Article List
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GET /api/articles/?format=api&offset=16400
{ "count": 38488, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=16500", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=16300", "results": [ { "pk": 44566, "title": "Radiation Recall with Nivolumab", "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/8288h48d", "frozenauthors": [ { "first_name": "Anita", "middle_name": "", "last_name": "Kaul", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Melissa", "middle_name": "", "last_name": "Cohen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-10-19T09:16:27-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44566/galley/33359/download/" } ] }, { "pk": 44565, "title": "An Unusual Case of Cellulitis", "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/7qq4749m", "frozenauthors": [ { "first_name": "Julie", "middle_name": "", "last_name": "Magorien", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gurveen", "middle_name": "", "last_name": "Sandhu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-10-19T08:58:19-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44565/galley/33358/download/" } ] }, { "pk": 44564, "title": "Hereditary Spherocytosis – as a Cause of Hemolytic Anemia", "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/85b6m9jw", "frozenauthors": [ { "first_name": "Soleyman", "middle_name": "", "last_name": "Rokhsar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-10-19T08:53:29-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44564/galley/33357/download/" } ] }, { "pk": 44563, "title": "Spectrum of IgA Glomerular Disease in Light of the MEST-C Classification: Why Clinical Presentation Matters as Much as Pathological Findings", "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/9cd2p4f5", "frozenauthors": [ { "first_name": "Carl", "middle_name": "", "last_name": "Schulze", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramy", "middle_name": "M", "last_name": "Hanna", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-10-19T08:51:20-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44563/galley/33356/download/" } ] }, { "pk": 44562, "title": "A Case of Atypical Henoch-Schonlein Purpura", "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/2197k1h3", "frozenauthors": [ { "first_name": "Maryanne", "middle_name": "", "last_name": "Ibrahim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Geraldine", "middle_name": "", "last_name": "Navarro", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-10-19T08:48:40-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44562/galley/33355/download/" } ] }, { "pk": 44561, "title": "The Embarrassing Patient History – “Do you have to write this down?”", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Commentary" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6472b07k", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Gunn", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-10-19T08:44:32-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44561/galley/33354/download/" } ] }, { "pk": 602, "title": "A Pair of Testicular Torsion Medicolegal Cases with Caveats: The Ball’s in Your Court", "subtitle": null, "abstract": "In this article, we present two medicolegal cases illustrating medical and diagnostic pitfalls that can lead to litigation for missed testicular torsion. Testicular torsion (TT) is a urologic emergency with potentially devastating consequences and costs, for providers and patients alike. TT occurs in approximately 4.5 per 100,000 males under the age of 25. While uncommon, TT is the third most common cause of medical malpractice suits in this demographic. As a consequence of varying presentations and physical exam findings, and diagnostic imaging subject to individual interpretation, this time-sensitive diagnosis may be missed by emergency department providers. Delays in diagnosis significantly increases the morbidity associated with TT, and 31.9%-41.9% of such cases result in testicular loss. The average reported settlement for TT malpractice litigation is $60,000. This article discusses two actual malpractice cases involving TT and provides insight and caveats to ensure an optimal evaluation and diagnostic approach to this often-elusive condition.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Medical Legal Case Report", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9w26r3q7", "frozenauthors": [ { "first_name": "John", "middle_name": "B.", "last_name": "Bass", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Kyle", "middle_name": "S.", "last_name": "Couperus", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Jamie", "middle_name": "L.", "last_name": "Pfaff", "name_suffix": "", "institution": "University of Texas Southwestern School of Medicine, Dallas, Texas", "department": "None" }, { "first_name": "Gregory", "middle_name": "P.", "last_name": "Moore", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" } ], "date_submitted": "2018-10-10T14:50:39-07:00", "date_accepted": "2018-10-10T14:50:39-07:00", "date_published": "2018-10-18T14:13:55-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/602/galley/363/download/" } ] }, { "pk": 11769, "title": "Use of Fine-Scale Geospatial Units and Population Data to Evaluate Access to Emergency Care", "subtitle": null, "abstract": "Introduction: Time to facility is a crucial element in emergency medicine (EM). Fine-scale geospatial units such as census block groups (CBG) and publicly available population datasets offer a low-cost and accurate approach to modeling geographic access to and utilization of emergency departments (ED). These methods are relevant to the emergency physician in evaluating patient utilization patterns, emergency medical services protocols, and opportunities for improved patient outcomes and cost utilization. We describe the practical application of geographic information system (GIS) and fine-scale analysis for EM using Ohio ED access as a case study.\nMethods: Ohio ED locations (n=198), CBGs (n=9,238) and 2015 United States Census five-year American Community Survey (ACS) socioeconomic data were collected July—August 2016. We estimated drive time and distance between population-weighted CBGs and nearest ED using ArcGIS and 2010 CBG shapefiles. We examined drive times vs. ACS characteristics using multinomial regression and mapping.\nResults: We categorized CBGs by centroid-ED travel time in minutes: <10 (73.4%; n=6,774), 10-30 (25.1%; n=2,315), and >30 (1.5%; n=141). CBGs with increased median age, Hispanic and non-Hispanic Black population, and college graduation rates had significantly decreased travel time. CBGs with increased low-income populations (adjusted odds ratio [AOR] [1.03], 95% confidence interval [CI] [1.01-1.04]) and vacant housing (AOR [1.06], 95% CI [1.05-1.08]) had increased odds of >30 minute travel time.\nConclusion: Use of fine-scale geographic analysis and population data can be used to evaluate geographic accessibility and utilization of EDs. Methods described offer guidance to approaching questions of geographic accessibility and have numerous ED and pre-hospital applications.", "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": "Geography" }, { "word": "emergency department" }, { "word": "access to care" }, { "word": "Population Health" } ], "section": "Public Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gg5n438", "frozenauthors": [ { "first_name": "Katherine", "middle_name": "M.", "last_name": "Joyce", "name_suffix": "", "institution": "Northeast Ohio Medical University, School of Medicine, Rootstown, Ohio", "department": "None" }, { "first_name": "Ryan", "middle_name": "C.", "last_name": "Burke", "name_suffix": "", "institution": "Cleveland Clinic Akron General, Department of Emergency Medicine, Akron, Ohio.\nKent State University, Department of Public Health, Kent, Ohio", "department": "None" }, { "first_name": "Thomas", "middle_name": "J.", "last_name": "Veldman", "name_suffix": "", "institution": "Kent State University, Department of Geography, Kent, Ohio", "department": "None" }, { "first_name": "Michelle", "middle_name": "M.", "last_name": "Beeson", "name_suffix": "", "institution": "Cleveland Clinic Akron General, Department of Emergency Medicine, Akron, Ohio", "department": "None" }, { "first_name": "Erin", "middle_name": "L", "last_name": "Simon", "name_suffix": "", "institution": "Northeast Ohio Medical University, School of Medicine, Rootstown, Ohio, \nCleveland Clinic Akron General, Department of Emergency Medicine, Akron, Ohio", "department": "None" } ], "date_submitted": "2018-05-09T17:34:30-07:00", "date_accepted": "2018-05-09T17:34:30-07:00", "date_published": "2018-10-18T12:22:59-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11769/galley/6313/download/" } ] }, { "pk": 12252, "title": "This Article Corrects: \"Coronary Disease in Emergency Department Chest Pain Patients with Recent Negative Stress Testing\"", "subtitle": null, "abstract": "Background:\n Cardiac stress tests for diagnosis of coronary artery disease (CAD) are incompletely sensitive and specific.\nObjective:\n We examined the frequency of significant CAD in patients presenting to the emergency department (ED) with chest pain who have had a recent negative or inconclusive (<85% of predicted maximum heart rate) cardiac stress test.\nMethods:\n This was a retrospective chart review of patients identified from ED and cardiology registries at the study hospital. We included patients presenting to the ED with a chief complaint of chest pain, with a negative cardiac stress test in the past three years as the last cardiac test, and hospital admission. One-hundred sixty-four patients met the inclusion criteria. Their admission was reviewed for diagnosis of CAD by positive serum troponin, percutaneous coronary intervention, or positive stress test while an inpatient.\nResults:\n Of 164 patients, 122 (74.4%, 95% CI 67.7, 81.1) had a negative stress test prior to the index admission, while 42 (25.6%, 95% CI 18.9, 32.3) had otherwise normal but inconclusive stress tests. Thirty-four (20.7%, 95% CI 14.4,27.0) of the included patients were determined to have CAD. Twenty-five of the 122 patients (20.5%, 95% CI 13.3, 27.7) had negative pre-admission stress tests and nine of 42 patients (21.4%, 95% CI 9.0, 33.8) had inclusive stress tests of CAD. A statistical comparison between these two proportions showed no significant difference (p = .973).\nConclusion:\n Due to inadequate sensitivity, negative non-invasive cardiac stress tests should not be used to rule out CAD. Patients with negative stress tests are just as likely to have CAD as patients with inconclusive stress tests.", "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": "Erratum", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1x5992m4", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "", "last_name": "Walker", "name_suffix": "", "institution": "York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Galuska", "name_suffix": "", "institution": "York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Vega", "name_suffix": "", "institution": "York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" } ], "date_submitted": "2018-10-10T14:36:26-07:00", "date_accepted": "2018-10-10T14:36:26-07:00", "date_published": "2018-10-18T12:18:53-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/12252/galley/6539/download/" } ] }, { "pk": 11849, "title": "Characterizing Highly Frequent Users of a Large Canadian Urban Emergency Department", "subtitle": null, "abstract": "Introduction:\n Highly frequent users (HFU) of the emergency department (ED) are a poorly defined population. This study describes patient and visit characteristics for Canadian ED HFU and patient subgroups with mental illness, substance misuse, or ≥ 30 yearly ED visits.\nMethods:\n We reviewed health records from a random selection of adult patients whose visit frequency comprised the 99th percentile of yearly ED visits to The Ottawa Hospital. We excluded scheduled repeat ED assessments. We collected the following: 1) patient characteristics – age, sex, and comorbidities; and 2) ED visit characteristics – diagnosis category, length of stay, presentation time, consultation services, and final disposition. Two reviewers collected data, and we performed an inter-rater review to measure agreement. \nResults: \nWe analyzed 3,164 ED visits for 261 patients in all subgroups overall. Within the HFU random selection, mean age was 53.4 ± 1.3, and 55.6% were female. Most patients had a fixed address (88.9%), and family physician (87.2%). Top ED diagnoses included musculoskeletal pain (9.6%), alcohol intoxication (8.5%), and abdominal pain (8.4%). Allied health (social work, geriatric emergency medicine, or community care access centre) was consulted for 5.9% of visits. In 52.7% of these cases, allied health services were not available at the time of presentation. \nConclusion:\n HFU are a complex population who represent a marked proportion of annual ED visits. Our data indicate that there are opportunities to improve the current approaches to care. Future work examining ED-based screening and multi-disciplinary approaches for HFU may help reduce frequent ED presentations, and better serve this vulnerable population.", "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" }, { "word": "Frequent Users" } ], "section": "Resource Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0bn6254n", "frozenauthors": [ { "first_name": "Julie", "middle_name": "J.", "last_name": "Kim", "name_suffix": "", "institution": "University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada", "department": "None" }, { "first_name": "Edmund", "middle_name": "S.H.", "last_name": "Kwok", "name_suffix": "", "institution": "University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada\nOttawa Hospital Research Institute, Ottawa, Ontario, Canada", "department": "None" }, { "first_name": "Olivia", "middle_name": "G.", "last_name": "Cook", "name_suffix": "", "institution": "University of Ottawa, Department of Undergraduate Medicine, Ottawa, Ontario, Canada", "department": "None" }, { "first_name": "Lisa", "middle_name": "A.", "last_name": "Calder", "name_suffix": "", "institution": "University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada\nOttawa Hospital Research Institute, Ottawa, Ontario, Canada", "department": "None" } ], "date_submitted": "2018-06-15T10:09:21-07:00", "date_accepted": "2018-06-15T10:09:21-07:00", "date_published": "2018-10-18T12:17:06-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11849/galley/6344/download/" } ] }, { "pk": 11768, "title": "Substance Use, Homelessness, Mental Illness and Medicaid Coverage: A Set-up for High Emergency Department Utilization", "subtitle": null, "abstract": "Introduction:\n Frequent users of emergency departments (ED) account for 21–28% of all ED visits nationwide. The objective of our study was to identify characteristics unique to patients with psychiatric illness who are frequent ED users for mental health care. Understanding unique features of this population could lead to better care and lower healthcare costs.\n \nMethods: \nThis retrospective analysis of adult ED visits for mental healthcare from all acute care hospitals in California from 2009–2014 used patient-level data from California’s Office of Statewide Health Planning and Development. We calculated patient demographic and visit characteristics for patients with a primary diagnosis of a mental health disorder as a percentage of total adult ED visits. Frequent ED users were defined as patients with more than four visits in a 12-month period. We calculated adjusted rate ratios (aRR) to assess the association between classification as an ED frequent user and patient age, sex, payer, homelessness, and substance use disorder.\nResults:\n In the study period, 846,867 ED visits for mental healthcare occurred including 238,892 (28.2%) visits by frequent users. Patients with a primary mental health diagnosis and a co-occurring substance use diagnosis in the prior 12 months (77% vs. 37%, aRR [4.02], 95% confidence interval [CI] [3.92-4.12]), homelessness (2.9% vs 1.1%, odds ratio [1.35], 95% [CI] [1.27-1.43]) were more likely to be frequent users. Those covered by Medicare (aRR [3.37], 95% CI [3.20-3.55]) or the state’s Medicaid program Medi-Cal (aRR [3.10], 95% CI [2.94-3.25]) were also more likely to be frequent users compared with those with private insurance coverage. \nConclusion:\n Patients with substance use disorders, homelessness and public healthcare coverage are more likely to be frequent users of EDs for mental illness. Substance use and housing needs are important factors to address in this population.", "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, Mental Illness, Substance Use Disorders, Homelessness, High Utilization" } ], "section": "Health Policy", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9pf8n2p3", "frozenauthors": [ { "first_name": "Aimee", "middle_name": "", "last_name": "Moulin", "name_suffix": "", "institution": "University of California, Davis, Department of Emergency Medicine, Department of Psychiatry, Davis, California", "department": "None" }, { "first_name": "Ethan", "middle_name": "J.", "last_name": "Evans", "name_suffix": "", "institution": "University of California, Davis, Center for Healthcare Policy and Research, Davis, California", "department": "None" }, { "first_name": "Guibo", "middle_name": "", "last_name": "Xing", "name_suffix": "", "institution": "University of California, Davis, Center for Healthcare Policy and Research, Davis, California", "department": "None" }, { "first_name": "Joy", "middle_name": "", "last_name": "Melnikow", "name_suffix": "", "institution": "University of California, Davis, Center for Healthcare Policy and Research, Davis, California\nUniversity of California, Davis, Department of Family and Community Medicine, Davis, California", "department": "None" } ], "date_submitted": "2018-05-09T12:05:03-07:00", "date_accepted": "2018-05-09T12:05:03-07:00", "date_published": "2018-10-18T12:15:54-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11768/galley/6312/download/" } ] }, { "pk": 11666, "title": "Scholarship in Emergency Medicine: A Primer for Junior Academics Part III: Understanding Publication Metrics", "subtitle": null, "abstract": "There are approximately 78 indexed journals in the specialty of emergency medicine (EM), making it challenging to determine which is the best option for junior faculty. This paper is the final component of a three-part series focused on guiding junior faculty to enhance their scholarly productivity. As an EM junior faculty’s research career advances, the bibliometric tools and resources detailed in this paper should be considered when developing a publication submission strategy. The tenure and promotion decision process in many universities relies at least in part on these types of bibliometrics. This paper provides an understanding of new, alternative metrics that can be used to promote scientific progress in a transparent and timely manner.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Medical Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5ns181k3", "frozenauthors": [ { "first_name": "Linda", "middle_name": "S.", "last_name": "Murphy", "name_suffix": "", "institution": "University of California-Irvine Libraries, Reference Department, Irvine, California", "department": "None" }, { "first_name": "Chadd", "middle_name": "K.", "last_name": "Kraus", "name_suffix": "", "institution": "Geisinger Health System, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California Irvine Health School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "James", "middle_name": "R.", "last_name": "Langabeer II", "name_suffix": "", "institution": "University of Texas McGovern School of Medicine, Houston, Texas", "department": "None" }, { "first_name": "Mark", "middle_name": "I.", "last_name": "Langdorf", "name_suffix": "", "institution": "University of California Irvine Health School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" } ], "date_submitted": "2018-03-07T20:22:55-08:00", "date_accepted": "2018-03-07T20:22:55-08:00", "date_published": "2018-10-18T12:14:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11666/galley/6274/download/" } ] }, { "pk": 11860, "title": "Risk Factors in Pediatric Blunt Cervical Vascular Injury and Significance of Seatbelt Sign", "subtitle": null, "abstract": "Introduction:\n Computed tomography angiography (CTA) is used to screen patients for cerebrovascular injury after blunt trauma, but risk factors are not clearly defined in children. This modality has inherent radiation exposure. We set out to better delineate the risk factors associated with blunt cervical vascular injury (BCVI) in children with attention to the predictive value of seatbelt sign of the neck.\nMethods:\n We collected demographic, clinical and radiographic data from the electronic medical record and a trauma registry for patients less than age 18 years who underwent CTA of the neck in their evaluation at a Level I trauma center from November 2002 to December 2014 (12 years). The primary outcome was BCVI. \nResults:\n We identified 11,446 pediatric blunt trauma patients of whom 375 (2.7%) underwent CTA imaging. Fifty-three patients (0.4%) were diagnosed with cerebrovascular injuries. The average age of patients was 12.6 years and included 66% males. Nearly half of the population was white (52%). Of those patients who received CTA, 53 (14%) were diagnosed with arterial injury of various grades (I-V). We created models to evaluate factors independently associated with BCVI. The independent predictors associated with BCVI were Injury Severity Score >/= 16 (odds ratio [OR] [2.35]; 95% confidence interval [CI] [1.11-4.99%]), infarct on head imaging (OR [3.85]; 95% CI [1.49-9.93%]), hanging mechanism (OR [8.71]; 95% CI [1.52-49.89%]), cervical spine fracture (OR [3.84]; 95% CI [1.94-7.61%]) and basilar skull fracture (OR [2.21]; 95% CI [1.13-4.36%]). The same independent predictors remained associated with BCVI when excluding hanging mechanism from the multivariate regression analysis. Seatbelt sign of the neck was not associated with BCVI (p=0.68). \nConclusion:\n We have found independent predictors of BCVI in pediatric patients. These may help in identifying children that may benefit from screening with CTA of the neck.