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{ "count": 38488, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=18800", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=18600", "results": [ { "pk": 44326, "title": "The Way to a Young Man’s Heart is Through His Bowels: A Case Report of Myopericarditis Associated with C. jejuni Enterocolitis", "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/8v89w66f", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "", "last_name": "Daneshvar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Khushboo", "middle_name": "", "last_name": "Kaushal", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Mary", "middle_name": "", "last_name": "Farid", "name_suffix": "DO", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-20T13:36:06-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44326/galley/33124/download/" } ] }, { "pk": 41655, "title": "A juvenile of the multiple-tooth-rowed reptile \nLabidosaurikos\n (Eureptilia, Captorhinidae, Moradisaurinae) from the Lower Permian of north-central Texas", "subtitle": null, "abstract": "Harvard University Museum of Comparative Zoology (MCZ) 1352 is a partial maxillary toothplate of a basal reptilian from the Lower Permian of Baylor County, north-central Texas. The specimen displays the straight rows of teeth characteristic of the subfamily Moradisaurinae (family: Captorhinidae) and is nearly identical in shape to the maxilla of\n Labidosaurikos meachami\n. Larger, more mesial individual teeth conform to the dental pattern previously determined for adults of the genus. Adults of \nL. meachami\n are known to possess six maxillary tooth rows, whereas MCZ 1352 has only five. Although only a partial specimen, it appears MCZ 1352 is most likely a juvenile specimen of \nL. meachmi\n. If correct, the comparative sizes suggest isometric growth of this element. The orientation of the lingual-most row of teeth, and the five as opposed to six maxillary tooth rows, suggest either new tooth rows may move labially during development or bone growth and remodeling occur lingually, resulting in the development of a margin of maxillary bone between the fifth row and the lingual edge.", "language": "en", "license": null, "keywords": [ { "word": "basal amniote, Permian, multiple tooth row, captorhinid, Eureptilia" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1zz8w026", "frozenauthors": [ { "first_name": "Jason", "middle_name": "P.", "last_name": "Jung", "name_suffix": "", "institution": "California State University, San Bernadino", "department": "None" }, { "first_name": "Stuart", "middle_name": "S.", "last_name": "Sumida", "name_suffix": "", "institution": "California State University, San Bernadino", "department": "None" } ], "date_submitted": "2017-07-17T17:58:40-07:00", "date_accepted": "2017-07-17T17:58:40-07:00", "date_published": "2017-07-20T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41655/galley/31175/download/" } ] }, { "pk": 10419, "title": "Pediatric Patients Discharged from the Emergency Department with Abnormal Vital Signs", "subtitle": null, "abstract": "Introduction: \nChildren often present to the emergency department (ED) with minor conditionssuch as fever and have persistently abnormal vital signs. W e hypothesized that a significantportion of children discharged from the ED would have abnormal vital signs and that thosedischarged with abnormal vital signs would experience very few adverse events.\nMethods:\n We performed a retrospective chart review encompassing a 44-month period of allpediatric patients (aged two months to 17 years) who were discharged from the ED with anabnormal pulse rate, respiratory rate, temperature, or oxygen saturation. We used a local qualityassurance database to identify pre-defined adverse events after discharge in this population.Our primary aim was to determine the proportion of children discharged with abnormal vitalsigns and the frequency and nature of adverse events. Additionally, we performed a subanalysiscomparing the rate of adverse events in children discharged with normal vs. abnormalvital signs, as well as a standardized review of the nature of each adverse event.\nResults:\n Of 33,185 children discharged during the study period, 5,540 (17%) of thesepatients had at least one abnormal vital sign. There were 24/5,540 (0.43%) adverse eventsin the children with at least one abnormal vital sign vs. 47/27,645 (0.17%) adverse events inthe children with normal vital signs [relative risk = 2.5 (95% confidence interval, 1.6 to 2.4)].However, upon review of each adverse event we found only one case that was related tothe index visit, was potentially preventable by a 23-hour hospital observation, and causedpermanent disability.\nConclusion: \nIn our study population, 17% of the children were discharged with at least oneabnormal vital sign, and there were very few adverse (0.43%) events associated with this practice.Heart rate was the most common abnormal vital sign leading to an adverse event. Severe adverseevents that were potentially related to the abnormal vital sign(s) were exceedingly rare. Additionalresearch is needed in broader populations to better determine the rate of adverse events andpossible methods of avoiding them. [West J Emerg Med. 2017;18(5)878-883.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine" }, { "word": "vital signs" }, { "word": "discharge" }, { "word": "Adverse" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1362q6c4", "frozenauthors": [ { "first_name": "Josephine", "middle_name": "", "last_name": "Winter", "name_suffix": "", "institution": "Albany Medical College, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Waxman", "name_suffix": "", "institution": "Albany Medical College, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "George", "middle_name": "", "last_name": "Waterman", "name_suffix": "", "institution": "Albany Medical College, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "Ashar", "middle_name": "", "last_name": "Ata", "name_suffix": "", "institution": "Albany Medical College, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "Adam", "middle_name": "", "last_name": "Frisch", "name_suffix": "", "institution": "Albany Medical College, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "Kevin", "middle_name": "P.", "last_name": "Collins", "name_suffix": "", "institution": "Albany Medical College, Department of Emergency Medicine, Albany, New York", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "King", "name_suffix": "", "institution": "Albany Medical College, Department of Emergency Medicine, Albany, New York", "department": "None" } ], "date_submitted": "2016-10-28T08:14:17-07:00", "date_accepted": "2016-10-28T08:14:17-07:00", "date_published": "2017-07-19T11:53:49-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10419/galley/5728/download/" } ] }, { "pk": 10625, "title": "Magnetic Resonance Imaging Utilization in an Emergency Department Observation Unit", "subtitle": null, "abstract": "Introduction\n \nEmergency Department Observation Units (EDOUs) are a valuable alternative to inpatient admissions for Emergency Department (ED) patients needing extended care. However, while the use of advanced imaging is becoming more common in the ED, there are no studies characterizing the use of magnetic resonance imaging (MRI) examinations in the EDOU.\n \nMethods\n \nThis Institutional Review Board-approved, retrospective study was performed at a 999-bed quaternary care academic Level 1 adult and pediatric trauma center, with approximately 114,000 ED visits annually and a 32-bed adult EDOU. The EDOU patient database was retrospectively reviewed for all MRI examinations done from October 1st, 2013 to September 30th, 2015. We sought to describe the most frequent uses for MRI during EDOU admissions and reviewed EDOU length of stay (LOS) to determine whether the use of MRI was associated with any change in LOS.\n \nResults\n \n22,840 EDOU admissions were recorded during the two-year study period, and 4,437 (19%) of these patients had a least one MRI examination during their stay. 2,730 (62%) of these studies were of the brain, head, or neck and an additional 1,392 (31%) were of the spine. There was no significant difference between the median LOS of admissions in which an MRI study was performed (17.5 hours) and the median LOS (17.7 hours) of admissions in which an MRI study was not performed [p=0.33].