "frozenauthors": [ { "first_name": "John", "middle_name": "W.", "last_name": "Sheridan", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-12-06T12:28:31-05:00", "date_accepted": "2019-12-06T12:28:31-05:00", "date_published": "2019-12-06T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60796/galley/46758/download/" } ] }, { "pk": 65371, "title": "Antisocial Personality Disorder: Understanding Sub-Categories Review", "subtitle": null, "abstract": "This literature review looks at how these terms can affect brain studies, diagnosis and criminology. Antisocial personality disorder (ASPD) is a complex term used in the DSM 5 (Diagnostic and Statistical Manual of Mental Disorders). ASPD has sub-categories; psychopathy, and sociopathy are two of the sub-categories. Each of the sub-categories have additional sub-categories within them. The terminology concerning ASPD and all of its more specific areas is incredibly complex, and may hinder research when used improperly. This literature review will show how correct terminology is important to furthering research in the criminal population, and how furthering brain research will help develop clearer models, and will also touch on the main populations of study, for research growth on this topic of ASPD.", "language": "en", "license": null, "keywords": [ { "word": "Psychopath, Sociopath, Antisocial personality disorder,." } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7214r5ct", "frozenauthors": [ { "first_name": "Angelina", "middle_name": "", "last_name": "Mirassou", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-05-10T11:09:28-04:00", "date_accepted": "2019-05-10T11:09:28-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65371/galley/50083/download/" } ] }, { "pk": 65372, "title": "A Review on First-Generation College Students: Challenges They Face in College When Dealing With Mental Health Issues", "subtitle": null, "abstract": "This literature review investigates the challenges first-generation college students face when dealing with mental health issues in college. Four main categories are examined to demonstrate the challenges faced by first-generation college students including the status’ that first-generation college students identify with, their family background and support, cultural support from their peers, and the level of knowledge they have about the college process to be successful. Future researchers could look into studying first-generation college students from different cultures and their mental health with different types of methodologies, that is later stated in the review, which can help conduct studies to help advance this area of psychological research.", "language": "en", "license": null, "keywords": [ { "word": "first-generation, challenge, mental health" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0rp5f091", "frozenauthors": [ { "first_name": "Cesar", "middle_name": "Guadalupe", "last_name": "Marquez", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-05-10T14:22:00-04:00", "date_accepted": "2019-05-10T14:22:00-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65372/galley/50084/download/" } ] }, { "pk": 65363, "title": "Closing the Racial and Gender Gap in Science", "subtitle": null, "abstract": "The sciences have greatly remained dominated by men, regardless of the many attempts and initiatives to end the gender and racial inequalities. Women and people of color have remained underrepresented throughout society and academia. \nIn this study, interviews were conducted in order to observe and collect similar experiences within participants’ responses about their writing, research, and the exclusion of underrepresented groups in science such as women and people of color. The main focus of this study was on gender inequality, racial bias, and discrimination placed upon the scholarly, peer review process as it is the base of scientific publishing. The results collected were to provide solutions to these ongoing issues in order to create a more diverse and inclusive environment within academic institutions, workplaces, and science, technology, engineering, and mathematics (STEM) fields. The purpose of doing so will shed a light on the barrier gaps in STEM related fields.", "language": "en", "license": null, "keywords": [ { "word": "Gender Roles, People of Color, STEM" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1gn254zp", "frozenauthors": [ { "first_name": "Olivia", "middle_name": "", "last_name": "Alvarez", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-04-02T23:16:45-04:00", "date_accepted": "2019-04-02T23:16:45-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65363/galley/50078/download/" } ] }, { "pk": 65374, "title": "HOW DO WE FIGHT FOR OUR LIVES? THE POWER OF INNATE AND ADAPTIVE IMMUNITY", "subtitle": null, "abstract": "The current understanding of the evolutionary emergence of the immune system in organisms is still unclear to this day. It is acknowledged that some aspects of the immune system definitely improved the survival of living organisms, whether it be plant, or bacteria, vertebrates or invertebrates. The different immune proteins and complexes are constantly being studied to understand exactly how the immune system play a role in the human development. In this review, we proposea developmental and evolutionary explanation to how we present an immune system, understand the selective pressure in immune cells, explain the relationship of bacteria or viruses to their host, and analyze the augmentation of human vulnerability to diseases.", "language": "en", "license": null, "keywords": [ { "word": "Immunity, Biology, Innate Immune System, Adaptive Immune System, Evolution" } ], "section": "Natural Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4hv489s9", "frozenauthors": [ { "first_name": "Marc Denisse", "middle_name": "", "last_name": "Estepa", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-07-14T23:46:41-04:00", "date_accepted": "2019-07-14T23:46:41-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65374/galley/50085/download/" } ] }, { "pk": 65361, "title": "Mental Health Seeking Behaviors and Trends Among the Hmong Population", "subtitle": null, "abstract": "The Hmong are an ethnic group from Southeast Asia who has lived as forced political refugees for the past several hundred years. In the 1960s, the Central Intelligence Agency (CIA) recruited the Hmong to assist them with the Vietnam War. After the United States withdrew from the war, the Hmong were left behind and became the target to the Laotian and Vietnamese communists. This led to them experiencing traumatic events as they walked from Laos to Thailand to escape ethnic cleansing. From the refugee camps in Thailand to arriving in the United States, the Hmong have encountered various mental-health related issues. The purpose of this literature is to explore the mental-health seeking behaviors among the Hmong population and identify the common mental-health issues they encountered. Using a systematic review, a total of 27 articles were picked from PubMed and Hmong Studies Journal to be examined. This literature review found that the Hmong people have a low rate of seeking Western treatments because their community has always consulted a Hmong shaman, herbs or family members when they experience an illness. Findings also revealed common mental problems: depression, anxiety, adjustments issues, and other health concerns related to the work environment in a new country.", "language": "en", "license": null, "keywords": [ { "word": "Hmong, Mental-Health, Health Seeking Behaviors" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2jz8c7zf", "frozenauthors": [ { "first_name": "Ya", "middle_name": "", "last_name": "Yang", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-03-30T19:10:28-04:00", "date_accepted": "2019-03-30T19:10:28-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65361/galley/50077/download/" } ] }, { "pk": 65385, "title": "Neglect and its Effect on Cognition", "subtitle": null, "abstract": "The brain is a powerful organ that can be damaged with irreversible consequences. Neglect alongside coexisting factors, such as childhood abuse, can affect the overall development of the brain. The severity and longevity of such adverse childhood effects can impair the cognitive, social, and behavioral progresses. This literature review discusses the effects of neglect and coexisting factors, and the negative effects on overall cognition (intellectual, social and behavioral). Results expressed that neglect effects children’s ability to strive in the future. Children who were neglected demonstrated low IQ levels, significantly low levels of social skills, and troubling behavioral skills.", "language": "en", "license": null, "keywords": [ { "word": "childhood neglect, adverse childhood, cognitive development, neglect, child abuse, abuse, maltreatment" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8612s1jg", "frozenauthors": [ { "first_name": "Karla", "middle_name": "", "last_name": "Garcia Barrera", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-10-03T14:19:29-04:00", "date_accepted": "2019-10-03T14:19:29-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65385/galley/50089/download/" } ] }, { "pk": 65359, "title": "The Importance of Accessible Private Office Space", "subtitle": null, "abstract": "The University of California Merced is planning on relocating some instructors off campus to the Starbucks/Promenade Center to hold office hours. In doing so, UC Merced is hoping to solve issues it currently has regarding space. Students of the UC believe that moving office hours off campus would create multiple inconveniences including, but not limited to, transportation, privacy, and safety issues. The purpose of this research is to find whether or not moving office hours off campus will benefit students. The paper will go into depth on how moving the office space will affect the students’ academic performance. It will discuss how transportation, safety and privacy will affect students academically.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3cr0327d", "frozenauthors": [ { "first_name": "Sara", "middle_name": "N.", "last_name": "Patino", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-03-21T22:25:37-04:00", "date_accepted": "2019-03-21T22:25:37-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65359/galley/50075/download/" } ] }, { "pk": 65376, "title": "The Influence Mental Illness has on False Confessions", "subtitle": null, "abstract": "False confessions are very important to understand in order to prevent them from occurring and to seek true justice. A false confession is defined by the admission of guilt for a crime where the confessor is innocent. This literature review draws upon previous studies on false confessions in order to come to a conclusion on how mental illness affects the possibility of falsely confessing to a crime. This paper critically analyzes ten different studies that all relate to either mental illness, false confessions, or both. There have been many studies done on how young age and intense interrogations impact false confessions, however, this literature review aims to gather evidence that focuses on mental illness being a major influencer on false confessions. Another point this literature review focuses on is the fact that people are unwilling to help those who have falsely confessed to a crime reintegrate back into society. Majority of the methodology examined are self-report methods conducted by various different universities. After analyzing each study in depth, this literature review concludes that a correlation between mental illness and false confession is present, however, researcher methodologies must be altered in order to come to a more concrete conclusion.", "language": "en", "license": null, "keywords": [ { "word": "Mental illness" }, { "word": "false confession" }, { "word": "interrogation" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1x20g3bx", "frozenauthors": [ { "first_name": "Dylan", "middle_name": "Matthew", "last_name": "Richardson", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-09-15T20:39:17-04:00", "date_accepted": "2019-09-15T20:39:17-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65376/galley/50087/download/" } ] }, { "pk": 65360, "title": "Using Statistics to Create the Perfect March Madness Bracket", "subtitle": null, "abstract": "The goal of this project is to analyze data from NCAA Division One Men's basketball teams during the regular season to predict how they will perform during the National Championships, colloquially known as March Madness. I use a data set that ranks teams according to their Pomeroy College Basketball Ratings[1]. These ratings give in depth basketball statistics for each year from 2002 until present and use several different measures to help quantify how good or bad a team is. My analysis will take three parts: single linear analysis, multiple linear analysis, and polynomial regression. I start by attempting to do a single linear analysis on the data from the year 2016, first using Adjusted Offensive Efficiency as the predictor and then using Adjusted Defensive Efficiency as the predictor. Next, I attempt a multiple linear analysis and find that by using both the Adjusted Offensive Efficiency and Adjusted Defensive Efficiency, the predictions greatly improve, but still are not perfect. Finally, I attempt polynomial regression using Adjusted Offensive Efficiency as the predictor. After running each of these methods, I found that none of these can predict the perfect bracket, however the multiple linear regression is able to perform surprisingly well, making the correct final ranking predictions approximately 62.33% of the time.