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "pediatric cerebrovascular accident, computed tomography angiogram, blunt cervical vascular injury" } ], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0vp885t4", "frozenauthors": [ { "first_name": "Irma", "middle_name": "T.", "last_name": "Ugalde", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Sciences Center, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Mary", "middle_name": "K.", "last_name": "Claiborne", "name_suffix": "", "institution": "Phoenix Children’s Hospital, Department of Pediatric Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "Marylou", "middle_name": "", "last_name": "Cardenas-Turanzas", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Sciences Center, Department of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Manish", "middle_name": "N.", "last_name": "Shah", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Sciences Center, Department of Pediatric Surgery and Neurosurgery, Houston, Texas", "department": "None" }, { "first_name": "James", "middle_name": "R.", "last_name": "Langabeer II", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Sciences Center, Department of Emergency Medicine, Houston, Texas\nMcGovern Medical School at The University of Texas Health Sciences Center, The University of Texas Health Sciences Center School of Biomedical Informatics, Houston, Texas", "department": "None" }, { "first_name": "Rajan", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "McGovern Medical School at The University of Texas Health Sciences Center, Department of Diagnostic and Interventional Radiology, Houston, Texas", "department": "None" } ], "date_submitted": "2018-06-19T08:11:41-07:00", "date_accepted": "2018-06-19T08:11:41-07:00", "date_published": "2018-10-18T12:12:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11860/galley/6348/download/" } ] }, { "pk": 11755, "title": "Analgesic Administration for Patients with Renal Colic in the Emergency Department Before and After Implementation of an Opioid Reduction Initiative", "subtitle": null, "abstract": "Introduction:\n We aimed to evaluate the patterns of analgesic prescribing for emergency department (ED) patients suffering from pain of renal colic before, during, and after implementation of an opioid reduction initiative. We hypothesized that this initiative based on the concept of channels/enzymes/receptors-targeted analgesia would result in overall decrease in opioid utilization in the ED and at discharge.\nMethods:\n We performed a retrospective analysis of ED electronic medical record of patients presenting with renal colic who received analgesics in the ED and at discharge over a five-year period. Patients were divided into three groups based on the following periods: 2012-2014 (pre-implementation phase); 2014-2015 (implementation phase); and 2015-2017 (post-implementation).\nResults:\n A total of 4,490 patients presented to the ED with renal colic over a five-year study period. Analgesics were administered to 3,793 ED patients of whom 1,704 received opioids and 2,675 received non-opioid analgesics. A total of 3,533 ED patients received a prescription for analgesic(s) upon discharge from the ED: 2,692 patients received opioids, and 2,228 received non-opioids. We observed a 12.7% overall decrease from the pre-implementation to post-implementation time period in opioid prescribing in the ED and a 25.5% decrease in opioid prescribing at discharge, which translated into 432 and 768 fewer patients receiving opioids, respectively.\nConclusion:\n Implementation of an opioid-reduction initiative based on patient-specific, pain syndrome-targeted opioid alternative protocols resulted in a reduction in opioid administration in the ED by 12.7% and at prescriptions at discharge by 25.5%. Adoption of similar ED initiatives nationwide has the potential to foster effective non-opioid analgesic practices for ED patients presenting with renal colic and to reduce physicians’ reliance on administering and prescribing opioids.", "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": "Analgesia, Emergency Department, Opioids" } ], "section": "Public Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7m48n3k7", "frozenauthors": [ { "first_name": "Sergey", "middle_name": "", "last_name": "Motov", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Jefferson", "middle_name": "", "last_name": "Drapkin", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Mahlaqa", "middle_name": "", "last_name": "Butt", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Thorson", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Antonios", "middle_name": "", "last_name": "Likourezos", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Peter", "middle_name": "", "last_name": "Flom", "name_suffix": "", "institution": "Peter Flom Consulting, New York, New York", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Marshall", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" } ], "date_submitted": "2018-05-02T10:22:53-07:00", "date_accepted": "2018-05-02T10:22:53-07:00", "date_published": "2018-10-18T12:10:24-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11755/galley/6309/download/" } ] }, { "pk": 11694, "title": "Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department", "subtitle": null, "abstract": "Introduction:\n Asking family members to leave during invasive procedures has historically been common practice; however, evidence-based recommendations have altered the trend of family presence during pediatric procedures. The aim of this study was to determine factors related to family members’ choice to be present or absent during fracture reductions in a pediatric emergency department (ED), and their satisfaction with that choice.\nMethods:\n We administered role-specific, anonymous surveys to a convenience sample of patients’ family members in the ED of a Level I pediatric trauma center. All family members were given a choice of where to be during the procedure.\nResults:\n Twenty-five family members of 18 patients completed surveys. Seventeen family members chose to stay in the room. Family member satisfaction with their decision to be inside or outside the room during the procedure (median = very satisfied) was almost uniformly high and not associated with any of the following variables: previous presence during a medical procedure; provider-reported procedure difficulty, or anxiety levels. Family member perception of procedure success (median = extremely well) was also high and not associated with other variables. Location during the procedure was associated with a desire to be in the same location in the future (Fisher’s exact test, p=0.001). Common themes found among family members’ reasons for their location decisions and satisfaction levels were a desire to support the patient, high staff competence, and their right as parents to choose their location.\nConclusion:\n Family members self-select their location during their child’s fracture reduction to high levels of satisfaction, and they considered the ability to choose their location as important.", "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, pediatrics, patient-centered care, family-centered care" } ], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7012w1t4", "frozenauthors": [ { "first_name": "Albert", "middle_name": "", "last_name": "Zhang", "name_suffix": "", "institution": "University of Minnesota, Department of Pediatrics, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Regina", "middle_name": "M.", "last_name": "Yocum", "name_suffix": "", "institution": "American Family Children’s Hospital, Department of Child Life Services, Madison, Wisconsin", "department": "None" }, { "first_name": "Michael", "middle_name": "D.", "last_name": "Repplinger", "name_suffix": "", "institution": "University of Wisconsin, Madison, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin\nUniversity of Wisconsin, Madison, Department of Radiology, Madison, Wisconsin", "department": "None" }, { "first_name": "Aimee", "middle_name": "T.", "last_name": "Broman", "name_suffix": "", "institution": "University of Wisconsin, Madison, Department of Biostatistics and Medical Informatics, Madison, Wisconsin", "department": "None" }, { "first_name": "Michael", "middle_name": "K.", "last_name": "Kim", "name_suffix": "", "institution": "University of Wisconsin, Madison, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin\nUniversity of Wisconsin, Madison, Department of Pediatrics, Madison, Wisconsin", "department": "None" } ], "date_submitted": "2018-03-20T12:22:02-07:00", "date_accepted": "2018-03-20T12:22:02-07:00", "date_published": "2018-10-18T12:08:47-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11694/galley/6286/download/" } ] }, { "pk": 11752, "title": "Emergency Department Patient Satisfaction with Treatment of Low-risk Pulmonary Embolism", "subtitle": null, "abstract": "Introduction:\n Many emergency department (ED) patients with acute pulmonary embolism (PE) who meet low-risk criteria may be eligible for a short length of stay (LOS) (<24 hours), with expedited discharge home either directly from the ED or after a brief observation or hospitalization. We describe the association between expedited discharge and site of discharge on care satisfaction and quality of life (QOL) among patients with low-risk PE (PE Severity Index [PESI] Classes I-III).\nMethods:\n This phone survey was conducted from September 2014 through April 2015 as part of a retrospective cohort study across 21 community EDs in Northern California. We surveyed low-risk patients with acute PE, treated predominantly with enoxaparin bridging and warfarin. All eligible patients were called 2-8 weeks after their index E D visit. PE-specific, patient-satisfaction questions addressed overall care, discharge instruction clarity, and LOS. We scored physical and mental QOL using a modified version of the validated Short Form Health Survey. Satisfaction and QOL were compared by LOS. For those with expedited discharge, we compared responses by site of discharge: ED vs. hospital, which included ED-based observation units. We used chi-square and Wilcoxon rank-sum tests as indicated.\nResults:\n Survey response rate was 82.3% (424 of 515 eligible patients). Median age of respondents was 64 years; 47.4% were male. Of the 145 patients (34.2%) with a LOS<24 hours, 65 (44.8%) were discharged home from the ED. Of all patients, 8 9.6% were satisfied with their overall care and 94.1% found instructions clear. Sixty-six percent were satisfied with their LOS, whereas 17.5% would have preferred a shorter LOS and 16.5% a longer LOS. There were no significant differences in satisfaction between patients with LOS<24 hours vs. ≥24 hours (p>0.13 for all). Physical QOL scores were significantly higher for expedited-discharge patients (p=0.01). Patients with expedited discharge home from the ED vs. the hospital had no significant difference in satisfaction (p>0.20 for all) or QOL (p>0.19 for all).\nConclusion:\n ED patients with low-risk PE reported high satisfaction with their care in follow-up surveys. Expedited discharge (<24 hours) and site of discharge were not associated with differences in patient satisfaction.", "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": "Pulmonary embolism, patient preference, quality of life, length of stay, patient discharge" } ], "section": "Treatment Protocol Assessment", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/90s6r1mb", "frozenauthors": [ { "first_name": "Laura", "middle_name": "E.", "last_name": "Simon", "name_suffix": "", "institution": "Kaiser Permanente, Division of Research, Oakland, California", "department": "None" }, { "first_name": "Hilary", "middle_name": "R.", "last_name": "Iskin", "name_suffix": "", "institution": "University of Michigan Medical School, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Ridhima", "middle_name": "", "last_name": "Vemula", "name_suffix": "", "institution": "University of Cincinnati College of Medicine, Cincinnati, Ohio", "department": "None" }, { "first_name": "Jie", "middle_name": "", "last_name": "Huang", "name_suffix": "", "institution": "Kaiser Permanente, Division of Research, Oakland, California", "department": "None" }, { "first_name": "Adina", "middle_name": "S.", "last_name": "Rauchwerger", "name_suffix": "", "institution": "Kaiser Permanente, Division of Research, Oakland, California", "department": "None" }, { "first_name": "Mary", "middle_name": "E.", "last_name": "Reed", "name_suffix": "", "institution": "Kaiser Permanente, Division of Research, Oakland, California", "department": "None" }, { "first_name": "Dustin", "middle_name": "W.", "last_name": "Ballard", "name_suffix": "", "institution": "Kaiser Permanente, Division of Research, Oakland, California\nKaiser Permanente San Rafael Medical Center, Department of Emergency Medicine,\nSan Rafael, California", "department": "None" }, { "first_name": "David", "middle_name": "R.", "last_name": "Vinson", "name_suffix": "", "institution": "Kaiser Permanente, Division of Research, Oakland, California\nKaiser Permanente Sacramento Medical Center, Department of Emergency Medicine, Sacramento, California", "department": "None" } ], "date_submitted": "2018-05-01T11:45:09-07:00", "date_accepted": "2018-05-01T11:45:09-07:00", "date_published": "2018-10-18T12:00:29-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11752/galley/6308/download/" } ] }, { "pk": 11831, "title": "Scholarship in Emergency Medicine: A Primer for Junior Academics Part I: Writing and Publishing", "subtitle": null, "abstract": "The landscape of scholarly writing, publishing, and university promotion can be complex and challenging. Mentorship may be limited. To be successful it is important to understand the key components of writing and publishing. In this article, we provide expert consensus recommendations on four key challenges faced by junior faculty: writing the paper; selecting contributors and the importance of authorship order; journal selection and indexing; and responding to critiques. After reviewing this paper, the reader should have an enhanced understanding of these challenges and strategies to successfully address them.", "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": "faculty development" }, { "word": "Medicine" }, { "word": "scholarship" }, { "word": "research" }, { "word": "publishing" }, { "word": "authorship" }, { "word": "Peer Review" } ], "section": "Medical Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pc1v507", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California Irvine Health School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Linda", "middle_name": "", "last_name": "Murphy", "name_suffix": "", "institution": "University of California Irvine, UCI Science Library Reference Department, Irvine, California", "department": "None" }, { "first_name": "Chadd", "middle_name": "K.", "last_name": "Kraus", "name_suffix": "", "institution": "Geisinger Health System, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" }, { "first_name": "James", "middle_name": "R.", "last_name": "Langabeer II", "name_suffix": "", "institution": "University of Texas McGovern School of Medicine, Houston, Texas", "department": "None" }, { "first_name": "Mark", "middle_name": "I.", "last_name": "Langdorf", "name_suffix": "", "institution": "University of California Irvine Health School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" } ], "date_submitted": "2018-06-06T07:35:50-07:00", "date_accepted": "2018-06-06T07:35:50-07:00", "date_published": "2018-10-18T11:57:42-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11831/galley/6336/download/" } ] }, { "pk": 11488, "title": "Standardized Patients to Assess Resident Interpersonal Communication Skills and Professional Values Milestones", "subtitle": null, "abstract": "It has been a challenge to assess communication and professional values Milestones in emergency medicine (EM) residents using standardized methods, as mandated by the Accreditation Council for Graduate Medical Education (ACGME). This paper outlines an innovative method of assessing these Milestones using an established instructional method. EM faculty mapped the communication and professional values Milestones to an existing communication and interpersonal skills scale. We identified six communication-focused scenarios: death notification; informed consent; medical non-compliance; medical error; treatment refusal; and advanced directives. In a pilot, 18 EM residents completed these six standardized patient (SP) encounters. Our experience suggests SP encounters can support standardized direct observation of residents’ achievement of ACGME Milestones. Further effort can be made to create a tailored, behaviorally-anchored tool that uses the Milestones as the conceptual framework.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Simulation, Education, Standardized Patient, Milestones" } ], "section": "Medical Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0w65q2hk", "frozenauthors": [ { "first_name": "Samreen", "middle_name": "", "last_name": "Vora", "name_suffix": "", "institution": "Children’s Minnesota, Department of Simulation, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Matt", "middle_name": "", "last_name": "Lineberry", "name_suffix": "", "institution": "University of Kansas Medical Center and Health System, Zamierowski Institute for Experiential Learning, Kansas City, Kansas", "department": "None" }, { "first_name": "Valerie", "middle_name": "Ann", "last_name": "Dobiesz", "name_suffix": "", "institution": "Brigham & Women’s Hospital, STRATUS Center for Medical Simulation, Department of Emergency Medicine, Boston, Harvard Medical School, Massachusetts", "department": "None" } ], "date_submitted": "2017-12-07T08:21:13-08:00", "date_accepted": "2017-12-07T08:21:13-08:00", "date_published": "2018-10-18T11:50:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11488/galley/6204/download/" } ] }, { "pk": 596, "title": "Limb Ischemia in a Patient with Hyperosmolar Hyperglycemic State", "subtitle": null, "abstract": "A 61-year-old male with a recent diagnosis of pemphigus vulgaris was brought to the emergency department for altered mental status. He had recently started taking prednisone to manage his autoimmune disease and had a progressive decline in his mental status along with decreased oral intake. Evaluation revealed hyperosmolar hyperglycemic state (HHS) and occlusive arterial thrombosis, a rare but known complication of HHS. He was resuscitated aggressively with intravenous fluids, insulin, and heparin and admitted to the intensive care unit. Emergency physicians should remain vigilant for ischemic complications in patients with HHS. Early recognition and treatment can reduce the morbidity and mortality associated with this endocrine emergency.", "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/7rs8z600", "frozenauthors": [ { "first_name": "Ahmed", "middle_name": "", "last_name": "Al Hazmi", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Manning", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2018-09-12T14:02:37-07:00", "date_accepted": "2018-09-12T14:02:37-07:00", "date_published": "2018-10-17T12:11:05-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/596/galley/357/download/" } ] }, { "pk": 591, "title": "This Rash Puts You in the ICU", "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/64b8769q", "frozenauthors": [ { "first_name": "Zachary", "middle_name": "", "last_name": "Skaggs", "name_suffix": "", "institution": "University of Nevada, Las Vegas School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Jordana", "middle_name": "", "last_name": "Haber", "name_suffix": "", "institution": "University of Nevada, Las Vegas School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" } ], "date_submitted": "2018-09-11T12:45:53-07:00", "date_accepted": "2018-09-11T12:45:53-07:00", "date_published": "2018-10-17T12:09:29-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/591/galley/352/download/" } ] }, { "pk": 600, "title": "Flail Chest Resulting From a Rocket-type Firework", "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/2xj9k57m", "frozenauthors": [ { "first_name": "C.", "middle_name": "Eric", "last_name": "McCoy", "name_suffix": "", "institution": "UC Irvine School of Medicine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Nadia", "middle_name": "", "last_name": "Zuabi", "name_suffix": "", "institution": "UC Irvine School of Medicine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "UC Irvine School of Medicine, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2018-09-28T14:00:33-07:00", "date_accepted": "2018-09-28T14:00:33-07:00", "date_published": "2018-10-17T12:04:10-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/600/galley/361/download/" } ] }, { "pk": 601, "title": "83-year-old Woman with a Fever and Emesis", "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": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4bh7c4w0", "frozenauthors": [ { "first_name": "Shelly", "middle_name": "", "last_name": "Birch", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Sarah", "middle_name": "B.", "last_name": "Dubbs", "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" }, { "first_name": "Zachary", "middle_name": "D.", "last_name": "Dezman", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2018-10-05T16:30:36-07:00", "date_accepted": "2018-10-05T16:30:36-07:00", "date_published": "2018-10-16T12:30:01-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/601/galley/362/download/" } ] }, { "pk": 599, "title": "Convulsion and Atrial Fibrillation after Transforaminal Cervical Epidural Lidocaine Injection", "subtitle": null, "abstract": "Lidocaine has been widely used as a local anesthetic as well as an antiarrhythmic. Its use in epidural anesthesia is increasing, which has introduced new risk and potential for harm not associated with older indications. We present a case of convulsion and atrial fibrillation seen after transforaminal cervical epidural injection with two milliliters of 2% lidocaine (40 milligrams) that resolved with no long-term sequelae. Patient had a negative serum lidocaine level. With cervical epidural injections being a common treatment for radicular pain, it is important for medical providers to be aware of the various complications associated with this procedure.", "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/85s8f7vf", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "E.", "last_name": "Carter Powell", "name_suffix": "", "institution": "Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, Arizona\nUniversity of Arizona College of Medicine - Phoenix, Phoenix, Arizona\nBanner - University Medical Center Phoenix, Department of Medical Toxicology, Phoenix, Arizona", "department": "None" }, { "first_name": "Aimee", "middle_name": "", "last_name": "Mishler", "name_suffix": "", "institution": "Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "Dan", "middle_name": "", "last_name": "Quan", "name_suffix": "", "institution": "Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, Arizona\nUniversity of Arizona College of Medicine - Phoenix, Phoenix, Arizona\nCreighton University, School of