\n \nConclusion\n \nNeuroimaging makes up the clear majority of MRI examinations from our EDOU, and the use of MRI does not appear to prolong EDOU LOS. Future work should focus on the appropriateness of these MRI examinations to determine potential resource and cost savings.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "radiology" }, { "word": "Emergency Medicine" }, { "word": "magnetic resonance imaging" }, { "word": "observation unit" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9jv8k5vb", "frozenauthors": [ { "first_name": "Yadiel", "middle_name": "", "last_name": "Sánchez", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Radiology, Boston, MA", "department": "None" }, { "first_name": "Brian", "middle_name": "J", "last_name": "Yun", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, MA", "department": "None" }, { "first_name": "Anand", "middle_name": "M", "last_name": "Prabhakar", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Radiology, Boston, MA", "department": "None" }, { "first_name": "McKinley", "middle_name": "", "last_name": "Glover", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Radiology, Boston, MA.", "department": "None" }, { "first_name": "Benjamin", "middle_name": "A", "last_name": "White", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, MA.", "department": "None" }, { "first_name": "Theodore", "middle_name": "I", "last_name": "Benzer", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, MA", "department": "None" }, { "first_name": "Ali", "middle_name": "S.", "last_name": "Raja", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2017-02-17T06:05:28-08:00", "date_accepted": "2017-02-17T06:05:28-08:00", "date_published": "2017-07-19T11:44:25-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10625/galley/5824/download/" } ] }, { "pk": 10661, "title": "Increased Computed Tomography Utilization in the Emergency Department and Its Association with Hospital Admission", "subtitle": null, "abstract": "Introduction: \nOur goal was to investigate trends in computed tomography (CT) utilization in emergency departments (EDs) and its association with hospitalization. \nMethods: \nWe conducted an analysis of an administrative claims database of U.S. privately insured and Medicare Advantage enrollees. We identified ED visits from 2005 through 2013 and assessed for CT use, associated factors, and hospitalization after CT, along with patient demographics. We used both descriptive methods and regression models adjusted for year, age, sex, race, geographic region, and Hwang comorbidity score to explore associations among CT use, year, demographic characteristics, and hospitalization. \nResults: \nWe identified 33,144,233 ED visits; 5,901,603 (17.8%) involved CT. Over time, CT use during ED visits increased 59.9%. CT use increased in all age groups but decreased in children since 2010. In propensity-matching analysis, odds of hospitalization increased with age, comorbidities, male sex, and CT use (odds ratio, 2.38). Odds of hospitalization over time decreased more quickly for patients with CT. \nConclusion: \nCT utilization in the ED has increased significantly from 2005 through 2013. For children, CT use after 2010 decreased, indicating caution about CT use. Male sex, older age, and higher number of comorbidities were predictors of CT in the ED. Over time, odds of hospitalization decreased more quickly for patients with CT.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Diagnostic Imaging" }, { "word": "Emergency Service" }, { "word": "Health Care Utilization" }, { "word": "hospital" }, { "word": "radiology" }, { "word": "statistics and numerical data" } ], "section": "Emergency Department Administration", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3gk7n36g", "frozenauthors": [ { "first_name": "M. Fernanda", "middle_name": "", "last_name": "Bellolio", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota\nMayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, Minnesota\nMayo Clinic, Division of Health Care Policy and Research, Rochester, Minnesota", "department": "None" }, { "first_name": "Herbert", "middle_name": "C.", "last_name": "Heien", "name_suffix": "", "institution": "Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, Minnesota", "department": "None" }, { "first_name": "Lindsey", "middle_name": "R.", "last_name": "Sangaralingham", "name_suffix": "", "institution": "Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, Minnesota", "department": "None" }, { "first_name": "Molly", "middle_name": "M.", "last_name": "Jeffery", "name_suffix": "", "institution": "Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, Minnesota\nMayo Clinic, Division of Health Care Policy and Research, Rochester, Minnesota", "department": "None" }, { "first_name": "Ronna", "middle_name": "L.", "last_name": "Campbell", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cabrera", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Nilay", "middle_name": "D.", "last_name": "Shah", "name_suffix": "", "institution": "Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, Minnesota\nMayo Clinic, Division of Health Care Policy and Research, Rochester, Minnesota\nOptumLabs, Cambridge, Massachusetts", "department": "None" }, { "first_name": "Erik", "middle_name": "P.", "last_name": "Hess", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota\nMayo Clinic, Division of Health Care Policy and Research, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2017-03-07T12:23:10-08:00", "date_accepted": "2017-03-07T12:23:10-08:00", "date_published": "2017-07-19T07:53:28-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10661/galley/5833/download/" } ] }, { "pk": 10552, "title": "Emergency Physician-performed Transesophageal Echocardiography in Simulated Cardiac Arrest", "subtitle": null, "abstract": "Introduction:\n Transesophageal echocardiography (TEE) is a well-established method of evaluatingcardiac pathology. It has many advantages over transthoracic echocardiography (TTE), including theability to image the heart during active cardiopulmonary resuscitation. This prospective simulation studyaims to evaluate the ability of emergency medicine (EM) residents to learn TEE image acquisitiontechniques and demonstrate those techniques to identify common pathologic causes of cardiac arrest.\nMethods:\n This was a prospective educational cohort study with 40 EM residents from two participatingacademic medical centers who underwent an educational model and testing protocol. All participantswere tested across six cases, including two normals, pericardial tamponade, acute myocardial infarction(MI), ventricular fibrillation (VF), and asystole presented in random order. Primary endpoints were correctidentification of the cardiac pathology, if any, and time to sonographic diagnosis. Calculated endpointsincluded sensitivity, specificity, and positive and negative predictive values for emergency physician (EP)-performed TEE. We calculated a kappa statistic to determine the degree of inter-rater reliability.\nResults:\n Forty EM residents completed both the educational module and testing protocol. This resultedin a total of 80 normal TEE studies and 160 pathologic TEE studies. Our calculations for the abilityto diagnose life-threatening cardiac pathology by EPs in a high-fidelity TEE simulation resulted in asensitivity of 98%, specificity of 99%, positive likelihood ratio of 78.0, and negative likelihood ratio of0.025. The average time to diagnose each objective structured clinical examination case was as follows:normal A in 35 seconds, normal B in 31 seconds, asystole in 13 seconds, tamponade in 14 seconds,acute MI in 22 seconds, and VF in 12 seconds. Inter-rater reliability between participants was extremelyhigh, resulting in a kappa coefficient across all cases of 0.95.\nConclusion:\n EM residents can rapidly perform TEE studies in a simulated cardiac arrest environmentwith a high degree of precision and accuracy. Performance of TEE studies on human patients in cardiacarrest is the next logical step to determine if our simulation data hold true in clinical practice. [West JEmerg Med. 2017;18(5)830-834.