\n \n[1] https://kenpom.com/", "language": "en", "license": null, "keywords": [ { "word": "Statistics" }, { "word": "Basketball" } ], "section": "Natural Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7s99n4nq", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Downs", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-03-23T19:49:13-04:00", "date_accepted": "2019-03-23T19:49:13-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65360/galley/50076/download/" } ] }, { "pk": 65375, "title": "Young and Reckless: An Analysis of Methods to Reduce Underage Drinking and Driving in Merced", "subtitle": null, "abstract": "A literature review of statistics about underage drinking and driving, and studies showing the various factors that lead to underage drinking and driving is discussed. Studies that involve experimental models for reducing underage drinking and driving are then examined and analyzed for their advantages and disadvantages. Finally, a new model is synthesized, which could be applied to reduce underage drinking and driving in Merced, California.", "language": "en", "license": null, "keywords": [ { "word": "Underage drinking and driving" }, { "word": "Merced" } ], "section": "Social Sciences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5p78v7cx", "frozenauthors": [ { "first_name": "Micah", "middle_name": "Samuel", "last_name": "Ezzes", "name_suffix": "", "institution": "UC Merced", "department": "" } ], "date_submitted": "2019-09-12T00:19:28-04:00", "date_accepted": "2019-09-12T00:19:28-04:00", "date_published": "2019-12-04T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65375/galley/50086/download/" } ] }, { "pk": 57043, "title": "Congreso Internacional en Ocasión de María Del Carmen: Enrique Granados y Su Época", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Conference" }, { "word": "Granados" }, { "word": "Spain" }, { "word": "Musicology" }, { "word": "music history" } ], "section": "EDITOR'S NOTE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7dc573xt", "frozenauthors": [ { "first_name": "Walter Aaron", "middle_name": "", "last_name": "Clark", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-11-28T13:11:06-05:00", "date_accepted": "2019-11-28T13:11:06-05:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57043/galley/43243/download/" } ] }, { "pk": 57039, "title": "El tratamiento temático en María del Carmen: Un acercamiento al verismo español", "subtitle": null, "abstract": "María del Carmen\n se estrena en el eje del cambio de siglo, el 12 de noviembre de 1898, en una época crucial en cuanto al cambio de modelos e ideales del país. La ópera española libra su batalla particular en diversos frentes y Granados, en su primera obra lírica estrenada, decide apostar por esta baza renovadora. La pieza causará tanta admiración como desconcierto, por sus cualidades estructurales y renovadoras, y partiendo desde el análisis de su fuente original, la partitura del estreno de 1898 (recientemente rescatada por Walter Aaron Clark de un coleccionista privado) nos permite confirmar el tratamiento formal de la ópera, cercano al de la Giovane Scuola italiana. Se ratifica, por tanto, su consideración como obra moderna, y así nos permite rastrear las influencias contemporáneas que actúan sobre su composición.", "language": "es", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8qg3d17n", "frozenauthors": [ { "first_name": "Borja", "middle_name": "", "last_name": "Mariño", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-10-21T13:47:18-04:00", "date_accepted": "2019-10-21T13:47:18-04:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57039/galley/43239/download/" } ] }, { "pk": 57040, "title": "Enrique Granados y Antonio Noguera: Dos músicos «insensatos» en la Mallorca finisecular", "subtitle": null, "abstract": "La relación entre Enrique Granados y Antonio Noguera se inició mediante correspondencia epistolar en el año 1893, gracias a la intervención de Felipe Pedrell, maestro de ambos compositores y figura esencial que incidió activamente en su relación. El interés de Noguera por el compositor catalán hizo que asumiera su estilo compositivo como referente, que publicitara su obra en la prensa mallorquina, y que lo considerara como miembro activo de los insensatos, aquella nueva generación de literatos e intelectuales, que a partir del modelo del movimiento catalán, siguieron criterios modernistas y regionalistas en la isla a finales del siglo XIX. Cabe destacar que Granados viajó por primera vez a Mallorca en 1896 para realizar un concierto en la sociedad Círculo Mallorquín, gracias a las gestiones realizadas por Noguera, regresando a los pocos meses junto al Cuarteto Crickboom para ofrecer los llamados Conciertos clásicos. A partir de ese momento, la relación Granados-Noguera se intensificó volviéndose más estrecha. Enrique Granados se trasladó sistemáticamente a la isla hasta en ocho ocasiones documentadas para participar en los conciertos organizados por Noguera, llegando incluso a dirigir el concierto-homenaje al compositor mallorquín tras su muerte en 1904. Este artículo pretende realizar una primera aproximación a la relación entre Enrique Granados y Antonio Noguera, crítico, folclorista y compositor mallorquín, analizar su influencia en los conciertos ofrecidos por el catalán en la Mallorca finisecular y examinar la repercusión de la figura y la obra de Granados tras dichos conciertos.", "language": "es", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0q17964x", "frozenauthors": [ { "first_name": "Eugenia", "middle_name": "", "last_name": "Gallego Cañellas", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-10-21T13:50:28-04:00", "date_accepted": "2019-10-21T13:50:28-04:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57040/galley/43240/download/" } ] }, { "pk": 57041, "title": "Granados through the Rolls: The Presence of Enrique Granados in the Spanish Pianola Market", "subtitle": null, "abstract": "This article examines the presence of Enrique Granados’s music in the Spanish pianola market, both for metronomic and reproducing rolls. The analyzed material comes from several digitization and cataloging projects carried out by the Musicology Department Research Group at the Universitat Autònoma de Barcelona. These projects include the study of the main Spanish collections, such as the National Library of Spain (2016), the Music Museum of Barcelona (2014), the National Library of Catalunya (2012) and several private collections, which started in 2017 and are still in progress at the moment. The quantitative analysis on the volume of works by Granados published by the main companies in the sector, allows us to learn about the presence of the Catalan composer in a music market, now practically forgotten, that had a massive impact during the beginning of the twentieth century. On the other hand, by comparing these data from the catalogs with the results of our research on institutional and private collections, we can venture some aspects about the relationship between supply and demand in this particular context. What we present is, therefore, a first approach to the Iberian market of the pianola focusing on the figure of one of its central composers.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Enrique Granados, player piano, pianola rolls, reproducing piano rolls" } ], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/33k533pv", "frozenauthors": [ { "first_name": "Jordi", "middle_name": "", "last_name": "Roquer", "name_suffix": "", "institution": "Universitat Autònoma de Barcelona", "department": "" }, { "first_name": "Ángel", "middle_name": "", "last_name": "Monasterio", "name_suffix": "", "institution": "Universitat Autònoma de Barcelona", "department": "" }, { "first_name": "Joaquín", "middle_name": "", "last_name": "Ródenas", "name_suffix": "", "institution": "Universitat Autònoma de Barcelona", "department": "" } ], "date_submitted": "2019-10-21T13:53:35-04:00", "date_accepted": "2019-10-21T13:53:35-04:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57041/galley/43241/download/" } ] }, { "pk": 57042, "title": "La fuerza del regionalismo: Recepción de la obra de Enrique Granados en la ciudad de Murcia (1916–1922)", "subtitle": null, "abstract": "La recepción musical es un fenómeno que responde a una complejidad que sobrepasa con mucho la partitura. La clásica tripartición de Merriam es especialmente útil para comprender la afición musical en una época en la que el sonido no puede desvincularse de ningún modo de la carga ideológica y simbólica atribuida, que se traduce en un concepto y, sobre todo, en un comportamiento determinado hacia “una” música concreta. Bajo estas premisas pretendemos comprender la recepción en la ciudad de Murcia de la obra de Enrique Granados -desconocido para el público murciano hasta la creación de \nMaría del Carmen \n(1898), y, a raíz de la ópera de ambientación huertana, asumido como “propio”- tras el fallecimiento del compositor.", "language": "es", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Granados, Murcia, recepción musical, siglo XX, nacionalismo" } ], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1j07g6n6", "frozenauthors": [ { "first_name": "Enrique", "middle_name": "", "last_name": "Encabo", "name_suffix": "", "institution": "Universidad de Murcia", "department": "" } ], "date_submitted": "2019-10-21T13:55:51-04:00", "date_accepted": "2019-10-21T13:55:51-04:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57042/galley/43242/download/" } ] }, { "pk": 57044, "title": "María del Carmen: Birth, Death, and Resurrection of Enrique Granados’s Operatic chef d’oeuvre", "subtitle": null, "abstract": "Granados is best known to opera-goers as the composer of the musically enchanting (if dramatically lackluster) \nGoyescas\n, a work derived from his eponymous piano suite, both compositions having been inspired by the art and epoch of the great Spanish painter Francisco de Goya (1746–1828). However, conspicuous by a lengthy absence has been his other Spanish opera, \nMaría del Carmen\n (1898), the stagework the composer himself esteemed most. This is the opera for which Granados \nshould\n be famous. The fact that it is not poses several questions. Why did this opera languish in obscurity for decades, being revived only in 2003—outside of Spain—and then in a revision of uncertain faithfulness to the composer’s intentions? Indeed, is this the work that Granados originally conceived? If not, where is Granados’s original score? And why should we care? What significance, if any, does this opera have in the history of Spanish music, culture, and even politics? The following paragraphs present the answers to these questions.