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{ "count": 39504, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=15700", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=15500", "results": [ { "pk": 5518, "title": "Three Levels of Consciousness: A Pattern in Phylogeny and Human Ontogeny", "subtitle": null, "abstract": "Investigations in the cognitive abilities of different animal species and children at different ages have revealed that consciousness comes in degrees. In this review, I will first address four cognitive abilities that are important to discriminate levels of consciousness: mirror self-recognition, theory of mind, mental time travel, and the capacity to entertain secondary representations. I will then examine putative relations between these abilities and assign them to three levels of consciousness (anoetic, noetic, autonoetic). Finally, I will discuss the implications of differences in consciousness for the understanding of behavioral organization in animals and humans and for animal welfare science. I will argue that, on one hand, implicit behavioral rules may account for results obtained in research on theory of mind and mental time travel abilities in animals and children. On the other hand, secondary representations may be the key to explain behaviors based on semantic memory as well as semantic future planning abilities observed in great apes and young children. These considerations are in accordance with the view that an explicit theory of mind and a continuous self through time are unique to humans.", "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": "Consciousness" }, { "word": "self-awareness" }, { "word": "Theory of mind" }, { "word": "Mental Time Travel" }, { "word": "animal welfare" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7j68f8n6", "frozenauthors": [ { "first_name": "Beat", "middle_name": "", "last_name": "Wechsler", "name_suffix": "", "institution": "Federal Food Safety and Veterinary Office\nCentre for Proper Housing of Ruminants and Pigs", "department": "None" } ], "date_submitted": "2018-11-03T11:05:45Z", "date_accepted": "2018-11-03T11:05:45Z", "date_published": "2019-04-20T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5518/galley/3340/download/" } ] }, { "pk": 59930, "title": "Book Review: What is the Sharia", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "sharia, shari'a, Sunna, Islamic principles" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9dm8x37m", "frozenauthors": [ { "first_name": "Staff", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-04-18T16:42:35Z", "date_accepted": "2019-04-18T16:42:35Z", "date_published": "2019-04-18T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59930/galley/45878/download/" } ] }, { "pk": 59926, "title": "Front Matter", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/75x6f5pf", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-04-18T16:28:24Z", "date_accepted": "2019-04-18T16:28:24Z", "date_published": "2019-04-18T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59926/galley/45874/download/" } ] }, { "pk": 59927, "title": "Table of Contents", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/22q7r7dg", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-04-18T16:29:19Z", "date_accepted": "2019-04-18T16:29:19Z", "date_published": "2019-04-18T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59927/galley/45875/download/" } ] }, { "pk": 59928, "title": "The End of Opposition: The AKP's Ten-Year War on Press Freedom in Turkey", "subtitle": null, "abstract": "In July of 2016 there was a coup attempt in Turkey. What followed can only be characterized as a ‘purge’ of certain sectors of society. Included, and arguably central to the post–coup reaction, has been an attack on free press in the country. This Article explains and argues why this post–coup attempt crackdown must not be viewed in isolation, but instead as a quasi-culmination of a ten-year war waged against the press by the ruling Justice and Development Party (AKP) in Turkey. The decline in press freedom indicators in the absence of any new restrictive legislation suggests that the AKP has intentionally and increasingly suppressed the press using laws predating this ten-year period. Thus, the recent press purge is less a one-off event than the continuation of a systematic suppression. Tangible results of this suppression’s effect on democracy become ever more apparent following the approval of the April 2017 constitutional amendments via referendum and Recep Tayyip Erdoğan’s reelection to the Presidency with new amendments in force.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Turkey, Turkish politics, AKP, free press, press freedom indicators" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1tc2h0h7", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Lavigne", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-04-18T16:33:12Z", "date_accepted": "2019-04-18T16:33:12Z", "date_published": "2019-04-18T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59928/galley/45876/download/" } ] }, { "pk": 59929, "title": "Wilayat Al-Qadi and its Malpractice in Iran, Egypt, and Jordan", "subtitle": null, "abstract": "The people play a direct and important role in the Islamic theory of judicial power (Wilayat Al-Qadi). This role begins in participating in the appointment of a supreme judge. The people also ensure the independence and accountability of individual judges and the judiciary as an institution. This article argues that the judicial systems of Iran, Egypt, and Jordan abuse their powers. It offers an account of the malpractice of judicial power in these countries and recommends reforms to conform with Islamic principles.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Islamic theory, judicial power, Wilayat Al-Qadi, Iran, Egypt, Jordan" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8ws6j24c", "frozenauthors": [ { "first_name": "Shams Al Din Al", "middle_name": "", "last_name": "Hajjaji", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-04-18T16:40:43Z", "date_accepted": "2019-04-18T16:40:43Z", "date_published": "2019-04-18T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59929/galley/45877/download/" } ] }, { "pk": 11839, "title": "Variations in Opioid Prescribing Behavior by Physician Training", "subtitle": null, "abstract": "Introduction:\n Opioid abuse has reached epidemic proportions in the United States. Patients often present to the emergency department (ED) with painful conditions seeking analgesic relief. While there is known variability in the prescribing behaviors of emergency physicians, it is unknown if there are differences in these behaviors based on training level or by resident specialty.\nMethods:\n This is a retrospective chart review of ED visits from a single, tertiary-care academic hospital over a single academic year (2014-2015), examining the amount of opioid pain medication prescribed. We compared morphine milligram equivalents (MME) between provider specialty and level of training (emergency medicine [EM] attending physicians, EM residents in training, and non-EM residents in training).\nResults:\n We reviewed 55,999 total ED visits, of which 4,431 (7.9%) resulted in discharge with a prescription opioid medication. Residents in a non-EM training program prescribed higher amounts of opioid medication (108 MME, interquartile ratio [IQR] 75-150) than EM attendings (90 MME, lQR 75-120), who prescribed more than residents in an EM training program (75 MME, IQR 60-113) (p<0.01).\nConclusion:\n In an ED setting, variability exists in prescribing patterns with non-EM residents prescribing larger amounts of opioids in the acute setting. EM attendings should closely monitor for both over- and under-prescribing of analgesic medications.", "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": "Opioid prescribing, emergency medicine" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6r515181", "frozenauthors": [ { "first_name": "Evan", "middle_name": "L.", "last_name": "Leventhal", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Larry", "middle_name": "A.", "last_name": "Nathanson", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Alden", "middle_name": "M.", "last_name": "Landry", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2018-06-15T15:47:57Z", "date_accepted": "2018-06-15T15:47:57Z", "date_published": "2019-04-16T19:15:27Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11839/galley/6339/download/" } ] }, { "pk": 12282, "title": "A Geospatial Analysis of Freestanding and Hospital Emergency Department Accessibility via Public Transit", "subtitle": null, "abstract": "Introduction:\n Emergency departments (ED) are an important source of care for underserved populations and represent a significant part of the social safety net. In order to explore the effect of freestanding emergency departments (FSED) on access to care for urban underserved populations, we performed a geospatial analysis comparing the proximity of FSEDs and hospital EDs to public transit lines in three United States (U.S.) metropolitan areas: Houston, Denver, and Cleveland.\nMethods: \nWe used publicly available U.S. Census data, public transportation maps obtained from regional transit authorities, and geocoded FSED and hospital ED locations. Euclidean distance from each FSED and hospital ED to the nearest public transit line was calculated in ArcGIS. We calculated the odds ratio (OR) of an FSED, relative to a hospital ED, being located within 0.5 miles (mi) of a public transit line using logistic regression, adjusting for population density and median household income and with error clustered at the metropolitan statistical area (MSA) level.\nResults: \nThe median distance from FSEDs to public transit lines was significantly greater than from hospital EDs across all three markets. In Houston, Denver, and Cleveland, the median distance between FSEDs and public transit lines was greater than from hospital EDs by 1.0 mi, 0.2 mi, and 1.6 mi, respectively. The OR of a public transit line being located within 0.5 mi of an FSED, as compared with a hospital ED, across all three MSAs was 0.21 (95% confidence interval [CI], 0.13–0.34) unadjusted and 0.20 (95% CI, 0.11–0.40) adjusted for population density and median household income.\nConclusion:\n In comparison with hospital EDs, FSEDs are located farther from public transit lines and are less likely to be within walking distance of public transportation. These findings suggest that FSEDs are unlikely to directly increase access to care for patients without private means of transportation. Further research is necessary to explore both the direct and indirect impact of FSEDs on access to care, potentially through effects on hospital ED crowding and overall healthcare expenditures, as well as the ultimate role and responsibility of FSEDs in improving access to care for underserved populations.", "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": "Freestanding emergency departments" }, { "word": "Geospatial Analysis" }, { "word": "health disparities" }, { "word": "Population Health" } ], "section": "Emergency Department Access", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6dc2x09s", "frozenauthors": [ { "first_name": "Lucas", "middle_name": "C.", "last_name": "Carlson", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts;\n\nHarvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Olesya", "middle_name": "N.", "last_name": "Baker", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Jeremiah", "middle_name": "D.", "last_name": "Schuur", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts;\n\nBrown University, Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2018-10-24T14:36:05Z", "date_accepted": "2018-10-24T14:36:05Z", "date_published": "2019-04-16T19:12:11Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12282/galley/6555/download/" } ] }, { "pk": 12286, "title": "Targeted Simulation-based Leadership Training for Trauma Team Leaders", "subtitle": null, "abstract": "Introduction: \nEffective team leadership is linked to better teamwork, which in turn is believed to improve patientcare. Simulation-based training provides a mechanism to develop effective leadership behaviors. Traditionally, healthcare curricula have included leadership as a small component of broader teamwork training, with very few examples of leadership-focused curricula. The objective of this work is to describe a novel simulation-basedteam leadership curriculum that easily adapts to individual learners.\nMethods: \nWe created a simulation-based team leadership training for trauma team leaders in graduatemedical education. Participants included second- and third-year emergency medicine and surgery residents. Training consisted of a single, four-hour session and included facilitated discussion of trauma leadership skills,a brief didactic session integrating leadership behaviors into Advanced Trauma Life Support®, and a seriesof simulations and debriefing sessions. The simulations contained adaptable components that facilitated individualized learning while delivering set curricular content. A survey evaluation was administered 7-24 months following the training to assess self-reported implementation of trained material.\nResults:\n A total of 36 residents participated in the training and 23 (64%) responded to the survey. The majority of respondents (n = 22, 96%) felt the training was a valuable component of their residency education and allrespondents reported ongoing use of at least one behavior learned during the training. The most commonly cited skills for ongoing use included the pre-arrival brief (n = 21, 91%) and prioritization (n = 21, 91%).\nConclusion:\n We delivered a leadership-focused, simulation-based training that 1) adapted to learners’individual needs, and 2) was perceived to impact practice up to 24 months post-training. More work is needed tounderstand the impact of this training on learner knowledge and behavior, as well as patient outcomes.", "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": "team leadership" }, { "word": "Simulation" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8pf1d9ff", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "D.", "last_name": "Rosenman", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine,\nSeattle, Washington", "department": "None" }, { "first_name": "Marie", "middle_name": "C.", "last_name": "Vrablik", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine,\nSeattle, Washington", "department": "None" }, { "first_name": "Sarah", "middle_name": "M.", "last_name": "Brolliar", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine,\nSeattle, Washington", "department": "None" }, { "first_name": "Anne", "middle_name": "K.", "last_name": "Chipman", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Emergency Medicine,\nSeattle, Washington", "department": "None" }, { "first_name": "Rosemarie", "middle_name": "", "last_name": "Fernandez", "name_suffix": "", "institution": "University of Florida College of Medicine, Department of Emergency Medicine, Gainesville, Florida", "department": "None" } ], "date_submitted": "2018-10-24T20:00:18Z", "date_accepted": "2018-10-24T20:00:18Z", "date_published": "2019-04-16T18:52:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12286/galley/6558/download/" } ] }, { "pk": 12289, "title": "Availability of Bedside and Laboratory Testing for Carbon Monoxide Poisoning in the Upper Midwestern United States", "subtitle": null, "abstract": "Introduction: \nThe objective of this study was to assess the ability to test patients for carbon monoxide (CO) exposure in all hospitals in three United States (U.S.) Midwestern states.\nMethods: \nWe surveyed hospitals in three states. Telephone queries assessed processes for measuring carboxyhemoglobin, including capacity for real-time vs send-out testing. Facilities wereseparated based on their location’s population size for further analysis. Descriptive statistics are reported.\nResults:\n Of the 250 hospitals queried, we ultimately excluded 25. Nearly all (220, 97.8%) reported a process in place to test for CO exposure. Over 40% (n=92) lacked real-time testing. Testing ability was positively associated with increasing population size quartile (range 32.6% - 100%). Hospitals in the lowest-quartile population centers were more likely to report that they were unable to test in realtime than those in the largest-quartile population centers (67.4% vs 0%).\nConclusion:\n In a large geographic region encompassing three states, hospital-based and real-time capacity to test for CO exposure is not universal. Hospitals in smaller population areas are morelikely to lack real-time testing or any testing at all. This may have significant public health, triage, andreferral implications for 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": "Toxicology, Public Health" } ], "section": "Toxicology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0k97693k", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "", "last_name": "Masters", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Willenbring", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Bjorn", "middle_name": "", "last_name": "Westgard", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Jon", "middle_name": "", "last_name": "Cole", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Hendriksen", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Walter", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Logue", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Travis", "middle_name": "", "last_name": "Olives", "name_suffix": "", "institution": "Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota", "department": "None" } ], "date_submitted": "2018-10-25T20:00:22Z", "date_accepted": "2018-10-25T20:00:22Z", "date_published": "2019-04-16T18:42:45Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12289/galley/6560/download/" } ] }, { "pk": 12381, "title": "Epidemiology of Community-Onset Staphylococcus aureus Bacteremia", "subtitle": null, "abstract": "Introduction: \nStaphylococcus aureus\n bacteremia (SAB) is the second-most common cause of community-onset (CO) bacteremia. The incidence of methicillin-resistant \nS. aureus\n (MRSA) has recently decreased across much of the United States, and we seek to describe risk factors for COMRSA bacteremia, which will aid emergency providers in their choice of empiric antibiotics.\nMethods: \nThis is a retrospective cohort study of all patients with SAB at a 500-bed safety net hospital. The proportion of \nS. aureus\n isolates that were MRSA ranged from 32-35% during the study period. Variables of interest included age, comorbid medical conditions, microbiology results, antibioticadministration, duration of bacteremia, duration of hospital admission, suspected source of SAB, and Elixhauser comorbidity score. The primary outcome was to determine risk factors for CO-MRSA bacteremia as compared to methicillin-susceptible \nS. aureus\n (MSSA) bacteremia in patients admittedto the hospital through the emergency department.\nResults:\n We identified 135 consecutive patients with CO-SAB. In comparison to those with MSSA bacteremia, patients with MRSA bacteremia were younger (odds ratio [OR] 0.5, 95% confidence interval [CI], 0.4-0.7) with higher Elixhauser comorbidity scores (OR 1.4, 95% CI, 1.1-1.7). Additionally, these patients were more likely to have a history of MRSA infection or colonization (OR 8.9, 95% CI,2.7-29.7) and intravenous drug use (OR 2.4, 95% CI, 1.0-5.7).