Medicine, Phoenix, Arizona", "department": "None" } ], "date_submitted": "2018-09-28T13:57:12-07:00", "date_accepted": "2018-09-28T13:57:12-07:00", "date_published": "2018-10-16T12:28:31-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/599/galley/360/download/" } ] }, { "pk": 588, "title": "Under-recognized Etiology of Altered Mental Status in a Patient with Alcoholism", "subtitle": null, "abstract": "Wernicke’s encephalopathy is an important condition for the emergency physician (EP) to consider in patients at risk for malnutrition. A 60-year-old man with history of alcoholism presented with word-finding difficulties, dysmetria, ataxia, and personality changes. After treatment with high-dose thiamine, his neurological status returned to his baseline. Although EPs routinely prescribe thiamine for patients with alcoholism, the common initial dose of 100 mg per day is likely subtherapeutic, and the population of patients at risk for malnutrition is much broader than only those with alcoholism, and includes those with cancer, anorexia nervosa, hyperemesis gravidarum, and others. EPs must be aware of this low-cost, readily available prophylaxis to prevent long-term neurological morbidity.", "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/2rh7882w", "frozenauthors": [ { "first_name": "James", "middle_name": "D.", "last_name": "Maloy", "name_suffix": "", "institution": "Beaumont Health System, Department of Emergency Medicine, Royal Oak, Michigan", "department": "None" }, { "first_name": "Ronny", "middle_name": "M.", "last_name": "Otero", "name_suffix": "", "institution": "Beaumont Health System, Department of Emergency Medicine, Royal Oak, Michigan", "department": "None" } ], "date_submitted": "2018-08-30T20:22:34-07:00", "date_accepted": "2018-08-30T20:22:34-07:00", "date_published": "2018-10-16T12:27:04-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/588/galley/349/download/" } ] }, { "pk": 589, "title": "Acute Epiglottitis with Concurrent Pneumonia and Septic Shock in an Alcoholic Adult Patient", "subtitle": null, "abstract": "Historically epiglottitis has been considered a childhood disease. However, the introduction of the \nHaemophilus influenzae\n type B vaccine has decreased the incidence of epiglottitis in children. It is important to recognize modern epiglottitis as a disease of adults. This report describes a case of acute bacterial epiglottitis in an adult patient secondary to infection caused by \nStreptococcus pyogenes\n, a group A streptococcal infection. This case demonstrates the importance of early recognition of epiglottitis in adults, as they can experience rapid clinical decline. The progression of this disease can lead to abrupt airway obstruction necessitating emergent airway management.", "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/2ft762w1", "frozenauthors": [ { "first_name": "Alexandra", "middle_name": "", "last_name": "Chitty", "name_suffix": "", "institution": "St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Taylor", "name_suffix": "", "institution": "St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida", "department": "None" } ], "date_submitted": "2018-09-10T10:42:38-07:00", "date_accepted": "2018-09-10T10:42:38-07:00", "date_published": "2018-10-16T12:25:31-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/589/galley/350/download/" } ] }, { "pk": 595, "title": "Rib Osteomyelitis in a Pediatric Patient: A Case Report and Review of the Literature", "subtitle": null, "abstract": "We present a case report and review of the literature of rib osteomyelitis in a pediatric patient presenting to the emergency department (ED) with fever and increased work of breathing. The patient was seen on a return visit to the ED after discharge with presumed viral illness approximately 12 hours prior. On the second ED visit, there was concern for occult bacteremia, and work-up ultimately revealed a subperiosteal abscess with rib osteomyelitis, a rare etiology for fever in the pediatric patient. The patient was treated with antibiotics, had surgical debridement, and fully recovered.", "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/5tt8301v", "frozenauthors": [ { "first_name": "Philip", "middle_name": "D.", "last_name": "Nibley", "name_suffix": "", "institution": "Wellspan Health - York Hospital, Department of Emergency Medicine, York, Pennsylvania", "department": "None" }, { "first_name": "Chadd", "middle_name": "K.", "last_name": "Kraus", "name_suffix": "", "institution": "Geisinger Health System, Department of Emergency Medicine, Danville, Pennsylvania", "department": "None" } ], "date_submitted": "2018-09-12T13:59:42-07:00", "date_accepted": "2018-09-12T13:59:42-07:00", "date_published": "2018-10-16T11:29:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/595/galley/356/download/" } ] }, { "pk": 46860, "title": "Campaigning in Lilliput: Money’s Influence in Small and Mid-Sized City Elections", "subtitle": null, "abstract": "Research on federal, state and big-city elections has concluded that campaign spending is a necessary but not sufficient condition for electoral success: even though the best financed candidates do not always win, aspirants for office need to raise and spend funds to mount competitive campaigns. But scholars have not explored whether this pattern holds in small to mid-sized cities. Money influences elections in all jurisdictions, but it is plausible that as cities get smaller campaign finance dynamics change. In this paper I explore whether campaign finance dynamics are different in small and mid-sized cities, using a dataset of 61 California cities. Despite reason to think that they will vary, I find that campaign finance patterns are similar across cities of various sizes. Few city council candidates are able to mount credible campaigns without money, even in small cities. Incumbents enjoy high re-election rates across all cities, and levels of competition may even decrease with constituency size.", "language": "en", "license": null, "keywords": [ { "word": "local government" }, { "word": "Campaign Finance" }, { "word": "Politics" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4c98922s", "frozenauthors": [ { "first_name": "Brian", "middle_name": "", "last_name": "Adams", "name_suffix": "", "institution": "San Diego State University", "department": "None" } ], "date_submitted": "2018-10-12T22:20:31-07:00", "date_accepted": "2018-10-12T22:20:31-07:00", "date_published": "2018-10-12T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46860/galley/35428/download/" } ] }, { "pk": 46862, "title": "Candidate Ethnicity and Latino Voting in Co-Partisan Elections", "subtitle": null, "abstract": "The adoption of the top two primary system in California is resulting in a rising number of general elections in which candidates from the same party compete. Incidentally, California is also home to a large and diverse Latino community. When party identification is no longer a reliable cue, do Latino voters turn to the race or ethnicity of a candidate in selecting whom to support? We examine co-partisan Republican general elections in California’s state assembly from 2012‒2016. Using surname-matched precinct-level voter data, we conduct ecological inference analysis to estimate support for candidates based on the ethnicity of voters. Taking the case of Latino voters, we find a strong level of support for Latino Republican candidates, suggesting that a candidate’s ethnicity may inform voters’ strategic decision making in partisan elections.", "language": "en", "license": null, "keywords": [ { "word": "Latino Politics" }, { "word": "State Legislative Elections" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9kq704cf", "frozenauthors": [ { "first_name": "Sara", "middle_name": "", "last_name": "Sadhwani", "name_suffix": "", "institution": "University of Southern California", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Mendez", "name_suffix": "", "institution": "California State University, Channel Islands", "department": "None" } ], "date_submitted": "2018-10-12T22:29:28-07:00", "date_accepted": "2018-10-12T22:29:28-07:00", "date_published": "2018-10-12T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46862/galley/35430/download/" } ] }, { "pk": 46861, "title": "Does More Choice Lead to Reduced Racially Polarized Voting? Assessing the Impact of Ranked-Choice Voting in Mayoral Elections", "subtitle": null, "abstract": "Politics in American cities is largely driven by racial group cleavages, and voting in urban elections is polarized along racial lines. Several cities have implemented a relatively new reform to urban elections called ranked-choice voting (RCV), which eliminates the plurality run-off election by giving voters the option to rank-order several vote preferences. This article examines whether the expanded preference choices associated with ranked-choice voting reduce the level of racially polarized voting in mayoral elections. In the first stage of analysis, precinct-level election results from Oakland, CA, and San Francisco, CA, are used to explore variation in racially polarized voting before and after the implementation of RCV. The second stage of analysis uses a difference-in-differences design to analyze racially polarized voting in RCV cities compared to non-RCV cities. The results indicate that racially polarized voting did not decrease due to the implementation of RCV. Rather, the results show that RCV contributed to higher levels of racially polarized voting between white and Asian voters.", "language": "en", "license": null, "keywords": [ { "word": "local government" }, { "word": "Local Campaigns" }, { "word": "Race and Politics" }, { "word": "urban politics" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2gm5854x", "frozenauthors": [ { "first_name": "Jason", "middle_name": "", "last_name": "McDaniel", "name_suffix": "", "institution": "San Francisco State University", "department": "None" } ], "date_submitted": "2018-10-12T22:24:44-07:00", "date_accepted": "2018-10-12T22:24:44-07:00", "date_published": "2018-10-12T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46861/galley/35429/download/" } ] }, { "pk": 46863, "title": "The California Voting Rights Act and Local Governments", "subtitle": null, "abstract": "On July 9, 2002, Governor Gray Davis signed the California Voting Rights Act (CVRA) into law. The intent of the CVRA was to build upon the voting rights protections embodied in the Federal Voting Rights Act (FVRA) by enhancing the influence of minority populations in local government elections. The CVRA has led to multiple legal challenges of at-large electoral systems in dozens of governments in California. This paper explores the impacts of the CVRA on local governments as well as potential impacts of recent changes to the CVRA.", "language": "en", "license": null, "keywords": [ { "word": "Voting Rights" }, { "word": "California Politics" } ], "section": "Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/031405xr", "frozenauthors": [ { "first_name": "David", "middle_name": "C.", "last_name": "Powell", "name_suffix": "", "institution": "California State University, Long Beach", "department": "None" } ], "date_submitted": "2018-10-12T22:32:17-07:00", "date_accepted": "2018-10-12T22:32:17-07:00", "date_published": "2018-10-12T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46863/galley/35431/download/" } ] }, { "pk": 11716, "title": "Deaf and Hard of Hearing Learners in Emergency Medicine", "subtitle": null, "abstract": "Approximately 23% of Americans over age 12 have some level of hearing loss.1 Emergency departments can reduce healthcare barriers for deaf and hard-of-hearing (DHoH) patients through improved patient-physician communication. DHoH students, once they become physicians, may provide one mechanism for reducing existing healthcare disparities and communication barriers for DHoH patients, and may be more adept with patients facing other communication barriers. A renewed interest in disability access and a commitment to social justice has increased efforts toward the inclusion of individuals with disabilities in medical education and training. Despite this increased interest and a growing number of DHoH students entering medical education, DHoH students continue to be dissuaded from specialty careers such as emergency medicine (EM) over concerns regarding effective communication and ability. Given the academic medicine communities’ commitment to diversity, a recounting of the successful inclusion of DHoH students in EM can benefit medical education and practice.\nIn this account, the authors reflect on the successful experiences of a visiting DHoH medical student in an academic EM rotation at a Level I trauma hospital that serves a diverse population, and they identify the potential challenges for DHoH students in an EM setting, offer solutions including reasonable accommodations, and provide commentary on the legal requirements for providing full and equal access for DHoH students. We secured permission from the student to share the contents of this article prior to publication.", "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": "ADA" }, { "word": "Deafness" }, { "word": "disability" }, { "word": "Emergency Medicine" } ], "section": "Medical Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4f46j76w", "frozenauthors": [ { "first_name": "Lisa", "middle_name": "M.", "last_name": "Meeks", "name_suffix": "", "institution": "University of Michigan, Department of Family Medicine, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Alina", "middle_name": "", "last_name": "Engelman", "name_suffix": "", "institution": "California State University, East Bay, Department of Health Sciences, Hayward, California", "department": "None" }, { "first_name": "Alicia", "middle_name": "", "last_name": "Booth", "name_suffix": "", "institution": "Designated Interpreters LLC, New York, New York", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Argenyi", "name_suffix": "", "institution": "University of Massachusetts Medical School, Department of Family Medicine and Community Health, Worcester, Massachusetts", "department": "None" } ], "date_submitted": "2018-04-05T11:12:18-07:00", "date_accepted": "2018-04-05T11:12:18-07:00", "date_published": "2018-10-10T13:52:20-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11716/galley/6295/download/" } ] }, { "pk": 590, "title": "Blinking Bug Bite", "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/2zw9b4k3", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "Miller", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Walsh", "name_suffix": "", "institution": "St. Joseph Regional Medical Center, Department of Emergency Medicine, Mishawaka, Indiana", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Magyar", "name_suffix": "", "institution": "St. Joseph Regional Medical Center, Department of Emergency Medicine, Mishawaka, Indiana", "department": "None" }, { "first_name": "Nuha", "middle_name": "", "last_name": "Zackariya", "name_suffix": "", "institution": "Indiana University, Bloomington, Indiana", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Rice", "name_suffix": "", "institution": "South Bend Clinic, Michiana Pediatrics, South Bend, Indiana", "department": "None" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Rice", "name_suffix": "", "institution": "St. Joseph Regional Medical Center, Department of Emergency Medicine, Mishawaka, Indiana", "department": "None" }, { "first_name": "Dawn", "middle_name": "", "last_name": "Ziegelmaier", "name_suffix": "", "institution": "Pulmonary and Critical Care Associates PC, South Bend, Indiana", "department": "None" }, { "first_name": "Patrick", "middle_name": "", "last_name": "Hanlon", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Dynako", "name_suffix": "", "institution": "Indiana University School of Medicine, South Bend, Indiana", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Zimmer", "name_suffix": "", "institution": "Indiana University School of Medicine, South Bend, Indiana", "department": "None" }, { "first_name": "Faadil", "middle_name": "", "last_name": "Shariff", "name_suffix": "", "institution": "Indiana University, Bloomington, Indiana", "department": "None" }, { "first_name": "Michael", "middle_name": "T.", "last_name": "McCurdy", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine,\nBaltimore, Maryland", "department": "None" }, { "first_name": "Shane", "middle_name": "", "last_name": "Kappler", "name_suffix": "", "institution": "Cambridge Health Alliance, Cambridge, Massachusetts", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Guentert", "name_suffix": "", "institution": "Pulmonary and Critical Care Associates PC, South Bend, Indiana", "department": "None" } ], "date_submitted": "2018-09-11T12:43:43-07:00", "date_accepted": "2018-09-11T12:43:43-07:00", "date_published": "2018-10-09T12:47:15-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/590/galley/351/download/" } ] }, { "pk": 11889, "title": "Implementation of a Collaborative HIV and Hepatitis C Screening Program in Appalachian Urgent Care Settings", "subtitle": null, "abstract": "Introduction: \nWith the current hepatitis C (HCV) epidemic in the Appalachian region and the risk of human immunodeficiency virus (HIV) co-infection, there is a need for increased secondary prevention efforts. The purpose of this study was to implement routine HIV and HCV screenings in the urgent care setting through the use of an electronic medical record (EMR) to increase a provider’s likelihood of testing eligible patients. \nMethods:\n From June 2017 through May 2018, EMR-based HIV and HCV screenings were implemented in three emergency department-affiliated urgent care settings: a local urgent care walk-in clinic; a university-based student health services center; and an urgent care setting located within a multi-specialty clinic. EMR best practice alerts (BPA) were developed based on Centers for Disease Control and Prevention (CDC) guidelines and populated on registered patients who qualified to receive HIV and/or HCV testing. Patients were excluded from the study if they chose to opt out from testing or the provider deemed it clinically inappropriate. Upon notification of a positive HIV and/or HCV test result through the EMR, patient navigators (PNs) were responsible for linking patients to their first medical appointment. \nResults:\n From June 2017 through May 2018, 48,531 patients presented to the three urgent care clinics. Out of 27,230 eligible patients, 1,972 patients (7.2%) agreed to be screened for HIV; for HCV, out of 6,509 eligible patients, 1,895 (29.1%) agreed to be screened. Thirty-one patients (1.6%) screened antibody-positive for HCV, with three being ribonucleic acid confirmed positives. No patients in either setting were confirmed positive for HIV; however, two initially screened HIV-positive. PNs were able to link 17 HCV antibody-positive patients (55%) to their first appointment, with the remainder having a scheduled future appointment. \nConclusion:\n Introducing an EMR-based screening program is an effective method to identify and screen eligible patients for HIV and HCV in Appalachian urgent care settings where universal screenings are not routinely implemented.", "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": "Hepatitis C" }, { "word": "HIV" }, { "word": "urgent care" }, { "word": "Electronic medical record" } ], "section": "Public Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1dc52965", "frozenauthors": [ { "first_name": "Carmen", "middle_name": "N.", "last_name": "Burrell", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Melinda", "middle_name": "J.", "last_name": "Sharon", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Stephen", "middle_name": "M.", "last_name": "Davis", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Elena", "middle_name": "M.", "last_name": "Wojcik", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Ian", "middle_name": "B.K.", "last_name": "Martin", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" } ], "date_submitted": "2018-06-29T05:59:37-07:00", "date_accepted": "2018-06-29T05:59:37-07:00", "date_published": "2018-10-09T12:37:47-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11889/galley/6366/download/" } ] }, { "pk": 586, "title": "48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse", "subtitle": null, "abstract": "A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his workup revealed mediastinitis with osteomyelitis of the manubrium and clavicles, a surgical emergency. His treatment course included IV antibiotics and operative intervention with thoracic surgery. The patient \nlooked too good to be sick\n, yet he had a life-threatening infection.