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Enrique, Eduardo, and Víctor Granados" }, { "word": "María del Carmen" }, { "word": "Josep Feliu i Codina" }, { "word": "Nathaniel Shilkret" } ], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zf599wk", "frozenauthors": [ { "first_name": "Walter Aaron", "middle_name": "", "last_name": "Clark", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-11-28T13:13:25-05:00", "date_accepted": "2019-11-28T13:13:25-05:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57044/galley/43244/download/" } ] }, { "pk": 5545, "title": "Pre-and Post-Partum Whistle Production of a Bottlenose Dolphin (Tursiops truncatus) Social Group", "subtitle": null, "abstract": "The signature whistle of the Atlantic bottlenose dolphin (\nTursiops truncatus\n) is a well-studied acoustic signal know for broadcasting identity and maintaining contact with conspecifics. Several studies have investigated the use of this signal surrounding the birth of calves to dolphin social groups, although there appears to be discrepancies between the findings of these studies. We aimed to add to the current literature in an attempt to reconcile some of these inconsistencies through investigation of signature whistle production by a bottlenose dolphin group two months prior to and two months following the birth of a calf to one of the social group members. We found that the production of signature whistles matching the contour belonging to our dolphin mother increased significantly in both the pre- and post-partum period. Heightened production of the mother’s signature whistle type in the first week of our focal calf’s life supports the establishment of a recognition system within this time period. Given that learning processes associated with the sound environment appear to begin shortly after calf birth, we also explored the signature whistle rates of the other social group members in an effort to determine whether any signature whistle production influenced the development of the dolphin calf’s own signature whistle type. We found that the signature whistles of the other social group members were significantly lower than production of the mother’s signature whistle until after the first week post-partum. None of the signature whistle types appeared to influence the signature whistle development of our focal calf within the scope of this study, however, as the calf did not develop a signature whistle in her first two months of life.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "signature whistle, dolphin, calf, develop, partum, maternal, production, rate" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z28x94p", "frozenauthors": [ { "first_name": "Audra", "middle_name": "E", "last_name": "Ames", "name_suffix": "", "institution": "Fundación Oceanogràfic de la Comunitat Valenciana", "department": "None" }, { "first_name": "Riley", "middle_name": "P", "last_name": "Macgregor", "name_suffix": "", "institution": "The University of Southern Mississippi", "department": "None" }, { "first_name": "Sara", "middle_name": "J", "last_name": "Wielandt", "name_suffix": "", "institution": "Six Flags Discovery Kingdom", "department": "None" }, { "first_name": "Dianne", "middle_name": "M", "last_name": "Cameron", "name_suffix": "", "institution": "Six Flags Discovery Kingdom", "department": "None" }, { "first_name": "Stan", "middle_name": "A", "last_name": "Kuczaj", "name_suffix": "", "institution": "The University of Southern Mississippi", "department": "None" }, { "first_name": "Heather", "middle_name": "M", "last_name": "Hill", "name_suffix": "", "institution": "St. Mary's University", "department": "None" } ], "date_submitted": "2019-06-17T07:32:19-04:00", "date_accepted": "2019-06-17T07:32:19-04:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5545/galley/3357/download/" } ] }, { "pk": 5539, "title": "The Role of Biological Significance in Human Learning and Memory", "subtitle": null, "abstract": "Deeply rooted within the history of experimental psychology is the search for general laws of learning that hold across tasks and species. Central to this enterprise has been the notion of equipotentiality; that any two events have the same likelihood of being associated with one another as any other pair of events. Much work, generally summarized as ‘biological constraints on learning,’ has challenged this view, and demonstrates pre-existing relations between cues and outcomes, based on genes and prior experience, that influence potential associability. Learning theorists and comparative psychologists have thus recognized the need to consider how the evolutionary history as well as prior experience of the organism being studied influences its ability to learn about and navigate its environment. We suggest that current models of human memory, and human memory research in general, lack sufficient consideration of how human evolution has shaped human memory systems. We review several findings that suggest the human memory system preferentially processes information relevant to biological fitness, and highlight potential theoretical and applied benefits afforded by adopting this functionalist perspective.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "adaptive memory" }, { "word": "equipotentiality" }, { "word": "learning" }, { "word": "memory" } ], "section": "SI: ISCP bienniel meeting (2018)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67k6r0n9", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "M", "last_name": "Seitz", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" }, { "first_name": "Aaron", "middle_name": "P", "last_name": "Blaisdell", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" }, { "first_name": "Cody", "middle_name": "P", "last_name": "Polack", "name_suffix": "", "institution": "State University of New York at Binghamton", "department": "None" }, { "first_name": "Ralph", "middle_name": "R", "last_name": "Miller", "name_suffix": "", "institution": "State University of New York at Binghamton", "department": "None" } ], "date_submitted": "2019-06-02T21:23:19-04:00", "date_accepted": "2019-06-02T21:23:19-04:00", "date_published": "2019-12-03T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5539/galley/3354/download/" } ] }, { "pk": 42964, "title": "About the Contributors", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "<p>Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</p>", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Contributors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7cb7x4df", "frozenauthors": [ { "first_name": "Managing Editor", "middle_name": "", "last_name": "Sabine Kim", "name_suffix": "", "institution": "Mainz University", "department": "None" } ], "date_submitted": "2019-12-30T14:00:23-05:00", "date_accepted": "2019-12-30T14:00:23-05:00", "date_published": "2019-12-01T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42964/galley/32017/download/" } ] }, { "pk": 41892, "title": "When Even Spirit Has No Place to Call Home: Cultural Appropriation, Microagressions, and Structural Racism in the Yoga Workplace", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [], "section": "Personal Narratives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mn5k1m1", "frozenauthors": [ { "first_name": "Lakshmi", "middle_name": "", "last_name": "Nair", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-08-18T22:05:58-04:00", "date_accepted": "2019-08-18T22:05:58-04:00", "date_published": "2019-11-30T03:00:00-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/raceandyoga/article/41892/galley/31298/download/" } ] }, { "pk": 44778, "title": "Intralesional Corticosteroid as a Treatment Option for Primary Cutaneous B-Cell Lymphomas: A Case Series and Literature Review", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5661r664", "frozenauthors": [ { "first_name": "Natalie", "middle_name": "M.", "last_name": "Villa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lorraine", "middle_name": "", "last_name": "Young", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:48:24-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44778/galley/33571/download/" } ] }, { "pk": 44777, "title": "Autoimmune Pancreatitis and Immunotherapy", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/84v964nn", "frozenauthors": [ { "first_name": "Evangelia", "middle_name": "", "last_name": "Kirimis", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:46:31-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44777/galley/33570/download/" } ] }, { "pk": 44776, "title": "Post-Transplant Erythrocytosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0cz036fk", "frozenauthors": [ { "first_name": "Evangelia", "middle_name": "", "last_name": "Kirimis", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:44:39-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44776/galley/33569/download/" } ] }, { "pk": 44775, "title": "Iron Man: Understanding the Many Clinical Manifestations of Hereditary Hemochromatosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3zx9q84g", "frozenauthors": [ { "first_name": "Mufaddal", "middle_name": "", "last_name": "Dahodwala", "name_suffix": "MD, MS", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:42:24-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44775/galley/33568/download/" } ] }, { "pk": 44774, "title": "Influenza Vaccine Skepticism", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7mn6h4mt", "frozenauthors": [ { "first_name": "Jack", "middle_name": "", "last_name": "Dougherty", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:40:35-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44774/galley/33567/download/" } ] }, { "pk": 44773, "title": "Clinical Outcome Measures for Patients Attending Type 2 Diabetes Education Workshops", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3z80442x", "frozenauthors": [ { "first_name": "Vanessa", "middle_name": "", "last_name": "Arguello-Schmidt", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Dan", "middle_name": "", "last_name": "Erdman", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Matthew", "middle_name": "J.", "last_name": "Freeby", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:38:36-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44773/galley/33566/download/" } ] }, { "pk": 44772, "title": "Pancreatic Cancer", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9qv9j154", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Ovsiowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cho", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:36:18-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44772/galley/33565/download/" } ] }, { "pk": 44771, "title": "Bleeding Dieulafoy’s Lesion in the Colon", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6hw9t20f", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Ovsiowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cho", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:34:45-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44771/galley/33564/download/" } ] }, { "pk": 44770, "title": "Unilateral Renal Cystic Disease: A Rare Disease", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7nn1160s", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "Jessie", "last_name": "Aldan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Igor", "middle_name": "", "last_name": "Kagan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:32:35-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44770/galley/33563/download/" } ] }, { "pk": 44769, "title": "The Clinical Utility and Accuracy of Four Equations Predicting Delta Serum Na+ Over Shorter Timeframes (2-4 Hours) The accuracy of delta Na+ modeling equations revisited over shorter time periods", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5t49t9wb", "frozenauthors": [ { "first_name": "Ramy", "middle_name": "M.", "last_name": "Hanna", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "James", "middle_name": "", "last_name": "Wilson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ira", "middle_name": "", "last_name": "Kurtz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:30:28-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44769/galley/33562/download/" } ] }, { "pk": 44768, "title": "Appendiceal Tumor Presenting as Acute Appendicitis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8dr9b90z", "frozenauthors": [ { "first_name": "Mary", "middle_name": "", "last_name": "Farid", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lynn", "middle_name": "", "last_name": "Connolly", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:27:45-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44768/galley/33561/download/" } ] }, { "pk": 44767, "title": "Esophageal Eosinophilia – When to Blame