\nConclusion: \nSAB continues to be prevalent in our urban community with CO-MRSA accounting for almost one-third of SAB cases. Previous MRSA colonization was the strongest risk factor for current MRSA infection in this cohort of patients with CO-SAB.", "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": "Staphylococcus aureus" }, { "word": "MRSA" }, { "word": "bacteremia" } ], "section": "Infectious Disease", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9cn3s37j", "frozenauthors": [ { "first_name": "James", "middle_name": "Y.", "last_name": "Yarovoy", "name_suffix": "", "institution": "Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Andrew", "middle_name": "A.", "last_name": "Monte", "name_suffix": "", "institution": "University of Colorado, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Bryan", "middle_name": "C.", "last_name": "Knepper", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Patient Safety and Quality, Denver, Colorado", "department": "None" }, { "first_name": "Heather", "middle_name": "L.", "last_name": "Young", "name_suffix": "", "institution": "Denver Health Medical Center, University of Colorado, Department of Medicine, Denver,\nColorado", "department": "None" } ], "date_submitted": "2018-12-17T19:08:11Z", "date_accepted": "2018-12-17T19:08:11Z", "date_published": "2019-04-16T18:40:17Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12381/galley/6588/download/" } ] }, { "pk": 12302, "title": "Association of Vital Signs and Process Outcomes in Emergency Department Patients", "subtitle": null, "abstract": "Introduction:\n We sought to determine the association of abnormal vital signs with emergency department (ED) process outcomes in both discharged and admitted patients.\nMethods:\n We performed a retrospective review of five years of operational data at a single site. We identified all visits for patients 18 and older who were discharged home without ancillary services, and separately identified all visits for patients admitted to a floor (ward) bed. We assessed two process outcomes for discharged visits (returns to the ED within 72 hours and returns to the ED within 72 hours resulting in admission) and two process outcomes for admitted patients (transfer to a higher level of care [intermediate care or intensive care] within either six hours or 24 hours of arrival to floor). Last-recorded ED vital signs were obtained for all patients. We report rates of abnormal vital signs in each group, as well as the relative risk of meeting a process outcome for each individual vital sign abnormality.\nResults:\n Patients with tachycardia, tachypnea, or fever more commonly experienced all measured process outcomes compared to patients without these abnormal vitals; admitted hypotensive patients more frequently required transfer to a higher level of care within 24 hours.\nConclusion:\n In a single facility, patients with abnormal last-recorded ED vital signs experienced more undesirable process outcomes than patients with normal vitals. Vital sign abnormalities may serve as a useful signal in outcome forecasting.", "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": "vital signs" }, { "word": "Quality" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3n90q69w", "frozenauthors": [ { "first_name": "Nicole", "middle_name": "R.", "last_name": "Hodgson", "name_suffix": "", "institution": "Mayo Clinic Hospital, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "Karl", "middle_name": "A.", "last_name": "Poterack", "name_suffix": "", "institution": "Mayo Clinic Hospital, Department of Anesthesiology, Phoenix, Arizona", "department": "None" }, { "first_name": "Lanyu", "middle_name": "", "last_name": "Mi", "name_suffix": "", "institution": "Mayo Clinic Hospital, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Traub", "name_suffix": "", "institution": "Mayo Clinic Hospital, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" } ], "date_submitted": "2018-11-01T20:52:00Z", "date_accepted": "2018-11-01T20:52:00Z", "date_published": "2019-04-16T18:35:56Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12302/galley/6563/download/" } ] }, { "pk": 12206, "title": "The Flipped Classroom: A Critical Appraisal", "subtitle": null, "abstract": "Introduction:\n The objective of this study was to review and critically appraise the medical education literature pertaining to a flipped-classroom (FC) education model, and to highlight influential papers that inform our current understanding of the role of the FC in medical education.\nMethods:\n A search of the English-language literature querying Education Resources Information Center (ERIC), PsychINFO, PubMed, and Scopus identified 296 papers related to the FC using either quantitative, qualitative, or review methods. Two reviewers independently screened each category of publications using previously established exclusion criteria. Eight reviewers then independently scored the remaining 54 publications using either a qualitative, quantitative, or review-paper scoring system. Each scoring system consisted of nine criteria and used parallel metrics that have been previously used in critical appraisals of education research.\nResults:\n A total of 54 papers (33 quantitative, four qualitative, and 17 review) on FC met a priori criteria for inclusion and were critically appraised and reviewed. The top 10 highest scoring articles (five quantitative studies, two qualitative studies, and three review papers) are summarized in this article.\nConclusion:\n This installment of the Council of Emergency Medicine Residency Directors (CORD) Academy Critical Appraisal series highlights 10 papers that describe the current state of literature on the flipped classroom, including an analysis of the benefits and drawbacks of an FC approach, practical implications for emergency medicine educators, and next steps for future research.", "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": "flipped classroom, medical education" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9tx0v1r2", "frozenauthors": [ { "first_name": "Aaron", "middle_name": "S.", "last_name": "Kraut", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Berbee Walsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Rodney", "middle_name": "", "last_name": "Omron", "name_suffix": "", "institution": "Johns Hopkins School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Holly", "middle_name": "", "last_name": "Caretta-Weyer", "name_suffix": "", "institution": "Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California", "department": "None" }, { "first_name": "Jaime", "middle_name": "", "last_name": "Jordan", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Manthey", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine , Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Stephen", "middle_name": "J.", "last_name": "Wolf", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Lainie", "middle_name": "M.", "last_name": "Yarris", "name_suffix": "", "institution": "Oregon Health and & Science University, Department of Emergency Medicine, Portland, Oregon", "department": "None" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Library Services, Madison, Wisconsin", "department": "None" }, { "first_name": "Josh", "middle_name": "", "last_name": "Kornegay", "name_suffix": "", "institution": "Oregon Health and & Science University, Department of Emergency Medicine, Portland, Oregon", "department": "None" } ], "date_submitted": "2018-09-18T21:03:45Z", "date_accepted": "2018-09-18T21:03:45Z", "date_published": "2019-04-16T18:32:48Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12206/galley/6522/download/" } ] }, { "pk": 12195, "title": "Access to Top-Cited Emergency Care Articles (Published Between 2012 and 2016) Without Subscription", "subtitle": null, "abstract": "Introduction:\n Unrestricted access to journal publications speeds research progress, productivity, and knowledge translation, which in turn develops and promotes the efficient dissemination of content. We describe access to the 500 most-cited emergency medicine (EM) articles (published between 2012 and 2016) in terms of publisher-based access (open access or subscription), alternate access routes (self-archived or author provided), and relative cost of access.\nMethods: \nWe used the Scopus database to identify the 500 most-cited EM articles published between 2012 and 2016. Access status was collected from the journal publisher. For studies not available via open access, we searched on Google, Google Scholar, Researchgate, Academia.edu, and the Unpaywall and Open Access Button browser plugins to locate self archived copies. We contacted corresponding authors of the remaining inaccessible studies for a copy of each of their articles. We collected article processing and access costs from the journal publishers, and then calculated relative cost differences using the World Bank purchasing power parity index for the United States (U.S.), Germany, Turkey, China, Brazil, South Africa, and Australia. This allows costs to be understood relative to the economic context of the countries from which they originated.\nResults: \nWe identified 500 articles for inclusion in the study. Of these, 167 (33%) were published in an open access format. Of the remaining 333 (67%), 204 (61%) were available elsewhere on the internet, 18 (4%) were provided by the authors, and 111 (22%) were accessible by subscription only. The mean article processing and access charges were $2,518.62 and $44.78, respectively. These costs were 2.24, 1.75, 2.28 and 1.56 times more expensive for South African, Chinese, Turkish, and Brazilian authors, respectively, than for U.S. authors (p<0.001 all).\nConclusion:\n Despite the advantage of open access publication for knowledge translation, social responsibility, and increased citation, one in five of the 500 EM articles were accessible only via subscription. Access for scientists from upper-middle income countries was significantly hampered by cost. It is important to acknowledge the value this has for authors from low- and middle-income countries. Authors should also consider the citation advantage afforded by open access publishing when deciding where to publish.", "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": "Open Access" }, { "word": "Emergency Medicine" }, { "word": "research" } ], "section": "Population Health Research Design", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/32f7p6g9", "frozenauthors": [ { "first_name": "Murad", "middle_name": "", "last_name": "Al Hamzy", "name_suffix": "", "institution": "Stellenbosch University, Division of Emergency Medicine, Cape Town, South Africa", "department": "None" }, { "first_name": "Dominique", "middle_name": "", "last_name": "de Villiers", "name_suffix": "", "institution": "University of Cape Town, Division of Emergency Medicine, Cape Town, South Africa", "department": "None" }, { "first_name": "Megan", "middle_name": "", "last_name": "Banner", "name_suffix": "", "institution": "University of Cape Town, Division of Emergency Medicine, Cape Town, South Africa", "department": "None" }, { "first_name": "Hein", "middle_name": "", "last_name": "Lamprecht", "name_suffix": "", "institution": "Stellenbosch University, Division of Emergency Medicine, Cape Town, South Africa", "department": "None" }, { "first_name": "Stevan", "middle_name": "R.", "last_name": "Bruijns", "name_suffix": "", "institution": "University of Cape Town, Division of Emergency Medicine, Cape Town, South Africa", "department": "None" } ], "date_submitted": "2018-09-15T11:28:15Z", "date_accepted": "2018-09-15T11:28:15Z", "date_published": "2019-04-16T18:28:34Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12195/galley/6516/download/" } ] }, { "pk": 12393, "title": "Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?", "subtitle": null, "abstract": "Introduction:\n Attempts to reduce low-value hospital care often focus on emergency department (ED) hospitalizations. We compared rural and urban EDs in Michigan on resources designed to reduce avoidable admissions.\nMethods: \nA cross-sectional, web-based survey was emailed to medical directors and/or nurse managers of the 135 hospital-based EDs in Michigan. Questions included presence of clinical pathways, services to reduce admissions, and barriers to connecting patients to outpatient services. We performed chi-squared comparisons, regression modeling, and predictive margins.\nResults:\n Of 135 EDs, 64 (47%) responded with 33 in urban and 31 in rural counties. Clinical pathways were equally present in urban and rural EDs (67% vs 74%, p=0.5). Compared with urban EDs, rural EDs reported greater access to extended care facilities (21% vs 52%, p=0.02) but less access to observation units (52% vs 35%, p=0.04). Common barriers to connecting ED patients to outpatient services exist in both settings, including lack of social support (88% and 76%, p=0.20), and patient/family preference (68% and 68%, p=1.0). However, rural EDs were more likely to report time required for care coordination (88% vs 66%, p=0.05) and less likely to report limitations to home care (21% vs 48%, p=0.05) as barriers. In regression modeling, ED volume was predictive of the presence of clinical pathways rather than rurality.\nConclusion:\n While rural-urban differences in resources and barriers exist, ED size rather than rurality may be a more important indicator of ability to reduce avoidable hospitalizations.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Department, Rural Health, Population Health, Clinical Pathways" } ], "section": "Emergency Department Administration", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3w92f149", "frozenauthors": [ { "first_name": "Margaret", "middle_name": "B.", "last_name": "Greenwood-Ericksen", "name_suffix": "", "institution": "University of New Mexico, Department of Emergency Medicine, Albuquerque, New Mexico", "department": "None" }, { "first_name": "Michelle", "middle_name": "L.", "last_name": "Macy", "name_suffix": "", "institution": "Ann & Robert H. Lurie Children’s Hospital of Chicago and Feinberg School of Medicine, Northwestern University, Chicago, Illinois", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Ham", "name_suffix": "", "institution": "University of Michigan, Department of Internal Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Michele", "middle_name": "M.", "last_name": "Nypaver", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan;\n\nUniversity of Michigan, Institute for Healthcare Policy and Innovation, Ann Arbor, Michigan;\n\nUniversity of Michigan, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Melissa", "middle_name": "", "last_name": "Zochowski", "name_suffix": "", "institution": "University of Michigan, College of Engineering, XTRM Labs, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Keith", "middle_name": "", "last_name": "Kocher", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan;\n\nUniversity of Michigan, Institute for Healthcare Policy and Innovation, Ann Arbor, Michigan", "department": "None" } ], "date_submitted": "2018-12-20T18:20:03Z", "date_accepted": "2018-12-20T18:20:03Z", "date_published": "2019-04-16T18:27:38Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12393/galley/6591/download/" } ] }, { "pk": 41694, "title": "Revision of Eocene warm-water cassid gastropods from coastal southwestern North America: implications for paleobiogeographic distribution and faunal-turnover", "subtitle": null, "abstract": "The warm-water (thermophilic) Eocene cassid gastropods reported previously from coastal southwestern North America (CSWNA), a region extending from the Olympic Peninsula, Washington to Baja California Sur, Mexico, are revised in terms of taxonomy, description, geographic distribution, and biostratigraphy. Five species of the cassine \nGaleodea\n and a single species of the phaliine \nEchinophoria\n are recognized. \nGaleodea meganosensis\n, \nG. sutterensis\n,\n G. louella\n, \nG. californica\n and \nG. tuberculiformis\n are predominantly found in California and, collectively, range in age from early to middle Eocene. \nEchinophoria trituberculata\n of middle Eocene age in southern California and of earliest late Eocene age in southwestern Washington, is the earliest known record of this genus. Several poorly known supposed cassids are discussed. The pre-Oligocene global record of \nGaleodea\n is compiled for the first time. The first arrival of \nGaleodea\n in the CSWNA region occurred in the early Eocene just after the warmest peak and highest sea level of the Cenozoic. Some of the CSWNA \nGaleodea\n species are very similar morphologically to some found in the Tethys Realm of Western Europe, especially in England and France, and to some found in the Gulf Coast and Mexico (Nuevo León and Chiapas). These similar species are indicative that the migratory route of \nGaleodea\n into the CSWNA region was via a current system that emanated from the Old World, passed near southern Western Europe, the Gulf Coast of the United States, northern and southern Mexico, and eventually influenced the CSWNA region. Thermophilic CSWNA cassids radiated during the early Eocene but declined by the end of the middle Eocene, and, because of global cooling, disappeared near the beginning of the Oligocene.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-ShareAlike 4.0", "short_name": "CC BY-NC-SA 4.0", "text": "<p><!-- x-tinymce/html --></p>\n<p>Readers are free to:</p>\n<ul>\n<li><strong>Share</strong> — copy and redistribute the material in any medium or format</li>\n<li><strong>Adapt</strong> — remix, transform, and build upon the material<br><br>The licensor cannot revoke these freedoms as long as you follow the license terms.</li>\n</ul>\n<p>Under the following terms:</p>\n<ul>\n<li><strong>Attribution</strong> — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li>\n<li><strong>NonCommercial</strong> — You may not use the material for commercial purposes .</li>\n<li><strong>ShareAlike</strong> — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.<br><br>No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</li>\n</ul>\n<p>Notices:</p>\n<p>You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.</p>\n<p>No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.</p>", "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "Cassid gastropods, Galeodea, Eocene, California, Washington, Tethyan Realm" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9bw9c80g", "frozenauthors": [ { "first_name": "Richard", "middle_name": "L.", "last_name": "Squires", "name_suffix": "", "institution": "Professor Emeritus, Department of Geological Sciences, California State University, 18111 Nordhoff Street, Northridge, California, 91330-8266, USA; Research Associate, Invertebrate Paleontology Department, Natural History Museum of Los Angeles County, 900 Exposition Boulevard, Los Angeles, California, 90007", "department": "None" } ], "date_submitted": "2019-04-16T18:09:56Z", "date_accepted": "2019-04-16T18:09:56Z", "date_published": "2019-04-16T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41694/galley/31191/download/" } ] }, { "pk": 48159, "title": "Arts in Education: The Impact of the Arts Integration Program and Lessons Learned", "subtitle": null, "abstract": "Erie Arts & Culture (formerly ArtsErie), in partnership with the Union City Area School District, Crawford Central School District, Penncrest School District and Edinboro University in Pennsylvania received Arts in Education Model Development and Dissemination Grant from the U.S. Department of Education in 2010. This grant provided the opportunity to design and implement \nArts Integration: From Vision to Implementation,\na four-year project that integrated dance, music, visual arts, and drama into existing curriculum. \nArts Integration\nprovided professional development for classroom teachers and teaching artists and established avenues for their collaboration to design and implement arts-integrated classroom-based learning through an artist-in-residence experience. The purpose of the project was to improve lesson planning and the quality of teaching; student engagement in the learning process and their learning habits associated with the arts; and ultimately, students’ achievement in math and reading. This project reached approximately 900 students annually in participating schools. Student data presented were collected only for students in participating and control classrooms, whose teachers agreed to be included in the evaluation. Included participating, or treatment, classrooms were selected from three schools that experienced arts-integrated learning. Included control classrooms were selected from two schools of similar demographic composition, where the project was not implemented. The data were collected from 54 treatment and 50 control classrooms. The total number of students in treatment classrooms was 969, and, in control classrooms, 962 students. The total of 35 participating classroom teachers, 32 control classroom teachers, and 16 teaching artists participated in the evaluation part of the project. \nArts Integration\nproduced a number of positive outcomes for the participating students, as well as teachers and teaching artists, who participated in the program. This evaluation documented a number of positive outcomes related to quality of teaching, student engagement and learning habits. At the same time, because the program was time-limited and the level of exposure for individual students was not long-term, the impact of arts-integration on student achievement in math and reading could not be definitively determined. This article provides a number of recommendations that would enhance the design and implementation of similar arts-integration programs, as well as offers lessons learned with respect to its evaluation.