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "transesophageal echocardiography, cardiac arrest, educational protocol" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/69n342mp", "frozenauthors": [ { "first_name": "Don", "middle_name": "V.", "last_name": "Byars", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia", "department": "None" }, { "first_name": "Jordan", "middle_name": "", "last_name": "Tozer", "name_suffix": "", "institution": "Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "John", "middle_name": "M.", "last_name": "Joyce", "name_suffix": "", "institution": "Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Vitto", "name_suffix": "", "institution": "Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Lindsay", "middle_name": "", "last_name": "Taylor", "name_suffix": "", "institution": "Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Turan", "middle_name": "", "last_name": "Kayagil", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia", "department": "None" }, { "first_name": "Matt", "middle_name": "", "last_name": "Jones", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Bishop", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia", "department": "None" }, { "first_name": "Barry", "middle_name": "", "last_name": "Knapp", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Evans", "name_suffix": "", "institution": "Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia", "department": "None" } ], "date_submitted": "2017-01-10T12:06:30-08:00", "date_accepted": "2017-01-10T12:06:30-08:00", "date_published": "2017-07-19T07:27:26-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10552/galley/5795/download/" } ] }, { "pk": 5426, "title": "How and Why Does Category Learning Cause Categorical Perception?", "subtitle": null, "abstract": "Learning to categorize requires distinguishing category members from non-members by detecting the features that covary with membership. Human subjects were trained to sort visual textures into two categories by trial and error with corrective feedback. Difficulty levels were increased by decreasing the proportion of covariant features. Pairwise similarity judgments were tested before and after category learning. Three effects were observed: (1) The lower the proportion of covariant features, the more trials it took to learn the category and the fewer the subjects who succeeded in learning it. After training, (2) perceived pairwise distance increased between categories and, to a lesser extent, (3) decreased within categories, at all levels of difficulty, but only for successful learners. This perceived between-category separation and within-category compression is called categorical perception (CP). A very simple neural network model for category learning using uniform binary (0/1) features showed similar CP effects. CP may occur because learning to selectively detect covariant features and ignore non-covariant features reduces the dimensionality of perceived similarity space. In addition to (1) – (3), the nets showed (4) a strong negative correlation between the proportion of covariant features and the size of the CP effect. This correlation was not evident in the human subjects, probably because, unlike the formal binary features of the input to the nets, which were all uniform, the visual features of the human inputs varied in difficulty.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Categorization" }, { "word": "perception" }, { "word": "category learning" }, { "word": "neural network model" }, { "word": "dimensional reduction" } ], "section": "Special Issue on Categorization: Causes and Consequences", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8rg6c087", "frozenauthors": [ { "first_name": "Fernanda", "middle_name": "", "last_name": "Pérez-Gay Juárez", "name_suffix": "", "institution": "Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University\n\nFaculté de Psychologie, Université du Quebec à Montréal", "department": "None" }, { "first_name": "Christian", "middle_name": "", "last_name": "Thériault", "name_suffix": "", "institution": "Université du Quebec à Montréal", "department": "None" }, { "first_name": "Madeline", "middle_name": "", "last_name": "Gregory", "name_suffix": "", "institution": "Cognitive Science Department, McGill University", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Rivas", "name_suffix": "", "institution": "Départment des Sciences Cognitives, Faculté des Sciences, Université du Quebec à Montréal", "department": "None" }, { "first_name": "Hisham", "middle_name": "", "last_name": "Sabri", "name_suffix": "", "institution": "Université du Québec à Montréal", "department": "None" }, { "first_name": "Stevan", "middle_name": "", "last_name": "Harnad", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-12-06T17:07:33-08:00", "date_accepted": "2016-12-06T17:07:33-08:00", "date_published": "2017-07-18T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5426/galley/3272/download/" } ] }, { "pk": 10600, "title": "Factors Influencing Participation in Clinical Trials: Emergency Medicine vs. Other Specialties", "subtitle": null, "abstract": "Introduction: \nThis study investigated factors that influence emergency medicine (EM) patients’ decisionsto participate in clinical trials and whether the impact of these factors differs from those of other medicalspecialties.\nMethods:\n A survey was distributed in EM, family medicine (FM), infectious disease (ID), and obstetrics/gynecology (OB/GYN) outpatient waiting areas. Eligibility criteria included those who were 18 years ofage or older, active patients on the day of the survey, and able to complete the survey without assistance.We used the Kruskal-Wallis test and ordinal logistic regression analyses to identify differences inparticipants’ responses.\nResults:\n A total of 2,893 eligible subjects were approached, and we included 1,841 surveys in the final analysis. Statistically significant differences (p≤0.009) were found for eight of the ten motivating factorsbetween EM and one or more of the other specialties. Regardless of a patient’s gender, race, andeducation, the relationship with their doctor was more motivating to patients seen in other specialties thanto EM patients (FM [odds ratio {OR}:1.752, 95% confidence interval {CI}{1.285-2.389}], ID [OR:3.281,95% CI{2.293-4.695}], and OB/GYN [OR:2.408, 95% CI{1.741-3.330}]). EM’s rankings of “how well theresearch was explained” and whether “the knowledge learned would benefit others” as their top twomotivating factors were similar across other specialties. All nine barriers showed statistically significantdifferences (p≤0.008) between EM and one or more other specialties. Participants from all specialtiesindicated “risk of unknown side effects” as their strongest barrier. Regardless of the patients’ race, “timecommitment” was considered to be more of a barrier to other specialties when compared to EM (FM[OR:1.613, 95% CI{1.218-2.136}], ID [OR:1.340, 95% CI{1.006-1.784}], or OB/GYN [OR:1.901, 95%CI{1.431-2.526}]). Among the six resources assessed that help patients decide whether to participate ina clinical trial, only one scored statistically significantly different for EM (p<0.001). EM patients ranked“having all material provided in my own language” as the most helpful resource.\nConclusion:\n There are significant differences between EM patients and those of other specialties in thefactors that influence their participation in clinical trials. Providing material in the patient’s own language,explaining the study well, and elucidating how their participation might benefit others in the future mayhelp to improve enrollment in EM-based clinical trials. [West J Emerg Med. 2017;18(5)846-855.