the Medications", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4td405z1", "frozenauthors": [ { "first_name": "Lynn", "middle_name": "", "last_name": "Connolly", "name_suffix": "MD, MSCR", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mary", "middle_name": "", "last_name": "Farid", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:25:03-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44767/galley/33560/download/" } ] }, { "pk": 44766, "title": "Cancer and Depression", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0kj4m6kw", "frozenauthors": [ { "first_name": "Gloria", "middle_name": "", "last_name": "Kim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:22:58-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44766/galley/33559/download/" } ] }, { "pk": 44765, "title": "Vertebral Osteomyelitis in Intravenous Drug Abuser", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4h97w6zn", "frozenauthors": [ { "first_name": "Roya", "middle_name": "", "last_name": "Mojarrad", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:20:23-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44765/galley/33558/download/" } ] }, { "pk": 44764, "title": "A Rare Case of Parvimonas Micra Bacteremia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2x89q979", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "C.", "last_name": "Ross", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:17:53-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44764/galley/33557/download/" } ] }, { "pk": 44763, "title": "UCLA Internal Medicine-Pediatrics Routine Health Maintenance Guidelines", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Brief Clinical Update" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4fz95686", "frozenauthors": [ { "first_name": "Mridula", "middle_name": "", "last_name": "Watt", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Janet", "middle_name": "", "last_name": "Ma", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:15:28-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44763/galley/33556/download/" } ] }, { "pk": 44762, "title": "Bradycardia and Hypothermia in a Patient with Dementia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3rq2n8xh", "frozenauthors": [ { "first_name": "Marie", "middle_name": "", "last_name": "Adachi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Erin", "middle_name": "A.", "last_name": "Cook", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-11-26T16:13:26-05:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44762/galley/33555/download/" } ] }, { "pk": 5535, "title": "A Portable System for Detecting Infrasound Using a Microcontroller", "subtitle": null, "abstract": "The purpose of this project was to create a device to detect infrasound communication from elephants. The device was designed and prototyped to be capable of monitoring an input signal for infrasound. If infrasound is detected, an audible alarm is sounded. This device can record audio signals for long periods of time to a digital storage device. It can be utilized for other areas of study with some modification. For example, by selecting appropriate sensors the device can be used for studying vibrations in structures. The device is low-cost so it would be able to be procured more easily and in higher quantities than more expensive and cumbersome laboratory monitoring equipment. This device could also be used as an educational and research device for students studying animal behavior in the field and laboratory. Infrasound is not limited to only elephants, but hippopotamuses, rhinoceroses and giraffes also communicate with infrasound. Environmental infrasound from sources such as wind turbines, sonic booms, explosions, tornadoes, and earthquakes can also be monitored.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Infrasound detection" }, { "word": "microcontroller" }, { "word": "Elephants" }, { "word": "fast Fourier transform" }, { "word": "Seismometer" }, { "word": "geophone" } ], "section": "Brief Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/49j4h509", "frozenauthors": [ { "first_name": "Steven", "middle_name": "", "last_name": "Bergren", "name_suffix": "", "institution": "Oklahoma State University", "department": "None" }, { "first_name": "Carl", "middle_name": "D", "last_name": "Latino", "name_suffix": "", "institution": "Oklahoma State University", "department": "None" }, { "first_name": "Christopher", "middle_name": "A", "last_name": "Varnon", "name_suffix": "", "institution": "Converse College", "department": "None" }, { "first_name": "Charles", "middle_name": "I", "last_name": "Abramson", "name_suffix": "", "institution": "Oklahoma State Uniersity", "department": "None" } ], "date_submitted": "2019-05-01T03:03:45-04:00", "date_accepted": "2019-05-01T03:03:45-04:00", "date_published": "2019-11-26T13:55:17-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5535/galley/3351/download/" } ] }, { "pk": 757, "title": "Neurosyphilis: Old Disease, New Implications for Emergency Physicians", "subtitle": null, "abstract": "Recent epidemiologic data demonstrate increasing rates of neurosyphilis, particularly among those in the community of men who have sex with men and those coinfected with the human immunodeficiency virus (HIV). Here we discuss a case of early neurosyphilis and new HIV diagnosis in a 27-year-old previously-healthy trans woman presenting for the second time with progressive, ascending weakness and cranial nerve VI palsy. Emergency physicians should consider this rare but highly morbid diagnosis, given the rising prevalence of neurosyphilis among at-risk patients and those with new neurologic deficits.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0gp0n4x6", "frozenauthors": [ { "first_name": "Laura", "middle_name": "", "last_name": "Mercurio", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island; Alpert Medical School of Brown University, Department of Pediatrics, Providence, Rhode Island", "department": "None" }, { "first_name": "Lynn", "middle_name": "E.", "last_name": "Taylor", "name_suffix": "", "institution": "University of Rhode Island Providence Campus, CODAC Behavioral Health, Providence, Rhode Island", "department": "None" }, { "first_name": "Angela", "middle_name": "F.", "last_name": "Jarman", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2019-11-19T16:26:24-05:00", "date_accepted": "2019-11-19T16:26:24-05:00", "date_published": "2019-11-19T16:27:12-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/757/galley/512/download/" } ] }, { "pk": 756, "title": "Disseminated Gonorrhea", "subtitle": null, "abstract": "Sexually transmitted infections have risen sharply over the last decade in the United States. The incidence of gonorrhea has risen to 172 reported cases per 100,000 people over the past year. This likely represents an under-representation due to many cases going unreported. Disseminated gonorrhea can present with nonspecific symptoms including arthralgia, cutaneous lesions, or tenosynovitis. Diagnosis is based upon a degree of high clinical suspicion and serology. Emergency department treatment includes ceftriaxone and azithromycin.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37p3n2z7", "frozenauthors": [ { "first_name": "Janelle", "middle_name": "", "last_name": "Estrada", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "Shane", "middle_name": "", "last_name": "Sergent", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Ashurst", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" } ], "date_submitted": "2019-11-19T16:16:27-05:00", "date_accepted": "2019-11-19T16:16:27-05:00", "date_published": "2019-11-19T16:17:19-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/756/galley/511/download/" } ] }, { "pk": 755, "title": "Carbon Monoxide Poisoning Effectively Treated with High-flow Nasal Cannula Oxygen", "subtitle": null, "abstract": "Carbon monoxide (CO) poisoning is typically treated by administration of oxygen via non-rebreather mask (NRB). High-flow nasal cannula (HFNC) is an alternative to NRB in a variety of disease states. We report a case of the novel use of HFNC in the treatment of acute CO poisoning. A 29-year-old man presented with a carboxyhemoglobin (COHb) level of 29.8%. He was treated with HFNC, and COHb levels declined to 5.4% in 230 minutes. Given several theoretical advantages of HFNC relative to NRB, HFNC is a potential option for use in the treatment of CO poisoning.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/54p5v2g4", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Southern New Hampshire Medical Center, Department of Emergency Medicine, Nashua, New Hampshire", "department": "None" }, { "first_name": "Steven", "middle_name": "D.", "last_name": "Salhanick", "name_suffix": "", "institution": "Massachusetts/Rhode Island Center for Poison Control and Information, Staff Toxicologist, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-11-19T15:02:07-05:00", "date_accepted": "2019-11-19T15:02:07-05:00", "date_published": "2019-11-19T15:02:42-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/755/galley/510/download/" } ] }, { "pk": 754, "title": "Bilateral Luxatio Erecta Humeri With Acute Anterior-inferior Re-dislocation", "subtitle": null, "abstract": "Luxatio erecta is a description for a specific and rare type of shoulder dislocation where the humeral head dislocates directly inferior. This rare form of glenohumeral dislocation accounts for only 0.5% of shoulder dislocations. It is even less common for both shoulders to be bilaterally dislocated inferiorly with the characteristic “hands up” posture. A limited number of these bilateral occurrences are described in the literature to date and most have been from higher energy trauma. We have described a low energy case of bilateral luxatio erecta and the reduction method used and the continued instability following successful reduction under procedural anesthesia.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2cg281ks", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Kessler", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" }, { "first_name": "Jacob", "middle_name": "", "last_name": "Hinkley", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Houserman", "name_suffix": "", "institution": "Des Moines University, Des Moines, Iowa", "department": "None" }, { "first_name": "Jacob", "middle_name": "", "last_name": "Lytle", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Sorscher", "name_suffix": "", "institution": "Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan", "department": "None" } ], "date_submitted": "2019-11-19T14:56:20-05:00", "date_accepted": "2019-11-19T14:56:20-05:00", "date_published": "2019-11-19T14:58:10-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/754/galley/509/download/" } ] }, { "pk": 753, "title": "Pseudo-duplication of the Gallbladder", "subtitle": null, "abstract": "Phrygian cap and its rare relative, pseudo-duplication of the gallbladder, are two radiologic findings that may be revealed on ultrasound evaluation. Correct identification of Phrygian cap and pseudo-duplication should trigger a careful survey of the gallbladder in its entirety to rule out pathology. These anatomic variants may lead to partial under-distension of the gallbladder and can cause the gallbladder wall to appear falsely thickened. Asymptomatic patients with this finding may be safely discharged while symptomatic patients may require further surgical consultation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/70x1p2ph", "frozenauthors": [ { "first_name": "Jamie", "middle_name": "", "last_name": "Adamski", "name_suffix": "", "institution": "Jefferson Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Divya", "middle_name": "", "last_name": "Mohan", "name_suffix": "", "institution": "Jefferson Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania; Jefferson Northeast, Department of Family Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Waasdorp", "name_suffix": "", "institution": "Jefferson Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania; Jefferson Northeast, Department of Family Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-11-19T14:50:34-05:00", "date_accepted": "2019-11-19T14:50:34-05:00", "date_published": "2019-11-19T14:51:19-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/753/galley/508/download/" } ] }, { "pk": 41887, "title": "Be Still, Be Present: Black Girl Yoga and Digital Counter Spaces", "subtitle": null, "abstract": "Controlling images of Black womanhood and the exclusivity of mainstream wellness spaces complicate Black women’s relationship to yoga. The purpose of this study is to explore how a popular Instagram page, Black Girl Yoga, engages Black women with the spiritual practice. A combined Visual Discourse Analysis (VDA) and Critical Discourse Analysis (CDA) revealed that BGY engages Black women with yoga by a) constructing a culture of inclusivity, b) affirming the individuality of Black women, c) intertextualizing African American cultural discourse and yogic principles, d) decentering Black women’s oppression, and e) creating continuity with physical yoga counter spaces. Implications for theory and praxis are discussed.