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Arts Integration" }, { "word": "arts infusion" }, { "word": "student achievement" }, { "word": "evaluation of outcomes" }, { "word": "Student engagement" }, { "word": "student learning habits" } ], "section": "Teaching and Learning through the Arts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2dt3j2xv", "frozenauthors": [ { "first_name": "Joyce", "middle_name": "Ann", "last_name": "Miller", "name_suffix": "", "institution": "KeyStone Research Corporation", "department": "None" }, { "first_name": "Tania", "middle_name": "", "last_name": "Bogatova", "name_suffix": "", "institution": "KeyStone Research Corporation", "department": "None" } ], "date_submitted": "2015-08-05T19:55:36Z", "date_accepted": "2015-08-05T19:55:36Z", "date_published": "2019-04-16T00:36:21Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48159/galley/36287/download/" } ] }, { "pk": 672, "title": "Eight-year-old Boy with New-onset Seizure", "subtitle": null, "abstract": "An eight-year-old boy presented to the emergency department for a first-time seizure. The patient had only signs of mild dehydration on physical exam and had an uneventful postictal recovery. First-time seizures in pediatric patients are often benign and require only an outpatient workup; some are dangerous. This case takes the reader through the differential diagnosis and systematic work-up of new-onset pediatric seizures, leading to an unanticipated 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/7m46r794", "frozenauthors": [ { "first_name": "Lauren", "middle_name": "", "last_name": "Rosenblatt", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Danya", "middle_name": "", "last_name": "Khoujah", "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" }, { "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" } ], "date_submitted": "2019-04-03T19:34:28Z", "date_accepted": "2019-04-03T19:34:28Z", "date_published": "2019-04-12T19:35:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/672/galley/431/download/" } ] }, { "pk": 44688, "title": "Efficacy of Janus Kinase Inhibitors in Difficult-to-Treat Alopecia Universalis", "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/2d62t9gh", "frozenauthors": [ { "first_name": "Ralph", "middle_name": "", "last_name": "Yachoui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-12T16:47:03Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44688/galley/33481/download/" } ] }, { "pk": 44687, "title": "Malignant Biphasic Peritoneal Mesothelioma in a Reproductive Age Woman", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5v68b5j2", "frozenauthors": [ { "first_name": "Sanaz", "middle_name": "", "last_name": "Ghafouri", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Parvin", "middle_name": "", "last_name": "Peddi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-12T16:44:43Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44687/galley/33480/download/" } ] }, { "pk": 44686, "title": "Acute Pulmonary Coccidioidomycosis", "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/583177h8", "frozenauthors": [ { "first_name": "Diana", "middle_name": "", "last_name": "Sarkisyan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-12T16:42:51Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44686/galley/33479/download/" } ] }, { "pk": 44685, "title": "Stop EMR Cloning – Reclaiming the Integrity of our Documentation", "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/2hj7w3fp", "frozenauthors": [ { "first_name": "Sheila", "middle_name": "", "last_name": "Naghshineh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Brook", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-12T16:40:45Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44685/galley/33478/download/" } ] }, { "pk": 44684, "title": "The Rare Case of the Synchronous Bilateral Invasive Breast 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/76z4596z", "frozenauthors": [ { "first_name": "Sheila", "middle_name": "", "last_name": "Naghshineh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Jeremy", "middle_name": "", "last_name": "Lorber", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-12T16:37:27Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44684/galley/33477/download/" } ] }, { "pk": 44683, "title": "Evolution of Myeloproliferative Neoplasms (MPNs)", "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/47m5w3hz", "frozenauthors": [ { "first_name": "Alexander", "middle_name": "C.", "last_name": "Black", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-09T15:03:54Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44683/galley/33476/download/" } ] }, { "pk": 44682, "title": "Acute Encephalopathy due to Voltage-Gated Potassium Channel Antibody (Anti-LGI1 Encephalitis): A Primary Care Perspective", "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/2t1963bp", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Javaherifar", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Alina", "middle_name": "", "last_name": "Katsman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-09T15:01:44Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44682/galley/33475/download/" } ] }, { "pk": 44681, "title": "External Defibrillator as a Bridge to Implantable Device", "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/2tj1j5vz", "frozenauthors": [ { "first_name": "Joanthan", "middle_name": "", "last_name": "Hoffman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramin", "middle_name": "", "last_name": "Tabibiazar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Eric", "middle_name": "", "last_name": "Buch", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-09T14:59:06Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44681/galley/33474/download/" } ] }, { "pk": 44680, "title": "A Case Concerned for Rabies Exposure", "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/2cp2t8gn", "frozenauthors": [ { "first_name": "Patricia", "middle_name": "", "last_name": "Fermin", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-09T14:54:36Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44680/galley/33473/download/" } ] }, { "pk": 44679, "title": "Dysentery in a Traveler Returning from Western Europe", "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/8df6c1pc", "frozenauthors": [ { "first_name": "Paul", "middle_name": "", "last_name": "Janoian", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Eshtiaghpour", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:26:52Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44679/galley/33472/download/" } ] }, { "pk": 44678, "title": "Efficacy of Intravenous Immunoglobulins in Difficult-to-Treat Livedoid Vasculopathy", "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/2076h780", "frozenauthors": [ { "first_name": "Ralph", "middle_name": "", "last_name": "Yachoui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:23:26Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44678/galley/33471/download/" } ] }, { "pk": 44677, "title": "A Woman with Nausea, Vomiting and Intermittent Urticaria", "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/8rz354rz", "frozenauthors": [ { "first_name": "Russell", "middle_name": "A.", "last_name": "Johnson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Emily", "middle_name": "", "last_name": "Spivak", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:18:24Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44677/galley/33470/download/" } ] }, { "pk": 44676, "title": "Squamous Cell Carcinoma of the Lung Presenting as an Anterior 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/5h39r2bg", "frozenauthors": [ { "first_name": "Stephanie", "middle_name": "", "last_name": "Pham", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Satya", "middle_name": "", "last_name": "Patel", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:15:39Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44676/galley/33469/download/" } ] }, { "pk": 44675, "title": "A Case of Hypertriglyceridemia-Induced Pancreatitis", "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/2bn27695", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "", "last_name": "Chung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:11:50Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44675/galley/33468/download/" } ] }, { "pk": 44674, "title": "Thoracic Aortic Aneurysm: Diagnosis and Management", "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/2s0074pg", "frozenauthors": [ { "first_name": "Boris", "middle_name": "", "last_name": "Arbit", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Philip", "middle_name": "", "last_name": "Cohen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:09:20Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44674/galley/33467/download/" } ] }, { "pk": 44673, "title": "Treating an Emergent Salicylate Overdose", "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/6mz8z7g0", "frozenauthors": [ { "first_name": "Ramy", "middle_name": "M.", "last_name": "Hanna", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Omar", "middle_name": "", "last_name": "Aly", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lama", "middle_name": "", "last_name": "Abdelnour", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:07:07Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44673/galley/33466/download/" } ] }, { "pk": 44672, "title": "A Rare Case of a Rapidly Growing Pulmonary Large Cell Neuroendocrine Carcinoma", "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/7k32q07p", "frozenauthors": [ { "first_name": "Jeremy", "middle_name": "", "last_name": "Lorber", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sheila", "middle_name": "", "last_name": "Naghshineh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T18:04:06Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44672/galley/33465/download/" } ] }, { "pk": 44671, "title": "Numb Chin Syndrome: A Benign Diagnosis?", "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/04p128cz", "frozenauthors": [ { "first_name": "Jacob", "middle_name": "", "last_name": "Gold", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mridula", "middle_name": "", "last_name": "Watt", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-04T17:57:44Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44671/galley/33464/download/" } ] }, { "pk": 5511, "title": "Response-inhibition during problem solving in sheep", "subtitle": null, "abstract": "Response inhibition is a behavioural skill that is important for flexible behaviour and appropriate decision making. It requires the suppression of a prepotent, but inappropriate action, in order to achieve a more advantageous outcome. Response inhibition has been tested in many animal species using the cylinder task. This task requires the self-driven inhibition of an impulse to obtain a visible food reward via a detour, rather than a direct but blocked route. We have shown previously using the stop-signal task that sheep can successfully interrupt an already-started response, if a reward is going to be restricted. However, it is not known if sheep can show self-driven response inhibition in a task that provides a reward independent of performance. Here we tested two groups of sheep on the cylinder task (11 Lleyn sheep: aged 8 months; 8 Welsh mountain sheep aged ~8 years old). Sheep were trained using an opaque cylinder and all sheep successfully learned the task. When response inhibition was tested using the transparent cylinder, all sheep performed significantly better than chance, but the older sheep showed a reduced number of correct responses compared to the young sheep (72.5±5.0% and 86.4±4.3% respectively). The results show that sheep have a mechanism for self-regulating their actions in order to retrieve food faster.", "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": "animal cognition" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5074g4gq", "frozenauthors": [ { "first_name": "Franziska", "middle_name": "", "last_name": "Knolle", "name_suffix": "", "institution": "Other", "department": "None" }, { "first_name": "Rita", "middle_name": "P.", "last_name": "Goncalves", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Emma", "middle_name": "L.", "last_name": "Davies", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Amy", "middle_name": "R.", "last_name": "Duff", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "A.", "middle_name": "Jennifer", "last_name": "Morton", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2018-09-11T08:43:46Z", "date_accepted": "2018-09-11T08:43:46Z", "date_published": "2019-04-04T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5511/galley/3336/download/" } ] }, { "pk": 5501, "title": "The role of outcome unit size in the collective foraging strategies of rats", "subtitle": null, "abstract": "The distribution of foraging strategies and associated activities of Wistar rats was examined, with food outcomes presented in small vs. large units. Groups of 4 rats foraged for food in a 4 x 3 array of covered holes, some containing 4 g of food. For some groups, food consisted of shelled sunflower seeds (small units); for other groups, food consisted of 3 pellets of chow (large units). Foraging strategies were classified as either production (seeking patches with food) or scrounging (tracking conspecifics). Production strategies were more common among groups that foraged for pellets instead of seeds. Producing food was highly correlated with contacting gates covering holes, whereas scrounging for food was highly correlated with following others in the group. The prevalence of activities associated with each foraging strategy was highly correlated with the proportion of time spent consuming food obtained from each activity (i.e., produced vs. scrounged food). Taken together, these findings suggest that, similar to other species, the finder’s advantage (low with small units, high with large units) modulates social foraging strategies in rats. A simple outcome-strategy feedback mechanism appears to mediate this modulation.", "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": "Choice" }, { "word": "production" }, { "word": "rats" }, { "word": "scrounging" }, { "word": "collective foraging" }, { "word": "unit size" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43v0k8wx", "frozenauthors": [ { "first_name": "Luis", "middle_name": "", "last_name": "Alfaro", "name_suffix": "", "institution": "Universidad de Guadalajara", "department": "None" }, { "first_name": "Federico", "middle_name": "", "last_name": "Sanabria", "name_suffix": "", "institution": "Arizona State University", "department": "None" }, { "first_name": "Rosalva", "middle_name": "", "last_name": "Cabrera", "name_suffix": "", "institution": "Universidad Nacional Autonoma de Mexico (FES Iztacala)", "department": "None" } ], "date_submitted": "2018-07-05T17:05:53Z", "date_accepted": "2018-07-05T17:05:53Z", "date_published": "2019-04-04T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5501/galley/3327/download/" } ] }, { "pk": 2845, "title": "Paul Kwiatkowski’s And Every Day Was Overcast and Redefining Young Adult Literature", "subtitle": null, "abstract": "This paper seeks to reframe what is considered to be legitimate sexual content for teens and, by extension, to redefine the boundaries of what is considered to be Young Adult Literature. Using \nAnd Every Day Was Overcast\n,\n \na semi-autobiographical illustrated novel written by Paul Kwiatkowski, as an example of a book that captures the lived-experience of teens, yet has been deemed unsuitable for a teen readership, the author argues that conventional definitions of Young Adult Literature are too restrictive, reinforce problematic cultural ideals, and limit the reading experiences of teens. This paper acknowledges that librarians have a place in the line of production and distribution of books and contribute to the legitimization of content and knowledge, both accepted and controversial. Scholars such as Jeanie Austin (2016) have pushed for a centering of library practice on the lived-experience of teens, which recognizes teens as experts on their own lives and aids in abating problematic approaches to adolescence that guide teens towards what adults think they ought to become. The author suggests that when classifying fiction there are only two essential characteristics of Young Adult Literature: that the text is “Written About Teens” and “Written in a Teen Voice”. Redefining the boundaries of Young Adult Literature in this way and using it in daily practice is one of the ways in which librarians can begin to transform YA Literature into a genre that better reflects the lived-experience of teens and legitimize the inclusion of important works of literature in the Young Adult canon which may have otherwise been excluded.", "language": "en", "license": null, "keywords": [ { "word": "Young Adult Literature" }, { "word": "Reading" }, { "word": "Teen Sexuality" }, { "word": "Lived-Experience" }, { "word": "Libraries." } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zg5d0m1", "frozenauthors": [ { "first_name": "Davin", "middle_name": "L", "last_name": "Helkenberg", "name_suffix": "", "institution": "University of Western Ontario", "department": "None" } ], "date_submitted": "2018-08-24T19:45:53Z", "date_accepted": "2018-08-24T19:45:53Z", "date_published": "2019-04-03T20:04:57Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2845/galley/1687/download/" } ] }, { "pk": 44670, "title": "Pseudohypoparathyroidism: A Case Report and Review", "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/5qj4555z", "frozenauthors": [ { "first_name": "Robert", "middle_name": "", "last_name": "Nisenbaum", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-03T16:50:10Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44670/galley/33463/download/" } ] }, { "pk": 44669, "title": "Immunotherapy Induced Colitis", "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/3mz509sq", "frozenauthors": [ { "first_name": "Sittiporn", "middle_name": "", "last_name": "Bencharit", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Michael", "middle_name": "", "last_name": "Jean", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-03T16:42:05Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44669/galley/33462/download/" } ] }, { "pk": 44668, "title": "Cardiac Arrest in a Middle-Aged Woman due to an Undetected Long QT Interval Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1ds8q0r2", "frozenauthors": [ { "first_name": "Anita", "middle_name": "", "last_name": "Srinvasa", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-03T16:32:59Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44668/galley/33461/download/" } ] }, { "pk": 44667, "title": "An Uncommon Tumor Localized to the Back", "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/904203fc", "frozenauthors": [ { "first_name": "Terence", "middle_name": "M.", "last_name": "Hammer", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-03T16:29:51Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44667/galley/33460/download/" } ] }, { "pk": 44666, "title": "Squamous Cell Carcinoma of the Lung Metastatic to the Brain in a Non-Smoker", "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/96p2j8b2", "frozenauthors": [ { "first_name": "Lueng", "middle_name": "", "last_name": "Tcheung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-04-03T16:25:24Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44666/galley/33459/download/" } ] }, { "pk": 2828, "title": "Book Review: Critical race spatial analysis: Mapping to understand and address educational inequity", "subtitle": null, "abstract": "Researchers who produce social-justice scholarship often situate their studies within frameworks that examine the nexus of race, ethnicity, gender, socio-economic status, and history. Across disciplines, such scholars will use the tools of Critical Race Theory to analyze how various social systems in the U.S. legitimize oppressive structures as a strategy for upholding white supremacy. In the field of Education, Critical Race scholarship is vibrantly expanding as it continues to interrogate how racialized educational inequities are created and sustained both temporally and socially. However, CRT scholars in Education have yet to systematically examine the intersections of race, power, and privilege while interrogating geographies that perpetuate inequities within various educational settings.