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "clinical trials" }, { "word": "Influencing factors" }, { "word": "motivators for research participation" }, { "word": "barriers to research participation" }, { "word": "recruitment customization" }, { "word": "emergency medicine research" } ], "section": "Population Health Research Design", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0c59r65j", "frozenauthors": [ { "first_name": "Anita", "middle_name": "", "last_name": "Kurt", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Hope", "middle_name": "M.", "last_name": "Kincaid", "name_suffix": "", "institution": "Lehigh Valley Health Network, Network Office of Research and Innovation, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Charity", "middle_name": "", "last_name": "Curtis", "name_suffix": "", "institution": "Lehigh Valley Health Network, Network Office of Research and Innovation, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Semler", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Meyers", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Melanie", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Family Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Beth", "middle_name": "A.", "last_name": "Careyva", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Family Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Stello", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Family Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Timothy", "middle_name": "J.", "last_name": "Friel", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Mark", "middle_name": "C.", "last_name": "Knouse", "name_suffix": "", "institution": "Lehigh Valley Health Network, Division of Infectious Diseases, Allentown, Pennsylvania", "department": "None" }, { "first_name": "John", "middle_name": "C.", "last_name": "Smulian", "name_suffix": "", "institution": "Lehigh Valley Health Network, Division of Maternal Fetal Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Jeanne", "middle_name": "L.", "last_name": "Jacoby", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" } ], "date_submitted": "2017-02-03T14:17:03-08:00", "date_accepted": "2017-02-03T14:17:03-08:00", "date_published": "2017-07-17T17:50:32-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10600/galley/5812/download/" } ] }, { "pk": 418, "title": "Lightning Burns and Electrical Trauma in a Couple Simultaneously Struck by Lightning", "subtitle": null, "abstract": "More people are struck and killed by lightning each year in Florida than any other state in the UnitedStates. This report discusses a couple that was simultaneously struck by lightning while walkingarm-in-arm. Both patients presented with characteristic lightning burns and were admitted forhemodynamic monitoring, serum labs, and observation and were subsequently discharged home.Despite the superficial appearance of lightning burns, serious internal electrical injuries are common.Therefore, lightning strike victims should be admitted and evaluated for cardiac arrhythmias, renalinjury, and neurological sequelae.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/9nr3v4qx", "frozenauthors": [ { "first_name": "Stephanie", "middle_name": "A.", "last_name": "Eyerly-Webb", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" }, { "first_name": "Rachele", "middle_name": "", "last_name": "Solomon", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" }, { "first_name": "Seong", "middle_name": "K.", "last_name": "Lee", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" }, { "first_name": "Rafael", "middle_name": "", "last_name": "Sanchez", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" }, { "first_name": "Eddy", "middle_name": "H.", "last_name": "Carrillo", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" }, { "first_name": "Dafney", "middle_name": "L.", "last_name": "Davare", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" }, { "first_name": "Chauniqua", "middle_name": "", "last_name": "Kiffin", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Rosenthal", "name_suffix": "", "institution": "Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, Hollywood, Florida", "department": "None" } ], "date_submitted": "2017-07-13T09:41:37-07:00", "date_accepted": "2017-07-13T09:41:37-07:00", "date_published": "2017-07-17T11:38:35-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/418/galley/182/download/" } ] }, { "pk": 412, "title": "29-year-old Woman with Dyspnea", "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/2bf9109p", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "", "last_name": "England", "name_suffix": "", "institution": "University of Maryland Medical Center, Baltimore, Maryland", "department": "None" }, { "first_name": "Michele", "middle_name": "", "last_name": "Callahan", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine,\nBaltimore, 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,\nBaltimore, Maryland", "department": "None" }, { "first_name": "Zachary", "middle_name": "D.W.", "last_name": "Dezman", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2017-07-12T12:08:35-07:00", "date_accepted": "2017-07-12T12:08:35-07:00", "date_published": "2017-07-17T11:34:06-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/412/galley/176/download/" } ] }, { "pk": 10606, "title": "Congratulations, You’re Pregnant! Now About Your Shifts . . . : The State of Maternity Leave Attitudes and Culture in EM", "subtitle": null, "abstract": "Introduction: \nIncreasing attention has been focused on parental leave, but little is known aboutearly leave and parental experiences for male and female attending physicians. Our goal wasto describe and quantify the parental leave experiences of a nationally representative sample ofemergency physicians (EP).\nMethods:\n We conducted a web-based survey, distributed via emergency medicine professionalorganizations, discussion boards, and listservs, to address study objectives.\nResults:\n We analyzed data from 464 respondents; 56% were women. Most experienced childbirthwhile employed as an EP. Fifty-three percent of women and 60% of men reported working in a settingwith a formal maternity leave policy; however, 36% of women and 18% of men reported dissatisfactionwith these policies. Most reported that other group members cover maternity-related shift vacancies;a minority reported that pregnant partners work extra shifts prior to leave. Leave duration andcompensation varied widely, ranging from no compensated leave (18%) to 12 or more weeks at 100%salary (7%). Supportive attitudes were reported during pregnancy (53%) and, to a lesser degree (43%),during leave. Policy improvement suggestions included the development of clear, formal policies;improving leave duration and compensation; adding paternity and adoption leave; providing support forphysicians working extra to cover colleagues’ leave; and addressing breastfeeding issues.\nConclusion:\n In this national sample of EPs, maternity leave policies varied widely. The duration andcompensation during leave also had significant variation. Participants suggested formalizing policies,increasing leave duration and compensation, adding paternity leave, and changing the coverage forvacancies to relieve burden on physician colleagues. [West J Emerg Med. 2017;18(5)800-810.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "maternity leave, parental leave, physician wellness, emergency medicine" } ], "section": "Provider Workforce", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6kh2b56f", "frozenauthors": [ { "first_name": "Casey", "middle_name": "Z.", "last_name": "MacVane", "name_suffix": "", "institution": "Maine Medical Center, Department of Emergency Medicine, Portland, Maine\nTufts University School of Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Megan", "middle_name": "L.", "last_name": "Fix", "name_suffix": "", "institution": "University of Utah Hospital, Department of Emergency Medicine, Salt Lake City, Utah", "department": "None" }, { "first_name": "Tania", "middle_name": "D.", "last_name": "Strout", "name_suffix": "", "institution": "Maine Medical Center, Department of Emergency Medicine, Portland, Maine\nTufts University School of Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Kate", "middle_name": "D.", "last_name": "Zimmerman", "name_suffix": "", "institution": "Maine Medical Center, Department of Emergency Medicine, Portland, Maine\nTufts University School of Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Rebecca", "middle_name": "B.", "last_name": "Bloch", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Christine", "middle_name": "L.", "last_name": "Hein", "name_suffix": "", "institution": "Maine Medical Center, Department of Emergency Medicine, Portland, Maine\nTufts University School of Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2017-02-06T10:05:11-08:00", "date_accepted": "2017-02-06T10:05:11-08:00", "date_published": "2017-07-17T08:31:18-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10606/galley/5816/download/" } ] }, { "pk": 10609, "title": "Predictors of Return Visits Among Insured Emergency Department Mental Health and Substance Abuse Patients, 2005-2013", "subtitle": null, "abstract": "Introduction:\n Our goal was to describe the pattern and identify risk factors of early-return ED visits orinpatient admissions following an index mental health and substance abuse (MHSA)-related ED visit in theUnited States.