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Black women" }, { "word": "Controlling Images" }, { "word": "Digital Counter Spaces" }, { "word": "the Mammy" }, { "word": "Wellness" }, { "word": "Yoga" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6q3473t2", "frozenauthors": [ { "first_name": "Shanice", "middle_name": "Jones", "last_name": "Cameron", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2019-02-28T16:00:41-05:00", "date_accepted": "2019-02-28T16:00:41-05:00", "date_published": "2019-11-16T18:07:14-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/raceandyoga/article/41887/galley/31296/download/" } ] }, { "pk": 752, "title": "Euglycemic Diabetic Ketoacidosis in Pregnancy", "subtitle": null, "abstract": "The clinical presentation of diabetic ketoacidosis in pregnancy (DKP) is similar to that observed in nonpregnant women, although reports suggest the presenting blood glucose level may not be as high. It is hypothesized that lower, maternal fasting glucose levels are a result of both the fetus and the placenta consuming glucose. We report the case of a 38-year-old woman gravida 2, para 0, abortion 1 with type 1 diabetes who had euglycemic diabetic ketoacidosis and review the literature on DKP, with a focus on diagnosis, treatment, and monitoring of the mother and fetus.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0js333b7", "frozenauthors": [ { "first_name": "Júlio", "middle_name": "César", "last_name": "Garcia de Alencar", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Geovane", "middle_name": "", "last_name": "Wiebelling da Silva", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Sabrina", "middle_name": "", "last_name": "Correa da Costa Ribeiro", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Júlio", "middle_name": "Flavio", "last_name": "Meirelles Marchini", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Rodrigo", "middle_name": "Antonio", "last_name": "Brandao Neto", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" }, { "first_name": "Heraldo", "middle_name": "", "last_name": "Possolo de Souza", "name_suffix": "", "institution": "São Paulo University, Department of Emergency Medicine, São Paulo, Brazil", "department": "None" } ], "date_submitted": "2019-11-15T17:53:06-05:00", "date_accepted": "2019-11-15T17:53:06-05:00", "date_published": "2019-11-15T17:54:03-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/752/galley/507/download/" } ] }, { "pk": 12572, "title": "Teamwork between Engineering and Medicine: Collaborative Training in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nEntrustable Professional Activities (EPAs) 9 and 13 are to “collaborate as a member of an interprofessional team” and to “identify system failures thereby contributing to a culture of safety and improvement.” Addressing EPA 9, an interprofessional initiative was begun using a project team between two university programs: medical education and health systems engineering. Addressing EPA 13, this team set out to provide diagnostic analytics for Length of Stay (LOS) delays in the Emergency Department (ED).\nMethods: \nThis project was performed in 2018 at an ED with 42 beds, an annual census of 70,000, and a 38% admission rate. Two healthcare systems engineering students and a medical student performed on-site observations to identify specific bottlenecks that could contribute to ED LOS. This data and data generated from the electronic medical record were analyzed and correlated with observations. Factors (44) that affect ED processes were analyzed, including time interval metrics such as arrival to triage, arrival to admit, disposition to departure, and bed request to admit. \nResults: \nPatients had an average LOS of 5.9 hours. A total of 4,940 adult, non-psychiatric cases presented; 1,599 (32.4%) of these were admitted. Process evaluation (Figure, mean and median minutes) showed differences between day (7a-7p) and night (7p-7a) flow patterns. These quantitative results (EPA 13) were determined by the interprofessional collaborative work efforts of the students (qualitatively, the outcome of EPA 9).This project demonstrated a synergistic educational experience that allowed the blending of medical education with process engineering, ultimately improving knowledge gaps of both. This unique process allowed for diagnostics to be performed that were necessary for the ED and simultaneously provided a stronger foundation for QI undertakings for both engineering and medical students.\n \nConclusion: \nMedical students can benefit from working alongside systems engineers, allowing them to see the value of using tools (simulation modeling, statistical analysis, process flow mapping, etc.) to uncover evidence-based improvements to a variety of medical processes. Healthcare systems engineering students can gain valuable experience in a complex medical environment. Looking for solutions to the disparity between flow during the day and night is an opportunity for future study.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Interprofessional Team" }, { "word": "Length of Stay" }, { "word": "emergency department" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zh386w6", "frozenauthors": [ { "first_name": "Philip", "middle_name": "T.", "last_name": "Bowers", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Xiandong", "middle_name": "", "last_name": "Peng", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Elyse", "middle_name": "R.", "last_name": "Stevens", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Ana-Iulia", "middle_name": "", "last_name": "Alexandrescu-Anselm", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Richard", "middle_name": "S.", "last_name": "Mackenzie", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Terrill", "middle_name": "E.", "last_name": "Theman", "name_suffix": "", "institution": "Lehigh University, Bethlehem, PA", "department": "None" }, { "first_name": "Andrew", "middle_name": "C.", "last_name": "Miller", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Ann", "middle_name": "L.", "last_name": "Gallagher", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" }, { "first_name": "Marna", "middle_name": "R.", "last_name": "Greenberg", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF MCOM, Allentown, PA", "department": "None" } ], "date_submitted": "2019-03-04T16:18:38-05:00", "date_accepted": "2019-03-04T16:18:38-05:00", "date_published": "2019-11-05T16:50:58-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12572/galley/6664/download/" } ] }, { "pk": 12578, "title": "Attitudes, Behavior & Knowledge of Emergency Medicine Healthcare Providers Regarding LGBT+ Patient Care", "subtitle": null, "abstract": "Introduction: \nThere is evidence that healthcare providers are lacking in knowledge and confidence when it comes to treating LGBT+ patients.\nObjective:\n To assess providers’ LGBT+ health-care knowledge, willingness to treat LGBT+ patients, communication behaviors, and whether there is a need for additional training. This involved an assessment that measured respondents’ knowledge of LGBT+ patients’ reluctance to communicate with providers, risk for certain cancers, and risk for suicide. Secondary outcomes assessed providers’ attitudes and practices toward LGBT+ patients.\nMethods:\n 16 physicians and 24 nurses in the emergency department of an urban Level 1 trauma center were asked to participate in a survey regarding LGBT+ health. The survey was modified from published work and included questions about transgender patients. The effects of age, gender, and type of provider were contrasted with their willingness to treat and knowledge of LGBT+ healthcare. Descriptive statistics, Fisher’s exact test, and the Wilcoxon rank-sum and Kruskal-Wallis tests were used. This study was approved by the IRB and all data was de-identified.\nResults:\n Compared to nurses, physicians were 9.0 (95% CI: 2.09–38.79) times more likely to agree with the statement “LGBT+ patients avoid accessing healthcare due to difficulty communicating with providers” (p=.003). Further, providers under the age 45 had a higher level of agreement with the statement “There should be more education in health professional schools on LGBT+ health needs” (p=.03) and with “being listed as an LGBT-friendly provider” (p=.001), as did nurses (p = .04) and those who identify as LGBT+ or know someone who identifies as LGBT+ (p=.005). Finally, respondents reported higher agreement to the statement “There should be educational events at my hospital about LGBT+ health needs” (Mdn=4, IQR=3–5) than to “I am well informed on the health needs of the LGBT patients” (Mdn=2, IQR=2–3).\nConclusions: \nThere is a need and desire for educational events at the professional school and provider level, in addition it is recommended to conduct an educational intervention.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "LGBT" }, { "word": "emergency providers" }, { "word": "Gay" }, { "word": "transgender" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3ww409ff", "frozenauthors": [ { "first_name": "Lera", "middle_name": "", "last_name": "Driver", "name_suffix": "", "institution": "Loyola University Chicago, Stritch School of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Adams", "name_suffix": "", "institution": "Loyola University Chicago, Stritch School of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Jacqueline", "middle_name": "", "last_name": "Dziedzic", "name_suffix": "", "institution": "Loyola University Chicago, Stritch School of Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-03-05T14:33:45-05:00", "date_accepted": "2019-03-05T14:33:45-05:00", "date_published": "2019-11-05T16:31:11-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12578/galley/6667/download/" } ] }, { "pk": 12599, "title": "The Incidence of Septic Patients Identified Using a Sepsis Order Bundle", "subtitle": null, "abstract": "Introduction: \nSepsis order sets improve compliance with the established guidelines, but clinicians must be careful to initiate these protocols on appropriate patients. Many conditions can mimic sepsis as defined by SEP-1 (two or more SIRS* criteria and a suspected infection) such as trauma, COPD, etc. SEP-1 criteria alone can lead to initiating a sepsis protocol without true infection based solely on vital signs.\nObjective: \nTo assess the incidence of patients who had a sepsis order set, but an infection was not discovered during their hospital course.\nMethods: \nThis study is a single-center retrospective chart review of all “SIRS positive” patients >21 years old who presented to a busy community ED who had the sepsis order set initiated from the emergency department in 2017. A total of 1577 encounters met inclusion criteria. The discharge diagnoses were reviewed to identify unique diagnoses. Similar diagnoses (e.g. RLQ abdominal pain and abdominal pain) were grouped together into the more generalized diagnosis. Several of the unique discharge diagnoses (161) were vague and required individual chart review by two people.\nResults: \nTwo hundred fifty-one unique discharge diagnoses were identified and then categorized as infectious or not. Conditions which may be inflammatory versus infectious (e.g. diverticulitis), but are classically treated with antibiotics were counted as infectious. One hundred sixty-one charts were reviewed by two physicians, of which, 130 (81%) were identified as having an infectious condition (K = 0.87). The most common sepsis mimic was abdominal pain, followed by COPD, and cough. A third (33.6%) did not have an infection identified.