\n \n The editors of \nCritical Race Spatial Analysis: Mapping to Understand and Address Educational Inequity \nrespond to this gap as they offer an anthology that bridges the fields of spatial studies, geography, and CRT in Education. This collection, edited by scholar Deb Morrison, Subini Ancy Annamma, and Darrell D. Jackson, engages a discussion on how race, racism, and white supremacy are intricately connected to educational geographies and social spaces. The work of an interdisciplinary set of junior and senior scholars from various fields of study featured in this work ultimately interrogates geographies of racialized oppression by using a Critical Race Spatial Analysis (CRSA) lens and inform larger understandings of race, space, and education.", "language": "en", "license": null, "keywords": [ { "word": "Critical Race Theory, Education, Spatial StudiesResearchers who produce social-justice scholarship often situate their studies within frameworks that examine the nexus of race, ethnicity, gender, so.." } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1908g63w", "frozenauthors": [ { "first_name": "Cindy", "middle_name": "Raquel", "last_name": "Escobedo", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2017-11-21T17:56:29Z", "date_accepted": "2017-11-21T17:56:29Z", "date_published": "2019-04-03T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2828/galley/1677/download/" } ] }, { "pk": 2870, "title": "Editor's Note", "subtitle": null, "abstract": "N/A", "language": "en", "license": null, "keywords": [], "section": "Editor's Note", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zs320tn", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Vega", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Yadira", "middle_name": "", "last_name": "Valencia", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Gracen", "middle_name": "", "last_name": "Brilmyer", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Yvonne", "middle_name": "", "last_name": "Eadon", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-04-03T21:15:41Z", "date_accepted": "2019-04-03T21:15:41Z", "date_published": "2019-04-03T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2870/galley/1703/download/" } ] }, { "pk": 2837, "title": "From Invisible to Visible: Documenting the Voices and Resilience of Central American Students in U.S. Schools", "subtitle": null, "abstract": "Historically, scholars have researched and discussed Central Americans in fields such as sociology, migration studies, and anthropology. However, there is a limited amount of literature in the field of education and more so in higher education, that addresses the unique experiences of Central Americans in the U.S. educational system (Torres, 2004). As an part of a larger study, this paper documents and analyzes the \ntestimonios\n of thirty-five first and second generation Central American youth who have attended high school and college in the U.S. By applying a Critical Race Theory (CRT) analysis (in conjunction with other frameworks) to the \ntestimonios\n of the thirty-five youth, we find that amidst severe class, race, and gender discrimination in schools, the youth are able to be extremely resilient. Through their \ntestimonios\n, we also argue that it is important for education systems to pay closer to attention to the heterogeneity of the Latinx population in the U.S. to not further marginalization already marginalized communities.", "language": "en", "license": null, "keywords": [ { "word": "Central American" }, { "word": "education" }, { "word": "resilience" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8ws1h4cv", "frozenauthors": [ { "first_name": "Heidi", "middle_name": "M.", "last_name": "Coronado", "name_suffix": "", "institution": "California Lutheran University", "department": "None" }, { "first_name": "Audrey", "middle_name": "Darlene", "last_name": "Paredes", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" } ], "date_submitted": "2018-03-02T02:48:44Z", "date_accepted": "2018-03-02T02:48:44Z", "date_published": "2019-04-03T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2837/galley/1682/download/" } ] }, { "pk": 2846, "title": "Ref/lecciones: lessons for my hijo and other children of Indigenous immigrants", "subtitle": null, "abstract": "This essay is an autohistoria, an autohistory (Anzaldúa, 1999), in which I share my experiencesand understandings of being Maya and an immigrant in the United States and the discriminationthat other indigenous people like me experience from Latin Americans and Latinxs One purposeof autohistorias is to speak from lived experience and create theories that help us understandourselves and those like us. I write this essay to my son and the many other children in theUnited States who are born to Indigenous immigrant parents. One purpose for sharing myhistorias is to heal from intergenerational trauma caused by colonialism (Brave Heart, 2000). Itis my responsibility to share such stories in order to provide lessons and roadmaps for my son,other children of Indigenous immigrants, and future generations (Brayboy, 2005; Vizenor, 2008).I structure this paper to reflect the spiral (Grande, San Pedro, & Windchief, 2015) ways ofsharing, learning, and storytelling that are often absent in linear accounts of history andstorytelling (Deloria, 2004; Smith, 1999). There are many stories that I share and interweavewith one another in this paper. I hope that my son and other children of Indigenous immigrantslearn from them, as I too am learning by sharing them.", "language": "en", "license": null, "keywords": [ { "word": "autohistoria, indigenous, immigration" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6c83x9dv", "frozenauthors": [ { "first_name": "David", "middle_name": "W", "last_name": "Barillas Chón", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2018-10-26T16:24:59Z", "date_accepted": "2018-10-26T16:24:59Z", "date_published": "2019-04-03T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2846/galley/1688/download/" } ] }, { "pk": 656, "title": "Adding Insult to Injury: Asymptomatic Fat Embolism Identified on Computed Tomography", "subtitle": null, "abstract": "Fat embolism (FE) is a classically taught complication of long bone fractures, with the potential to cause high morbidity and mortality; however, it is rarely apparent on emergency department (ED) presentation or imaging. If recognized by the ED clinician, development of symptoms of FE may be avoided by early surgical fixation and potentially by corticosteroid administration.", "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/6t19z4q6", "frozenauthors": [ { "first_name": "Malia", "middle_name": "J.", "last_name": "Moore", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" }, { "first_name": "Sophia", "middle_name": "Y.", "last_name": "Liu", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" } ], "date_submitted": "2019-02-14T21:24:16Z", "date_accepted": "2019-02-14T21:24:16Z", "date_published": "2019-04-02T21:22:54Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/656/galley/416/download/" } ] }, { "pk": 660, "title": "Mucocutaneous Paraneoplastic Syndrome Secondary to Classical Hodgkin’s Lymphoma", "subtitle": null, "abstract": "Paraneoplastic syndromes may be the only presenting manifestation of an otherwise occult malignancy. This case report highlights a patient presenting to the emergency department with an atypical, multi-system disease, ultimately leading to a diagnosis of mucocutaneous paraneoplastic syndrome secondary to classical Hodgkin’s lymphoma. Emergency physicians should maintain a high clinical suspicion for paraneoplastic syndromes when patients present with multi-system manifestations.", "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/8079b2w3", "frozenauthors": [ { "first_name": "Jenna", "middle_name": "", "last_name": "Jurkovic", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Cirone", "name_suffix": "", "institution": "University of Illinois-Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2019-03-07T19:35:14Z", "date_accepted": "2019-03-07T19:35:14Z", "date_published": "2019-04-02T21:18:43Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/660/galley/419/download/" } ] }, { "pk": 623, "title": "Delayed Diagnosis of Spinal Tuberculosis in a 44-year-old Male with Acute on Chronic Low Back Pain", "subtitle": null, "abstract": "Spinal tuberculosis (STB), also known as tuberculous spondylitis, tuberculous vertebral osteomyelitis, or Pott’s disease is a rare subset of extrapulmonary tuberculosis. Although rare in developed countries, STB is an important diagnosis for the emergency physician to consider. We report a case of a 44-year-old African-American male with STB presenting as an acute exacerbation of chronic low back pain complicated by urinary retention and difficulty ambulating. Our patient had no known predisposing risk factors for tuberculosis. This patient’s STB was mistakenly diagnosed as nontuberculous vertebral osteomyelitis. This is not uncommon, as it is often difficult to distinguish the two clinically. This patient experienced advanced neurologic features at the time of initial presentation, which improved with surgical decompression. Ultimately, he re-presented to the emergency department 10 days after hospital discharge with recurrence of symptoms due to inaccurate antimicrobial selection. The diagnosis may hinge on the astute physician recognizing the characteristic, albeit subtle, imaging findings of STB.", "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/1hs8t5w0", "frozenauthors": [ { "first_name": "Curt", "middle_name": "", "last_name": "Canine", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Medeck", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" }, { "first_name": "Anthony", "middle_name": "", "last_name": "Hackett", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" } ], "date_submitted": "2018-12-03T20:27:14Z", "date_accepted": "2018-12-03T20:27:14Z", "date_published": "2019-04-02T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/623/galley/383/download/" } ] }, { "pk": 60786, "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/57s601gd", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-05-03T17:18:38Z", "date_accepted": "2019-05-03T17:18:38Z", "date_published": "2019-03-30T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60786/galley/46748/download/" } ] }, { "pk": 657, "title": "Point-of-care Ultrasound Diagnosis of Cholecystitis vs. Adenomyomatosis", "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": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/12j7z2k4", "frozenauthors": [ { "first_name": "Esther", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "University of California-Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Rame", "middle_name": "", "last_name": "Bashir", "name_suffix": "", "institution": "University of California-Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shadi", "middle_name": "", "last_name": "Lahham", "name_suffix": "", "institution": "University of California-Irvine, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2019-03-07T19:24:10Z", "date_accepted": "2019-03-07T19:24:10Z", "date_published": "2019-03-27T20:54:06Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/657/galley/417/download/" } ] }, { "pk": 659, "title": "Symptomatic Vaginal Infection by Neisseria meningitidis Resulting in Meningitis with Septic Shock", "subtitle": null, "abstract": "The most common infectious etiologies of vaginitis include Gardnerella bacterial vaginosis, candidiasis, and trichomoniasis. A few case reports describe symptomatic infection with \nNeisseria (N) meningitidis\n, an organism with potential for causing systemic disease with a high rate of morbidity and mortality. We describe a patient who presented with fulminant meningitis secondary to symptomatic vaginitis in which \nN. meningitidis\n was cultured. Due to the potential for significant morbidity and mortality as demonstrated by this case report, knowledge of this entity may prompt physicians to aggressively treat patients with vaginal cultures that are positive for \nN. meningitidis\n.", "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/297971ns", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Offman", "name_suffix": "", "institution": "Mercy Health-Muskegon, Department of Emergency Medicine, Muskegon, Michigan\nMichigan State University College of Osteopathic Medicine, Department of\nOsteopathic Medical Specialties, East Lansing, Michigan", "department": "None" }, { "first_name": "Elissa", "middle_name": "", "last_name": "Boggs", "name_suffix": "", "institution": "Mercy Health-Muskegon, Department of Emergency Medicine, Muskegon, Michigan\nMichigan State University College of Osteopathic Medicine, Department of\nOsteopathic Medical Specialties, East Lansing, Michigan", "department": "None" }, { "first_name": "Adam", "middle_name": "", "last_name": "Gwizdala", "name_suffix": "", "institution": "Michigan State University College of Osteopathic Medicine, Department of\nOsteopathic Medical Specialties, East Lansing, Michigan\nMercy Health-Muskegon, Department of Pharmacy, Muskegon, Michigan", "department": "None" } ], "date_submitted": "2019-03-07T19:30:19Z", "date_accepted": "2019-03-07T19:30:19Z", "date_published": "2019-03-27T20:47:16Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/659/galley/418/download/" } ] }, { "pk": 662, "title": "Code Blue: Life-threatening Methemoglobinemia", "subtitle": null, "abstract": "Most cases of acquired methemoglobinemia result from exposure to certain drugs or toxins. One of the more common and well-described causes in the literature is exposure to topical benzocaine during medical procedures. We present a case series of acute acquired methemoglobinemia from a food source that has not been previously described in the literature: a dessert. Three patients, ages 5, 33, and 86 years, were brought to our emergency department by ambulance after becoming extremely ill from ingesting a dessert containing nitre powder at a family gathering. They all presented with hypotension, cyanosis, and hypoxia that was not responsive to oxygen administration. The adult patients had major improvement of symptoms after a single dose of methylene blue. In contrast, the 5-year-old child who had the worst symptoms minimally improved with administration of two doses of methylene blue requiring intensive care admission and transfer to a tertiary care center.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7xb835kj", "frozenauthors": [ { "first_name": "José", "middle_name": "D.", "last_name": "Ponce Ríos", "name_suffix": "", "institution": "Lowell General Hospital, Department of Pediatric Emergency Medicine,\nLowell, Massachusetts", "department": "None" }, { "first_name": "Rothsovann", "middle_name": "", "last_name": "Yong", "name_suffix": "", "institution": "Lowell General Hospital, Department of Emergency Medicine, Lowell, Massachusetts", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Calner", "name_suffix": "", "institution": "Lowell General Hospital, Department of Emergency Medicine, Lowell, Massachusetts", "department": "None" } ], "date_submitted": "2019-03-07T20:45:47Z", "date_accepted": "2019-03-07T20:45:47Z", "date_published": "2019-03-27T19:36:24Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/662/galley/421/download/" } ] }, { "pk": 2212, "title": "Training Foreign Language Learners to be Peer Responders: A Multiliteracies Approach", "subtitle": null, "abstract": "This study proposes a method for implementing trained peer response within the multiliteracies framework and then qualitatively examines its effectiveness. Three factors are considered: (1) the extent to which peer response training engaged learners in all four knowledge processes; (2) the quality of peer-to-peer feedback; and (3) students’ attitudes about peer response. Findings suggest that collaborative genre analysis moves students through various knowledge processes and equips them to apply literacy-based understandings, knowledge, and skills during peer response. In general, students provided constructive, actionable comments to their peers and reported numerous benefits of both giving and receiving peer feedback. Implications for future research and practice will be of interest to instructors who want to implement peer response as well as curriculum designers who are building literacy-oriented language programs.