\nMethods:\n We performed a retrospective cohort study using Optum Labs Data Warehouse, a nationallyrepresentative database containing administrative claims data on privately insured and MedicareAdvantage enrollees. Authors identified patients presenting to an ED with a primary diagnosis of MHSAbetween 2005 and 2013 who were discharged home. Study inclusion required continuous insuranceenrollment for the 12 months preceding and the 31 days following the index ED visit. During the studyperiod we included only the first ED visit for each patient.\nResults:\n A total of 49,672 (14.2%) had a return visit to the ED or had a hospitalization within 30 daysfollowing discharge. Mean time to the next ED visit or inpatient admission was 11.7 days. An increasedage (age 65+ vs. age <18 years; OR 1.65, 95% CI [1.57 to 1.74]), chronic medical comorbidities (Hwangcomorbidity 5+ vs 0; OR 1.31, 95% CI [1.27 to 1.35]), prior ED and inpatient utilization (4+ visits vs 0 visits;OR 5.59, 95% CI [5.41 to 5.78]) were associated with return visits within 30 days following discharge.\nConclusion:\n In an analysis of nearly 350,000 ED visits for MHSA, 14.2 % of patients returned to the ED orhospital within 30 days. This study identified a number of factors associated with return visits for acute care.[West J Emerg Med. 2017;18(5)884-893.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Mental health and substance abuse, Claim data, Return visits" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3tn3x0w2", "frozenauthors": [ { "first_name": "Sangil", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "The University of Iowa Carver College of Medicine, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Jeph", "middle_name": "", "last_name": "Herrin", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Cardiology, New Havens, Connecticut\nHealth Research & Educational Trust, Chicago, Illinois", "department": "None" }, { "first_name": "William", "middle_name": "V.", "last_name": "Bobo", "name_suffix": "", "institution": "Mayo Clinic, Department of Psychiatry, Rochester, Minnesota", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, Minnesota", "department": "None" }, { "first_name": "Lindsey", "middle_name": "R.", "last_name": "Sangaralingha", "name_suffix": "", "institution": "Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, Minnesota", "department": "None" }, { "first_name": "Ronna", "middle_name": "L.", "last_name": "Campbell", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2017-02-07T03:30:58-08:00", "date_accepted": "2017-02-07T03:30:58-08:00", "date_published": "2017-07-17T08:29:41-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10609/galley/5817/download/" } ] }, { "pk": 10628, "title": "Emergency Department Use across 88 Small Areas after Affordable Care Act Implementation in Illinois", "subtitle": null, "abstract": "Introduction:\n This study analyzes changes in hospital emergency department (ED) visit ratesbefore and after the 2014 Affordable Care Act (ACA) insurance expansions in Illinois. We comparethe association between population insurance status change and ED visit rate change between a24-month (2012-2013) pre-ACA period and a 24-month post-ACA (2014-2015) period across 88socioeconomically diverse areas of Illinois.\nMethods:\n We used annual American Community Survey estimates for 2012-2015 to obtain insurancestatus changes for uninsured, private, Medicaid, and Medicare (disability) populations of 88 IllinoisPublic Use Micro Areas (PUMAs), areas with a mean of about 90,000 age 18-64 residents. Over 12million ED visits to 201 non-federal Illinois hospitals were used to calculate visit rates by residents ofeach PUMA, using population-based mapping weights to allocate visits from zip codes to PUMAs. Wethen estimated n=88 correlations between population insurance-status changes and changes in EDvisit rates per 1,000 residents comparing the two years before and after ACA implementation.\nResults:\n The baseline PUMA uninsurance rate ranged from 6.7% to 41.1% and there was 4.6-fold variation in baseline PUMA ED visit rates. The top quartile of PUMAs had >21,000 reductionsin uninsured residents; 16 PUMAs had at least a 15,000 person increase in Medicaid enrollment.Compared to 2012-2013, 2014-2015 average monthly ED visits by the uninsured dropped 42%,but increased 42% for Medicaid and 10% for the privately insured. Areas with the largest increasesin Medicaid enrollment experienced the largest growth in ED use; change in Medicaid enrollmentwas the only significant correlate of area change in total ED visits and explained a third of variationacross the 88 PUMAs.\nConclusion:\n ACA implementation in Illinois accelerated existing trends towards greater use of hospitalED care. It remains to be seen whether providing better access to primary and preventive care tothe formerly uninsured will reduce ED use over time, or whether ACA insurance expansion is a partof continued, long-term growth. Monitoring ED use at the local level is critical to the success of newhome- and community-based care coordination initiatives. [West J Emerg Med. 2017;18(5)811-820.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Affordable Care Act, Emergency Medicine, Small Area Analysis, Health Insurance" } ], "section": "Societal Impact on Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2hh5j68s", "frozenauthors": [ { "first_name": "Joe", "middle_name": "", "last_name": "Feinglass", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Division of General Internal Medicine and Geriatrics, Chicago, Illinois", "department": "None" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Cooper", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Division of General Internal Medicine and Geriatrics, Chicago, Illinois", "department": "None" }, { "first_name": "Kelsey", "middle_name": "", "last_name": "Rydland", "name_suffix": "", "institution": "Northwestern University, Northwestern University Library, Evanston, Illinois", "department": "None" }, { "first_name": "Emile", "middle_name": "S.", "last_name": "Powel", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Megan", "middle_name": "", "last_name": "McHugh", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois\nNorthwestern University Feinberg School of Medicine, Center for Healthcare Studies, Chicago, Illinois", "department": "None" }, { "first_name": "Raymond", "middle_name": "", "last_name": "Kang", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Center for Healthcare Studies, Chicago, Illinois", "department": "None" }, { "first_name": "Scott", "middle_name": "M.", "last_name": "Dresden", "name_suffix": "", "institution": "Northwestern University Feinberg School of Medicine, Division of General Internal Medicine and Geriatrics, Chicago, Illinois", "department": "None" } ], "date_submitted": "2017-02-19T13:33:11-08:00", "date_accepted": "2017-02-19T13:33:11-08:00", "date_published": "2017-07-17T08:19:41-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10628/galley/5826/download/" } ] }, { "pk": 44316, "title": "Cohen Syndrome as Cause of Childhood Central Obesity Leading to Increased Risk of Metabolic Complications", "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/6qh5q102", "frozenauthors": [ { "first_name": "Nancy", "middle_name": "Mora", "last_name": "Becerra", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Dina", "middle_name": "", "last_name": "Block", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-16T14:09:21-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44316/galley/33114/download/" } ] }, { "pk": 10568, "title": "Pediatric Exposures to Topical Benzocaine Preparations Reported to a Statewide Poison Control System", "subtitle": null, "abstract": "Introduction: \nTopical benzocaine is a local anesthetic commonly used to relieve pain caused byteething, periodontal irritation, burns, wounds, and insect bites. Oral preparations may containbenzocaine concentrations ranging from 7.5% to 20%. Pediatric exposure to such large concentrationsmay result in methemoglobinemia and secondarily cause anemia, cyanosis, and hypoxia.\nMethods:\n This is a retrospective study of exposures reported to a statewide poison controlsystem. The electronic health records were queried for pediatric exposures to topical benzocainetreated at a healthcare facility from 2004 to 2014. Cases of benzocaine exposure were reviewedfor demographic and clinical information, and descriptive statistical analysis was performed.