\n \nConclusion:\n SEP-1 criteria for diagnosis and treating sepsis are not specific, with one-third false positives. Identification criteria with higher specificity is needed, and may reduce healthcare expense.\n*SIRS (Systemic Inflammatory Response Syndrome) is defined as temperature > 38C° or < 36C°, heart rate > 90 beats per minute, respiratory rate > 20 or PaCO2 < 32 mmHg, and WBC > 12k or < 4k/mm3.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "sepsis" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1c1521sp", "frozenauthors": [ { "first_name": "Nathan", "middle_name": "", "last_name": "Nazzise", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, West Islip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Gekle", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, West Islip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Bramante", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, West Islip, New York", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-03-11T22:09:38-04:00", "date_accepted": "2019-03-11T22:09:38-04:00", "date_published": "2019-11-05T16:30:23-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12599/galley/6677/download/" } ] }, { "pk": 12435, "title": "Scenario-based Pilot Testing of EMS Provider Interpretation of a Novel Pediatric Triage Protocol", "subtitle": null, "abstract": "Introduction: \nPediatric care is increasingly concentrated in a small number of hospitals. No widely operative triage protocols guide emergency medical services’ (EMS) pediatric destination decision for non trauma patients. The PDTree tool is an evidence-based protocol validated by expert consensus, which was developed to assist EMS providers’ in choosing a pediatric destination facility capable of definitive care. The PDTree defines four tiers of pediatric care (specialty/trauma center, comprehensive pediatric facility, regional pediatric facility and closest ED), and matches patients by condition and EMS assessment.\nObjective: \nTo pilot test the PDTree tool with practicing EMS providers for accuracy of interpretation and performance across the range of practice levels and prior experience\nMethods: \nMaryland EMS providers voluntarily participated in online testing. Demographic data included certification level, location of primary EMS jurisdiction, and years of experience. Providers were provided with a copy of the PDTree tool and presented 14 patient scenarios; each scenario was written to match one condition description in the PDTree tool with a clear recommendation for destination facility capability level. For each scenario, providers were asked to name their most likely destination, and to select the level of care suggested by their interpretation of the PDTree tool.\nResults: \n100 providers (52 ALS, 48 BLS) completed the electronic pilot test. Providers named a destination hospital with appropriate capabilities in 60% of scenarios. Providers’ interpretation of the PDTree’s advised destination level agreed with the intended response for 71% of scenarios. Greater than 90% agreement was seen for burns, witnessed child abuse, and cervical spine injury. Less than 50% agreement was seen for shock and a non distressed child with a tracheostomy. Rates of agreement differed for diabetic ketoacidosis and non distressed medically complex child based on provider level, and for elbow injury with deformity with years of experience (Chi Square p value = 0.01 and p value = 0.04, respectively).\nConclusion: \nEMS providers accurately interpreted the PDTree tool to determine the advised destination for a majority of pediatric scenarios. Future evaluation will focus on conditions with lower rates of agreement to determine if educational interventions or tool alterations are required. Virtual pilot testing using clinical vignettes is a reasonable first step in assessing the usability of a novel clinical decision-making tool.\nAcknowledgement: \nFunding was provided by a grant from the United States Health Resources and Service Administration (HRSA-16-053: PDTree: A Tool for Prehospital Pediatric Destination Choice).", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2q4148dm", "frozenauthors": [ { "first_name": "Kyle", "middle_name": "A.", "last_name": "Fratta", "name_suffix": "", "institution": "Johns Hopkins University, School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baltimore, MD", "department": "None" }, { "first_name": "Jennifer", "middle_name": "N.", "last_name": "Fishe", "name_suffix": "", "institution": "University of Florida College of Medicine – Jacksonville, Department of Emergency Medicine, Jacksonville, FL", "department": "None" }, { "first_name": "Jennifer", "middle_name": "F.", "last_name": "Anders", "name_suffix": "", "institution": "Johns Hopkins University, School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baltimore, MD", "department": "None" } ], "date_submitted": "2019-01-14T17:56:49-05:00", "date_accepted": "2019-01-14T17:56:49-05:00", "date_published": "2019-11-05T16:29:55-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12435/galley/6608/download/" } ] }, { "pk": 12571, "title": "Reducing Substance Use by an Emergency Department Intervention", "subtitle": null, "abstract": "Introduction: \nSubstance use and misuse is prevalent in emergency department (ED) patients. We set out to determine substance use reduction rates after a brief ED intervention for patients with tobacco, alcohol, or drug use. \nMethods: \nIn this pilot prospective study, we approached a convenience sample of subjects in 2 EDs in PA during scheduled provider nonclinical times. One site was a trauma center while the other was a smaller community hospital. Subjects had to be ≥18 yo, have capacity to answer survey questions and participate in the program interventions, could not be critically ill, and had to be willing to participate. Participating subjects admitted to definitions of unhealthy use of one or more of: tobacco products, alcohol, street drugs, or addictive prescription drugs. Subjects received a structured survey and intervention tool that was previously validated (Project ASSERT), a brief intervention based on motivational interviewing, and referral to treatment, which took on average 5-10 minutes1. The intervention was carried out by a medical student, Emergency Medicine (EM) Resident, or an Addiction Recovery Specialist (a licensed social worker and certified recovery specialist with lived substance use disorder experience). These providers had training in Project ASSERT prior to the study start. Phone follow-up was used to determine current substance use by the patient. Subjects received no financial incentives.\nResults: \nOne-hundred ninety-one patients were recruited (105 for tobacco usage, 54 for alcohol, and 32 for drugs). At follow-up, 16/105 tobacco users (15.0%) reported stopping smoking, 51 (48.6%) a decrease in the number of cigarettes per day, and 32 (30.5%) attempting to quit. Of 54 patients in the high-risk alcohol utilization group, 40 (74.1%) reported either a decrease in the number of days per week of drinking, or a decrease in the number of drinks per day. Of the 32 patients who used drugs, 25 (78.1%) reported a decrease in usage.\nConclusion:\n In this pilot study involving medical students, EM residents and drug counselors at 2 EDs, we found that a brief intervention to patients with unhealthy tobacco, alcohol, and drug use resulted in overall decreased use. A more robust study, with a larger patient sample size is indicated.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Substance use" }, { "word": "Intervention" }, { "word": "Emergency Medicine" } ], "section": "ACOEP Abstracts (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0qw1m11r", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "E.", "last_name": "Fieman", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Matthew", "middle_name": "D.", "last_name": "Marschall", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Smeet", "middle_name": "R.", "last_name": "Bhimani", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Derek", "middle_name": "J.", "last_name": "Fikse", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Ryan", "middle_name": "A.", "last_name": "Anderson", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Paige", "middle_name": "", "last_name": "Roth", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Jennifer", "middle_name": "S.", "last_name": "Stephens", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Internal Medicine", "department": "None" }, { "first_name": "Manuel", "middle_name": "F.", "last_name": "Colon", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Kevin", "middle_name": "R.", "last_name": "Weaver", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "David", "middle_name": "M.", "last_name": "Richardson", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "David", "middle_name": "B.", "last_name": "Burmeister", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Marna", "middle_name": "R.", "last_name": "Greenberg", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" }, { "first_name": "Robert", "middle_name": "D.", "last_name": "Cannon", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Allentown, PA, Department of Emergency Medicine", "department": "None" } ], "date_submitted": "2019-03-04T15:58:32-05:00", "date_accepted": "2019-03-04T15:58:32-05:00", "date_published": "2019-11-05T16:27:50-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12571/galley/6663/download/" } ] }, { "pk": 13349, "title": "WestJEM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "WestJEM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5gs6t2rq", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Louis", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Dana", "middle_name": "", "last_name": "Le", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2019-11-05T16:03:28-05:00", "date_accepted": "2019-11-05T16:03:28-05:00", "date_published": "2019-11-05T16:04:43-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/13349/galley/7011/download/" } ] }, { "pk": 39765, "title": "New records of Plagyrona Gittenberger, 1977 (Gastropoda: Eupulmonata: Valloniidae) from Europe and problems about specific determination", "subtitle": null, "abstract": "The genus \nPlagyrona\n Gittenberger, 1977, includes only two small species of terrestrial snail: \nPlagyrona angusta \nHolyoak and Holyoak, 2012, and \nPlagyrona placida \n(Shuttleworth, 1852). While \nP. angusta\n is known only from Portugal, \nP. placida \nhas a vast but fragmented distribution: it is known from some of the Macaronesian islands (Madeira and the Canary Archipelago) and some European countries: Portugal, France (in Corsica only), Italy (including Sardinia and the Tuscan Archipelago), Albania, Greece (in the Ionian Islands only) and North Africa (Algeria). New research has led to redefine the distribution range of \nP. angusta\n, identifying new populations in Spain (Balearic Islands), continental France (Var department), southern Italy (Campania), Sardinia and Greece (Kerkyra Island) and to discover new sites of \nP. placida \non Pantelleria island and of \nPlagyrona \nspp. in Zannone island and southern Italy. The specific determination of these and others populations by examination of recent literature from Sardinia, Campania and Calabria, was carried out on a morphometric basis, but, for some populations, the variability of the diagnostic characters and the limited number of available specimens, do not allow a precise assignment. On the other hand, the existence of two distinct species is not evident at all, at least in the Mediterranean countries.