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4zk9b68p", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Richardson", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Smhar", "middle_name": "Z.", "last_name": "Tewelde", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Zachary", "middle_name": "D.W.", "last_name": "Dezman", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2018-08-23T17:19:59-07:00", "date_accepted": "2018-08-23T17:19:59-07:00", "date_published": "2018-10-08T13:17:40-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/586/galley/347/download/" } ] }, { "pk": 39755, "title": "Poor taxonomy and genetic rescue are possible co-agents of silent extinction and biogeographic homogenization among ungulate mammals", "subtitle": null, "abstract": "Genetic rescue is a measure to mitigate the effects of reduced genetic variation in endangered small, isolated (inbreed) populations by introducing new genetic variation into such populations. This is usually accomplished by translocating individuals from a related population, assumed to belong to the same, often polytypic species, into the endangered population. If, however, the taxonomic classification does not reflect the ‘true’ diversity, genetic rescue can have detrimental effects on the survival of the endangered population (e.g. outbreeding depression). Here we point to problems if erroneous taxonomy informs such translocating strategies. Actions that promote artificial admixture of evolutionary lineages may be ineffective, or they may homogenize existing diversity and biogeographic patterns instead of protecting them. The extreme result is to drive target species and/or cryptic lineages to silent extinction. We single out conspicuous examples to illustrate the negative impacts of actions, which have resulted from artificial interbreeding of evolutionary distinct species or ill-conceived ‘genetic augmentation’. In such cases, translocations negate the overarching objective of biodiversity conservation: embodied in the concept of phylogenetic distinctiveness (PD), the encompassing scientific foundation of biodiversity conservation aims to maximize representation of the evolutionary history at the levels of species and ecosystems. A major underlying problem that we identify is persisting taxonomic inertia maintaining e.g., an overly simplified ungulate taxonomy, which is in most cases equivalent to a certain genomic incompatibility or a dilution of specific adaptations. Translocations and genetic rescue should only be employed, if potentially negative effects of the measures can be ruled out (including wrong taxonomy). Poor taxonomy has been – and indeed remains – at fault.", "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": "Artiodactyla" }, { "word": "Perissodactyla" }, { "word": "species translocation" }, { "word": "Evolutionary Species Concept" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4082h92h", "frozenauthors": [ { "first_name": "Spartaco", "middle_name": "", "last_name": "Gippoliti", "name_suffix": "", "institution": "Società Italiana per la Storia della Fauna “G. Altobello”, Viale Liegi 48A, 00198 Roma, Italy", "department": "None" }, { "first_name": "Fenton", "middle_name": "P.D.", "last_name": "Cotterill", "name_suffix": "", "institution": "Geoecodynamics Research Hub, Department of Earth Sciences, University of Stellenbosch, Stellenbosch 7602, South Africa", "department": "None" }, { "first_name": "Colin", "middle_name": "P.", "last_name": "Groves", "name_suffix": "", "institution": "School of Archaeology & Anthropology, Australian National University, Canberra, Australia", "department": "None" }, { "first_name": "Dietmar", "middle_name": "", "last_name": "Zinner", "name_suffix": "", "institution": "Cognitive Ethology Laboratory, Deutsches Primatenzentrum, Leibniz-Institut für Primatenforschung, Kellnerweg 4, 37077 Göttingen, Germany", "department": "None" } ], "date_submitted": "2018-05-16T05:06:13-07:00", "date_accepted": "2018-05-16T05:06:13-07:00", "date_published": "2018-10-08T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39755/galley/29944/download/" } ] }, { "pk": 47959, "title": "Arts Integration: A Study of Teachers' Perceptions", "subtitle": null, "abstract": "The concept of arts integration is to incorporate connections to content while relating to the real world. If educators are to compete in a global economy, children deserve every advantage including the arts. Implementing an integrated arts curriculum is both exciting and intimidating to teachers. This study was designed to interview teachers who have undergone the process to determine their perceptions regarding the impact on professional development, student performance, student engagement, and school climate. It was essential to the study that the selected educators be employed at a school that included a fully integrated arts program. Mooreland Heights Elementary School (K-5) was selected because it was in its sixth year of implementation. A purposive sample of teachers from each grade level was selected by the principal to be interviewed. Collected data were coded and reviewed for emerging themes. The three themes that emerged were continuous staff development, connection between arts and content, and support. Upon further examination three areas of support were identified: administrative, parents and community, and corporate. The professional development opportunities provided the teachers participating in the study indicated a high level of involvement. The integrated arts program provided an interdisciplinary approach to curriculum planning. Administrative, community, and corporate support were essential for the success of an arts integrated program.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Art Integration, Elenentary Education, Teachers' Perceptions" }, { "word": "education" } ], "section": "Teacher Preparation and Professional Development", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/71s969bx", "frozenauthors": [ { "first_name": "Deborah", "middle_name": "LaChapelle", "last_name": "Hayes", "name_suffix": "", "institution": "Lincoln Memorial University", "department": "None" }, { "first_name": "Pat", "middle_name": "", "last_name": "Clark", "name_suffix": "", "institution": "Lincoln Memorial University", "department": "None" } ], "date_submitted": "2012-12-17T10:05:16-08:00", "date_accepted": "2012-12-17T10:05:16-08:00", "date_published": "2018-10-03T16:29:54-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/47959/galley/36113/download/" } ] }, { "pk": 48178, "title": "A Content Analysis of the Intersections between Art Education and Teacher Education", "subtitle": null, "abstract": "Although preservice teacher education is considered an essential link for systemic change, key arts education initiatives in California do not effectively address the educational practices and policies for teacher preparation. To uncover existing and emerging practices for visual and performing arts education in postsecondary teacher education programs, this content analysis examined five national and international teacher education journals (1995 – 2015). Though a pressing need to increase publication in this area exists, findings indicate that arts integration in teacher education fosters self-reflection of personal beliefs, artistic growth, and epistemological understanding for candidates while inspiring collaborative partnerships for faculty.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "arts education, preservice teacher education, content analysis" } ], "section": "Teacher Preparation and Professional Development", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/49k9z6mm", "frozenauthors": [ { "first_name": "Maureen", "middle_name": "R.", "last_name": "Lorimer", "name_suffix": "", "institution": "California Lutheran University", "department": "None" } ], "date_submitted": "2016-09-28T11:28:15-07:00", "date_accepted": "2016-09-28T11:28:15-07:00", "date_published": "2018-10-03T16:20:49-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48178/galley/36295/download/" } ] }, { "pk": 19898, "title": "Introduction to the Special Issue: Another Turn of the Screw Toward Hispanic and Lusophone Whiteness Studies", "subtitle": null, "abstract": "Introduction to the Special Issue: Another Turn of the Screw Toward Hispanic and Lusophone Whiteness Studies", "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": "Introduction", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8203d9n2", "frozenauthors": [ { "first_name": "JM", "middle_name": "", "last_name": "Persánch", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2018-10-01T08:10:09-07:00", "date_accepted": "2018-10-01T08:10:09-07:00", "date_published": "2018-10-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19898/galley/9869/download/" } ] }, { "pk": 3891, "title": "Late Egyptian", "subtitle": null, "abstract": "Late Egyptian, the language of ancient Egypt during the New Kingdom and Third Intermediate Period, is attested in written form in a large array of literary and non-literary genres, mainly in the hieratic script on papyri and ostraca, but also in hieroglyphic monumental epigraphy. Late Egyptian is the first stage of the second major phase of Egyptian, according to the widely accepted division of the history of the language into Earlier and Later Egyptian. Typologically, Late Egyptian reflects major differences with respect to earlier stages of the language. Being more analytical in character, Late Egyptian thus displays a marked tendency to separate morphological from lexical information. It also tends to be more explicit in the articulation of sentences at the macro-syntactic level (Conjunctive and Sequential) and more time-oriented in its system of grammatical tenses than the aspect-oriented system of Classical Egyptian.", "language": "en", "license": null, "keywords": [ { "word": "Egyptian, language, grammar, New Kingdom" } ], "section": "Language, Text and Writing", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3fr419rk", "frozenauthors": [ { "first_name": "Jean", "middle_name": "", "last_name": "Winand", "name_suffix": "", "institution": "University of Liege", "department": "None" } ], "date_submitted": "2017-08-08T08:13:00-07:00", "date_accepted": "2017-08-08T08:13:00-07:00", "date_published": "2018-09-30T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/3891/galley/2503/download/" } ] }, { "pk": 594, "title": "Threatened Respiratory Compromise in the Setting of Isolated Angioedema", "subtitle": null, "abstract": "Isolated angioedema of the uvula, or Quincke’s disease, is a rare condition that can cause respiratory compromise. Although typically self-limiting, episodes of angioedema may require prompt therapy to prevent obstruction of the proximal airway. In this case report we review the appropriate steps for initial evaluation of patients with suspected angioedema, primary etiologies, and appropriate initial 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/9g46p4vj", "frozenauthors": [ { "first_name": "Graham", "middle_name": "S.", "last_name": "Stephenson", "name_suffix": "", "institution": "University of California, Irvine School of Medicine, Irvine, California", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "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": "2018-09-12T13:53:14-07:00", "date_accepted": "2018-09-12T13:53:14-07:00", "date_published": "2018-09-28T13:28:51-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/594/galley/355/download/" } ] }, { "pk": 593, "title": "A Case of Necrotic Skin Lesions on the Abdomen", "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/5h88v2kv", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "", "last_name": "Christians", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Dana", "middle_name": "", "last_name": "King", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" } ], "date_submitted": "2018-09-12T13:50:14-07:00", "date_accepted": "2018-09-12T13:50:14-07:00", "date_published": "2018-09-28T13:25:50-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/593/galley/354/download/" } ] }, { "pk": 592, "title": "Temporary Memory Steal: Transient Global Amnesia Secondary to Nephrolithiasis", "subtitle": null, "abstract": "Transient global amnesia (TGA) is typified by an abrupt and transient anterograde amnesia, “with repetitive questioning and often variable retrograde amnesia persisting up to 24 hours.”1,2 A 54-year-old male presented to our emergency department with paroxysms of left-sided flank pain, suggestive of renal colic. Computed tomography (CT) of the abdomen/pelvis revealed a three-millimeter left ureterovesicular-junction calculus. Pain control proved difficult, necessitating multiple doses of opioid and non-opioid analgesia. Subsequently, the patient developed repetitive questioning and perseveration with anterograde amnesia with a negative CT brain and unremarkable further workup. He experienced a complete resolution of symptoms within a 24-hour period, with a discharge diagnosis of TGA secondary to nephrolithiasis. This is the third case of TGA attributed to nephrolithiasis in the medical literature.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3qg0c885", "frozenauthors": [ { "first_name": "Muhammad", "middle_name": "", "last_name": "Durrani", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" }, { "first_name": "Jerry", "middle_name": "", "last_name": "Milas", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" }, { "first_name": "Gregory", "middle_name": "", "last_name": "Parson", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Pescatore", "name_suffix": "", "institution": "Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey", "department": "None" } ], "date_submitted": "2018-09-11T12:48:06-07:00", "date_accepted": "2018-09-11T12:48:06-07:00", "date_published": "2018-09-28T13:24:41-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/592/galley/353/download/" } ] }, { "pk": 597, "title": "Fascia Iliaca Compartment Block Efficacy in Resource-poor Emergency Departments", "subtitle": null, "abstract": "Introduction:\n Although the fascia iliaca compartment block (FICB) seems to be an ideal technique for femoral neck and shaft fractures occurring in resource-poor settings, it has been unclear how effective it is when used by emergency physicians (EP) with little training in the technique, using equipment, medications and methods that differ from those commonly available in developed countries. This series was designed to demonstrate that EPs in a resource-poor setting can provide effective analgesia for femur fractures with anatomic landmark-guided FICBs, clinician-compounded lidocaine-epinephrine (1:100,000), and a standard injection needle.\nMethods:\n Over a three-month period, patients ≥12 years old presenting to the emergency department with hip or femur fractures and a Likert visual analogue scale >4 had an EP-administered FICB. EPs used a standard intramuscular needle and a lidocaine-epinephrine solution they compounded at the bedside and located the injection site using only anatomic landmarks. EPs evaluated the patient’s pain level at 30 minutes and at two hours post-FICB. We also reviewed articles since 2016 that describe the FICB.\nResults:\n We enrolled a non-consecutive sample of 10 patients in the case series. Five had femoral neck (hip) fractures and five had femoral shaft fractures. All patients had a reduction in their pain levels after the FICB. On average, the block took effect about three minutes after injection. At 30 minutes all patients reported clinically meaningful pain reduction. The analgesic effect of the compounded agent lasted approximately 200 minutes. No adverse effects were reported. No published journal articles about FICB since 2016 were from resource-poor settings, and only one was from a developing country.\nConclusion:\n This series suggests that the FICB is effective even when performed with the minimal materials that are usually available in resource-poor settings. Methods such as this, which use simplified clinical tests and techniques applicable in resource-poor settings, can assist global emergency medicine (EM). We can assist global EM by similarly finding methods to simplify useful clinical tests and techniques that can be used in resource-poor settings.", "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/3qk361jb", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "St. Louis", "name_suffix": "", "institution": "Georgetown Public Hospital, Department of Accident and Emergency Medicine, Georgetown, Guyana", "department": "None" }, { "first_name": "Kenneth", "middle_name": "V.", "last_name": "Iserson", "name_suffix": "", "institution": "Georgetown Public Hospital, Department of Accident and Emergency Medicine, Georgetown, Guyana\nUniversity of Arizona, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Nicolas", "middle_name": "", "last_name": "Forget", "name_suffix": "", "institution": "Vanderbilt University, Department of Emergency Medicine, Nashville, Tennessee", "department": "None" } ], "date_submitted": "2018-09-18T15:07:18-07:00", "date_accepted": "2018-09-18T15:07:18-07:00", "date_published": "2018-09-28T13:13:06-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/597/galley/358/download/" } ] }, { "pk": 587, "title": "Bulbar Muscle Weakness in the Setting of Therapeutic Botulinum Injections", "subtitle": null, "abstract": "We present a case of new-onset bulbar muscle weakness in the setting of therapeutic botulinum injections for spasticity in a teenaged patient with cerebral palsy. Through a careful history, a systemic effect of the local injections was suspected, and the patient’s symptoms improved with a decrease in the dosing of the botulinum injections.", "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/1vr9j2w9", "frozenauthors": [ { "first_name": "Jacob", "middle_name": "", "last_name": "Lentz", "name_suffix": "", "institution": "University of California, Los Angeles, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Weingrow", "name_suffix": "", "institution": "University of California, Los Angeles, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2018-08-30T20:19:34-07:00", "date_accepted": "2018-08-30T20:19:34-07:00", "date_published": "2018-09-28T13:03:37-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/587/galley/348/download/" } ] }, { "pk": 584, "title": "Chief Complaint: “There Is Something Burning in my Mouth”", "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/4vp7z3s6", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Quesada", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California\nLAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Silva", "middle_name": "", "last_name": "Boyajian", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Jagdipak", "middle_name": "", "last_name": "Heer", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Timothy", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "Huntington Memorial Hospital, Department of Emergency Medicine, Pasadena, California", "department": "None" }, { "first_name": "Philip", "middle_name": "", "last_name": "Aguìñiga-Navarrete", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Laura", "middle_name": "C.", "last_name": "Castro", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" } ], "date_submitted": "2018-08-15T15:20:48-07:00", "date_accepted": "2018-08-15T15:20:48-07:00", "date_published": "2018-09-28T13:01:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/584/galley/345/download/" } ] }, { "pk": 63297, "title": "The Challenges and Possibilities of Youth Participatory Action Research for Teachers and Students in Public School Classrooms", "subtitle": null, "abstract": "This study explores the challenges and successes that two public school teachers experienced while implementing youth participatory action research (YPAR) with their students in core academic classrooms. Most academic studies of YPAR have focused on university-based researchers implementing YPAR with youth outside school settings or in special courses inside schools such as electives. Hence, the findings of existing research may not adequately predict the experiences of teachers implementing YPAR within the constraints and requirements of core academic classrooms. Using action research and ethnographic approaches including interviews, field notes, teaching artifacts from classroom observations, and reflective conversations with teachers, I found that the two teachers successfully implemented the epistemological tenets of YPAR in many ways and achieved positive outcomes. However, they were also stymied by structural issues common to core academic classrooms, such as required curricula, standardized testing, and large class sizes.", "language": "en", "license": null, "keywords": [ { "word": "youth participatory action research" }, { "word": "youth activism" }, { "word": "critical pedagogy" }, { "word": "public schools" }, { "word": "teaching and learning" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rm7r2sc", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "John", "last_name": "Buttimer", "name_suffix": "", "institution": "Harvard Graduate School of Education", "department": "" } ], "date_submitted": "2017-02-03T13:06:41-08:00", "date_accepted": "2017-02-03T13:06:41-08:00", "date_published": "2018-09-24T16:43:06-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/bre/article/63297/galley/48810/download/" } ] }, { "pk": 1818, "title": "The TSHS Resources Portal: A Source of Real and Relevant Data for Teaching Statistics in the Health Sciences", "subtitle": null, "abstract": "The use of real and relevant data in the statistics classroom is an ideal for many teachers of statistics, as these offer clear benefits for engagement with the kinds of real world applications that students will encounter in the future. Yet, the time required to identify and obtain well-documented data and to prepare classroom teaching materials is often prohibitive. In this paper we review the many benefits of using real and relevant data, and use these to define the characteristics of a well-documented health sciences data resource. We review the barriers to using real and relevant data in teaching. Lastly, we introduce the Teaching of Statistics in the Health Sciences (TSHS) Resources Portal (https://www.causeweb.org/tshs/) a source for well-documented health-related datasets and teaching materials. This dynamic resource provides a means to both obtain and contribute peer-reviewed educational materials. The target audience of the tool is teachers of statistics in health sciences settings, particularly those who teach introductory and applied courses in the graduate or post-graduate setting, but we expect that other statistics educators seeking rich, well-documented datasets will also find the Portal a useful resource.", "language": "en", "license": null, "keywords": [ { "word": "Statistics education, biostatistics education, teaching resource." } ], "section": "Technology Innovations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8qh9b82c", "frozenauthors": [ { "first_name": "Ann", "middle_name": "M", "last_name": "Brearley", "name_suffix": "", "institution": "University of Minnesota", "department": "None" }, { "first_name": "Carol", "middle_name": "", "last_name": "Bigelow", "name_suffix": "", "institution": "University of Massachusetts, Amherst", "department": "None" }, { "first_name": "Laila", "middle_name": "M", "last_name": "Poisson", "name_suffix": "", "institution": "Henry Ford Health System, Detroit", "department": "None" }, { "first_name": "Steven", "middle_name": "C", "last_name": "Grambow", "name_suffix": "", "institution": "Duke University", "department": "None" }, { "first_name": "Amy", "middle_name": "S", "last_name": "Nowacki", "name_suffix": "", "institution": "Cleveland Clinic", "department": "None" } ], "date_submitted": "2017-04-13T10:06:29-07:00", "date_accepted": "2017-04-13T10:06:29-07:00", "date_published": "2018-09-24T11:56:08-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/tise/article/1818/galley/1246/download/" } ] }, { "pk": 44560, "title": "Bronchiectasis and Thymoma: Have You Got the Good’s?", "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/7pm3x29h", "frozenauthors": [ { "first_name": "Steven", "middle_name": "T", "last_name": "Popper", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Charles", "middle_name": "W", "last_name": "Lanks", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-09-23T17:59:06-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44560/galley/33353/download/" } ] }, { "pk": 44559, "title": "Unusual Cause of Delirium in an Older Patient after Spinal 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/8ss2t9rj", "frozenauthors": [ { "first_name": "Marie", "middle_name": "", "last_name": "Adachi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Grace", "middle_name": "I", "last_name": "Chen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-09-23T17:57:13-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44559/galley/33352/download/" } ] }, { "pk": 44558, "title": "Too Much of a Good Thing", "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/41c180p3", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "C", "last_name": "Kim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-09-23T17:55:27-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44558/galley/33351/download/" } ] }, { "pk": 47970, "title": "Drama-based instruction in the visual arts: A teacher’s action research journey", "subtitle": null, "abstract": "This article tells the story of Jenny Harrison, a visual arts middle school teacher who became an Action Research Teacher (ART) fellow in \nDrama for Schools\n, a professional development program in drama-based instruction. Through an action research model of teacher training and her own line of inquiry, Jenny investigated how drama-based instruction impacted her teaching and her students’ articulation of visual arts concepts. Artifacts from this project include interview transcripts, teacher reflections, student work-products, and lesson plans. The integration of drama-based instruction into Jenny’s visual arts curriculum paved the way for in-depth, intentional learning for students, for herself, and for the \nDrama for Schools\n program.