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Peer response" }, { "word": "multiliteracies" }, { "word": "Genre-based writing" }, { "word": "Curriculum design" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5k58c6fx", "frozenauthors": [ { "first_name": "Kristen", "middle_name": "M.", "last_name": "Turpin", "name_suffix": "", "institution": "Brandeis University", "department": "None" } ], "date_submitted": "2018-08-20T21:58:33Z", "date_accepted": "2018-08-20T21:58:33Z", "date_published": "2019-03-27T02:02:57Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2212/galley/1417/download/" } ] }, { "pk": 2824, "title": "Book review about Christopher G. Brinton, Mung Chiang (2016): The Power of Networks: Six Principles That Connect Our Lives", "subtitle": null, "abstract": "Networks are everywhere, they are the essentials of our lives. The main questions are, how they work and why it is necessary to understand them. These are the initial remarks in Christopher G. Brinton and Mung Chiang’s brand new book. Christopher G. Brinton is the Head of Advanced Research at Zoomi Inc., where he works on big-data analytics, social learning networks, and personalized learning. He holds a PhD in electrical engineering from Princeton University. Mung Chiang is the Arthur LeGrand Doty Professor of Princeton, where he also serves as chairman of the Princeton Entrepreneurship Council and director of the Keller Center for Innovation in Engineering Education. In their new book they try to show the most important six principles that connect people’s lives. The main purpose of this book, beside entertainment and being a popular science book, is to be a basis for a network introductory course in college or high school.", "language": "en", "license": null, "keywords": [ { "word": "networks" }, { "word": "internet" }, { "word": "crowds" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2017q3vm", "frozenauthors": [ { "first_name": "Laura", "middle_name": "", "last_name": "Boldvai-Pethes", "name_suffix": "", "institution": "Corvinus University of Budapest\nHungarian Academy of Science", "department": "None" } ], "date_submitted": "2017-06-27T13:06:43Z", "date_accepted": "2017-06-27T13:06:43Z", "date_published": "2019-03-26T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2824/galley/1674/download/" } ] }, { "pk": 5510, "title": "Methodological Considerations for Comparison of Cross-species Use of Tactile Contact", "subtitle": null, "abstract": "Cross-species comparisons are benefited by compatible datasets; conclusions related to phylogenetic comparisons, questions on convergent and divergent evolution, or homologs versus analogs can only be made when the behaviors being measured are comparable. A direct comparison of the social function of physical contact across two disparate taxa is possible only if data collection and analyses methodologies are analogous. We identify and discuss the parameters, assumptions and measurement schemes applicable to multiple taxa and species that facilitate cross-species comparisons. To illustrate our proposed guidelines for evaluating the role played by tactile contact in social behavior across disparate taxa, this paper presents data on mother-offspring relationships in the two species studied by the authors: chimpanzees (\nPan troglodytes schweinfurthii\n) and dolphins (bottlenose and spotted, \nTursiops truncatus\n and \nStenella frontalis\n, respectively). Cross-species comparative studies allow for a more comprehensive assessment of the similarities and differences with respect to how animals traverse the relationships that form their social groups and societies.", "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": "dolphin, chimpanzee, tactile contact, touch, cross-species comparisons, mother-offspring interaction" } ], "section": "Special Issue on Contact", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1m99p540", "frozenauthors": [ { "first_name": "Kathleen", "middle_name": "M", "last_name": "Dudzinski", "name_suffix": "", "institution": "Dolphin Communication Project", "department": "None" }, { "first_name": "Heather", "middle_name": "M", "last_name": "Hill", "name_suffix": "", "institution": "St. Mary's University", "department": "None" }, { "first_name": "Maria", "middle_name": "", "last_name": "Botero", "name_suffix": "", "institution": "Sam Houston State University", "department": "None" } ], "date_submitted": "2018-09-07T20:14:19Z", "date_accepted": "2018-09-07T20:14:19Z", "date_published": "2019-03-25T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5510/galley/3335/download/" } ] }, { "pk": 62789, "title": "Clarifying Effects of Environmental Protections on Freshwater Flows to—and Water Exports from—the San Francisco Bay Estuary", "subtitle": null, "abstract": "Understanding and resolving conflicts over management of scarce natural resources requires access to information that helps characterize the problem. Where information is lacking, perceived differently by stakeholders, or provided without relevant context, these conflicts can become intractable. We studied water management practices and constraints that affect the flow of water into and through the San Francisco Bay estuary — home to six endangered fish species and two water export facilities owned by the state and federal governments that serve millions of people and large expanses of agricultural land in California. Media reports reflect widely held beliefs that environmental regulations, and particularly protections for endangered fish species, frequently limit water diversions and substantially increase freshwater flow to San Francisco Bay. We analyzed long-term trends in freshwater flow to San Francisco Bay relative to annual runoff from its Central Valley watershed, and the frequency and magnitude of specific regulatory and physical constraints that govern operations of the water export facilities. We found that the percentage of Central Valley runoff that reached San Francisco Bay during the ecologically sensitive winter-spring period declined over the past several decades, such that the estuary experienced drought conditions in most years. During a 9-year period that included a severe natural drought, exports were constrained to maintain salinity control as often as to protect endangered fish populations. Salinity-control and system-capacity constraints were responsible for Delta outflow volumes that dwarfed those related to protection of fish and wildlife populations, endangered or otherwise. These results run counter to common media narratives. We recommend rapid synthesis and easily accessible presentation of data on Central Valley water diversions and constraints on them; such data should be contextualized via comparison to regional hydrology and water management system capacity.", "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": "Endangered Species Act, Clean Water Act, environmental water, ecosystem management, Chinook Salmon, Delta Smelt, drought, environmental conflict, San Francisco Bay estuary, water supply" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mh3r97j", "frozenauthors": [ { "first_name": "Gregory", "middle_name": "J.", "last_name": "Reis", "name_suffix": "", "institution": "The Bay Institute\nSan Francisco, CA 94133 USA", "department": "" }, { "first_name": "Jeanette", "middle_name": "K.", "last_name": "Howard", "name_suffix": "", "institution": "The Nature Conservancy\nSan Francisco, CA 94105 USA", "department": "" }, { "first_name": "Jonathan", "middle_name": "A.", "last_name": "Rosenfield", "name_suffix": "", "institution": "The Bay Institute\nSan Francisco, CA USA 94133\n\nPresent address: \nSan Francisco Baykeeper\nOakland, CA 94612 USA", "department": "" } ], "date_submitted": "2019-01-18T17:09:10Z", "date_accepted": "2019-01-18T17:09:10Z", "date_published": "2019-03-19T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62789/galley/48470/download/" } ] }, { "pk": 62791, "title": "Diets of Largemouth Bass (Micropterus salmoides) in the Sacramento San Joaquin Delta", "subtitle": null, "abstract": "Largemouth Bass (\nMicropterus salmoides\n) were introduced into the Sacramento-San Joaquin Delta (the Delta) over 100 years ago. In the last 2 decades, the abundance of centrarchids (including Largemouth Bass) in the littoral zone has increased, while some native fish and fish that were previously abundant in the pelagic zone have declined. Largemouth Bass are now one of the most abundant piscivores in the Delta. Understanding the ecology of this top predator — including a comprehensive understanding of what prey are important in Largemouth Bass diets — is important to understanding how this species may affect the Delta fish community. To address this need, we conducted electrofishing surveys of Largemouth Bass at 33 sites every 2 months from 2008 to 2010, measuring fish fork lengths and collecting stomachs contents at each site. We characterized diets using Percent Index of Relative Importance for 3,004 Largemouth Bass, with samples that spanned all seasons. Amphipods dominated the diets of Largemouth Bass ≤175 mm FL year-round, with dipterans, odonates, and copepods and cladocerans representing other important diet items. Non-native red swamp crayfish (\nProcambarus clarkii\n) were the most important prey for Largemouth Bass >175 mm FL. Non-native centrarchids (including Largemouth Bass) and amphipods were important prey items as well. Prickly Sculpin (\nCottus asper\n) were the most frequently consumed native fish. Other native fish and pelagic fish species rarely occurred in Largemouth Bass diets, and we discuss trends in how the frequency of co-occurrence of these fishes with Largemouth Bass in the electrofishing surveys was associated with their frequency in Largemouth Bass diets. The Largemouth Bass in the Delta appear to be sustained largely on a diet of other non-natives that reside in the littoral zone.", "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": "Largemouth Bass, non-native predators, diet, predation, red swamp crayfish, centrarchids" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9mn0v9qb", "frozenauthors": [ { "first_name": "Kelly", "middle_name": "L.", "last_name": "Weinersmith", "name_suffix": "", "institution": "Dept. of Environmental Science and Policy\nUniversity of California, Davis\nDavis, CA 95616 USA\n\nDepartment of BioSciences\nRice University\nHouston, TX 77005 USA", "department": "" }, { "first_name": "Denise", "middle_name": "D.", "last_name": "Colombano", "name_suffix": "", "institution": "Dept. of Wildlife, Fish, and Conservation Biology\nUniversity of California, Davis\nDavis, CA 95616 USA", "department": "" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Bibian", "name_suffix": "", "institution": "Dept. of Environmental Science and Policy\nUniversity of California, Davis\nDavis, CA 95616 USA", "department": "" }, { "first_name": "Matthew", "middle_name": "J.", "last_name": "Young", "name_suffix": "", "institution": "Dept. of Wildlife, Fish, and Conservation Biology\nUniversity of California, Davis\nDavis, CA 95616 USA\n\nDiv. of Environmental Sciences\nCalifornia Dept. of Water Resources\nWest Sacramento, CA 95691 USA", "department": "" }, { "first_name": "Andew", "middle_name": "", "last_name": "Sih", "name_suffix": "", "institution": "Dept. of Environmental Science and Policy\nUniversity of California, Davis\nDavis, CA 95616 USA", "department": "" }, { "first_name": "J.", "middle_name": "Louise", "last_name": "Conrad", "name_suffix": "", "institution": "Delta Science Program\nDelta Stewardship Council\nSacramento, CA 95814 USA\n\nDept. of Environmental Science and Policy\nUniversity of California, Davis\nDavis, CA 95616 USA\n\nDiv. of Environmental Sciences\nCalifornia Dept. of Water Resources\nWest Sacramento, CA 95691 USA", "department": "" } ], "date_submitted": "2019-01-18T18:47:15Z", "date_accepted": "2019-01-18T18:47:15Z", "date_published": "2019-03-19T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62791/galley/48472/download/" } ] }, { "pk": 62790, "title": "Estimating the Size Selectivity of Fishing Trawls for a Short-Lived Fish Species", "subtitle": null, "abstract": "Long-term fish survey monitoring programs use a variety of fishing gears to catch fish, and the resulting catches are the basis for status and trends reports on the condition of different fish stocks. These catches can also be part of the data used to set stock assessment models, which establish harvest regulations, and to fit population dynamics models, which are used to analyze population viability. However, most fishing gears are size-selective, and fish size — among other possible covariates, such as environmental conditions — affects the probability that a fish will be caught in the path the gear sweeps. Failing to properly account for selectivity can adversely affect the ability to interpret and use status and trends measures, stock-assessment models, and population-dynamics models. Our side-by-side gear comparison study evaluated the selectivity of multiple open-water trawl surveys that have provided decades worth of information on the imperiled fish species Delta Smelt (\nHypomesus transpacificus\n). We used data from the study to estimate gear selectivity curves for multiple trawls using two methods. The first method examines the total number of fish-at-length caught across all gears, and does not directly use or estimate fish length distribution in the population. The second method examines the total number of fish caught by each gear separately, and explicitly estimates fish length distribution in the population. The results from the two methods were similar, and we found that one trawl was highly efficient at catching larger Delta Smelt. This is the first formal multi-gear evaluation of how well survey gear used to monitor Delta Smelt in the San Francisco Estuary selects fish by size, and we plan to incorporate the results into Delta Smelt population models.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "gear selectivity" }, { "word": "fishing gear" }, { "word": "Delta Smelt" }, { "word": "long-term monitoring" }, { "word": "status and trends" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0hh7n9x2", "frozenauthors": [ { "first_name": "Lara", "middle_name": "", "last_name": "Mitchell", "name_suffix": "", "institution": "U.S. Fish and Wildlife Service\nLodi, CA 95240 USA", "department": "" }, { "first_name": "Ken", "middle_name": "", "last_name": "Newman", "name_suffix": "", "institution": "U.S. Fish and Wildlife Service\nLodi, CA 95240 USA", "department": "" }, { "first_name": "Randall", "middle_name": "", "last_name": "Baxter", "name_suffix": "", "institution": "California Department of Fish and Wildlife\nStockton, CA 95206 USA", "department": "" } ], "date_submitted": "2019-01-18T17:17:20Z", "date_accepted": "2019-01-18T17:17:20Z", "date_published": "2019-03-19T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62790/galley/48471/download/" } ] }, { "pk": 62788, "title": "Evaluation of Long-Term Mark-Recapture Data for Estimating Abundance of Juvenile Fall-Run Chinook Salmon on the Stanislaus River from 1996 to 2017", "subtitle": null, "abstract": "Conservation and management of culturally and economically important species rely on monitoring programs to provide accurate and robust estimates of population size. Rotary screw traps (RSTs) are often used to monitor populations of anadromous fish, including fall-run Chinook Salmon (\nOncorhynchus tshawytscha)\n in California’s Central Valley. Abundance estimates from RST data depend on estimating a trap's efficiency via mark-recapture releases. Because efficiency estimates are highly variable and influenced by many factors, abundance estimates can be highly uncertain. An additional complication is the multiple accepted methods for how to apply a limited number of trap efficiency estimates, each from discrete time-periods, to a population’s downstream migration, which can span months. Yet, few studies have evaluated these different methods, particularly with long-term monitoring programs. We used 21 years of mark-recapture data and RST catch of juvenile fall-run Chinook Salmon on the Stanislaus River, California, to investigate factors associated with trap efficiency variability across years and mark-recapture releases. We compared annual abundance estimates across five methods that differed in treatment of trap efficiency (stratified versus modeled) and statistical approach (frequentist versus Bayesian) to assess the variability of estimates across methods, and to evaluate whether method affected trends in estimated abundance. Consistent with short-term studies, we observed negative associations between estimated trap efficiency and river discharge as well as fish size. Abundance estimates were robust across all methods, frequently having overlapping confidence intervals. Abundance trends, for the number of increases and decreases from year to year, did not differ across methods. Estimated juvenile abundances were significantly related to adult escapement counts, and the relationship did not depend on estimation method. Understanding the sources of uncertainty related to abundance estimates is necessary to ensure that high-quality estimates are used in life cycle and stock-recruitment modeling.", "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": "Rotary screw trap, trap efficiency, migration, Oncorhynchus tshawytscha, anadromy, generalized linear mixed models, Bayesian statistics" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z38p12t", "frozenauthors": [ { "first_name": "Tyler", "middle_name": "J.", "last_name": "Pilger", "name_suffix": "", "institution": "FISHBIO\nChico, CA 95928 USA", "department": "" }, { "first_name": "Matthew", "middle_name": "L.", "last_name": "Peterson", "name_suffix": "", "institution": "FISHBIO\nChico, CA 95928 USA", "department": "" }, { "first_name": "Dana", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "FISHBIO\nChico, CA 95928 USA", "department": "" }, { "first_name": "Andrea", "middle_name": "", "last_name": "Fuller", "name_suffix": "", "institution": "FISHBIO\nOakdale, CA 95361 USA", "department": "" }, { "first_name": "Doug", "middle_name": "", "last_name": "Demko", "name_suffix": "", "institution": "FISHBIO\nChico, CA 95928 USA", "department": "" } ], "date_submitted": "2019-01-18T15:12:21Z", "date_accepted": "2019-01-18T15:12:21Z", "date_published": "2019-03-19T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62788/galley/48469/download/" } ] }, { "pk": 62787, "title": "The Relative Importance of Agricultural and Wetland Habitats to Waterbirds in the Sacramento–San Joaquin River Delta of California", "subtitle": null, "abstract": "Biodiversity loss from agricultural intensification underscores the urgent need for science-based conservation strategies to enhance the value of agro-ecosystems for birds and other wildlife. California’s Central Valley, which has lost over 90% of its historical wetlands and currently is dominated by agriculture, still supports waterbird populations of continental importance. A better understanding of how waterbirds use available habitat is particularly needed in the Sacramento–San Joaquin Delta, an ecosystem under threat. From 2013 to 2015, we studied waterbird habitat associations in the Delta during fall migration and winter by conducting diurnal counts at random locations in key waterbird habitats throughout the Delta. Waterbird use of cover types (agricultural crops and managed wetlands) varied substantially among waterbird groups, by season, and among geographic sub-regions of the Delta. Overall, wetlands were particularly important to waterbirds in fall. In winter, wetlands and flooded rice and corn were important to many waterbird groups, and non-flooded corn and irrigated pasture to geese and cranes. The factors that influenced waterbird abundance and distribution also varied substantially among groups and differed at various geographic scales. In both seasons, most groups had a positive association at the field level with flooded ground and open water, and a negative association with vegetation. Given the great uncertainty in the future extent and pace of habitat loss and degradation in the Delta, prioritizing the conservation actions needed to maintain robust waterbird populations in this region is urgent. For the Delta to retain its importance to waterbirds, a mosaic of wetlands and wildlife-friendly crops that accounts for the value of the surrounding landscape must be maintained. This includes restoring additional wetlands and maintaining corn, rice, alfalfa, and irrigated pasture, and ensuring that a substantial portion of corn and rice is flooded in winter.", "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": "alfalfa, agroecosystems, Central Valley, corn, irrigated pasture, rice, waterbird conservation, waterbird habitat requirements" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25f0d6b4", "frozenauthors": [ { "first_name": "W.", "middle_name": "David", "last_name": "Shuford", "name_suffix": "", "institution": "Point Blue Conservation Science\nPetaluma, CA 94954 