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Mediterranean area" }, { "word": "Plagyrona placida" }, { "word": "Plagyrona angusta" }, { "word": "species distribution" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0pv4w2rg", "frozenauthors": [ { "first_name": "Enrico", "middle_name": "", "last_name": "Talenti", "name_suffix": "", "institution": "Museo di Storia Naturale del Sistema Museale d’Ateneo dell’Università di Firenze, Sezione Zoologica “La Specola”, Via Romana 17, 50125 Florence", "department": "None" }, { "first_name": "Simone", "middle_name": "", "last_name": "Cianfanelli", "name_suffix": "", "institution": "Museo di Storia Naturale del Sistema Museale d’Ateneo dell’Università di Firenze, Sezione Zoologica “La Specola”, Via Romana 17, 50125 Florence", "department": "None" }, { "first_name": "Marco", "middle_name": "", "last_name": "Bodon", "name_suffix": "", "institution": "Museo di Storia Naturale del Sistema Museale d’Ateneo dell’Università di Firenze, Sezione Zoologica “La Specola”, Via Romana 17, 50125 Florence", "department": "None" } ], "date_submitted": "2019-05-02T13:01:11-04:00", "date_accepted": "2019-05-02T13:01:11-04:00", "date_published": "2019-11-05T08:27:24-05:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39765/galley/29949/download/" } ] }, { "pk": 751, "title": "CPC-EM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "CPC-EM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9nm7p16f", "frozenauthors": [ { "first_name": "Cassandra", "middle_name": "", "last_name": "Saucedo", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2019-10-31T18:44:43-04:00", "date_accepted": "2019-10-31T18:44:43-04:00", "date_published": "2019-10-31T18:48:24-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/751/galley/506/download/" } ] }, { "pk": 44761, "title": "Integrative Approach Incorporating Acupuncture and Trigger Point Injection to Treat Occipital Neuralgia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/28k0q7fh", "frozenauthors": [ { "first_name": "Rachael", "middle_name": "", "last_name": "Maciasz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lawrence", "middle_name": "B.", "last_name": "Taw", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T14:37:17-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44761/galley/33554/download/" } ] }, { "pk": 44760, "title": "Favorable Outcomes of Maintenance Lenalidomide can be Reproduced in an Unselected Myeloma Patient Population at a Single Academic Center", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65q3951f", "frozenauthors": [ { "first_name": "Monica", "middle_name": "D.", "last_name": "Mead", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Maxwell", "middle_name": "J.", "last_name": "Kroloff", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sarah", "middle_name": "M.", "last_name": "Larson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T14:34:30-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44760/galley/33553/download/" } ] }, { "pk": 44759, "title": "Treatment of Amyloidosis in a Geriatric Patient", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67r77834", "frozenauthors": [ { "first_name": "Maija", "middle_name": "", "last_name": "Sanna", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Hong-Phuc", "middle_name": "", "last_name": "Tran", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T14:31:38-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44759/galley/33552/download/" } ] }, { "pk": 44758, "title": "Manual Mobilization and Displacement of a Soft Palate Mass by Patient Facilitates Awake Nasal Fiberoptic Intubation", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6hf7s4sb", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Goh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Peter", "middle_name": "", "last_name": "Lee", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-31T14:29:14-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44758/galley/33551/download/" } ] }, { "pk": 12399, "title": "Incidence of Clostridium difficile Infection After Sepsis Protocol Antibiotics", "subtitle": null, "abstract": "Introduction:\n The management of sepsis includes the prompt administration of intravenous antibiotics.There is concern that sepsis treatment protocols may be inaccurate in identifying true sepsis andexposing patients to potentially harmful antibiotics, sometimes unnecessarily. This study was designed toinvestigate those concerns by focusing on in-hospital Clostridium difficile infection (CDI), which is a knowncomplication of exposure to antibiotics.\nMethods:\n Our emergency department (ED) recently implemented a protocol to help combat sepsis andincrease compliance with the 2017 Sepsis CMS Core Measures (SEP-1) guidelines. In this single-center,retrospective cohort analysis we queried the electronic health record to gather data on nosocomial CDIand antibiotics prescribed over a five-year period to analyze the effect of the introduction of a sepsisprotocol order set. The primary goal of this study was to measure the hospital-wide CDI rate for threeyears prior to implementation of the sepsis bundle, and then compare this to the hospital-wide CDI rate twoyears post-implementation. As a secondary outcome, we compared the number of antibiotics prescribed inthe ED 12 months prior to administration of the sepsis protocol vs 12 months post-initiation.\nResults:\n Over the course of five years, the hospital averaged 9.4 nosocomial CDIs per 10,000 patienthours. Prior to implementation of the sepsis bundle, the average CDI rate was 11.6 (±1.11, 95%) and afterimplementation the average rate dropped to 6.2 (±1.27, 95%, p<0.01). The mean number of antibioticsordered per patient visit was 0.33 (±0.015, 95%) prior to bundle activation, and, following sepsis bundleactivation, the rate was 0.38 (±0.019, 95%, p<0.01). This accounted for 38% of all ED patient visitsreceiving antibiotics, a 5% increase after the sepsis bundle was introduced.\nConclusion:\n In this study, we found that CDI infections declined after implementation of a sepsisbundle. There was, however an increase in the number of patients being exposed to antibiotics afterthis hospital policy change. There are more risks than just CDI with antibiotic exposure, and thesewere not measured in this study. Subsequent studies should focus on the ongoing effects of timed,protocolized care and the associated risks.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "ACOEP Original Research (by Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8ft8b52r", "frozenauthors": [ { "first_name": "Jordan", "middle_name": "", "last_name": "LaFave", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Gekle", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Bramante", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West\nIslip, New York", "department": "None" } ], "date_submitted": "2018-12-21T17:40:28-05:00", "date_accepted": "2018-12-21T17:40:28-05:00", "date_published": "2019-10-24T17:38:28-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12399/galley/6595/download/" } ] }, { "pk": 12752, "title": "Diagnosis of Acute Heart Failure in the Emergency Department: An Evidence-Based Review", "subtitle": null, "abstract": "Heart failure is a common presentation to the emergency department (ED), which can be confusedwith other clinical conditions. This review provides an evidence-based summary of the currentED evaluation of heart failure. Acute heart failure is the gradual or rapid decompensation of heartfailure, resulting from either fluid overload or maldistribution. Typical symptoms can include dyspnea,orthopnea, or systemic edema. The physical examination may reveal pulmonary rales, an S3 heartsound, or extremity edema. However, physical examination findings are often not sensitive or specific.ED assessments may include electrocardiogram, complete blood count, basic metabolic profile, liverfunction tests, troponin, brain natriuretic peptide, and a chest radiograph. While often used, natriureticpeptides do not significantly change ED treatment, mortality, or readmission rates, although they maydecrease hospital length of stay and total cost. Chest radiograph findings are not definitive, and severalother conditions may mimic radiograph findings. A more reliable modality is point-of-care ultrasound,which can facilitate the diagnosis by assessing for B-lines, cardiac function, and inferior vena cavasize. These modalities, combined with clinical assessment and gestalt, are recommended.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0k69n8p8", "frozenauthors": [ { "first_name": "Brit", "middle_name": "", "last_name": "Long", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston,\nTexas", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Koyfman", "name_suffix": "", "institution": "University of Texas Southwestern Medical Center, Department of Emergency Medicine,\nDallas, Texas", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-05-12T17:41:06-04:00", "date_accepted": "2019-05-12T17:41:06-04:00", "date_published": "2019-10-24T17:23:18-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12752/galley/6730/download/" } ] }, { "pk": 12877, "title": "Identifying Emergency Department Symptom-Based Diagnoses with the Unified Medical Language System", "subtitle": null, "abstract": "Introduction:\n Many patients who are discharged from the emergency department (ED) with asymptom-based discharge diagnosis (SBD) have post-discharge challenges related to lack of adefinitive discharge diagnosis and follow-up plan. There is no well-defined method for identifyingpatients with a SBD without individual chart review. We describe a method for automated identificationof SBDs from ICD-10 codes using the Unified Medical Language System (UMLS) Metathesaurus.\nMethods:\n We mapped discharge diagnosis, with use of ICD-10 codes from a one-month period ofED discharges at an urban, academic ED to UMLS concepts and semantic types. Two physicianreviewers independently manually identified all discharge diagnoses consistent with SBDs. Wecalculated inter-rater reliability for manual review and the sensitivity and specificity for our automatedprocess for identifying SBDs against this “gold standard.”\nResults:\n We identified 3642 ED discharges with 1382 unique discharge diagnoses that correspondedto 875 unique ICD-10 codes and 10 UMLS semantic types. Over one third (37.5%, n = 1367) of EDdischarges were assigned codes that mapped to the “Sign or Symptom” semantic type. Inter-raterreliability for manual review of SBDs was very good (0.87). Sensitivity and specificity of our automatedprocess for identifying encounters with SBDs were 84.7% and 96.3%, respectively.\nConclusion:\n Use of our automated process to identify ICD-10 codes that classify into the UMLS “Signor Symptom” semantic type identified the majority of patients with a SBD. While this method needsrefinement to increase sensitivity of capture, it has potential to automate an otherwise highly timeconsumingprocess. This novel use of informatics methods can facilitate future research specific topatients with SBDs.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2mp288x5", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "H.", "last_name": "Slovis", "name_suffix": "", "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Department of\nEmergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Danielle", "middle_name": "M.", "last_name": "McCarthy", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois", "department": "None" }, { "first_name": "Garrison", "middle_name": "", "last_name": "Nord", "name_suffix": "", "institution": "Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia,\nPennsylvania.", "department": "None" }, { "first_name": "Amanda", "middle_name": "MB", "last_name": "Doty", "name_suffix": "", "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Department of\nEmergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Piserchia", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois", "department": "None" }, { "first_name": "Kristin", "middle_name": "L.", "last_name": "Rising", "name_suffix": "", "institution": "Sidney Kimmel Medical College at Thomas Jefferson University, Department of\nEmergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2019-06-24T15:04:51-04:00", "date_accepted": "2019-06-24T15:04:51-04:00", "date_published": "2019-10-24T17:19:17-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12877/galley/6771/download/" } ] }, { "pk": 12589, "title": "Status of Emergency Signal Functions in Myanmar Hospitals: A Cross-Sectional Survey", "subtitle": null, "abstract": "Introduction:\n Low- and middle-income countries (LMICs) have a large percentage of globalmortality and morbidity rates from non-communicable diseases, including trauma. Theestablishment and development of emergency care systems is crucial for addressing thisproblem. Defining gaps in the resources and capacity to provide emergency healthcare in LMICsis essential for proper design and operation of ECS (emergency care services) reinforcementprograms. Myanmar has particular challenges with road access for providing timely emergencymedical care, and a shortage of trained health workers. To examine the ECS capacity in Myanmar,we used the Emergency Care Assessment Tool (ECAT), which features newly developed toolsfor assessing sentinel conditions and signal functions (key interventions to address morbidity andmortality) in emergency care facilities.