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Arts Integration" }, { "word": "Drama-based Instruction" }, { "word": "arts" }, { "word": "Drama" }, { "word": "Visual Arts" } ], "section": "Teaching and Learning through the Arts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2491q6sx", "frozenauthors": [ { "first_name": "Kathryn", "middle_name": "M", "last_name": "Dawson", "name_suffix": "", "institution": "The University of Texas at Austin", "department": "None" }, { "first_name": "Stephanie", "middle_name": "W", "last_name": "Cawthon", "name_suffix": "", "institution": "The University of Texas at Austin", "department": "None" }, { "first_name": "Shasta", "middle_name": "", "last_name": "Ihorn", "name_suffix": "", "institution": "The University of Texas at Austin", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Judd-Glossy", "name_suffix": "", "institution": "The University of Texas at Austin", "department": "None" } ], "date_submitted": "2013-07-03T14:35:08-07:00", "date_accepted": "2013-07-03T14:35:08-07:00", "date_published": "2018-09-21T14:21:02-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/47970/galley/36118/download/" } ] }, { "pk": 48045, "title": "Voices from Diverse Freshman Students: How Arts Integration Impacted their Learning", "subtitle": null, "abstract": "In this mixed-method study the researcher sought to explore answers to the following research questions:\n \nWhat is the effect of an arts integration approach on diverse freshman students’ perceptions of learning, motivation/engagement, school attendance, and academic achievement?\nAre there changes that occur in the quality of classroom instructional processes, including emotional support, classroom organization, and instructional support when an arts integration approach is being utilized? \n \n \n \nAs a quasi-experimental mixed-method study, the study utilized observations, focus groups, student questionnaires, field notes, and data obtained from the NYC IRB on student attendance, student demographics, and academic achievement data in a diverse high school in NYC public schools where 90% of the students were classified as non-white students. Among the 231 participating freshman students, 3% were part of the ELL program (\nn \n= 4); 22% of the students had some disability (\nn \n= 41); and the majority of the students were receiving a free or reduced lunch (\nn \n= 111, 61%). One of the 9th grade academies was selected as the control group and another as the treatment group. Teachers in the treatment group received a limited amount of professional development on arts integration using a small group project based implementation approach. Results indicate that the teachers in the treatment group increased levels of instructional support and differentiated learning formats in their classroom as compared to the teachers in the control group. Additionally, students in the treatment group outperformed the control group students in 3 out of the 4 subject area achievement outcomes that were compared. There was no significant difference found in student attendance between the control and treatment group students even though a snowstorm and a hurricane occurred during the semester this study was implemented. Data from the student questionnaires, the focus groups, field notes, and observations was triangulated and supported the quantitative data. The qualitative data provided a deeper understanding on how the experience had impacted student’s self-beliefs and emotional engagement. Additionally, there was a significant increase in their behavioral engagement that was both observed and self-reported by students. This study makes a significant contribution to research identifying which aspects of instructional support seem to increase when teachers implement arts integration. Additionally, it extends other arts integration research examining diverse/disadvantaged student engagement and achievement even when adversity is experienced in a school.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "arts integration, disadvantaged students, engagement, diverse students, self-efficacy," } ], "section": "Teaching and Learning through the Arts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9631f870", "frozenauthors": [ { "first_name": "A Helene", "middle_name": "", "last_name": "Robinson", "name_suffix": "", "institution": "University of South Florida Sarasota Manatee", "department": "None" } ], "date_submitted": "2015-01-25T00:39:51-08:00", "date_accepted": "2015-01-25T00:39:51-08:00", "date_published": "2018-09-21T14:06:19-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48045/galley/36183/download/" } ] }, { "pk": 11774, "title": "Burnout and Exposure to Critical Incidents in a Cohort of Emergency Medical Services Workers from Minnesota", "subtitle": null, "abstract": "Introduction:\n Very little quantitative data on occupational burnout and exposure to critical incidents are available from contemporary United States emergency medical services (EMS) cohorts. Given that burnout has been associated positively with turnover intentions and absenteeism in EMS workers, studies that uncover correlates of burnout may be integral to combating growing concerns around retention in the profession.\nMethods:\n We administered a 167-item electronic survey that included the Maslach Burnout Inventory (MBI) and a modified version of the Critical Incident History Questionnaire (n=29 incident types) to paramedics, emergency medical technicians (EMTs), and dispatchers of a single ambulance service. We defined the presence of burnout as a high score on either the emotional exhaustion or depersonalization subscales of the MBI.\nResults:\n Survey respondents who provided regular 911 response at the time of the survey and completed the MBI portion of the survey were included in our analysis (190 paramedics/EMTs, 19 dispatchers; 54% response). The overall prevalence of burnout was 18%, with prevalence reaching 32% among dispatchers. The seven pediatric critical incident types presented in the survey accounted for seven of the top eight rated most difficult to cope with, and severity ratings for pediatric critical incidents did not differ by parental status (all p>0.30). A significant number of respondents reported that they had been threatened with a gun/weapon (43%) or assaulted by a patient (68%) at least once while on duty. Being over the age of 50, a parent, or in a committed relationship was associated with reduced odds of burnout in unadjusted models; however, these associations did not remain statistically significant in multivariate analysis. Increasing tertile of career exposure to critical incidents was not associated with burnout.\nConclusion:\n Medical dispatchers may be an EMS subgroup particularly susceptible to burnout. These data also demonstrate quantitatively that in this EMS agency, responders find pediatric critical incidents especially distressing and that violence against responders is commonplace. In this study, a simple measure of career exposure to potentially critical incidents was not associated with burnout; however, individual reactions to incidents are heterogeneous, and assessment tools that more accurately enumerate encounters that result in distress are needed.", "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 medical services" }, { "word": "paramedic" }, { "word": "dispatcher" }, { "word": "burnout" }, { "word": "critical incidents" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1wn2k7ng", "frozenauthors": [ { "first_name": "Lori", "middle_name": "L.", "last_name": "Boland", "name_suffix": "", "institution": "Allina Health Emergency Medical Services, St. Paul, Minnesota\nAllina Health, Care Delivery Research, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Tyler", "middle_name": "G.", "last_name": "Kinzy", "name_suffix": "", "institution": "Allina Health Emergency Medical Services, St. Paul, Minnesota", "department": "None" }, { "first_name": "Russell", "middle_name": "N.", "last_name": "Myers", "name_suffix": "", "institution": "Allina Health Emergency Medical Services, St. Paul, Minnesota", "department": "None" }, { "first_name": "Karl", "middle_name": "M.", "last_name": "Fernstrom", "name_suffix": "", "institution": "Allina Health, Care Delivery Research, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Jonathan", "middle_name": "W.", "last_name": "Kamrud", "name_suffix": "", "institution": "Allina Health Emergency Medical Services, St. Paul, Minnesota", "department": "None" }, { "first_name": "Pamela", "middle_name": "J.", "last_name": "Mink", "name_suffix": "", "institution": "Allina Health, Care Delivery Research, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Andrew", "middle_name": "C.", "last_name": "Stevens", "name_suffix": "", "institution": "Allina Health Emergency Medical Services, St. Paul, Minnesota", "department": "None" } ], "date_submitted": "2018-05-15T19:44:59-07:00", "date_accepted": "2018-05-15T19:44:59-07:00", "date_published": "2018-09-19T10:40:50-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11774/galley/6316/download/" } ] }, { "pk": 579, "title": "Fungal Rhino-orbital Cerebritis in a Patient with Steroid-induced Ketoacidosis", "subtitle": null, "abstract": "Fungal rhino-orbital cerebritis is a devastating, opportunistic, invasive disease. Survival requires urgent diagnosis. Thus, all patients at risk who present with rhinosinusitis-type symptoms and have co-morbid conditions that decrease their immunocompetence should trigger the clinician’s consideration of this disease. Treatment includes antifungals and emergent surgical debridement.", "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/2b16d8m4", "frozenauthors": [ { "first_name": "Carrie", "middle_name": "", "last_name": "Vargo", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Beth-Ann", "middle_name": "", "last_name": "Olliviere-Baptiste", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Jay", "middle_name": "M.", "last_name": "Brenner", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Derek", "middle_name": "R.", "last_name": "Cooney", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Elliot", "middle_name": "", "last_name": "Rodriguez", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" } ], "date_submitted": "2018-08-13T11:13:24-07:00", "date_accepted": "2018-08-13T11:13:24-07:00", "date_published": "2018-09-18T15:26:28-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/579/galley/340/download/" } ] }, { "pk": 5380, "title": "Discrimination of food amounts by the domestic dog (Canis familiaris) - A small sample study", "subtitle": null, "abstract": "The current research examined dog's ability to dsicriminate between different amounts of food. Using a two alternative forced choice procedure dogs werre required to discriminate between a constant amount of 4 pieces of food and another amount that varied across a range from 1 to 7 pieces. The dogs reliably selected the larger of two alternatives. Discrimination was better when there were fewer rather than more than 4 pieces of food available on the varying alternative. Specifically, 1 was discriminated from 4 more easily than 4 was discriminated from 7 pieces of food. These results confirmed the ability of dogs to discriminate food amount on a psychophyical choice procedure.", "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": "Amount discrimination" }, { "word": "Number discrimination" }, { "word": "Food" }, { "word": "Domestic dogs (Canis familiaris)" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/26m2v6x2", "frozenauthors": [ { "first_name": "Katie", "middle_name": "", "last_name": "McGuire", "name_suffix": "", "institution": "University of Southampton", "department": "None" }, { "first_name": "Lewis", "middle_name": "A", "last_name": "Bizo", "name_suffix": "", "institution": "University of New England", "department": "None" }, { "first_name": "Anne", "middle_name": "E", "last_name": "McBride", "name_suffix": "", "institution": "University of Southampton", "department": "None" }, { "first_name": "Tara", "middle_name": "B", "last_name": "Kocek", "name_suffix": "", "institution": "Southern Cross University", "department": "None" } ], "date_submitted": "2016-04-14T21:35:38-07:00", "date_accepted": "2016-04-14T21:35:38-07:00", "date_published": "2018-09-15T08:36:33-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5380/galley/3234/download/" } ] }, { "pk": 41421, "title": "Overexpression of the Arabidopsis NPR1 protein in citrus confers tolerance to Huanglongbing", "subtitle": null, "abstract": "Huanglongbing (HLB), also known as citrus greening, is one of the most destructive diseases of citrus worldwide. It is caused by unculturable phloem-limited bacteria that belong to the \nCandidatus\n Liberibacter genus including \nCa. \nL. asiaticus (\nC\nLas), \nCa. \nL. africanus, and \nCa. \nL. americanus. Currently, there is no effective control strategy for HLB and no known cure for the disease. We have previously generated transgenic ‘Duncan’ grapefruit and ‘Hamlin’ sweet orange expressing the Arabidopsis \nNPR1\n (\nAtNPR1\n) gene, which encodes a master regulator of systemic acquired resistance. Characterization of the transgenic lines indicated that overexpression of \nAtNPR1\n confers resistance to citrus canker, another serious bacterial disease in citrus. In this study, we intensively screened these transgenic lines for resistance or tolerance to HLB under greenhouse conditions. Three independent transgenic lines (one line in the ‘Duncan’ grapefruit background and two lines in the ‘Hamlin’ sweet orange background) only occasionally displayed mild HLB symptoms in the presence of \nC\nLas\n \nand have kept growing normally over a period of nine years. Significantly, all vegetatively propagated progeny plants of these lines have retained the same levels of HLB tolerance. Furthermore, immunoblot analysis revealed that the three transgenic lines accumulate high levels of AtNPR1 protein. These results, together with the previous finding that the same three transgenic lines are resistant to citrus canker, demonstrate that overexpression of the AtNPR1 protein in citrus is able to provide robust tolerance to HLB.", "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": "Huanglongbing, the Arabidopsis NPR1 gene, Candidatus Liberibacter asiaticus, tolerance, transgenic plants" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9xg9z0q7", "frozenauthors": [ { "first_name": "Cecile J", "middle_name": "", "last_name": "Robertson", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Xudong", "middle_name": "", "last_name": "Zhang", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Siddarame", "middle_name": "", "last_name": "Gowda", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Vladimir", "middle_name": "", "last_name": "Orbović", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "William O", "middle_name": "", "last_name": "Dawson", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Zhonglin", "middle_name": "", "last_name": "Mou", "name_suffix": "", "institution": "University of Florida", "department": "None" } ], "date_submitted": "2018-05-06T16:50:06-07:00", "date_accepted": "2018-05-06T16:50:06-07:00", "date_published": "2018-09-11T15:32:48-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41421/galley/31012/download/" } ] }, { "pk": 3890, "title": "Letters to the Dead", "subtitle": null, "abstract": "Letters to the Dead is the conventional, modern name for a collection of texts that petition the recently deceased, typically for assistance with problems of inheritance, illness, or fertility. They are known from the Old Kingdom through the Late Period and have been preserved upon ceramic vessels and figurines, stone stelae, papyrus, and linen. The Letters were written by male and female petitioners and are addressed to both male and female dead. Though only a few dozen Letters to the Dead have been identified, they are important artifacts for better understanding interactions between the living and the dead in ancient Egypt. Notably, they illuminate the quotidian, social networks that existed between the living and the dead, help us to understand how the ancient Egyptians conceived of and interacted with the dead, and expand upon our knowledge of mortuary culture and popular religious practices in ancient Egypt.", "language": "en", "license": null, "keywords": [ { "word": "religion, magic, demons, ancestors," } ], "section": "Religion", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6bh8w50t", "frozenauthors": [ { "first_name": "Julia", "middle_name": "", "last_name": "Troche", "name_suffix": "", "institution": "Missouri State University", "department": "None" } ], "date_submitted": "2016-10-10T19:07:51-07:00", "date_accepted": "2016-10-10T19:07:51-07:00", "date_published": "2018-09-11T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/3890/galley/2502/download/" } ] }, { "pk": 2165, "title": "How Language Teacher Identities Conflict in Light of Bourdieu’s Concepts of Habitus, Capital, and Field", "subtitle": null, "abstract": "Adopting Bourdieu’s (1986, 1977) concepts of \nhabitus\n, \nfield\n, and \ncapital\n as a framework, I reflect on my multiple fluid identities as I study, teach, and live within two socially, culturally, and politically distinct places (Iraq and the United States). I examine my privileged and/or marginalized self throughout my journey and the way this privilege/marginalization influences my language teaching and learning experiences. The narratives used in this paper include poems I wrote, my literacy autobiography, and a few Facebook posts. Through my reflection, I provide an example of identity construction of a scholar and a teacher as he inhabits multiple space and places.", "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": "capital" }, { "word": "habitus" }, { "word": "field" }, { "word": "identity" }, { "word": "privilege" }, { "word": "marginalization" } ], "section": "Teachers' Forum: Instructors' Perspectives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7cx0r7t5", "frozenauthors": [ { "first_name": "Rajwan", "middle_name": "", "last_name": "Alshareefy", "name_suffix": "", "institution": "Indiana University of Pennsylvania", "department": "None" } ], "date_submitted": "2017-07-18T10:42:17-07:00", "date_accepted": "2017-07-18T10:42:17-07:00", "date_published": "2018-09-10T13:29:38-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2165/galley/1404/download/" } ] }, { "pk": 577, "title": "Point of Care Cranial Ultrasound in a Hemicraniectomy Patient", "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/73h9316d", "frozenauthors": [ { "first_name": "Aarti", "middle_name": "", "last_name": "Sarwal", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Neurology, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Natalie", "middle_name": "M.", "last_name": "Elder", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2018-08-01T11:51:44-07:00", "date_accepted": "2018-08-01T11:51:44-07:00", "date_published": "2018-09-10T13:21:56-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/577/galley/338/download/" } ] }, { "pk": 2167, "title": "Teaching a Film Clip in a Multiliteracies Framework", "subtitle": null, "abstract": "Working within a multiliteracies framework, this paper moves beyond the traditional concerns with comprehension of a video text or the use of video for communicative purposes and demonstrates how a film clip might be used in a language classroom to explore the meaning-making process in film. Specifically, I investigate how language, filmic devices, and the representation of culture come together to create a cohesive text, and how an exploration of a clip’s meaning contributes to the development of students’ translingual/transcultural and symbolic competences.", "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": "film, visual literacy, culture, symbolic competence, translingual/transcultural competence" } ], "section": "Teachers' Forum: Pedagogic Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0xj3m5h7", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Kaiser", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2017-08-02T12:05:57-07:00", "date_accepted": "2017-08-02T12:05:57-07:00", "date_published": "2018-09-10T13:14:08-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2167/galley/1405/download/" } ] }, { "pk": 2184, "title": "Examining the Effectiveness of Corpus-Informed Instruction of Reporting Verbs in L2 First-Year College Writing", "subtitle": null, "abstract": "Previous research has shown that developing second language (L2) academic writers use a limited set of reporting verbs in comparison to more advanced writers (Biber & Reppen, 1998; Hinkel, 2003; Kwon, Staples, & Partridge, 2018; Neff et al., 2003; Staples & Reppen, 2016). These writers also tend to rely on verbs that are typical for conversation (Biber et al., 1999). The present study examines the effects of corpus-informed instruction on developing L2 writers’ learning of reporting verbs in a first-year writing course by comparing drafts of literature reviews before and after a workshop. The forty-five-minute workshop was designed to improve L2 writers’ lexical and functional uses of reporting verbs using corpus-informed materials. The researchers compared the literature review drafts written by 40 students who participated in the workshop to 38 randomly chosen drafts from our corpus. The results show an increase in the experimental groups’ reporting verb