USA", "department": "" }, { "first_name": "Matthew", "middle_name": "E.", "last_name": "Reiter", "name_suffix": "", "institution": "Point Blue Conservation Science\nPetaluma, CA 94954 USA", "department": "" }, { "first_name": "Kristin", "middle_name": "A.", "last_name": "Sesser", "name_suffix": "", "institution": "Point Blue Conservation Science\nPetaluma, CA 94954 USA", "department": "" }, { "first_name": "Catherine", "middle_name": "M.", "last_name": "Hickey", "name_suffix": "", "institution": "Point Blue Conservation Science\nPetaluma, CA 94954 USA", "department": "" }, { "first_name": "Gregory", "middle_name": "H.", "last_name": "Golet", "name_suffix": "", "institution": "The Nature Conservancy\nChico, CA 95926 USA", "department": "" } ], "date_submitted": "2018-10-31T01:49:51Z", "date_accepted": "2018-10-31T01:49:51Z", "date_published": "2019-03-19T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62787/galley/48468/download/" } ] }, { "pk": 654, "title": "High Ascending Retrocecal Appendicitis in a Pediatric Patient Detected by Point-of-care Ultrasound", "subtitle": null, "abstract": "A 10-year-old male presented to our pediatric emergency department with progressive, colicky abdominal pain for one day, associated with fever and non-bilious vomiting. He had a guarded abdomen with sluggish bowel sounds. He was noted to have poor perfusion with tachycardia, which resolved with fluid resuscitation. Abdominal radiograph demonstrated the presence of a circular radiopaque structure at the right hypochondrial region. Point-of-care ultrasound revealed an ascending appendicitis with signs of perforation, which was unusually located just at the inferior edge of the liver, over the right hypochondrium. The patient was immediately admitted to the surgical intermediate care unit. Urgent laparoscopic appendectomy was successfully performed, and the child was discharged well.", "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/2rf008fh", "frozenauthors": [ { "first_name": "Takaaki", "middle_name": "", "last_name": "Mori", "name_suffix": "", "institution": "KK Women’s and Children’s Hospital, Department of Emergency Medicine, Singapore", "department": "None" }, { "first_name": "Teng", "middle_name": "S.", "last_name": "Shin", "name_suffix": "", "institution": "KK Women’s and Children’s Hospital, Department of Emergency Medicine, Singapore", "department": "None" }, { "first_name": "Gene", "middle_name": "Y.K.", "last_name": "Ong", "name_suffix": "", "institution": "KK Women’s and Children’s Hospital, Department of Emergency Medicine, Singapore", "department": "None" } ], "date_submitted": "2019-02-14T20:51:21Z", "date_accepted": "2019-02-14T20:51:21Z", "date_published": "2019-03-18T18:40:38Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/654/galley/414/download/" } ] }, { "pk": 5514, "title": "Domestication and the role of social play on the development of socio-cognitive skills in rats", "subtitle": null, "abstract": "Several studies on rats and hamsters, across multiple laboratories, have shown that limiting play in the juvenile period leads to adults that have physiological and anatomical changes in the medial prefrontal cortex (mPFC) and reduced socio-cognitive skills. Peers raised with playful peers have better socio-cognitive skills than animals raised with adult partners. Using Long Evans hooded rats - a commonly used domesticated strain - this relationship has been replicated multiple times. However, when the same paradigm was used with laboratory-reared wild rats, no differences were found between rats reared with peers and ones reared with adults. It has been shown that the key play-generated experiences involved are those related to actively wrestling with a partner and turn taking (as measured by role reversals), which give both partners opportunity to gain the advantage during play fighting. In the present study, we tested the hypothesis that wild rat adults provide juveniles more such experiences than do adult Long Evans rats. The asymmetry in the play interactions in adult-juveniles pairs was compared between the two strains. As predicted, wild rat adults initiated more play with the juveniles, wrestled more and provided more opportunities for role reversals. The findings thus support the hypotheses for the observed strain differences in the effects of rearing condition on the mPFC.", "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": "play fighting, rats, medial prefrontal cortex, reciprocity, brain plasticity, domestication" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7fj3z5f5", "frozenauthors": [ { "first_name": "Sergio", "middle_name": "M", "last_name": "Pellis", "name_suffix": "", "institution": "University of Lethbridge", "department": "None" }, { "first_name": "Vivien", "middle_name": "C", "last_name": "Pellis", "name_suffix": "", "institution": "University of Lethbridge", "department": "None" }, { "first_name": "Brett", "middle_name": "T", "last_name": "Himmler", "name_suffix": "", "institution": "University of Lethbridge", "department": "None" }, { "first_name": "Klaudia", "middle_name": "", "last_name": "Modlińska", "name_suffix": "", "institution": "Polish Academy of Science", "department": "None" }, { "first_name": "Rafał", "middle_name": "", "last_name": "Stryjek", "name_suffix": "", "institution": "Polish Academy of Science", "department": "None" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Kolb", "name_suffix": "", "institution": "University of Lethbridge", "department": "None" }, { "first_name": "Wojciech", "middle_name": "", "last_name": "Pisula", "name_suffix": "", "institution": "Polish Academy of Science", "department": "None" } ], "date_submitted": "2018-09-23T03:51:18Z", "date_accepted": "2018-09-23T03:51:18Z", "date_published": "2019-03-17T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5514/galley/3338/download/" } ] }, { "pk": 647, "title": "Double Steal Phenomenon: Emergency Department Management of Recurrent Transient Ischemic Attack", "subtitle": null, "abstract": "Double steal phenomenon is a rare condition where occlusion of the innominate (brachiocephalic) artery leads to hemodynamic changes in which blood flow is shunted from the intracranial circulation down the right vertebral artery and subsequently up the right carotid and subclavian circulation. This is a case of a 67-year-old female presenting emergently with recurrent transient ischemic attacks due to double steal phenomenon. Emergency department recognition of the double steal phenomenon and large vessel occlusion by computed tomography angiogram of the head and neck allowed for early treatment, which was critical in avoiding irreversible cerebral infarction.", "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/87b900hq", "frozenauthors": [ { "first_name": "Amit", "middle_name": "R.", "last_name": "Rawal", "name_suffix": "", "institution": "North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida", "department": "None" }, { "first_name": "Collin", "middle_name": "", "last_name": "Bufano", "name_suffix": "", "institution": "North Florida Regional Medical Center, Department of Emergency Medicine, Gainesville, Florida", "department": "None" }, { "first_name": "Omar", "middle_name": "", "last_name": "Saeed", "name_suffix": "", "institution": "University of Tennessee Health Science Center, Department of Internal Medicine, Memphis, Tennessee", "department": "None" }, { "first_name": "Asif", "middle_name": "A.", "last_name": "Khan", "name_suffix": "", "institution": "North Florida Regional Medical Center, Department of Vascular and Interventional Neurology, Gainesville, Florida", "department": "None" } ], "date_submitted": "2019-01-29T21:14:14Z", "date_accepted": "2019-01-29T21:14:14Z", "date_published": "2019-03-13T17:23:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/647/galley/407/download/" } ] }, { "pk": 58936, "title": "Front Matter", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/60z2701t", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-03-11T16:55:15Z", "date_accepted": "2019-03-11T16:55:15Z", "date_published": "2019-03-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_ipjlcr/article/58936/galley/44977/download/" } ] }, { "pk": 58937, "title": "Introduction: Global Dimensions of Indigenous Self-Determination", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "globalization, indigenous self-determination, colonialism, international law" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2c16f67r", "frozenauthors": [ { "first_name": "Seth", "middle_name": "", "last_name": "Davis", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-03-11T17:07:54Z", "date_accepted": "2019-03-11T17:07:54Z", "date_published": "2019-03-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_ipjlcr/article/58937/galley/44978/download/" } ] }, { "pk": 58939, "title": "Maasai Resistance to Cultural Appropriation in Tourism", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Maasai, Traditional Knowledge, Traditional Cultural Expression, intellectual property, responsible tourism, Kenya, Tanzania," } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/44f3q4xc", "frozenauthors": [ { "first_name": "Naomi", "middle_name": "Lanoi", "last_name": "Leleto", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-03-11T17:11:59Z", "date_accepted": "2019-03-11T17:11:59Z", "date_published": "2019-03-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_ipjlcr/article/58939/galley/44980/download/" } ] }, { "pk": 58941, "title": "'Paradigm Wars' Revisited: New Eyes on Indigenous Peoples' Resistance to Globalization", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Globalization" }, { "word": "indigenous rights" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/29c093sx", "frozenauthors": [ { "first_name": "Robert", "middle_name": "Alan", "last_name": "Hershey", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-03-11T18:30:59Z", "date_accepted": "2019-03-11T18:30:59Z", "date_published": "2019-03-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_ipjlcr/article/58941/galley/44982/download/" } ] }, { "pk": 58938, "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/745268mt", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-03-11T17:09:17Z", "date_accepted": "2019-03-11T17:09:17Z", "date_published": "2019-03-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_ipjlcr/article/58938/galley/44979/download/" } ] }, { "pk": 58940, "title": "The Doctrine of Discovery: The International Law of Colonialism", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Colonialism" }, { "word": "International Law" }, { "word": "indigenous rights" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3cj6w4mj", "frozenauthors": [ { "first_name": "Robert", "middle_name": "J.", "last_name": "Miller", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2019-03-11T18:25:23Z", "date_accepted": "2019-03-11T18:25:23Z", "date_published": "2019-03-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_ipjlcr/article/58940/galley/44981/download/" } ] }, { "pk": 44665, "title": "Subacute Cutaneous Lupus Erythematosus Induced by Palbociclib", "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/9pv0q1jt", "frozenauthors": [ { "first_name": "Aashini", "middle_name": "", "last_name": "Master", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T20:47:46Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44665/galley/33458/download/" } ] }, { "pk": 44664, "title": "Libman-Sacks Endocarditis in a Young Woman", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1bc5d755", "frozenauthors": [ { "first_name": "Aashini", "middle_name": "", "last_name": "Master", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Jiyeon", "middle_name": "", "last_name": "Jeong", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T20:45:38Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44664/galley/33457/download/" } ] }, { "pk": 44663, "title": "Skeletal Fluorosis and “Sniffer’s Dermatitis” After Inhalant Abuse with 1,1-Difluroethane", "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/2bt7m17j", "frozenauthors": [ { "first_name": "Regina", "middle_name": "", "last_name": "Liu", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Blair", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T20:43:36Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44663/galley/33456/download/" } ] }, { "pk": 44662, "title": "Use of Prostate Specific Antigen in the Evaluation and Treatment of Acute Bacterial Prostatitis", "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/7d51w949", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "S.", "last_name": "Goldsmith", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T20:00:40Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44662/galley/33455/download/" } ] }, { "pk": 44661, "title": "Empiric Antiviral Treatment during Suspected Prodrome of Herpes Zoster", "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/0br9x5fd", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "S.", "last_name": "Goldsmith", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T19:58:45Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44661/galley/33454/download/" } ] }, { "pk": 44660, "title": "Bordetella holmesii Bacteremia and Endocarditis in a Patient with a History of Splenectomy", "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/0sn7589c", "frozenauthors": [ { "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": "2019-03-08T19:55:37Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44660/galley/33453/download/" } ] }, { "pk": 44659, "title": "Atypical Femur Fracture after Biophosphonate Use", "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/8ff8b9h2", "frozenauthors": [ { "first_name": "Amar", "middle_name": "", "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": "2019-03-08T19:28:07Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44659/galley/33452/download/" } ] }, { "pk": 44658, "title": "Superior Mesenteric Artery (SMA) Syndrome in a Patient with Gunshot Wound to Head", "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/2mm4k33p", "frozenauthors": [ { "first_name": "Michael", "middle_name": "G.", "last_name": "Quon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sittiporn", "middle_name": "", "last_name": "Bencharit", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T19:25:56Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44658/galley/33451/download/" } ] }, { "pk": 44657, "title": "Ovarian Vein Thrombosis: A Case Review", "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/9t48q55k", "frozenauthors": [ { "first_name": "Simon", "middle_name": "", "last_name": "Wu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Thanh", "middle_name": "", "last_name": "Tran", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T19:23:05Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44657/galley/33450/download/" } ] }, { "pk": 44656, "title": "Primary Aldosteronism: It’s Out There", "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/3b04713v", "frozenauthors": [ { "first_name": "Aldo", "middle_name": "", "last_name": "Ilarde", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T19:07:43Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44656/galley/33449/download/" } ] }, { "pk": 44655, "title": "Hyponatremia Secondary to Non-Psychogenic Primary Polydipsia", "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/29b306vz", "frozenauthors": [ { "first_name": "David", "middle_name": "J.", "last_name": "DiTullio", "name_suffix": "PhD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Satya", "middle_name": "", "last_name": "Patel", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T18:41:21Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44655/galley/33448/download/" } ] }, { "pk": 44654, "title": "A Patient with Glanzmann Thrombasthenia Presenting for Emergency Eye Surgery", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xt4d06v", "frozenauthors": [ { "first_name": "Peter", "middle_name": "G.", "last_name": "Lee", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Tsai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T18:36:53Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44654/galley/33447/download/" } ] }, { "pk": 44653, "title": "A Case of Asymptomatic Patient with Pericardial Calcification and Constrictive Pericarditis", "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/0pk450t3", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Mathew", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramin", "middle_name": "", "last_name": "Tabibiazar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ravi", "middle_name": "", "last_name": "Dave", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T18:33:39Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44653/galley/33446/download/" } ] }, { "pk": 44640, "title": "Tumor Lysis Syndrome and Possible G6PD 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/3gh8s21f", "frozenauthors": [ { "first_name": "Kanwarpal", "middle_name": "S.", "last_name": "Kahlon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T18:30:05Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44640/galley/33433/download/" } ] }, { "pk": 44639, "title": "Coronary Artery Vasculitis and Aneurysm Formation due to Lupus Erythematosus", "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/64q682zv", "frozenauthors": [ { "first_name": "Junya", "middle_name": "", "last_name": "Kayano", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Anthony", "middle_name": "", "last_name": "Koppula", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2019-03-08T18:27:57Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44639/galley/33432/download/" } ] }, { "pk": 652, "title": "Identifying a Disc-shaped Foreign Body", "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": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/03s114gx", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Boston Children's Hospital, Division of Emergency Medicine, Boston, Massachussetts", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "George", "name_suffix": "", "institution": "Boston Children’s Hospital, Division of Radiology, Boston, Massachusetts", "department": "None" }, { "first_name": "Kate", "middle_name": "E.", "last_name": "Dorney", "name_suffix": "", "institution": "Boston Children’s Hospital, Division of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2019-02-06T23:32:29Z", "date_accepted": "2019-02-06T23:32:29Z", "date_published": "2019-03-05T21:50:26Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/652/galley/412/download/" } ] }, { "pk": 655, "title": "Empagliflozin-induced Diabetic Ketoacidosis Unmasking a Type 1 Diabetes Diagnosis", "subtitle": null, "abstract": "Empagliflozin is a sodium glucose cotransporter-2 inhibitor that inhibits renal glucose reabsorption through an insulin-independent mechanism. This class of drugs is used in the management of type 2 diabetes. A 49-year-old female with type 2 diabetes treated with empagliflozin presented to the emergency department in diabetic ketoacidosis (DKA). This case report details the series of events leading to the diagnosis of drug-induced DKA, which led to a change in the patient’s diagnosis from type 2 diabetes to type 1 diabetes.", "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/60k8s17c", "frozenauthors": [ { "first_name": "Gretchen", "middle_name": "M.", "last_name": "Ray", "name_suffix": "", "institution": "The University of New Mexico College of Pharmacy, Department of Pharmacy Practice and Administrative Sciences, Albuquerque, New Mexico", "department": "None" }, { "first_name": "Chelsea", "middle_name": "", "last_name": "Rodriguez", "name_suffix": "", "institution": "The University of New Mexico College of Pharmacy, Albuquerque, New Mexico", "department": "None" }, { "first_name": "Samantha", "middle_name": "", "last_name": "Schulman", "name_suffix": "", "institution": "The