\nMethods:\n ECAT is composed of six emergent sentinel conditions and corresponding signalfunctions. We surveyed a total of nine hospitals in five states in Myanmar. A constructed surveysheet was delivered by e-mail, and follow-up interviews were conducted via messenger to clarifyambiguous answers.\nResults: \nWe categorized the nine participating institutions according to predefined criteria:four basic-level hospitals; four intermediate-level; and one advanced-level hospital. All basichospitals were weak in trauma care, and two of 12 signal functions were unavailable. Half of theintermediate hospitals showed weakness in trauma care, as well as critical care such as shockmanagement. Only half had a separate triage area for patients. In contrast, all signal functions andresources listed in ECAT were available in the advanced-level hospital.\nConclusion:\n Basic-level facilities in Myanmar were shown to be suboptimal in traumamanagement, with critical care also inadequate in intermediate facilities. To reinforce signalfunctions in Myanmar health facilities, stakeholders should consider expanding critical functionsin selected lower-level health facilities. A larger scale survey would provide more comprehensivedata to improve emergency care in Myanmar.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "International Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5c98v3ds", "frozenauthors": [ { "first_name": "Dong Hyun", "middle_name": "", "last_name": "Seo", "name_suffix": "", "institution": "Na-eun Hospital, Department of Emergency Medicine, Incheon, Korea", "department": "None" }, { "first_name": "Hoon", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Kyung Hwan", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Junseok", "middle_name": "", "last_name": "Park", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Dong Wun", "middle_name": "", "last_name": "Shin", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Joon Min", "middle_name": "", "last_name": "Park", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Hyunjong", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Woochan", "middle_name": "", "last_name": "Jeon", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" }, { "first_name": "Jung Eon", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Inje University Ilsan Paik Hospital, Department of Emergency Medicine, Goyang, South Korea", "department": "None" } ], "date_submitted": "2019-03-07T21:21:04-05:00", "date_accepted": "2019-03-07T21:21:04-05:00", "date_published": "2019-10-24T17:06:25-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12589/galley/6672/download/" } ] }, { "pk": 44757, "title": "Nicolau Syndrome: A Rare Injection Site Reaction", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0jt4k3dt", "frozenauthors": [ { "first_name": "Linda", "middle_name": "", "last_name": "Czypinski", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Wehr", "name_suffix": "MSN, FNP-BC", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gary", "middle_name": "", "last_name": "Feigenbaum", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T13:05:20-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44757/galley/33550/download/" } ] }, { "pk": 44756, "title": "The Girl Who Cried Wolf", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99m5n32j", "frozenauthors": [ { "first_name": "Amar", "middle_name": "C.", "last_name": "Nawathe", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Michael", "middle_name": "E.", "last_name": "Lazarus", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T13:02:42-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44756/galley/33549/download/" } ] }, { "pk": 44755, "title": "Staphylococcal Scalded Skin Syndrome in an Immunocompromised 78-Year-Old-Man", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3tp03231", "frozenauthors": [ { "first_name": "Shanice", "middle_name": "A.", "last_name": "McKenzie", "name_suffix": "BS", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Anabella", "middle_name": "", "last_name": "Pascucci", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T12:52:29-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44755/galley/33548/download/" } ] }, { "pk": 44754, "title": "Prekallikrein Deficiency", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7xz0603x", "frozenauthors": [ { "first_name": "Fukai", "middle_name": "Leo", "last_name": "Chuang", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Juan", "middle_name": "", "last_name": "Alcantar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T12:48:27-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44754/galley/33547/download/" } ] }, { "pk": 44753, "title": "Spontaneous Rectus Sheath Hematoma: A Case of Clinically Significant Bleeding in a Young Healthy Individual without Typical Risk Factors", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/777189tg", "frozenauthors": [ { "first_name": "Allan", "middle_name": "", "last_name": "Enriquez", "name_suffix": "JD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Manuel", "middle_name": "A.", "last_name": "Celedon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Zahir", "middle_name": "", "last_name": "Basrai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T12:39:13-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44753/galley/33546/download/" } ] }, { "pk": 44752, "title": "A Case of Herbal Medicine as Alternative Therapy for Menopausal Hot Flashes", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/75r3g3sh", "frozenauthors": [ { "first_name": "Grant", "middle_name": "", "last_name": "Chu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T12:34:19-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44752/galley/33545/download/" } ] }, { "pk": 44751, "title": "Metastatic Hepatocellular Carcinoma Presenting as a Posterior Mediastinal Mass", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/53d3g7wx", "frozenauthors": [ { "first_name": "Rajan", "middle_name": "", "last_name": "Patel", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Veronica", "middle_name": "", "last_name": "Ramirez", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T12:31:55-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44751/galley/33544/download/" } ] }, { "pk": 44750, "title": "When is Treatment Worse than the Cure?", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0zf7b4d3", "frozenauthors": [ { "first_name": "Laurel", "middle_name": "B.", "last_name": "Yates", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T12:29:14-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44750/galley/33543/download/" } ] }, { "pk": 44641, "title": "“My First Experience with the End of Life Act Prescription”", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Commentary" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7997c5bw", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Gunn", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-10-23T12:24:05-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44641/galley/33434/download/" } ] }, { "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": "2019-10-21T17:34:50-04:00", "date_accepted": "2019-10-21T17:34:50-04:00", "date_published": "2019-10-21T19:08:48-04:00", "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": "2019-10-21T18:55:22-04:00", "date_accepted": "2019-10-21T18:55:22-04:00", "date_published": "2019-10-21T18:56:09-04:00", "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": "2019-10-21T18:50:25-04:00", "date_accepted": "2019-10-21T18:50:25-04:00", "date_published": "2019-10-21T18:51:07-04:00", "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": "2019-10-21T18:43:54-04:00", "date_accepted": "2019-10-21T18:43:54-04:00", "date_published": "2019-10-21T18:44:28-04:00", "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": "2019-10-21T18:40:36-04:00", "date_accepted": "2019-10-21T18:40:36-04:00", "date_published": "2019-10-21T18:41:20-04:00", "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": "2019-10-21T18:34:07-04:00", "date_accepted": "2019-10-21T18:34:07-04:00", "date_published": "2019-10-21T18:34:51-04:00", "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": "2019-10-21T18:28:26-04:00", "date_accepted": "2019-10-21T18:28:26-04:00", "date_published": "2019-10-21T18:28:59-04:00", "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": "2019-10-21T16:26:34-04:00", "date_accepted": "2019-10-21T16:26:34-04:00", "date_published": "2019-10-21T16:27:57-04:00", "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": "2019-10-21T16:21:39-04:00", "date_accepted": "2019-10-21T16:21:39-04:00", "date_published": "2019-10-21T16:22:43-04:00", "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": "2019-10-21T16:15:37-04:00", "date_accepted": "2019-10-21T16:15:37-04:00", "date_published": "2019-10-21T16:17:10-04:00", "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": "2019-10-21T16:05:46-04:00", "date_accepted": "2019-10-21T16:05:46-04:00", "date_published": "2019-10-21T16:06:40-04:00", "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": "2019-10-21T15:58:31-04:00", "date_accepted": "2019-10-21T15:58:31-04:00", "date_published": "2019-10-21T15:59:10-04:00", "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": "2019-10-21T15:38:39-04:00", "date_accepted": "2019-10-21T15:38:39-04:00", "date_published": "2019-10-21T15:39:16-04:00", "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": "2019-07-14T01:54:41-04:00", "date_accepted": "2019-07-14T01:54:41-04:00", "date_published": "2019-10-21T15:10:21-04:00", "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": "2019-02-12T10:02:52-05:00", "date_accepted": "2019-02-12T10:02:52-05:00", "date_published": "2019-10-20T03:00:00-04:00", "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": "2018-12-31T17:36:16-05:00", "date_accepted": "2018-12-31T17:36:16-05:00", "date_published": "2019-10-20T03:00:00-04:00", "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": "2019-07-03T11:55:28-04:00", "date_accepted": "2019-07-03T11:55:28-04:00", "date_published": "2019-10-17T17:24:43-04:00", "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": "2019-09-11T15:33:39-04:00", "date_accepted": "2019-09-11T15:33:39-04:00", "date_published": "2019-10-17T17:20:33-04:00", "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": "2019-05-28T11:21:38-04:00", "date_accepted": "2019-05-28T11:21:38-04:00", "date_published": "2019-10-17T17:16:14-04:00", "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": "2019-07-18T00:19:30-04:00", "date_accepted": "2019-07-18T00:19:30-04:00", "date_published": "2019-10-17T17:12:25-04:00", "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": "2019-06-12T12:27:10-04:00", "date_accepted": "2019-06-12T12:27:10-04:00", "date_published": "2019-10-16T18:35:21-04:00", "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": "2019-03-18T19:20:35-04:00", "date_accepted": "2019-03-18T19:20:35-04:00", "date_published": "2019-10-16T18:30:17-04:00", "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": "2019-04-03T15:36:13-04:00", "date_accepted": "2019-04-03T15:36:13-04:00", "date_published": "2019-10-16T18:18:53-04:00", "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": "2019-03-27T17:55:54-04:00", "date_accepted": "2019-03-27T17:55:54-04:00", "date_published": "2019-10-16T18:11:44-04:00", "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": "2019-08-12T14:07:29-04:00", "date_accepted": "2019-08-12T14:07:29-04:00", "date_published": "2019-10-16T18:02:56-04:00", "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": "2019-10-14T21:03:05-04:00", "date_accepted": "2019-10-14T21:03:05-04:00", "date_published": "2019-10-16T15:25:21-04:00", "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": "2019-10-14T20:21:07-04:00", "date_accepted": "2019-10-14T20:21:07-04:00", "date_published": "2019-10-16T15:14:02-04:00", "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": "2019-10-14T21:52:52-04:00", "date_accepted": "2019-10-14T21:52:52-04:00", "date_published": "2019-10-14T21:53:51-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/738/galley/493/download/" } ] } ] }