lexical variety and a decrease in the use of verb types used in speech in favor of types used in academic writing. The results suggest that corpus-informed instruction may support L2 writers in the development of lexical and functional reporting verb use.", "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": "Corpus-Informed Instruction" }, { "word": "Reporting Verbs" }, { "word": "L2 First-Year College Writing" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7wb651t7", "frozenauthors": [ { "first_name": "Ji-young", "middle_name": "", "last_name": "Shin", "name_suffix": "", "institution": "Purdue University", "department": "None" }, { "first_name": "Ashley", "middle_name": "J.", "last_name": "Velázquez", "name_suffix": "", "institution": "Purdue University", "department": "None" }, { "first_name": "Aleksandra", "middle_name": "", "last_name": "Swatek", "name_suffix": "", "institution": "Purdue University", "department": "None" }, { "first_name": "Shelley", "middle_name": "", "last_name": "Staples", "name_suffix": "", "institution": "University of Arizona", "department": "None" }, { "first_name": "R. Scott", "middle_name": "", "last_name": "Partridge", "name_suffix": "", "institution": "University of Delaware", "department": "None" } ], "date_submitted": "2017-12-17T22:33:48-08:00", "date_accepted": "2017-12-17T22:33:48-08:00", "date_published": "2018-09-10T13:10:40-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2184/galley/1411/download/" } ] }, { "pk": 2142, "title": "Developing Pragmatic Competence in an Instructed Setting: The Effectiveness of Pedagogical Intervention in Greek EFL Learners’ Request Production", "subtitle": null, "abstract": "Using a short pedagogical intervention, a pretest-posttest design and baseline data (L1 English), the present study examined the effects of explicit instruction on the use of internal and external modification in requests among Greek Cypriot EFL learners. The findings revealed a complex picture with mixed results. Even though external modification showed some positive effects after the intervention, the study revealed no gains in relation to the overall use of internal modification as the learners’ overall use of lexical/phrasal mitigators deviated even more from NS usage after the pedagogical treatment. We argue that, in relation to the learners’ pragmalinguistic performance, the results seem to confirm the fact that surrounding factors such as the duration, quantity and quality of the pedagogical intervention play a complex role in accounting for such mixed findings. Results further showed that the way learners perceived social reality was not affected by the instructional treatment. Our findings suggest that learners’ sociopragmatic development may not be as easily amenable to teaching as pragmalinguistic development. The development of L2 sociopragmatic awareness seems to need both longer explicit pedagogical instruction and rich exposure to the target language environment.", "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": "pedagogical intervention, requests, modification, pragmatic competence" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5c99b1zs", "frozenauthors": [ { "first_name": "Maria", "middle_name": "", "last_name": "Economidou-Kogetsidis", "name_suffix": "", "institution": "University of Nicosia", "department": "None" }, { "first_name": "Louiza", "middle_name": "", "last_name": "Soteriadou", "name_suffix": "", "institution": "Institute of Education, University College London, UK", "department": "None" }, { "first_name": "Loukia", "middle_name": "", "last_name": "Taxitari", "name_suffix": "", "institution": "Department of Rehabilitation Sciences, Cyprus University of Technology, Cyprus", "department": "None" } ], "date_submitted": "2017-02-15T11:06:52-08:00", "date_accepted": "2017-02-15T11:06:52-08:00", "date_published": "2018-09-10T13:10:21-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2142/galley/1391/download/" } ] }, { "pk": 2213, "title": "General Editor's Introduction", "subtitle": null, "abstract": "In this September issue of the L2 Journal, we are happy to publish contributions to all three categories of papers featured in this journal: General research articles, Pedagogic reports, and Instructors’ perspectives essays.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [], "section": "From the Editors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/98h963kx", "frozenauthors": [ { "first_name": "Claire", "middle_name": "", "last_name": "Kramsch", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2018-09-10T13:06:37-07:00", "date_accepted": "2018-09-10T13:06:37-07:00", "date_published": "2018-09-10T13:10:05-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2213/galley/1418/download/" } ] }, { "pk": 11747, "title": "The Emergency Department as an Opportunity for Naloxone Distribution: A Systematic Review", "subtitle": null, "abstract": "Introduction:\n Substance use disorders, including opioid use disorders, are a major public health concern in the United States. Between 2005 and 2014, the rate of opioid-related emergency department (ED) visits nearly doubled, from 89.1 per 100,000 persons in 2005 to 177.7 per 100,000 persons in 2014. Thus, the ED presents a distinctive opportunity for harm-reduction strategies such as distribution of naloxone to patients who are at risk for an opioid overdose. \nMethods:\n We conducted a systematic review of all existing literature related to naloxone distribution from the ED. We included only those articles published in peer-reviewed journals that described results relating to naloxone distribution from the ED.\nResults:\n Of the 2,286 articles we identified from the search, five met the inclusion criteria and had direct relevance to naloxone distribution from the ED setting. Across the studies, we found variation in the methods of implementation and evaluation of take-home naloxone programs in the ED. In the three studies that attempted patient follow-up, success was low, limiting the evidence for the programs’ effectiveness. Overall, in the included studies there is evidence that distributing take-home naloxone from the ED has the potential for harm reduction; however, the uptake of the practice remained low. Barriers to implementation included time allocated for training hospital staff and the burden on workflow. \nConclusion: \nThis systematic review of the best evidence available supports the ED as a potential setting for naloxone distribution for overdose reversal in the community. The variability of the implementation methods across the studies highlights the need for future research to determine the most effective practices.", "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, naloxone, opioid, overdose, addiction" } ], "section": "Public Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/33w281m7", "frozenauthors": [ { "first_name": "Alexander", "middle_name": "H.", "last_name": "Gunn", "name_suffix": "", "institution": "Duke University, Duke-Margolis Center for Health Policy, Department, Durham, North Carolina", "department": "None" }, { "first_name": "Zachary", "middle_name": "P.W.", "last_name": "Smothers", "name_suffix": "", "institution": "Duke University School of Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Nicole", "middle_name": "", "last_name": "Schramm-Sapyta", "name_suffix": "", "institution": "Duke Institute for Brain Sciences, Department of Psychiatry, Duke University, Durham, North Carolina", "department": "None" }, { "first_name": "Caroline", "middle_name": "E.", "last_name": "Freiermuth", "name_suffix": "", "institution": "Duke University School of Medicine, Division of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "MacEachern", "name_suffix": "", "institution": "Taubman Health Sciences Library, University of Michigan, Ann Arbor, Michigan", "department": "None" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Muzyk", "name_suffix": "", "institution": "Duke University Hospital, Department of Pharmacy, Durham, North Carolina\nCampbell University College of Pharmacy and Health Sciences, Department of Pharmacy Practice, Buies Creek, North Carolina", "department": "None" } ], "date_submitted": "2018-04-29T11:35:13-07:00", "date_accepted": "2018-04-29T11:35:13-07:00", "date_published": "2018-09-10T12:57:54-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11747/galley/6305/download/" } ] }, { "pk": 11601, "title": "Bundled HIV and Hepatitis C Testing in the Emergency Department: A Randomized Controlled Trial", "subtitle": null, "abstract": "Introduction: \nAn estimated 25% of the 1.2 million individuals living with human immunodeficiency virus (HIV) in the U.S. are co-infected with hepatitis C (HCV). The Centers for Disease Control and Prevention recommends HCV testing for high-risk groups. Our goal was to measure the impact of bundled HIV and HCV testing vs. HIV testing alone on test acceptance and identification of HCV and HIV.\nMethods:\n We conducted a two-armed, randomized controlled trial on a convenience sample of 478 adult patients in the Jacobi Medical Center emergency department from December 2012 to May 2013. Participants were randomized to receive either an offer of bundled HIV/HCV testing or HIV testing alone. We compared the primary outcome, HIV test acceptance, between the two groups. Secondary outcomes included HIV and HCV prevalence, and HCV test acceptance, refusal, risk, and knowledge. \nResults:\n We found no significant difference in HIV test acceptance between the bundled HCV/HIV (91.8%) and HIV-only (90.6%) groups (p=0.642). There were also no significant differences in test acceptance based on gender, race, or ethnicity. A majority of participants (76.6%) reported at least one HCV risk factor. No participants tested positive for HIV, and one (0.5%) tested positive for HCV. \nConclusion:\n Integrating bundled, rapid HCV/HIV testing into an established HIV testing program did not significantly impact HIV test acceptance. Future screening efforts for HCV could be integrated into current HIV testing models to target high-risk cohorts.", "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": "HIV, Hepatitis C, Screening, Emergency Department" } ], "section": "Public Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7mw380ph", "frozenauthors": [ { "first_name": "Ethan", "middle_name": "", "last_name": "Cowan", "name_suffix": "", "institution": "Mount Sinai Beth Israel, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Heather", "middle_name": "S.", "last_name": "Herman", "name_suffix": "", "institution": "Cornell University, Division of Nutritional Sciences, Ithaca, New York", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Rahman", "name_suffix": "", "institution": "Jacobi Medical Center, Department of Internal Medicine, Bronx, New York", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Zahn", "name_suffix": "", "institution": "Jacobi Medical Center, Department of Internal Medicine, Bronx, New York", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Leider", "name_suffix": "", "institution": "Jacobi Medical Center, Department of Internal Medicine, Bronx, New York", "department": "None" }, { "first_name": "Yvette", "middle_name": "", "last_name": "Calderon", "name_suffix": "", "institution": "Mount Sinai Beth Israel, Department of Emergency Medicine, New York, New York", "department": "None" } ], "date_submitted": "2018-02-02T07:00:02-08:00", "date_accepted": "2018-02-02T07:00:02-08:00", "date_published": "2018-09-10T09:50:37-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11601/galley/6247/download/" } ] }, { "pk": 11750, "title": "Analysis of Patients with Ventricular Assist Devices Presenting to an Urban Emergency Department", "subtitle": null, "abstract": "Introduction:\n Left ventricular assist device (LVAD) insertion is an increasingly common intervention for patients with advanced heart failure; however, published literature on the emergency department (ED) presentation of this population is limited. The objective of this study was to characterize ED presentations of patients with LVADs with a focus on device-specific complications to inform provider education and preparation initiatives.\n \nMethods:\n This was a retrospective chart review of all patients with LVADs followed at an urban academic medical center presenting to the ED over a five-year period (July 1, 2009, to June 30, 2014). Two abstractors reviewed 45 randomly selected charts to standardize the abstraction process and establish a priori categories for reason for presentation to the ED. Remaining charts were then divided evenly for review by one of the two abstractors. Primary outcomes for this study were (1) frequency of and (2) reason for presentation to the ED by patients with LVADs.\nResults:\n Of 349 patients with LVADs identified, 143 (41.0%) had ED encounters during the study period. There were 620 total ED encounters, (range 1 to 32 encounters per patient, median=3, standard deviation=5.3). Among the encounters, 431 (69.5%) resulted in admission. The most common reasons for presentation were bleeding (e.g., gastrointestinal, epistaxis) (182, 29.4%); infection (127, 20.5%); heart failure exacerbation (68, 11.0%); pain (56, 9.0%); other (45, 7.3%); and arrhythmias (40, 6.5%). Fifty-two encounters (8.4%) were device-specific; these patients frequently presented with abnormal device readings (37, 6.0%). Interventions for device-specific presentations included anticoagulation regimen adjustment (16/52, 30.8%), pump exchange (9, 17.3%), and hardware repair (6, 11.5%). Pump thrombosis occurred in 23 cases (3.7% of all encounters). No patients required cardiopulmonary resuscitation or died in the ED.\nConclusion:\n This is the largest study known to the investigators to report the rate of ED presentations of patients with LVADs and provide analysis of device-specific presentations. In patients who do have device-specific ED presentations, pump thrombosis is a common diagnosis and can present without device alarms. Specialized LVAD education and preparation initiatives for ED providers should emphasize the recognition and management of the most common and critical conditions for this patient population, which have been identified in this study as bleeding, infection, heart failure, and pump thrombosis.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Ventricular assist devices" }, { "word": "Emergency Medicine" }, { "word": "pump thrombosis" }, { "word": "chart review" }, { "word": "cardiology" }, { "word": "Heart Failure" } ], "section": "Emergency Cardiac Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0854m7q3", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "P.", "last_name": "McKillip", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Anand", "middle_name": "", "last_name": "Gopalsami", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Magdeline", "middle_name": "", "last_name": "Montoya", "name_suffix": "", "institution": "University of California San Francisco, Department of Pediatrics, San Francisco, California", "department": "None" }, { "first_name": "Gene", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "University of Chicago, Department of Medicine, Section of Cardiology, Chicago, Illinois", "department": "None" }, { "first_name": "James", "middle_name": "J.", "last_name": "Walter", "name_suffix": "", "institution": "University of Chicago, Department of Medicine, Section of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Colleen", "middle_name": "", "last_name": "Juricek", "name_suffix": "", "institution": "University of Chicago, Department of Surgery, Chicago, Illinois", "department": "None" }, { "first_name": "Eric", "middle_name": "", "last_name": "Shappell", "name_suffix": "", "institution": "Harvard University, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2018-04-30T20:43:36-07:00", "date_accepted": "2018-04-30T20:43:36-07:00", "date_published": "2018-09-10T09:50:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11750/galley/6306/download/" } ] }, { "pk": 11805, "title": "Student Experience with a Quality Improvement Project in the Emergency Department", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "quality improvement, emergency, medical student" } ], "section": "Medical Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0fn7g63n", "frozenauthors": [ { "first_name": "Charlotte", "middle_name": "", "last_name": "Burford", "name_suffix": "", "institution": "King’s College London, Faculty Life Sciences and Medicine, London, United Kingdom", "department": "None" }, { "first_name": "Alexandra", "middle_name": "", "last_name": "von Guionneau", "name_suffix": "", "institution": "King’s College London, Faculty Life Sciences and Medicine, London, United Kingdom", "department": "None" } ], "date_submitted": "2018-05-26T10:49:36-07:00", "date_accepted": "2018-05-26T10:49:36-07:00", "date_published": "2018-09-10T09:49:18-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11805/galley/6323/download/" } ] }, { "pk": 11671, "title": "Predictors of Admission in Adult Unscheduled Return Visits to the Emergency Department", "subtitle": null, "abstract": "Introduction: \nThe 72-hour unscheduled return visit (URV) of an emergency department (ED) patient is often used as a key performance indicator in emergency medicine. We sought to determine if URVs with admission to hospital (URVA) represent a distinct subgroup compared to unscheduled return visits with no admission (URVNA). \nMethods:\n We performed a retrospective cohort study of all 72-hour URVs in adults across 10 EDs in the Edmonton Zone (EZ) over a one-year period (January 1, 2015 – December 31, 2015) using ED information-system data. URVA and URVNA populations were compared, and a multivariable analysis identified predictors of URVA.\nResults:\n Analysis of 40,870 total URV records, including 3,363 URVAs, revealed predictors of URVA on the index visit including older age (>65 yrs, odds ratio [OR] 3.6), higher disease acuity (Canadian Emergency Department Triage and Acuity Scale [CTAS] 2, OR 2.6), gastrointestinal presenting complaint (OR 2.2), presenting to a referral hospital (OR 1.4), fewer annual ED visits (<4 visits, OR 2.0), and more hours spent in the ED (>12 hours, OR 2.0). A decrease in CTAS score (increase in disease acuity) upon return visit also increased the risk of admission (-1 CTAS level, OR 2.6). ED crowding at the index visit, as indicated by occupancy level, was not a predictor.\nConclusion:\n We demonstrate that URVA patients comprise a distinct subgroup of 72-hour URV patients. Risk factors for URVA are present at the index visit suggesting that patients at high risk for URVA may be identifiable prior to admission.", "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": "Return Visits" }, { "word": "Unscheduled" }, { "word": "Quality and Safety" }, { "word": "Metric" }, { "word": "Emergency Medicine" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4z7463vp", "frozenauthors": [ { "first_name": "Jake", "middle_name": "", "last_name": "Hayward", "name_suffix": "", "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada", "department": "None" }, { "first_name": "Reidar", "middle_name": "", "last_name": "Hagtvedt", "name_suffix": "", "institution": "University of Alberta, Alberta School of Business, Edmonton, Alberta, Canada", "department": "None" }, { "first_name": "Warren", "middle_name": "", "last_name": "Ma", "name_suffix": "", "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada", "department": "None" }, { "first_name": "Aliyah", "middle_name": "", "last_name": "Gauri", "name_suffix": "", "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Vester", "name_suffix": "", "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada", "department": "None" }, { "first_name": "Brian", "middle_name": "R.", "last_name": "Holroyd", "name_suffix": "", "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada\nAlberta Health Services, Emergency Strategic Clinical Network, Edmonton, Alberta, Canada", "department": "None" } ], "date_submitted": "2018-03-14T13:52:10-07:00", "date_accepted": "2018-03-14T13:52:10-07:00", "date_published": "2018-09-10T09:21:13-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11671/galley/6278/download/" } ] }, { "pk": 11845, "title": "Tranexamic Acid in Civilian Trauma Care in the California Prehospital Antifibrinolytic Therapy Study", "subtitle": null, "abstract": "Introduction:\n Hemorrhage is one of the leading causes of death in trauma victims. Historically, paramedics have not had access to medications that specifically target the reversal of trauma-induced coagulopathies. The California Prehospital Antifibrinolytic Therapy (Cal-PAT) study seeks to evaluate the safety and efficacy of tranexamic acid (TXA) use in the civilian prehospital setting in cases of traumatic hemorrhagic shock. \nMethods:\n The Cal-PAT study is a multi-centered, prospective, observational cohort study with a retrospective comparison. From March 2015 to July 2017, patients ≥ 18 years-old who sustained blunt or penetrating trauma with signs of hemorrhagic shock identified by first responders in the prehospital setting were considered for TXA treatment. A control group was formed of patients seen in the five years prior to data collection cessation (June 2012 to July 2017) at each receiving center who were not administered TXA. Control group patients were selected through propensity score matching based on gender, age, Injury Severity Scores, and mechanism of injury. The primary outcome assessed was mortality recorded at 24 hours, 48 hours, and 28 days. Additional variables assessed included total blood products transfused, the hospital and intensive care unit length of stay, systolic blood pressure taken prior to TXA administration, Glasgow Coma Score observed prior to TXA administration, and the incidence of known adverse events associated with TXA administration.