\nResults: \nThe query resulted in 157 cases; 58 were excluded due to co-ingestants, or miscodingof non-benzocaine exposures. Children four years of age and younger represented the majorityof cases (93%) with a median age of 1 year. There were 88 cases of accidental/ exploratoryexposure, while 6 cases resulted from therapeutic application or error, 4 cases from adversereactions, and 1 case from an unknown cause. Asymptomatic children accounted for 75.5%of cases, but major clinical effects were observed in 5 patients. Those with serious effectswere exposed to a range of benzocaine concentrations (7.5-20%), with 4 cases reportingmethemoglobin levels between 20.2%-55%. Methylene blue was administered in 4 of the casesexhibiting major effects.\nConclusion:\n The majority of exposures were accidental ingestions by young children. Most exposuresresulted in minor to no effects. However, some patients required treatment with methylene blue andadmission to a critical care unit. Therapeutic application by parents or caregivers may lead to adverseeffects from these commonly available products. [West J Emerg Med.2017;18(5)923–927.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "benzocaine" }, { "word": "teething gels" }, { "word": "pediatric poisoning" }, { "word": "methemoglobinemia" } ], "section": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6tv959rw", "frozenauthors": [ { "first_name": "Rais", "middle_name": "", "last_name": "Vohra", "name_suffix": "", "institution": "California Poison Control System, Valley Children’s Hospital, Madera, California\nUniversity of California San Francisco, Fresno Medical Education and Research Program, Fresno, California", "department": "None" }, { "first_name": "Serena", "middle_name": "", "last_name": "Huntington", "name_suffix": "", "institution": "California Poison Control System, Valley Children’s Hospital, Madera, California", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Koike", "name_suffix": "", "institution": "University of California, San Francisco, School of Pharmacy, San Francisco, California", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Le", "name_suffix": "", "institution": "University of California, San Francisco, School of Pharmacy, San Francisco, California", "department": "None" }, { "first_name": "Richard", "middle_name": "J.", "last_name": "Geller", "name_suffix": "", "institution": "California Poison Control System, Valley Children’s Hospital, Madera, California", "department": "None" } ], "date_submitted": "2017-01-19T14:05:08-08:00", "date_accepted": "2017-01-19T14:05:08-08:00", "date_published": "2017-07-14T11:35:40-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10568/galley/5802/download/" } ] }, { "pk": 10157, "title": "Impact of Internally Developed Electronic Prescription on Prescribing Errors at Discharge from the Emergency Department", "subtitle": null, "abstract": "Introduction: \nMedication errors are common, with studies reporting at least one error perpatient encounter. At hospital discharge, medication errors vary from 15%-38%. However,studies assessing the effect of an internally developed electronic (E)-prescription systemat discharge from an emergency department (ED) are comparatively minimal. Additionally,commercially available electronic solutions are cost-prohibitive in many resource-limitedsettings. We assessed the impact of introducing an internally developed, low-cost E-prescriptionsystem, with a list of commonly prescribed medications, on prescription error rates at dischargefrom the ED, compared to handwritten prescriptions.\nMethods: \nWe conducted a pre- and post-intervention study comparing error rates in a randomlyselected sample of discharge prescriptions (handwritten versus electronic) five months pre andfour months post the introduction of the E-prescription. The internally developed, E-prescriptionsystem included a list of 166 commonly prescribed medications with the generic name, strength,dose, frequency and duration. We included a total of 2,883 prescriptions in this study: 1,475 inthe pre-intervention phase were handwritten (HW) and 1,408 in the post-intervention phase wereelectronic. We calculated rates of 14 different errors and compared them between the pre- andpost-intervention period.\nResults:\n Overall, E-prescriptions included fewer prescription errors as compared to HWprescriptions.Specifically, E-prescriptions reduced missing dose (11.3% to 4.3%, p <0.0001),missing frequency (3.5% to 2.2%, p=0.04), missing strength errors (32.4% to 10.2%, p <0.0001)and legibility (0.7% to 0.2%, p=0.005). E-prescriptions, however, were associated with a significantincrease in duplication errors, specifically with home medication (1.7% to 3%, p=0.02).\nConclusion: \nA basic, internally developed E-prescription system, featuring commonly usedmedications, effectively reduced medication errors in a low-resource setting where the costs ofsophisticated commercial electronic solutions are prohibitive. [West J Emerg Med. 2017;18(5)943-950.]", "language": "", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0bz481r1", "frozenauthors": [ { "first_name": "Eveline", "middle_name": "", "last_name": "Hitti", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon", "department": "None" }, { "first_name": "Hani", "middle_name": "", "last_name": "Tamim", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Internal Medicine and Clinical Research Institute, Beirut, Lebanon", "department": "None" }, { "first_name": "Rinad", "middle_name": "", "last_name": "Bakhti", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon", "department": "None" }, { "first_name": "Dina", "middle_name": "", "last_name": "Zebian", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon", "department": "None" }, { "first_name": "Afif", "middle_name": "", "last_name": "Mufarrij", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon", "department": "None" } ], "date_submitted": "2016-08-11T13:24:27-07:00", "date_accepted": "2016-08-11T13:24:27-07:00", "date_published": "2017-07-14T11:34:21-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10157/galley/5559/download/" } ] }, { "pk": 10446, "title": "Prevalence of Intracranial Hemorrhage after Blunt Head Trauma in Patients on Pre-injury Dabigatran", "subtitle": null, "abstract": "Introduction:\n Dabigatran etexilate was the first direct-acting oral anticoagulant approved in the UnitedStates. The prevalence of intracranial hemorrhage after blunt head trauma in patients on dabigatranis currently unknown, complicating adequate ability to accurately compare the risks and benefitsof dabigatran to alternative anticoagulants. We aimed to determine the prevalence of intracranialhemorrhage for patients on dabigatran presenting to a Level I trauma center.\nMethods:\n This is a retrospective observational study of adult patients on dabigatran who presented toa Level I trauma center and received cranial computed tomography (CT) following blunt head trauma.Patients who met inclusion criteria underwent manual chart abstraction. Our primary outcome wasintracranial hemorrhage on initial cranial CT.\nResults:\n We included a total of 33 eligible patient visits for analysis. Mean age was 74.8 years (SD11.2, range 55-91). The most common cause of injury was ground-level fall (n = 22, 66.7%). One patient(3.0%, 95% confidence interval [CI] 0.[1-15.8%]) had intracranial hemorrhage on cranial CT. No patients(0%, 95% CI [0-8.7%]) required neurosurgical intervention. One in-hospital death occurred from infection.\nConclusion: \nTo our knowledge, this is the first study to evaluate the prevalence of intracranialhemorrhage after blunt head trauma for patients on dabigatran presenting to the emergency department,including those not admitted. The intracranial hemorrhage prevalence in our study is similar to previousreports for patients on warfarin. Further studies are needed to determine if the prevalence of intracranialhemorrhage seen in our patient population is true for a larger patient population in more diverse clinicalsettings. [West J Emerg Med. 2017;18(5)794–799.