University of New Mexico College of Pharmacy, Albuquerque, New Mexico", "department": "None" }, { "first_name": "Preeyaporn", "middle_name": "", "last_name": "Sarangarm", "name_suffix": "", "institution": "The University of New Mexico Hospitals, Department of Pharmacy, Albuquerque, New Mexico", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Bardack", "name_suffix": "", "institution": "The University of New Mexico School of Medicine, Department of Family and Community Medicine, Albuquerque, New Mexico", "department": "None" }, { "first_name": "Matthew", "middle_name": "F.", "last_name": "Bouchonville", "name_suffix": "", "institution": "The University of New Mexico School of Medicine, Department of Internal Medicine, Division of Endocrinology, Diabetes, and Metabolism, Albuquerque, New Mexico", "department": "None" } ], "date_submitted": "2019-02-14T20:56:39Z", "date_accepted": "2019-02-14T20:56:39Z", "date_published": "2019-03-05T21:49:12Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/655/galley/415/download/" } ] }, { "pk": 653, "title": "Acute Angle-Closure Glaucoma Secondary to a Phakic Intraocular Lens, an Ophthalmic Emergency", "subtitle": null, "abstract": "Implantable collamer lenses (ICL) are phakic (natural lens remains in place) lenses that were first developed in the 1990s for correction of high myopia. The effectiveness and safety of ICLs are making them an increasingly popular option for vision correction in the myopic patient, competing with traditional options like glasses, contacts, and procedures such as laser-assisted in situ keratomileusis. Although generally safe, due to the position of the phakic ICL in the eye, pupillary block remains a rare but vision-threatening complication of ICL implantation. Pupillary block caused by phakic ICL is a serious complication that requires urgent recognition and intervention and is poorly described in emergency medicine literature. We describe a case of pupillary block five years after ICL implantation that was refractory to standard medical therapy, highlighting the importance of early diagnosis and referral for more definitive therapy.", "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/2mj439p9", "frozenauthors": [ { "first_name": "Arian", "middle_name": "", "last_name": "Frost", "name_suffix": "", "institution": "University of Wisconsin-Madison, School of Medicine and Public Health, Madison, Wisconsin", "department": "None" }, { "first_name": "Daniel", "middle_name": "J.", "last_name": "Ritter", "name_suffix": "", "institution": "University of Wisconsin-Madison, School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Alana", "middle_name": "", "last_name": "Trotter", "name_suffix": "", "institution": "University of Wisconsin-Madison, School of Medicine and Public Health, Department of Ophthalmology and Visual Sciences, Madison, Wisconsin", "department": "None" }, { "first_name": "Michael", "middle_name": "S.", "last_name": "Pulia", "name_suffix": "", "institution": "University of Wisconsin-Madison, School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2019-02-08T21:28:00Z", "date_accepted": "2019-02-08T21:28:00Z", "date_published": "2019-03-05T21:48:24Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/653/galley/413/download/" } ] }, { "pk": 645, "title": "Rare Cause of Inguinal Pain in 39-year-old Male", "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": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/64p9v8gh", "frozenauthors": [ { "first_name": "Kieron", "middle_name": "", "last_name": "Barkataki", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Nathan", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Quesada", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California; LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Rachell", "middle_name": "", "last_name": "O'Donnell", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "James", "middle_name": "W.", "last_name": "Rosbrugh", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Phillip", "middle_name": "", "last_name": "Aguìñiga-Navarrete", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" } ], "date_submitted": "2019-01-23T03:36:56Z", "date_accepted": "2019-01-23T03:36:56Z", "date_published": "2019-03-05T21:47:37Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/645/galley/405/download/" } ] }, { "pk": 651, "title": "The Aquarium Sign: Another Opportunity for Detection of Perforated Viscus", "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": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4cv223tp", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "", "last_name": "Gorgone", "name_suffix": "", "institution": "University of Rochester School of Medicine and Dentistry, Department of Emergency Medicine, Rochester, New York", "department": "None" }, { "first_name": "Timothy", "middle_name": "P.", "last_name": "O'Connor", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Lu", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" } ], "date_submitted": "2019-02-06T23:30:55Z", "date_accepted": "2019-02-06T23:30:55Z", "date_published": "2019-03-05T08:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/651/galley/411/download/" } ] }, { "pk": 634, "title": "Perilymphatic Fistula After Penetrating Ear Trauma", "subtitle": null, "abstract": "Pneumolabyrinth, defined as air within the labyrinth on high-resolution computed tomography, suggests that a perilymphatic fistula (PLF) is present. PLF describes an abnormal communication between the middle and inner ear, and can result in deafness, vertigo, and imbalance. In the setting of a penetrating injury to the temporal bone or inner ear, pneumolabyrinth should trigger prompt otolaryngology consultation and urgent surgical exploration. We describe a case in which a 49-year-old male presented with a traumatic PLF secondary to penetrating ear injury. Imaging demonstrated extensive pneumolabyrinth. Despite delay in diagnosis, expeditious surgical intervention resulted in successful preservation of inner ear function.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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/12x0s580", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "E.", "last_name": "Kita", "name_suffix": "", "institution": "David Geffen School of Medicine at the University of California Los Angeles, Department of Head and Neck Surgery, Los Angeles, California", "department": "None" }, { "first_name": "Irene", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "David Geffen School of Medicine at the University of California Los Angeles, Department of Head and Neck Surgery, Los Angeles, California", "department": "None" }, { "first_name": "Gail", "middle_name": "", "last_name": "Ishiyama", "name_suffix": "", "institution": "David Geffen School of Medicine at the University of California Los Angeles, Department of Head and Neck Surgery, Los Angeles, California; David Geffen School of Medicine at the University of California Los Angeles, Department of Neurology, Los Angeles, California", "department": "None" }, { "first_name": "Akira", "middle_name": "", "last_name": "Ishiyama", "name_suffix": "", "institution": "David Geffen School of Medicine at the University of California Los Angeles, Department of Head and Neck Surgery, Los Angeles, California", "department": "None" } ], "date_submitted": "2019-01-08T21:04:40Z", "date_accepted": "2019-01-08T21:04:40Z", "date_published": "2019-03-04T17:29:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/634/galley/394/download/" } ] }, { "pk": 6174, "title": "Lady Anne Clifford: From Idealized Gender Warrior to Exceptional Literary Bureaucrat", "subtitle": null, "abstract": "As the only child of her father, Lady Anne Clifford claimed she was entitled to his estates and titles upon his death as his sole appropriate heir. Because of conditions such as coverture, primogeniture, feme covert, etc. during early modern England, there has been, and still is, the general assumption that women were not only subordinate to men, but that they held only the most basic rights in regards to property. Due to this characterization, historians have perpetually viewed Clifford as a new-age feminist who defied the circumstances of her time and fought for rights that were uncommon for women to pursue.\n \nThis thesis proves that Clifford was not remarkable for what she has become so famously known for. Her struggle to gain her inheritance was not as unusual or noteworthy as it was initially thought; it was actually quite a common practice amongst women of her standing.\n \n \nWhile Anne may not have been extraordinary in regards to her legal battles, it must still be noted that Anne has stood the test of time and has remained a prominent historical figure over the past centuries. This thesis demonstrates that Anne was not in fact a gender warrior within the larger legal scene but rather an emerging bureaucrat and literary contributor. In the end, historians are able to understand Anne and other women of her stature because she chose to document her life, legal or not, and to thus make sure that she could and would be later studied.", "language": "en", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2g3386k6", "frozenauthors": [ { "first_name": "Jenisha", "middle_name": "", "last_name": "Sabaratnam", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2019-03-01T23:44:22Z", "date_accepted": "2019-03-01T23:44:22Z", "date_published": "2019-03-01T08:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/our_buj/article/6174/galley/3712/download/" } ] }, { "pk": 12553, "title": "Volume 20 Issue 2", "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/76v6b2mz", "frozenauthors": [ { "first_name": "Dana", "middle_name": "H.", "last_name": "Le", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2019-02-28T20:55:00Z", "date_accepted": "2019-02-28T20:55:00Z", "date_published": "2019-02-28T21:05:21Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12553/galley/6654/download/" } ] }, { "pk": 12465, "title": "A Case Report and Postulated Systematic Approach to the Evaluation of Emotionalism Post Stroke in a Crisis Unit", "subtitle": null, "abstract": "Introduction:\n Emotionalism post stroke, when inadequately addressed, can cause distress to patients including embarrassment, confusion, possible caregiver complaints, and an overall decrease in health-related quality of life (Badhan, et al, 2014). Also known as pathological laughing and crying (PLC), emotionalism post stroke refers to the involuntary and neurologic pseudo-bulbar affect (PBA). It often leads to uncontrolled and exaggerated expressions of inappropriate, emotionally charged outbursts such as laughing and/or crying (Parvizi, et al, 2001). This “emotional lability” is usually seen in patients with neurological disorders, in particular stroke, and was first described in the literature in 1872. While the exact mechanism can be debated, studies suggest a lesion in the upper brainstem leading to involuntary triggering of the facio-respiratory patterns associated with laughter and crying that involve the motor cortices (Parvizi, et al. 2001) or the cerebellum (Sak, Wilson, 1924). However, with recent studies reporting the prevalence of depression as high as 29% post stroke (Ayerbe, et al, 2013), identifying differences between post-stroke depression and PBA in the emergency setting is crucial for appropriate treatment and disposition. A critical component of patient history with regard to PLC is the lack of inciting stimulus in reports of numerous episodes of pathological crying. This study aims to outline a systematic approach to evaluate and manage patients with PLC in the emergency department (ED).\n \n \n \nCase Presentation\n: \nThe patient was a 74-year-old Caucasian male with no formal PPH and PMH of T2D, HLD, HTN, who was brought by his wife to the ED with complaints of excessive crying and a reported verbalization of suicidal ideation. Upon interview, patient stated that he had been having \"crying spells\" in excess of emotional stimulus for the prior three months, increasing in severity. He denied neuro-vegetative symptoms of depression. Patient also denied recent stressors. He admitted to a transient ischemic attack five months prior to his presentation. He stated there were no neurological deficits at the time of encounter except for a noted decreased sense of taste. The patient admitted to having suicidal ideations (SI) but without intent, plan, or means. He determined that he had intermittent SI in the context of observing, \"Doesn't everyone think about that sometimes?\" He did not report details of his SI as he determined they were passive and vague thoughts of what it would be like to be dead. He denied past or recent suicide attempts or self-injurious behavior. The patient reported he had met with his primary care physician who advised him to go to the ED for further evaluation. The patient and his wife, also in her 70s, reported they thought the ED could prescribe medications and were not seeking hospitalization. His wife stated that the patient had been “crying at the drop of a hat.” She noted that this was not usual for him and denied any recent stressors, or past episodes. She further stated, “I was at my wit’s end and I feel like something is wrong with him.” Patient stated the breaking point was his inability to attend an important engagement due to a dis-inhibited “crying spell” that lasted > 10 minutes. He and his wife reported frustration. The patient also reported, “I can’t take it. Please help me.” Patient affect was depressed, with intermittent “episodes of crying.” We placed him on hold and re-evaluate status.\n \n \n \nMethod:\n Patient consent for this study was obtained. A literature search was performed in PubMed and \nJAMA Psychiatry\n for articles published on pathological laughing and crying since 1900, using multiple combinations of the search terms, which included the following: \npost stroke crying syndrome\n, \nemotionalism post stroke\n, \ninvoluntary emotional expression\n, and \npost stroke neurological disorders\n. The development of evidence approach and drafting of systemic approach.\n \n \n \nResults:\n On observation, the patient had depressed affect and intermittent episodes of crying without provocation. He repeatedly denied being depressed and denied neuro-vegetative symptoms of depression despite his affect. Psychological review of systems was negative. Vital signs, complete blood count, and electrolytes were within normal limits. Collateral information was obtained and old chart review revealed mild to moderate small-vessel ischemic changes, including a semi-ovale infarct five months prior to presentation. His wife stated she wanted help for his presumed depression. Clinical pathway for the evaluation of emotionalism post stroke in the crisis unit includes performing the following: patient intake and triaging à medical clearance and laboratory work à patient history, and collateral information à If patient psychiatrically stable by negative psychological review of systems, consider past medical history for risk factors significant for stroke à consider ancillary tests to rule out differential diagnoses à Patient education and reassurance à Discharge with follow up as a key to diagnosis. Criteria for discharge can include lack of PPH, patient denial of neuro-vegetative depressive symptoms, access to immediate follow-up, social support, lack of social concerns, collateral comfortable with discharge plan and understanding of next steps regarding treatment and follow-up. Citalopram prescribed to patient resulted in decrease in incidence of crying spells. Studies show Citalopram, paroxetine, and sertraline provide >90% efficacy and reduction in depressive affect and pathological crying in patients (Schiffer et al, 2005).\n \n \n \nConclusion:\n Post-stroke, neuro-psychiatric pathological crying syndrome is a disorder that results from lesions affecting the pseudo-bulbar aspects of the brain and can go unrecognized. Due diligence on the part of the physician can allow for appropriate disposition, and time and cost-effective steps for proper management of the patient presenting with PLC in the ED. Definitive treatment includes outpatient management with a selective serotonin re-uptake inhibition, in particular Citalopram, paroxetine, and sertraline.\n \n \n \nAcknowledgment:\n I would like to thank Dilys Ngu, MD, for her help in review of this report.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zk2w5d9", "frozenauthors": [ { "first_name": "Antonia", "middle_name": "LJ", "last_name": "Phillip", "name_suffix": "", "institution": "Cooper Medical School of Rowan University – AtlantiCare Track, Psychiatry Residency Program, Department of Psychiatry, Camden, New Jersey", "department": "None" } ], "date_submitted": "2019-01-23T21:22:57Z", "date_accepted": "2019-01-23T21:22:57Z", "date_published": "2019-02-28T20:59:52Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12465/galley/6621/download/" } ] }, { "pk": 12464, "title": "Heroin Abstinence: A Case Report of Kratom in the Emergency Department and Beyond", "subtitle": null, "abstract": "Introduction\n: \nKratom, an herb that was traditionally used by Southeast Asians to boost energy, is increasingly being used in the United States. According to the American Kratom Association, an estimated two to three million chronic pain sufferers resort to kratom as a “safe,” natural alternative to prescription opioids. Some of the reported beneficial effects include analgesic effects, muscle relaxation, and anti-inflammatory properties. In the drug addiction world however, kratom is being propagated as a legal alternative to getting high that is undetectable on routine drug screen. Kratom, or mitragynine, is a major psychoactive alkaloid. Several studies have found that kratom has stimulant effects in small doses but sedative effects in large doses, binding to mu and kappa receptors (Yusoff et al. 2014). Kratom causes cravings and an array of opioid-like withdrawal symptoms when users attempt to decrease usage. Withdrawal symptoms include restlessness, severe bone pain, muscle aches, tearing or runny nose, gastrointestinal (GI) symptoms, blurred vision, depression, irritability, and changes in mood. This case report documents one patient who used kratom as an alternative to heroin use. We also describe its subsequent addictive potential and the successful management of his withdrawal symptoms with an opioid detoxification protocol.\n \nCase Presentation\n: Our \npatient was an adult Caucasian male with a past psychiatric history of depression and severe opioid use disorder identified by appropriate history- taking. The patient recounted that he had been using kratom for the prior two and a half years as a “legal alternative” to heroin, motivated by his partner. At the time of encounter, he reported “strong cravings” and withdrawal symptoms when he attempted to abstain from kratom. Urine drug screen was negative. A quick Clinical Opioid Withdrawal Scale (COWS) evaluation was noted to be 30, and inpatient detoxification was deemed appropriate. He admitted to using initially four capsules per day, which increased up to 30 capsules a day over the 30-month time period. He reported having spent a lot of money to feed his habit and noted weight loss and decreased appetite. He reported, “I felt high,” and maintained that he had abstained from illicit heroine use. The patient admitted that he had not known kratom had addictive properties and reported that the withdrawal symptoms were more protracted – as long as two months post his last use when compared to that of heroin after being “hard stopped” during a brief incarceration. We used a COWS assessment and scoring to determine management of his withdrawal symptoms at initial presentation and over a short period of time. We measured vital signs, hepatic function, and management of withdrawal symptoms daily two hours after the delivery of daily buprenorphine and naloxone (using tapering protocol) for five days. We also administered clonidine at a dose of 0.1 milligrams (mg) by mouth every six hours (PO q6h), baclofen 10 mg PO for muscle spasms, chlorproamazine/diphenhydramine 50mg as needed (PRN) for agitation, and ibuprofen 600mg PO q6h PRN for generalized joint pain. We monitored his symptomology by patient evaluation, daily vital signs, and a physician-guided questionnaire.