\nResults:\n We included 724 patients in the final analysis, with 362 patients in the TXA group and 362 in the control group. Reduced mortality was noted at 28 days in the TXA group in comparison to the control group (3.6% vs. 8.3% for TXA and control, respectively, odds ratio [OR]=0.41 with 95% confidence interval [CI] [0.21 to 0.8]). This mortality difference was greatest in severely injured patients with ISS >15 (6% vs 14.5% for TXA and control, respectively, OR=0.37 with 95% CI [0.17 to 0.8]). Furthermore, a significant reduction in total blood product transfused was observed after TXA administration in the total cohort as well as in severely injured patients. No significant increase in known adverse events following TXA administration were observed. \nConclusion:\n Findings from the Cal-PAT study suggest that TXA use in the civilian prehospital setting may safely improve survival outcomes in patients who have sustained traumatic injury with signs of hemorrhagic shock.", "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": "tranexamic acid, civilian, adult, prehospital" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9f99j268", "frozenauthors": [ { "first_name": "Michael", "middle_name": "M.", "last_name": "Neeki", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California\nCalifornia University of Sciences and Medicine, Colton, California", "department": "None" }, { "first_name": "Fanglong", "middle_name": "", "last_name": "Dong", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Jake", "middle_name": "", "last_name": "Toy", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Reza", "middle_name": "", "last_name": "Vaezazizi", "name_suffix": "", "institution": "Inland Counties Emergency Medical Agency, San Bernardino, California\nRiverside County Emergency Services Agency, Riverside, California", "department": "None" }, { "first_name": "Joe", "middle_name": "", "last_name": "Powell", "name_suffix": "", "institution": "City of Rialto Fire Department, Rialto, California", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Wong", "name_suffix": "", "institution": "Arrowhead Regional Medical Center", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Mousselli", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Massoud", "middle_name": "", "last_name": "Rabiei", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Jabourian", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Nichole", "middle_name": "", "last_name": "Niknafs", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Burgett-Moreno", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Vara", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Shanna", "middle_name": "", "last_name": "Kissel", "name_suffix": "", "institution": "Riverside County Emergency Services Agency, Riverside, California", "department": "None" }, { "first_name": "Xian", "middle_name": "", "last_name": "Luo-Owen", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of General Surgery, Loma Linda, California", "department": "None" }, { "first_name": "Karen", "middle_name": "R.", "last_name": "O'Bosky", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of General Surgery, Loma Linda, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Ludi", "name_suffix": "", "institution": "Riverside University Health System Medical Center, Department of Surgery, Moreno Valley, California", "department": "None" }, { "first_name": "Karl", "middle_name": "", "last_name": "Sporer", "name_suffix": "", "institution": "Alameda County Emergency Medical Services Agency, San Leandro, California", "department": "None" }, { "first_name": "Troy", "middle_name": "", "last_name": "Pennington", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California\nCalifornia University of Sciences and Medicine, Colton, California", "department": "None" }, { "first_name": "Tommy", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Surgery, Colton, California\nCalifornia University of Sciences and Medicine, Colton, California", "department": "None" }, { "first_name": "Rodney", "middle_name": "", "last_name": "Borger", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California\nCalifornia University of Sciences and Medicine, Colton, California", "department": "None" }, { "first_name": "Eugene", "middle_name": "", "last_name": "Kwong", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California\nCalifornia University of Sciences and Medicine, Colton, California", "department": "None" } ], "date_submitted": "2018-06-11T12:45:00-07:00", "date_accepted": "2018-06-11T12:45:00-07:00", "date_published": "2018-09-10T09:19:48-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11845/galley/6341/download/" } ] }, { "pk": 11642, "title": "Gun Violence: A Biopsychosocial Disease", "subtitle": null, "abstract": "Gun violence is a complex biopsychosocial disease and as such, requires a multidisciplinary approach to understanding and treatment. Framing gun violence as a disease places it firmly within medical and public health practice. By applying the disease model to gun violence, it is possible to explore the host, agent, and environment in which gun violence occurs, and to identify risk factors to target for prevention. This approach also provides an opportunity to address scientifically inaccurate assumptions about gun violence. In addition, there are many opportunities for medical communities to treat gun violence as a disease by considering and treating the biologic, behavioral, and social aspects of this disease. The medical community must answer recent calls to engage in gun violence prevention, and employing this model of gun violence as a biopsychosocial disease provides a framework for engagement.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "gun violence" }, { "word": "Public health" }, { "word": "Emergency Medicine" } ], "section": "Public Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/00v8w13z", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "W.", "last_name": "Hargarten", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin\nMedical College of Wisconsin, Comprehensive Injury Center, Milwaukee, Wisconsin", "department": "None" }, { "first_name": "E.", "middle_name": "Brooke", "last_name": "Lerner", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin\nMedical College of Wisconsin, Comprehensive Injury Center, Milwaukee, Wisconsin", "department": "None" }, { "first_name": "Marc", "middle_name": "", "last_name": "Gorelick", "name_suffix": "", "institution": "Children’s Hospital and Clinics of Minnesota, Minneapolis, Minnesota", "department": "None" }, { "first_name": "Karen", "middle_name": "", "last_name": "Brasel", "name_suffix": "", "institution": "Oregon Health and Science University, Department of Surgery, Portland, Oregon", "department": "None" }, { "first_name": "Terri", "middle_name": "", "last_name": "deRoon-Cassini", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Surgery, Milwaukee, Wisconsin", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Kohlbeck", "name_suffix": "", "institution": "Medical College of Wisconsin, Comprehensive Injury Center, Milwaukee, Wisconsin", "department": "None" } ], "date_submitted": "2018-02-21T08:07:48-08:00", "date_accepted": "2018-02-21T08:07:48-08:00", "date_published": "2018-09-10T09:17:59-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11642/galley/6264/download/" } ] }, { "pk": 11795, "title": "Obtaining History with a Language Barrier in the Emergency Department: Perhaps not a Barrier After All", "subtitle": null, "abstract": "Introduction:\n Patients with limited English proficiency may be at risk for incomplete history collection, potentially a patient safety issue. While federal law requires qualified medical interpreters be provided for these patients, little is known about the quality of information obtained in these encounters. Our study compared the medical histories obtained by physicians in the emergency department (ED) based on whether the patients primarily spoke English or Spanish. \nMethods:\n This was a prospective, observational study conducted at a single, urban, academic ED during a six-month time period. Resident and faculty physicians caring for adult patients with a chief complaint of chest or abdominal pain were eligible for participation. Patient encounters were directly observed by medical students who had been trained using simulated encounters. Observers documented which key historical data points were obtained by providers, including descriptions of pain (location, quality, severity, radiation, alleviating/aggravating factors), past medical/family/surgical history, and social history, in addition to the patient’s language in providing history. Providers, interpreters, and observers were blinded to the nature of the study. We used chi-square analyses to examine differences in whether specific elements were collected based on the primary language of the patient.\nResults:\n Encounters with 753 patients were observed: 105 Spanish speaking and 648 English speaking. Chi-square analyses found no statistically significant differences in any history questions between Spanish-speaking and English-speaking patients, with the exception that questions regarding alleviating factors were asked more often with Spanish-speaking patients (45%) than English-speaking patients (30%, p=.003). The average percentages of targeted history elements obtained in Spanish and English encounters were 60% and 57%, respectively.\nConclusion:\n In this study at a large, urban, academic ED, the medical histories obtained by physicians were similar between English-speaking and Spanish-speaking patients. This suggests that the physicians sought to obtain medical histories at the same level of detail despite the language barrier. One limitation to consider is the Hawthorne effect; however, providers and observers were blinded to the nature of the study in an attempt to minimize the effect.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Patient Communication", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mm306r5", "frozenauthors": [ { "first_name": "Megan", "middle_name": "", "last_name": "Litzau", "name_suffix": "", "institution": "Indiana University, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Turner", "name_suffix": "", "institution": "Indiana University, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Katie", "middle_name": "", "last_name": "Pettit", "name_suffix": "", "institution": "Indiana University", "department": "None" }, { "first_name": "Zachary", "middle_name": "", "last_name": "Morgan", "name_suffix": "", "institution": "Indiana University, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Dylan", "middle_name": "", "last_name": "Cooper", "name_suffix": "", "institution": "Indiana University", "department": "None" }, { "first_name": "Katie", "middle_name": "", "last_name": "Pettit", "name_suffix": "", "institution": "Indiana University, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" } ], "date_submitted": "2018-05-23T16:55:32-07:00", "date_accepted": "2018-05-23T16:55:32-07:00", "date_published": "2018-09-10T09:16:33-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11795/galley/6320/download/" } ] }, { "pk": 11609, "title": "Low-dose Ketamine Does Not Improve Migraine in the Emergency Department: A Randomized Placebo-controlled Trial", "subtitle": null, "abstract": "Introduction: \nPatients frequently present to the emergency department (ED) with migraine headaches. Although low-dose ketamine demonstrates analgesic efficacy for acute pain complaints in the ED, headaches have historically been excluded from these trials. This study evaluates the efficacy and safety of low-dose ketamine for treatment of acute migraine in the ED.\nMethods: \nThis randomized, double-blinded, placebo-controlled trial evaluated adults 18 to 65 years of age with acute migraine at a single academic ED. Subjects were randomized to receive 0.2 milligrams per kilogram of intravenous (IV) ketamine or an equivalent volume of normal saline. Numeric Rating Scale (NRS-11) pain scores, categorical pain scores, functional disability scores, side effects, and adverse events were assessed at baseline (T0) and 30 minutes post-treatment (T30). The primary outcome was between-group difference in NRS score reduction at 30 minutes. \nResults:\n We enrolled 34 subjects (ketamine=16, placebo=18). Demographics were similar between treatment groups. There was no statistically significant difference in NRS score reductions between ketamine and placebo-treated groups after 30 minutes. Median NRS score reductions at 30 minutes were 1.0 (interquartile range [IQR] 0 to 2.25) for the ketamine group and 2.0 (IQR 0 to 3.75) for the placebo group. Between-group median difference at 30 minutes was -1.0 (IQR -2 to 1, p=0.5035). No significant differences between treatment groups occurred in categorical pain scores, functional disability scores, rescue medication request rate, and treatment satisfaction. Side Effect Rating Scale for Dissociative Anesthetics scores in the ketamine group were significantly greater for generalized discomfort at 30 minutes (p=0.008) and fatigue at 60 minutes (p=0.0216). No serious adverse events occurred in this study.\nConclusion:\n We found that 0.2mg/kg IV ketamine did not produce a greater reduction in NRS score compared to placebo for treatment of acute migraine in the ED. Generalized discomfort at 30 minutes was significantly greater in the ketamine group. Overall, ketamine was well tolerated by migraine-suffering subjects. To optimize low-dose ketamine as an acute migraine treatment, future studies should investigate more effective dosing and routes of 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": [ { "word": "headache, migraine, ketamine, pain management" } ], "section": "Neuroscience", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/75z4j2qd", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "R.", "last_name": "Etchison", "name_suffix": "", "institution": "Virginia Tech Carilion School of Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Lia", "middle_name": "", "last_name": "Bos", "name_suffix": "", "institution": "Virginia Tech Carilion School of Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Meredith", "middle_name": "", "last_name": "Ray", "name_suffix": "", "institution": "University of Memphis, Department of Epidemiology, Biostatistics and Environmental Health, Memphis, Tennessee", "department": "None" }, { "first_name": "Kelly", "middle_name": "B.", "last_name": "McAllister", "name_suffix": "", "institution": "Carilion Roanoke Memorial Hospital, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Moiz", "middle_name": "", "last_name": "Mohammed", "name_suffix": "", "institution": "Carilion Roanoke Memorial Hospital, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Barrett", "middle_name": "", "last_name": "Park", "name_suffix": "", "institution": "Carilion Roanoke Memorial Hospital, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Allen", "middle_name": "Vu", "last_name": "Phan", "name_suffix": "", "institution": "Virginia Tech Carilion School of Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Corey", "middle_name": "", "last_name": "Heitz", "name_suffix": "", "institution": "Lewis Gale Medical Center, Department of Emergency Medicine, Salem, Virginia", "department": "None" } ], "date_submitted": "2018-02-27T17:24:39-08:00", "date_accepted": "2018-02-27T17:24:39-08:00", "date_published": "2018-09-10T09:15:22-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11609/galley/6250/download/" } ] }, { "pk": 580, "title": "Pacemaker-associated Phlegmasia Cerulea Dolens Treated with Catheter-directed Thrombolysis", "subtitle": null, "abstract": "Phlegmasia cerulea dolens (PCD) is a rare and severe form of deep venous thrombosis that is classically associated with the lower extremities. We report a case of upper extremity PCD developing abruptly in a 37-year-old female with an indwelling cardiac pacemaker who presented to the emergency department complaining of pain and paresthesias in her left arm, adjoining left chest wall, and inferior neck. Her condition was promptly diagnosed and successfully treated with intravenous unfractionated heparin and balloon venoplasty with catheter-directed thrombolysis without any known residual signs or symptoms at hospital discharge.", "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/3mk277p8", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "A.", "last_name": "Mazer", "name_suffix": "", "institution": "Charles E. Schmidt College of Medicine, Florida Atlantic University, Department of Emergency Medicine, Boca Raton, Florida", "department": "None" }, { "first_name": "Patrick", "middle_name": "G.", "last_name": "Hughes", "name_suffix": "", "institution": "Charles E. Schmidt College of Medicine, Florida Atlantic University, Department of Emergency Medicine, Boca Raton, Florida", "department": "None" } ], "date_submitted": "2018-08-13T11:17:57-07:00", "date_accepted": "2018-08-13T11:17:57-07:00", "date_published": "2018-09-05T14:51:43-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/580/galley/341/download/" } ] }, { "pk": 578, "title": "Mercury Ingestion", "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/3q3806jf", "frozenauthors": [ { "first_name": "Manish", "middle_name": "", "last_name": "Amin", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Huang", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Sudha", "middle_name": "", "last_name": "Challa", "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" }, { "first_name": "Laura", "middle_name": "C.", "last_name": "Castro", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Donya", "middle_name": "", "last_name": "Sarrafian", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" } ], "date_submitted": "2018-08-01T11:55:09-07:00", "date_accepted": "2018-08-01T11:55:09-07:00", "date_published": "2018-09-05T14:50:56-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/578/galley/339/download/" } ] }, { "pk": 565, "title": "Point-of-care Ultrasonography of a Rare Cause of Hemoperitoneum", "subtitle": null, "abstract": "A young woman presented to the emergency department with lethargy, hemodynamic instability, and diffuse abdominal tenderness. On point-of-care ultrasound (PoCUS), she was found to have intraperitoneal free fluid and a large pelvic mass, which were discovered intraoperatively to be hemoperitoneum due to ruptured vessels of a uterine leiomyoma. Although rare, a life-threatening, ruptured leiomyoma may be treated surgically if recognized in an expedient fashion. A PoCUS can aid the emergency clinician in prompt 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": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nj664c3", "frozenauthors": [ { "first_name": "Kyle", "middle_name": "R.", "last_name": "Kelson", "name_suffix": "", "institution": "SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Riscinti", "name_suffix": "", "institution": "SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Secko", "name_suffix": "", "institution": "Stony Brook University Medical Center, Department of Emergency Medicine, Stony\nBrook, New York", "department": "None" }, { "first_name": "Ian", "middle_name": "S.", "last_name": "deSouza", "name_suffix": "", "institution": "SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "None" } ], "date_submitted": "2018-07-06T17:31:29-07:00", "date_accepted": "2018-07-06T17:31:29-07:00", "date_published": "2018-09-05T14:50:20-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/565/galley/327/download/" } ] }, { "pk": 581, "title": "Massive Right Breast Hematoma", "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/0k4618g3", "frozenauthors": [ { "first_name": "Manish", "middle_name": "", "last_name": "Amin", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" }, { "first_name": "Jason", "middle_name": "P.", "last_name": "Jerome", "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" }, { "first_name": "Laura", "middle_name": "C.", "last_name": "Castro", "name_suffix": "", "institution": "Kern Medical, Department of Emergency Medicine, Bakersfield, California", "department": "None" } ], "date_submitted": "2018-08-13T12:48:29-07:00", "date_accepted": "2018-08-13T12:48:29-07:00", "date_published": "2018-09-05T14:49:23-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/581/galley/342/download/" } ] }, { "pk": 585, "title": "A Brush with Danger", "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/4tb2b3nm", "frozenauthors": [ { "first_name": "Alexander", "middle_name": "W.", "last_name": "Hirsch", "name_suffix": "", "institution": "Boston Children’s Hospital, Harvard Medical School, Division of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Erica", "middle_name": "Y.", "last_name": "Popovsky", "name_suffix": "", "institution": "Boston Children’s Hospital, Harvard Medical School, Division of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Lise", "middle_name": "E.", "last_name": "Nigrovic", "name_suffix": "", "institution": "Boston Children’s Hospital, Harvard Medical School, Division of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Michele", "middle_name": "M.", "last_name": "Burns", "name_suffix": "", "institution": "Boston Children’s Hospital, Harvard Medical School, Division of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2018-08-15T15:23:10-07:00", "date_accepted": "2018-08-15T15:23:10-07:00", "date_published": "2018-09-05T14:48:51-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/585/galley/346/download/" } ] }, { "pk": 582, "title": "Eagle Syndrome", "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/6nv267sm", "frozenauthors": [ { "first_name": "Elisha", "middle_name": "", "last_name": "Bremmer", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "Shane", "middle_name": "", "last_name": "Sergent", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Ashurst", "name_suffix": "", "institution": "Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona", "department": "None" } ], "date_submitted": "2018-08-15T15:11:42-07:00", "date_accepted": "2018-08-15T15:11:42-07:00", "date_published": "2018-09-05T14:47:52-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/582/galley/343/download/" } ] }, { "pk": 583, "title": "FascIOtomy: Ultrasound Evaluation of an Intraosseous Needle Causing Compartment Syndrome", "subtitle": null, "abstract": "Intraosseous (IO) needles are used in critically ill patients when it is not possible to quickly obtain venous access. While they allow for immediate access, IO infusions are associated with complications including fractures, infections, and compartment syndrome. We present a case where point-of-care ultrasound was used to quickly identify a malfunctioning IO needle that resulted in compartment syndrome of the lower extremity.", "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/9kw8h4h0", "frozenauthors": [ { "first_name": "Tiffany", "middle_name": "M.", "last_name": "Abramson", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, LAC+USC Medical\nCenter, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Laith", "middle_name": "", "last_name": "Alreshaid", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, LAC+USC Medical\nCenter, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Tarina", "middle_name": "", "last_name": "Kang", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, LAC+USC Medical\nCenter, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Mailhot", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, LAC+USC Medical\nCenter, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Talib", "middle_name": "", "last_name": "Omer", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, LAC+USC