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Neurology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6dw824z4", "frozenauthors": [ { "first_name": "James", "middle_name": "A.", "last_name": "Chenoweth", "name_suffix": "", "institution": "University of California Davis, School of Medicine, Department of Emergency Medicine, Davis, California\nVeterans Affairs Northern California, Mather Medical Center, Mather, California", "department": "None" }, { "first_name": "M.", "middle_name": "Austin", "last_name": "Johnson", "name_suffix": "", "institution": "University of California Davis, School of Medicine, Department of Emergency Medicine, Davis, California", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Shook", "name_suffix": "", "institution": "University of California Davis, School of Medicine, Davis, California", "department": "None" }, { "first_name": "Mark", "middle_name": "E.", "last_name": "Sutter", "name_suffix": "", "institution": "University of California Davis, School of Medicine, Department of Emergency Medicine, Davis, California\nVeterans Affairs Northern California, Mather Medical Center, Mather, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "K.", "last_name": "Nishijima", "name_suffix": "", "institution": "University of California Davis, School of Medicine, Department of Emergency Medicine, Davis, California", "department": "None" }, { "first_name": "James", "middle_name": "F.", "last_name": "Holmes", "name_suffix": "", "institution": "University of California Davis, School of Medicine, Department of Emergency Medicine, Davis, California", "department": "None" } ], "date_submitted": "2016-11-16T20:13:45-08:00", "date_accepted": "2016-11-16T20:13:45-08:00", "date_published": "2017-07-14T11:33:20-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10446/galley/5743/download/" } ] }, { "pk": 10465, "title": "Availability and Accuracy of EMS Information about Chronic Health and Medications in Cardiac Arrest", "subtitle": null, "abstract": "Introduction:\n Field information available to emergency medical services (EMS) about a patient’schronic health conditions or medication therapies could help direct patient care or be used toinvestigate outcome disparities. However, little is known about the field availability or accuracy ofinformation of chronic health conditions or chronic medication treatments in emergent circumstances,especially when the patient cannot serve as an information resource. We evaluated the prehospitalavailability and accuracy of specific chronic health conditions and medication treatments among outof-hospital cardiac arrest (OHCA) patients.\nMethods:\n The investigation was a retrospective cohort study of adult persons suffering ventricularfibrillation OHCA treated by EMS in a large metropolitan county from January 1, 2007, to December31, 2013. The study was designed to determine the availability and accuracy of EMS ascertainmentof selected chronic health conditions and medication treatments. We evaluated chronic healthconditions of “any heart disease,” congestive heart failure (CHF), and diabetes and medicationtreatments of beta blockers and loop diuretics using two distinct sources: 1) EMS report, and 2)hospital record specific to the OHCA event. Because hospital information was considered the goldstandard, we restricted the primary analysis to those who were admitted to hospital.\nResults:\n Of the 1,496 initially eligible patients, 387 could not be resuscitated and were pronounceddead in the field, one patient was left alive at scene due to Physician’s Orders for Life-sustainingTreatment (POLST) orders, 125 expired in the emergency department (n=125), and 983 wereadmitted to hospital. A total of 832 of 1,496 (55.6%) had both sources of data for comparisonand comprised the primary analytic group. Using the hospital record as the gold standard, EMSascertainment had a sensitivity of 0.79 (304/384) and a specificity of 0.88 (218/248) for any priorheart disease; sensitivity 0.45 (47/105) and specificity 0.87 (477/516) for CHF; sensitivity 0.71(143/201) and specificity 0.98 (416/424) for diabetes; sensitivity 0.70 (118/169) and specificity 0.94(273/290) for beta blockers; sensitivity 0.70 (62/89) and specificity 0.97 (358/370) for loop diuretics.\nConclusion:\n In this cohort of OHCA, information about selected chronic health conditions andmedication treatments based on EMS ascertainment was available for many patients, generallyrevealing moderate sensitivity and greater specificity. [West J Emerg Med. 2017;18(5)864-869.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Cardiac arrest, resuscitation, ventricular fibrillation, chronic condition, ascertainment" } ], "section": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4zg7b01q", "frozenauthors": [ { "first_name": "Alexander", "middle_name": "", "last_name": "Foster", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Medicine, University of Washington, Seattle, Washington", "department": "None" }, { "first_name": "Victor", "middle_name": "", "last_name": "Florea", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Medicine, University of Washington, Seattle, Washington", "department": "None" }, { "first_name": "Carol", "middle_name": "", "last_name": "Fahrenbruch", "name_suffix": "", "institution": "Public Health-Seattle and King County, Emergency Medical Services Division of Public Health, Seattle, Washington", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Blackwood", "name_suffix": "", "institution": "Public Health-Seattle and King County, Emergency Medical Services Division of Public Health, Seattle, Washington", "department": "None" }, { "first_name": "Thomas", "middle_name": "D.", "last_name": "Rea", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Medicine, University of Washington, Seattle, Washington\nPublic Health-Seattle and King County, Emergency Medical Services Division of Public Health, Seattle, Washington", "department": "None" } ], "date_submitted": "2016-11-19T16:34:05-08:00", "date_accepted": "2016-11-19T16:34:05-08:00", "date_published": "2017-07-14T11:32:19-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10465/galley/5753/download/" } ] }, { "pk": 10561, "title": "Trends and Characteristics of Emergency Department Visits for Fall-Related Injuries in Older Adults, 2003-2010", "subtitle": null, "abstract": "Introduction: \nOne third of older adults fall each year, and falls are costly to both the patient in terms ofmorbidity and mortality and to the health system. Given that falls are a preventable cause of injury, ourobjective was to understand the characteristics and trends of emergency department (ED) fall-relatedvisits among older adults. We hypothesize that falls among older adults are increasing and examinepotential factors associated with this rise, such as race, ethnicity, gender, insurance and geography.\nMethods:\n We conducted a secondary analysis of data from the National Hospital AmbulatoryMedical Care Survey (NHAMCS) to determine fall trends over time by examining changes in EDvisit rates for falls in the United States between 2003 and 2010, detailing differences by gender,sociodemographic characteristics and geographic region.\nResults: \nBetween 2003 and 2010, the visit rate for falls and fall-related injuries among people age≥ 65 increased from 60.4 (95% confidence interval [CI][51.9-68.8]) to 68.8 (95% CI [57.8-79.8]) per1,000 population (p=0.03 for annual trend). Among subgroups, visits by patients aged 75-84 yearsincreased from 56.2 to 82.1 per 1,000 (P <.01), visits by women increased from 67.4 to 81.3 (p =0.04), visits by non-Hispanic Whites increased from 63.1 to 73.4 (p < 0.01), and visits in the Southincreased from 54.4 to 71.1 (p=0.03).\nConclusion:\n ED visit rates for falls are increasing over time. There is a national movement toincrease falls awareness and prevention. EDs are in a unique position to engage patients on futurefall prevention and should consider ways they can also partake in such initiatives in a manner that isfeasible and appropriate for the ED setting. [West J Emerg Med. 2017;18(5)785-793.