\n \n \n \nResults\n: \nElectrolytes, renal function and liver studies were found to be within normal limits; however, his heart rate was elevated at 100 beats per minute on day of admission. Blood pressure was 122/75 millimeters of mercury and temperature was 97.5° Fahrenheit with a body mass index of 21.5. Urine toxicology was negative for all drugs of abuse including methadone and opiates. The patient’s pupils were constricted and there was profuse diaphoresis visible over his forehead. He also reported joint pain throughout his body, and he was unable to sit still. His eyes were tearing, he had uncontrollable yawning, and complained of “skin crawl.” The patient denied having any GI symptoms such as diarrhea or nausea, and he also denied having tremors. No tremors were observed, although muscle twitching of his forearm and biceps was noted. His COWS score was noted to be 30 on day one, and considered moderately severe. HIS COWS score reduced to five by day four. Of note, the COWs scale increased to 10 by day seven on 0mg of buprenorphine and naloxone.\n \n \n \nConclusion\n: \nKratom possesses properties that can be successfully used as an alternative to heroin use. Nonetheless, there is a potential for abuse, which results in severe opioid- like withdrawal symptoms when the user attempts abstinence. Patients require increasing amounts of kratom as they develop tolerance. Kratom withdrawal symptoms can be successfully managed with opioid detox protocol or buprenorphine/naloxone protocol over a period of five days, although symptoms noticeably last longer. Pharmaceutical companies should explore safe, physician-guided administration of kratom to reduce heroin use and add to our repertoire of methadone or buprenorphine in managing opioid use disorders.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/631314rk", "frozenauthors": [ { "first_name": "Antonia", "middle_name": "LJ", "last_name": "Phillip", "name_suffix": "", "institution": "Cooper Medical School of Rowan University – AtlantiCare Track, Psychiatry Residency Program, Department of Psychiatry, Camden, New Jersey", "department": "None" } ], "date_submitted": "2019-01-23T21:18:25Z", "date_accepted": "2019-01-23T21:18:25Z", "date_published": "2019-02-28T20:59:42Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12464/galley/6620/download/" } ] }, { "pk": 12463, "title": "Development of a Precision Olfactory Delivery (POD®)-Olanzapine Drug-Device Product for Agitation", "subtitle": null, "abstract": "Introduction:\n Agitation is a cluster of behaviors observed in multiple psychiatric diseases, which can increase the likelihood of violent behavior. Atypical antipsychotics, including oral and intramuscular (IM) olanzapine (OLZ), have been approved for chronic and acute agitation treatment, respectively, for schizophrenia and bipolar I disorder in the U.S. for over 20 years. During acute agitation episodes, IM OLZ is preferred over oral treatments due to a shorter Tmax. However, IM OLZ is invasive, predominantly administered in a hospital setting, and may require restraint if the patient is uncooperative, potentially reducing trust between patient and medical personnel and increasing the likelihood of injuries. When possible, non-injectable routes of administration are preferred during agitation events; however, slower-onset oral products often require labor-intensive observation of the medicated patient until adequate symptom resolution.\n \nImpel NeuroPharma is developing INP105, a drug-device combination product consisting of a novel OLZ powder formulation for upper nasal cavity administration using precision olfactory delivery (POD®) technology. This rescue therapy is designed to provide non-invasive, rapid relief of acute agitation comparable to IM injection, without excessively sedating the patient, in a reasonably safe and tolerable manner. POD technology is designed to deliver drug to the upper nasal mucosa with minimal effort or coordination for self or caregiver administration.\n \nMethods:\n OLZ formulations were designed and manufactured to optimize powder characteristics and device compatibility. Formulations were characterized by analytical methods to assess chemical and physical state as well as device compatibility. Lead formulations were evaluated in rat and non-human primate (NHP) pharmacokinetic (PK) studies, where dose was administered by species-specific POD devices, and plasma samples for PK analysis were analyzed by liquid chromatography mass spectrometry. Formulation selection for further evaluation was based on analytical and PK properties, and a single formulation was identified for inclusion in the INP105-101 proof-of-concept, clinical study.\n \nResults:\n Approximately 30 formulations designed for nasal delivery by POD technology were manufactured and then assessed using analytical chemistry techniques and device-compatibility testing. Twenty of the formulations were evaluated in rat and NHP PK models. Short-term stability tests and device compatibility testing were used to further narrow down formulations for additional PK studies. The lead formulation was tested to five months of stability with >99% assay, <1% total impurities, and positive device compatibility over the storage period. All formulations tested in NHP PK studies resulted in a Tmax of less than 53 minutes and a Cmax greater than 26 nanograms per milliliter (ng/mL). The lead formulation, selected for clinical development in the INP105-101 study, exhibited a Tmax of 17 minutes, similar to that reported for IM OLZ, and a Cmax of 71 ng/mL, approximately threefold higher than the reported Cmax in patients receiving 10 milligrams (mg) IM OLZ.\n \nConclusion:\n Impel NeuroPharma is developing a drug-device combination product that will administer powder OLZ to the vascular-rich, upper nasal space with a novel precision olfactory delivery (POD®) device. It is needle-free, easily administered by self or caregiver, and a potentially rapidly effective OLZ treatment to abort episodes of acute agitation in the low-intensity community clinic or emergency department setting. This series of preclinical development studies has led to the identification of a lead formulation to be tested in the INP105-101 proof-of-concept clinical study for further development.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0gm7913k", "frozenauthors": [ { "first_name": "K", "middle_name": "H", "last_name": "Satterly", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "B", "middle_name": "", "last_name": "Gajera", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "G", "middle_name": "J", "last_name": "Davies", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "H", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "S", "middle_name": "", "last_name": "Muppaneni", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "J", "middle_name": "", "last_name": "Wright", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "K", "middle_name": "", "last_name": "To", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "S", "middle_name": "B", "last_name": "Shrewsbury", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "J", "middle_name": "", "last_name": "Hoekman", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" } ], "date_submitted": "2019-01-23T21:16:14Z", "date_accepted": "2019-01-23T21:16:14Z", "date_published": "2019-02-28T20:59:35Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12463/galley/6619/download/" } ] }, { "pk": 12462, "title": "Placebo/Active Controlled, Safety, Pharmaco-Kinetic/Dynamic Study of INP105 (POD® olanzapine) in Healthy Adults", "subtitle": null, "abstract": "Introduction:\n A 2008 survey of emergency department staff (ED) found that 65% had witnessed physical attacks, 32% reported at least one verbal threat per day, and 18% had been assaulted at least once with a weapon. While many of the attacks were due to acute agitation, only 6% of the surveyed EDs had a protocol for medication selection and 40% provided training for staff. During acute agitation episodes – up to seven million/year in U.S. hospitals and EDs – olanzapine (OLZ) intramuscular (IM) is favoured due to a shorter Tmax over oral tablets or oral disintegrating tablets (ODT); however, IM administration requires cooperation, is invasive and can be painful. Uncooperative patients require restraint for the administration of OLZ IM that may be viewed as an assault, thereby reducing trust in medical personnel and increasing the likelihood of staff injuries. When possible, non-injectable forms are preferred during agitation; however, currently approved oral products have slower onset of effect, often requiring labour-intensive observation of the medicated patient until resolved.\n \nINP105 is a drug-device combination product consisting of a powder form of OLZ delivered by a precision olfactory delivery (POD®) device to the vascular-rich, upper nasal space for rapid control of agitation in a cooperative or uncooperative patient (with a potentially caregiver‑administered dose). For this study a near-final formulation of OLZ was administered by the research embodiment of the POD (I231) device. For subsequent studies, INP105 will use the final commercial formulation adjustments and the commercial POD device. INP105 should provide faster onset of relief compared to oral therapy and be a more accessible dosage form compared to IM therapy without a needle. INP105 may also be suitable for early use by the patient who has insight into his or her condition and can recognize early symptoms of agitation before escalating, uncontrolled agitation leads to violence and injury to the patient, the caregiver and/or healthcare workers. The objectives of this SNAP 101 study were the following: 1) Establish safety and tolerability of three single, ascending doses of INP105; 2) compare pharmacokinetic (PK) data for OLZ)from three INP105 doses with OLZ IM (5 and 10 milligrams [mg]) and orally disintegrating tablets (OLZ-ODT) 10 mg; 3) establish and compare pharmacodynamic (PD) effects of INP105 to OLZ IM and OLZ-ODT; and 4) explore PK/PD and dose-response relationships for INP105.\n \nMethods:\n SNAP 101 was a randomized, double-blind, placebo- and active comparator-controlled, ascending-dose, 2-way, 2‑period, incomplete block, crossover Phase 1 trial to compare the safety, tolerability, PK and PD of three doses of INP105 (5 mg, 10 mg and 20 mg) with two doses of OLZ IM (5 mg and 10 mg) and one dose of OLZ-ODT (10 mg).\n \nPeriod 1 was open label; Period 2 was double-blind with at least 14 days between dosing in the two periods. Dose escalation was staggered across cohorts to allow a monitoring committee to assess safety and tolerability of INP105 between doses.\n \nFollowing all dosings in both periods, PD assessments were made by frequent and regular vital signs recordings as well as visual analogue scale for subjective assessment of sedation, the Agitation/Calmness Evaluation Scale, an objective assessment by the investigator, and the timed Digit Symbol Substitution Test. Blood was drawn at frequent timepoints over the 120 hours post dosing for PK evaluation.\n \nAll subjects were observed as inpatients for at least 72 hours post-dosing of reference therapy and IP. Follow-up occurred four, five and 14 days after dosing for each study period. The first two subjects receiving 10 mg OLZ IM had clinically significant hypotensive events following administration, and thus the study design was immediately changed with the remaining 36 subjects (12 per cohort) being randomized to OLZ 5 mg IM or OLZ ODT 10 mg. After each block of 12 subjects completed period 1 dosing, five days of observation and nine days of washout, they returned for period 2 dosing when they received INP105 (n=9) or placebo. After a further five days of observations and nine days of washout, a safety monitoring committee (SMC) reviewed the safety data before allowing dose to be escalated to the next level, ie, SMC 1 approved proceeding from INP105 5 mg to INP105 10 mg; but at SMC 2, the decision was made to reduce the dose for cohort 3 from INP105 20 mg (four capsules) to 15 mg (three capsules) due to the frequent but not substantial drops in blood pressure noted after cohort 2, period 2 dosing.\n \nConclusion:\n This SNAP 101 study (completed in 2018 with results expected in December), which administered OLZ to the vascular-rich, upper nasal space with the novel POD® device, should guide further clinical development for a needle-free, easy self- or caregiver-administered, rapidly effective OLZ treatment to abort episodes of acute agitation in low-intensity community or ED settings. Safety signals (blood pressure drops) suggestive of appreciable pharmacodynamic effects of OLZ were noted with OLZ IM 5 mg and with cohort 2 and 3, period 2 dosings (INP105 at 10 and 15 mg doses or placebo) at the SMCs. Their formal analysis, along with other PD measures and PK data, is anticipated.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/86f519rb", "frozenauthors": [ { "first_name": "SB", "middle_name": "", "last_name": "Shrewsbury", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "M", "middle_name": "", "last_name": "Swardstrom", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "KH", "middle_name": "", "last_name": "Satterly", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "J", "middle_name": "", "last_name": "Campbell", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" }, { "first_name": "N", "middle_name": "", "last_name": "Tugiono", "name_suffix": "", "institution": "Nucleus Network, Melbourne, Australia", "department": "None" }, { "first_name": "JD", "middle_name": "", "last_name": "Gillies", "name_suffix": "", "institution": "Clinical Network Services, Brisbane, Australia", "department": "None" }, { "first_name": "J", "middle_name": "", "last_name": "Hoekman", "name_suffix": "", "institution": "Impel NeuroPharma, Seattle, Washington", "department": "None" } ], "date_submitted": "2019-01-23T21:12:05Z", "date_accepted": "2019-01-23T21:12:05Z", "date_published": "2019-02-28T20:59:28Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12462/galley/6618/download/" } ] }, { "pk": 12461, "title": "Reducing Emergency Department Length of Stay and Wait Times for Psychiatric Patients", "subtitle": null, "abstract": "Introduction: \nIn the past 20 years there has been a significant decline in the number of inpatient psychiatric beds in the United States, while the number of patients seeking psychiatric treatment in the emergency department (ED) has increased over the same time period. Given the increase in demand for psychiatric services and decrease in availability of inpatient treatment the ED is becoming the de facto place of treatment for the majority of psychiatric crises. Psychiatric patients experience longer lengths of stay (LOS) when compared to non-psychiatric patients, especially when transfer to another facility is required. Therefore, improvements in the efficiency of evaluation, treatment and disposition of psychiatric patients benefit both patients and the EDs that care for them.\n \n \n \nMethods:\n To improve throughput and reduce wait times in the ED at our Level I trauma center located in the Upstate region of South Carolina, we implemented several improvements. We then tracked pre- and post-intervention metrics, including LOS and the time from ED consultation order to the completion of psychiatric consultant documentation. The intervention consisted of several protocols with various checkpoints for required documentation necessary for progression through overall mental health evaluation and treatment. In addition, structured psychiatrist and social worker evaluation-note templates were standardized to improve documentation accuracy, consistency, efficiency and overall patient safety. A separate tracking system is monitored by a dedicated psychiatric advanced practice provider to ensure compliance on note completion and order set utilization. The time from ED consult order to completion of psychiatric consultant documentation and mean LOS (in hours +/-standard deviation [SD]) were measured for six months before (10/2016 to 03/2017) and eight months after (4/2017 to 11/2017) institution of these protocols. We then compared pre- and post-intervention measures using Student’s t-test (p<0.05).\n \n \n \nResults\n: The number of ED patients seen by a psychiatrist were 3,331 and 4,482 in the pre- and post-intervention time frames, respectively. Overall mean LOS significantly decreased from 38.2 (SD+57.5) to 24.9 (SD+37.6) hours after institution of these new protocols. In addition, mean LOS for patients discharged to home or to a psychiatric facility also significantly decreased from 36.9 (SD+53.7) to 21.8 (SD+30.7) and 42.8 (SD+66.5) to 31.8 (SD+49.1) hours, respectively. Time from consult order to completion of ED psychiatrist documentation significantly decreased from 11.3 (SD+9.8) to 6.2 (SD+6.9) hours. All four comparisons were significantly different with p-values ≤ 0.01.\n \n \n \nConclusion:\n The implementation of these protocols showed a rapid, sustained improvement in overall efficiency of evaluation and disposition of psychiatric patients in our ED. The decrease in time to evaluation for patients discharged home, as well as a decreased time to transfer to inpatient level of care for those requiring hospitalization made for greater throughput and decreased demand on ED resources. Of note, this improvement in efficiency was observed despite an increase in the volume of psychiatric patients seen by the ED over the course of the study. Our institution continues to track outcomes and has implemented further changes including hiring several dedicated ED psychiatrists, with a goal of providing 24/7 availability of in-house psychiatrists embedded in the ED in an effort to further decrease LOS and improve patient care.\n \nGiven the shortage of psychiatrists and declining numbers of psychiatric hospital beds, until an alternative solution for this difficulty of access to psychiatric services is implemented the demand for psychiatric services in the ED will remain high. While more study is needed to determine the generalizability of our findings, we believe that implementation of similar interventions would likely benefit other EDs struggling with delays in psychiatric evaluation and disposition.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3q94w2hf", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "D.", "last_name": "Richter", "name_suffix": "", "institution": "Greenville Health System, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Dawn", "middle_name": "", "last_name": "Blackhurst", "name_suffix": "", "institution": "Greenville Health System, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Phillip", "middle_name": "", "last_name": "Moschella", "name_suffix": "", "institution": "Greenville Health System, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" }, { "first_name": "Karen", "middle_name": "M.", "last_name": "Lommel", "name_suffix": "", "institution": "Greenville Health System, Department of Emergency Medicine, Greenville, South Carolina", "department": "None" } ], "date_submitted": "2019-01-23T21:07:40Z", "date_accepted": "2019-01-23T21:07:40Z", "date_published": "2019-02-28T20:59:21Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12461/galley/6617/download/" } ] } ] }