Medical\nCenter, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2018-08-15T15:17:10-07:00", "date_accepted": "2018-08-15T15:17:10-07:00", "date_published": "2018-09-05T14:47:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/583/galley/344/download/" } ] }, { "pk": 57030, "title": "El curioso epistolario unilateral de Francisco Fedriani padre confesor y factotum de Manuel de Falla", "subtitle": null, "abstract": "Una de las primeras obras de Manuel de Falla (1876-1946) fue su ópera llamada “El Conde de Villamediana” (c1891). El nombre de este noble ítalo-español es Juan de Tasis (1582-1622). Tasis llegó a ser uno de los mayores poetas barrocos y uno de los más atrevidos de su época. Nuestro compositor y Tasis vivían una vida sexual peligrosa: aquél homosexual y éste bisexual. Son orientaciones peligrosas en las vidas de nuestros personajes. Esta ópera de Falla desapareció inmedia y permanentemente en 1891. Y nadie en el público general se ha enterado de su última parada. Me inclino a creer que el Falla adolescente optó por el tema de Tasis precisamente porque los dos tenían orientaciones sexuales parecidas. Sugiero que el joven compositor mostró su manuscrito ,”pecaminoso” al padre gaditano Francisco Fedriani de Paula Bermúdez de Castro (1853-c1936), Este padre habría quedado horrorizado y prohibió su publicación. Don Francisco fue el padre espiritual de Falla hasta la tumba. Las relaciones entre presbítero y penitente produjeron un nutrido epistolario unilateral que en este estudio se analiza. Desafortunadamente el epistolario es unilateral lo cual dificulta comprender muchas cartas del sacerdote. Tampoco se sabe del destino de las cartas de Falla. A través del epistolario de don Francisco espero dar tanto con las cartas desaparecidas de Falla como con el libretto de su ópera. Estas cartas presentan al lector una rara oportunidad de ver la interdependencia entre padre confesor y confesante.", "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": "Religiosidad" }, { "word": "intimidad" }, { "word": "Sexualidad" }, { "word": "pecado" }, { "word": "penitencia" }, { "word": "confesional" }, { "word": "enfermedad" }, { "word": "libretto" }, { "word": "cartas." } ], "section": "ARTICLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/698250dv", "frozenauthors": [ { "first_name": "Jack", "middle_name": "", "last_name": "Weiner", "name_suffix": "", "institution": "Newberry Library, Scholar in Residence\nNorthern Illinois University, Emeritus Professor", "department": "" } ], "date_submitted": "2018-06-28T18:28:47-07:00", "date_accepted": "2018-06-28T18:28:47-07:00", "date_published": "2018-09-02T17:22:39-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/diagonal/article/57030/galley/43230/download/" } ] }, { "pk": 62775, "title": "Evaluation of the Delta Simulation Model-2 in Computing Tidally Driven Flows in the Sacramento-San Joaquin Delta", "subtitle": null, "abstract": "We investigate the fidelity of the Delta Simulation Model-2 (DSM2), a one-dimensional branched network hydrodynamics solver, which is used to model water quality and ecology in the Sacramento–San Joaquin Delta estuary. We find that while DSM2 reproduces the total flows well, it does not accurately represent the harmonic components of the tides and tidal modulation of subtidal flow. The inaccurate representation of tidal dynamics affects prediction of subtidal flows, flow splits at key junctions, and salinity. These deviations are the result of coarse spatial and temporal representation of tides as well as unrepresented estuarine physical processes. We propose and evaluate two types of schemes intended to improve fidelity: modifying the model domain and specifying fine grid and boundary conditions, and incorporating and parameterizing more complex physical processes into the 1-D model. We also develop a comprehensive protocol to evaluate the model in which we assess the fidelity of model results. In this protocol, we also include a decomposition of the model error into a systematic component because of model representation, and an unsystematic component, which includes errors from both unmodeled physical processes and data precision. Our analysis reveals that these recommendations would be effective provided they can be incorporated with model recalibration. Both our proposed schemes and the model evaluation process will be useful in analyzing models of networked surface water systems such as the Delta in which the distribution of observations is spatially inhomogeneous.", "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": "Tides, estuarine dynamics, shallow water wave equations, numerical modeling, Delta Simulation Model II, DSM2, error analysis, model performance evaluation, San Francisco Bay–Delta" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0vm955tw", "frozenauthors": [ { "first_name": "Vamsi", "middle_name": "K.", "last_name": "Sridharan", "name_suffix": "", "institution": "Institue of Marine Sciences,\nUniversity of California, Santa Cruz, and\nSouthwest Fisheries Science Center\nNMFS–NOAA", "department": "" }, { "first_name": "Stephen", "middle_name": "G.", "last_name": "Monismith", "name_suffix": "", "institution": "Dept. of Civil and Environmental Engineering,\nStanford University", "department": "" }, { "first_name": "Oliver", "middle_name": "B.", "last_name": "Fringer", "name_suffix": "", "institution": "Dept. of Civil and Environmental Engineering,\nStanford University", "department": "" }, { "first_name": "Derek", "middle_name": "A.", "last_name": "Fong", "name_suffix": "", "institution": "Dept. of Civil and Environmental Engineering,\nStanford University", "department": "" } ], "date_submitted": "2018-08-20T20:17:10-07:00", "date_accepted": "2018-08-20T20:17:10-07:00", "date_published": "2018-08-31T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62775/galley/48456/download/" } ] }, { "pk": 62772, "title": "Managing for Salmon Resilience in California’s Variable and Changing Climate", "subtitle": null, "abstract": "California’s salmonids are at the southern limits of their individual species’ ranges, and display a wide diversity of strategies to survive in California’s highly variable climate. Land use changes after statehood in 1850 eliminated important habitats, or blocked access to them, and reduced the abundance, productivity, and distribution of California’s salmon. Habitat simplification, fishing, hatchery impacts, and other stressors led to the loss of genetic and phenotypic (life history, morphological, behavioral, and physiological) diversity in salmonids. Limited diversity and habitat loss left California salmon with reduced capacity to cope with a variable and changing climate. Since 1976, California has experienced frequent droughts, as were common in the paleo-climatological record, but rare in the peak dam-building era of 1936–1976. Increasing temperatures and decreasing snowpacks have produced harsher conditions for California’s salmon in their current habitats than they experienced historically. The most likely way to promote salmon productivity and persistence in California is to restore habitat diversity, reconnect migratory corridors to spawning and rearing habitats, and refocus management to replenish the genetic and phenotypic diversity of these southernmost 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.\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": "Submersed aquatic vegetation, non-native species, aquatic macroinvertebrates, Largemouth Bass" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rb3z3nj", "frozenauthors": [ { "first_name": "Bruce", "middle_name": "", "last_name": "Herbold", "name_suffix": "", "institution": "Consultant", "department": "" }, { "first_name": "Stephanie", "middle_name": "M.", "last_name": "Carlson", "name_suffix": "", "institution": "Dept. of Environmental Science, Policy, and Management\nUniversity of California, Berkeley", "department": "" }, { "first_name": "Rene", "middle_name": "", "last_name": "Henery", "name_suffix": "", "institution": "Trout Unlimited and Global Water Center, University of Nevada, Reno", "department": "" }, { "first_name": "Rachel", "middle_name": "C.", "last_name": "Johnson", "name_suffix": "", "institution": "Southwest Fisheries Science Center,\nNMFS–NOAA", "department": "" }, { "first_name": "Nate", "middle_name": "", "last_name": "Mantua", "name_suffix": "", "institution": "Southwest Fisheries Science Center,\nNMFS–NOAA", "department": "" }, { "first_name": "Michelle", "middle_name": "", "last_name": "McClure", "name_suffix": "", "institution": "Northwest Fisheries Science Center,\nNMFS–NOAA", "department": "" }, { "first_name": "Peter", "middle_name": "B.", "last_name": "Moyle", "name_suffix": "", "institution": "Center for Watershed Sciences,\nUniversity of California, Davis", "department": "" }, { "first_name": "Ted", "middle_name": "", "last_name": "Sommer", "name_suffix": "", "institution": "California Department of Water Resources", "department": "" } ], "date_submitted": "2018-08-20T19:47:43-07:00", "date_accepted": "2018-08-20T19:47:43-07:00", "date_published": "2018-08-31T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62772/galley/48453/download/" } ] }, { "pk": 62773, "title": "Survival of Juvenile Chinook Salmon in the Yolo Bypass and the Lower Sacramento River, California", "subtitle": null, "abstract": "While our knowledge of the range of survival that outmigrating juvenile Chinook Salmon experience in different routes of the Sacramento–San Joaquin Delta has increased in recent years, few studies have focused on their survival during outmigration in the Yolo Bypass, the Delta’s primary floodplain. The Yolo Bypass floodplain provides valuable rearing habitat and growth benefits to juvenile fish in flood years, and efforts are underway to improve access to the Yolo Bypass and the Toe Drain, its perennial navigation channel, under a broader range of flows and river stages than is currently possible. We compared variation in transit time, and estimated survival between different release groups of fish outmigrating through the Yolo Bypass or through migratory routes in the lower Sacramento River. Tagged late-fall-run juvenile Chinook Salmon were released in both systems in 2012 and 2013. There was no significant difference between the estimated cumulative probability of survival in the Yolo Bypass system and combined routes of the lower Sacramento River in either year (0.312–0.629 vs. 0.342–0.599, 95% credible interval in 2012; and 0.111–0.408 vs. 0.240–0.407, 95% credible interval in 2013, respectively). The Yolo Bypass had a higher coefficient of variation (CV) in travel time relative to the lower Sacramento River routes in both years (0.34 vs. 0.29 in 2012, and 0.44 vs. 0.34 in 2013). This work suggests that in relatively low water years, the estimated survival of outmigrating juvenile Chinook Salmon in the Toe Drain is directly comparable to routes in the lower Sacramento River, and that metrics of behavioral diversity in movement behavior can and should be incorporated into future telemetry studies.", "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": "Sacramento–San Joaquin Delta, mark–recapture, floodplain, migration, route selection, survival, telemetry" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8bq7t7rr", "frozenauthors": [ { "first_name": "Myfanwy", "middle_name": "E.", "last_name": "Johnston", "name_suffix": "", "institution": "Cramer Fish Sciences", "department": "" }, { "first_name": "Anna", "middle_name": "E.", "last_name": "Steel", "name_suffix": "", "institution": "Dept. of Wildlife, Fish and Conservation Biology\nUniversity of California, Davis", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Espe", "name_suffix": "", "institution": "Data Science Initiative,\nUniversity of California, Davis", "department": "" }, { "first_name": "Ted", "middle_name": "", "last_name": "Sommer", "name_suffix": "", "institution": "Division of Environmental Science,\nCalifornia Department of Water Resources", "department": "" }, { "first_name": "A.", "middle_name": "Peter", "last_name": "Klimley", "name_suffix": "", "institution": "Biological Consultant", "department": "" }, { "first_name": "Philip", "middle_name": "", "last_name": "Sandstrom", "name_suffix": "", "institution": "Tacoma Power", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "San Francisco District,\nU.S. Army Corps of Engineers", "department": "" } ], "date_submitted": "2018-08-20T19:59:26-07:00", "date_accepted": "2018-08-20T19:59:26-07:00", "date_published": "2018-08-31T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62773/galley/48454/download/" } ] }, { "pk": 62774, "title": "The Effect of Submersed Aquatic Vegetation on Invertebrates Important in Diets of Juvenile Largemouth Bass Micropterus salmoides", "subtitle": null, "abstract": "A suite of submersed aquatic vegetation (SAV) species, and especially Brazilian Waterweed (\nEgeria densa\n), has proliferated rapidly in California’s Sacramento–San Joaquin Delta. This expansion is concurrent with population declines in native fish species and increases in many non-native fish species, including Largemouth Bass \nMicropterus salmoides\n. In this study, we investigated the effect of SAV species composition and \nE. densa\n specifically on macroinvertebrate communities and juvenile Largemouth Bass diets. Invertebrate communities differed across sites in the Delta, driven primarily by changes in abundance of the amphipod \nHyalella \nsp., oligochaetes, ostracods, and insect larvae of the family Chironomidae. Juvenile Largemouth Bass consistently consumed SAV-associated invertebrates, and preferentially consumed larger taxa, when available. Gut fullness of juvenile Largemouth Bass was lowest in sites dominated by \nE. densa\n, although there was no clear mechanism for this difference. However, SAV species composition had little effect on abundance of \nHyalella\n sp., chironomid larvae, or damselfly naiads, prey items commonly consumed by juvenile Largemouth Bass. Our results suggest that \nE. densa\n does not provide a qualitative increase in macroinvertebrate food for fishes compared to other SAV species.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Submersed aquatic vegetation, non-native species, aquatic macroinvertebrates, Largemouth Bass" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8xp706x1", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "J.", "last_name": "Young", "name_suffix": "", "institution": "Center for Watershed Sciences,\nUniversity of California, Davis", "department": "" }, { "first_name": "J.", "middle_name": "Louise", "last_name": "Conrad", "name_suffix": "", "institution": "Division of Environmental Services,\nCalifornia Department of Water Resources", "department": "" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Bibian", "name_suffix": "", "institution": "Department of Ecology and Evolutionary Biology,\nRice University", "department": "" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Sih", "name_suffix": "", "institution": "Department of Environmental Science and Policy,\nUniversity of California, Davis", "department": "" } ], "date_submitted": "2018-08-20T20:09:02-07:00", "date_accepted": "2018-08-20T20:09:02-07:00", "date_published": "2018-08-31T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62774/galley/48455/download/" } ] }, { "pk": 62771, "title": "Toward Salt Marsh Harvest Mouse Recovery: A Review", "subtitle": null, "abstract": "The salt marsh harvest mouse (SMHM, \nReithrodontomys raviventris\n) is an endangered species, endemic to the San Francisco Estuary. Despite being protected for almost half a century and being included in a large number of recovery, restoration, and management plans, significant data gaps hinder conservation and management of the species, a challenge further complicated by developing threats such as climate change. In this review, we present the current state of knowledge; highlight research gaps on habitat requirements and distribution, taxonomic status and genetic structure, physiology, reproduction and demographics, population dynamics, and behavior and community interactions; and present an overview of threats to the species. Our review indicates that substantial data gaps exist; although some aspects of SMHM ecology, such as habitat use, have been addressed extensively, others, such as the effects of environmental contamination, are largely unaddressed. We suggest that conservation and restoration-planning processes consider experimental approaches within restoration designs to address these deficiencies. Continued investment in basic and applied SMHM ecology to collect baseline and long-term data will also be beneficial. Additionally, further coordination among managers and researchers can facilitate more effective responses to uncertainties and emerging threats, especially climate change, which threatens the SMHM and its habitat throughout its range.", "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": "Reithrodontomys raviventris, recovery, conservation, management, San Francisco Estuary, community, genetics" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2w06369x", "frozenauthors": [ { "first_name": "Katherine", "middle_name": "R.", "last_name": "Smith", "name_suffix": "", "institution": "Dept. of Wildlife, Fish and Conservation Biology, University of California, Davis and\nSuisun Marsh Unit, California Department of Fish and Wildlife", "department": "" }, { "first_name": "Melissa", "middle_name": "K.", "last_name": "Riley", "name_suffix": "", "institution": "Suisun Marsh Unit,\nCalifornia Department of Fish and Wildlife", "department": "" }, { "first_name": "Laureen", "middle_name": "", "last_name": "Barthman–Thompson", "name_suffix": "", "institution": "Suisun Marsh Unit,\nCalifornia Department of Fish and Wildlife", "department": "" }, { "first_name": "Isa", "middle_name": "", "last_name": "Woo", "name_suffix": "", "institution": "Western Ecological Research Center,\nU.S. Geological Survey", "department": "" }, { "first_name": "Mark", "middle_name": "J.", "last_name": "Statham", "name_suffix": "", "institution": "Mammalian Ecology and Conseration Unit,\nUniversity of California, Davis", "department": "" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Estrella", "name_suffix": "", "institution": "Suisun Marsh Unit,\nCalifornia Department of Fish and Wildlife", "department": "" }, { "first_name": "Douglas", "middle_name": "A.", "last_name": "Kelt", "name_suffix": "", "institution": "Dept. of Wildlife, Fish and Conservation Biology, University of California, Davis", "department": "" } ], "date_submitted": "2018-08-20T19:34:37-07:00", "date_accepted": "2018-08-20T19:34:37-07:00", "date_published": "2018-08-31T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62771/galley/48452/download/" } ] }, { "pk": 62770, "title": "Toward Salt Marsh Harvest Mouse Recovery: Research Priorities", "subtitle": null, "abstract": "[Abstracts are not presented for essays. -The SFEWS Editors.]", "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": "<i>Reithrodontomys raviventris</i>, recovery, conservation, management, San Francisco Estuary, community, genetics" } ], "section": "Essay", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/27w2s6c1", "frozenauthors": [ { "first_name": "Katherine", "middle_name": "R.", "last_name": "Smith", "name_suffix": "", "institution": "Dept. of Wildlife, Fish and Conservation Biology, University of California, Davis and\nSuisun Marsh Unit, California Department of Fish and Wildlife", "department": "" }, { "first_name": "Melissa", "middle_name": "K.", "last_name": "Riley", "name_suffix": "", "institution": "Suisun Marsh Unit,\nCalifornia Department of Fish and Wildlife", "department": "" }, { "first_name": "Laureen", "middle_name": "", "last_name": "Barthman–Thompson", "name_suffix": "", "institution": "Suisun Marsh Unit,\nCalifornia Department of Fish and Wildlife", "department": "" }, { "first_name": "Mark", "middle_name": "J.", "last_name": "Statham", "name_suffix": "", "institution": "Mammalian Ecology and Conservation Unit,\nUniversity of California, Davis", "department": "" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Estrella", "name_suffix": "", "institution": "Suisun Marsh Unit,\nCalifornia Department of Fish and Wildlife", "department": "" }, { "first_name": "Douglas", "middle_name": "", "last_name": "Kelt", "name_suffix": "", "institution": "Dept. of Wildlife, Fish and Conservation Biology, University of California, Davis", "department": "" } ], "date_submitted": "2018-08-20T15:42:49-07:00", "date_accepted": "2018-08-20T15:42:49-07:00", "date_published": 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"Shih-Fan", "middle_name": "", "last_name": "Sun", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramy", "middle_name": "M", "last_name": "Hanna", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-08-28T08:38:12-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44552/galley/33345/download/" } ] }, { "pk": 44551, "title": "Subacute Thyroiditis: A Common Endocrine Cause of Fever of Unknown Origin", "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/61j7j40z", "frozenauthors": [ { 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"Jonah", "middle_name": "", "last_name": "Sklan", "name_suffix": "RN, CWCN", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Christina", "middle_name": "", "last_name": "Harview", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elham", "middle_name": "", "last_name": "Ghadishah", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-08-28T08:31:11-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44550/galley/33343/download/" } ] }, { "pk": 44549, "title": "Malignancy Presenting as Paraneoplastic Itch", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { 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"Medicine" }, { "first_name": "Estebes", "middle_name": "A", "last_name": "Hernandez", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-08-28T08:24:19-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44547/galley/33340/download/" } ] }, { "pk": 44546, "title": "Acute Pulmonary Coccidioidomycosis in Pregnancy: A Case Report", "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/6g61t0c5", "frozenauthors": [ { "first_name": "Maria", "middle_name": "", "last_name": "Hamilton", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-08-28T08:20:49-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44546/galley/33339/download/" } ] }, { "pk": 44545, "title": "Paraesophageal Hernia Presenting as Chronic Cough: A Case Report", "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/4795r3bp", "frozenauthors": [ { "first_name": "Maria", "middle_name": "", "last_name": "Hamilton", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2018-08-28T08:19:04-07:00", "render_galley": null, "galleys": [ { 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