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Geriatrics, Injury Prevention" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85q7t11v", "frozenauthors": [ { "first_name": "Kalpana", "middle_name": "N.", "last_name": "Shankar", "name_suffix": "", "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "David", "middle_name": "A.", "last_name": "Ganz", "name_suffix": "", "institution": "University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California\nVA Greater Los Angeles Healthcare System, Los Angeles, California", "department": "None" }, { "first_name": "Shan", "middle_name": "W.", "last_name": "Liu", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2017-01-16T09:57:49-08:00", "date_accepted": "2017-01-16T09:57:49-08:00", "date_published": "2017-07-14T11:30:04-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10561/galley/5799/download/" } ] }, { "pk": 10650, "title": "What Did You Google? Describing Online Health Information Search Patterns of ED patients and Their Relationship with Final Diagnoses", "subtitle": null, "abstract": "Introduction:\n Emergency department (ED) patients’ Internet search terms prior to arrival have notbeen well characterized. The objective of this analysis was to characterize the Internet search termspatients used prior to ED arrival and their relationship to final diagnoses.\n \nMethods:\n We collected data via survey; participants listed Internet search terms used. Terms wereclassified into categories: symptom, specific diagnosis, treatment options, anatomy questions,processes of care/physicians, or “other.” We categorized each discharge diagnosis as either symptombasedor formal diagnosis. The relationship between the search term and final diagnosis was assignedto one of four categories of search/diagnosis combinations (symptom search/symptom diagnosis,symptom search/formal diagnosis, diagnosis search/symptom diagnosis, diagnosis search/formaldiagnosis), representing different “trajectories.”\n \nResults\n: \nWe approached 889 patients; 723 (81.3%) participated. Of these, 177 (24.5%) used theInternet prior to ED presentation; however, seven had incomplete data (N=170). Mean age was 47years (standard deviation 18.2); 58.6% were female and 65.7% white. We found that 61.7% searchedsymptoms and 40.6% searched a specific diagnosis. Most patients received discharge diagnoses ofequal specificity as their search terms (34% flat trajectory-symptoms and 34% flat trajectory-diagnosis).Ten percent searched for a diagnosis by name but received a symptom-based discharge diagnosiswith less specificity. In contrast, 22% searched for a symptom and received a detailed diagnosis.Among those who searched for a diagnosis by name (n=69) only 29% received the diagnosis that theyhad searched.\n \nConclusion\n: \nThe majority of patients used symptoms as the basis of their pre-ED presentation Internetsearch. When patients did search for specific diagnoses, only a minority searched for the diagnosisthey eventually received. [West J Emerg Med. 2017;18(5)928-936.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "internet" }, { "word": "qualitative" }, { "word": "emergency department" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99j9t7hn", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "M.", "last_name": "McCarthy", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Grant", "middle_name": "N.", "last_name": "Scott", "name_suffix": "", "institution": "University of New Mexico, Department of Emergency Medicine, Albuquerque,\nNew Mexico", "department": "None" }, { "first_name": "D. Mark", "middle_name": "", "last_name": "Courtney", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Alyssa", "middle_name": "", "last_name": "Czerniak", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Amer", "middle_name": "Z.", "last_name": "Aldeen", "name_suffix": "", "institution": "US Acute Care Solutions, Center for Emergency Medical Education, Canton, Ohio", "department": "None" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Gravenor", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Scott", "middle_name": "M.", "last_name": "Dresden", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2017-03-02T08:55:48-08:00", "date_accepted": "2017-03-02T08:55:48-08:00", "date_published": "2017-07-14T11:28:09-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10650/galley/5832/download/" } ] }, { "pk": 10559, "title": "Rapid Primary Care Follow-up from the ED to Reduce Avoidable Hospital Admissions", "subtitle": null, "abstract": "Introduction:\n Hospital admissions from the emergency department (ED) now account forapproximately 50% of all admissions. Some patients admitted from the ED may not requireinpatient care if outpatient care could be optimized. However, access to primary care especiallyimmediately after ED discharge is challenging. Studies have not addressed the extent to whichhospital admissions from the ED may be averted with access to rapid (next business day)primary care follow-up. We evaluated the impact of an ED-to-rapid-primary-care protocol onavoidance of hospitalizations in a large, urban medical center.\nMethods:\n We conducted a retrospective review of patients referred from the ED to primary care(Weill Cornell Internal Medicine Associates – WCIMA) through a rapid-access-to-primary-careprogram developed at New York-Presbyterian / Weill Cornell Medical Center. Referrals wereclassified as either an avoided admission or not, and classifications were performed by bothemergency physician (EP) and internal medicine physician reviewers. We also collected outcomedata on rapid visit completion, ED revisits, hospitalizations and primary care engagement.\nResults:\n EPs classified 26 (16%) of referrals for rapid primary care fol low-up as avoidedadmissions. Of the 162 patients referred for rapid follow-up, 118 (73%) arrived for their rapidappointment. There were no differences in rates of ED revisits or subsequent hospitalizationsbetween those who attended the rapid follow-up and those who did not attend. Patients whoattended the rapid appointment were significantly more likely to attend at least one subsequentappointment at WCIMA during the six months after the index ED visit [N=55 (47%) vs. N=8(18%), P=0.001].\nConclusion:\n A rapid-ED-to-primary-care-access program may allow EPs to avoid admittingpatients to the hospital without risking ED revisits or subsequent hospitalizations. This protocolhas the potential to save costs over time. A program such as this can also provide a safe andreliable ED discharge option that is also an effective mechanism for engaging patients in primarycare. [West J Emerg Med. 2017;18(5)870-877.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "ED care transitions" }, { "word": "primary care engagement" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9474k7sz", "frozenauthors": [ { "first_name": "Amanda", "middle_name": "S.", "last_name": "Carmel", "name_suffix": "", "institution": "Weill Cornell Medical College, Department of Medicine, New York, New York", "department": "None" }, { "first_name": "Peter", "middle_name": "", "last_name": "Steel", "name_suffix": "", "institution": "Weill Cornell Medical College, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Tanouye", "name_suffix": "", "institution": "Weill Cornell Medical College, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Aleksey", "middle_name": "", "last_name": "Novikov", "name_suffix": "", "institution": "Weill Cornell Medical College, Department of Medicine, New York, New York", "department": "None" }, { "first_name": "Sunday", "middle_name": "", "last_name": "Clark", "name_suffix": "", "institution": "Weill Cornell Medical College, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Sanjai", "middle_name": "", "last_name": "Sinha", "name_suffix": "", "institution": "Weill Cornell Medical College, Department of Medicine, New York, New York", "department": "None" }, { "first_name": "Judy", "middle_name": "", "last_name": "Tung", "name_suffix": "", "institution": "Weill Cornell Medical College, Department of Medicine, New York, New York", "department": "None" } ], "date_submitted": "2017-01-13T21:23:15-08:00", "date_accepted": "2017-01-13T21:23:15-08:00", "date_published": "2017-07-14T11:26:46-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10559/galley/5797/download/" } ] }, { "pk": 417, "title": "Remote Management of Atrial Fibrillation: A Case Report", "subtitle": null, "abstract": "We report a case of new-onset atrial fibrillation with rapid ventricular response in a 37-year-old malewho presented to the emergency department. This patient was not admitted to the hospital or placed onobservation, but rather placed on a cellular outpatient 12-lead telemetry (COTLT) device with emergencyresponse capabilities and discharged home. We define a new modality that allows these patients tobe managed via telemedicine and receive care similar to that which would be rendered in a hospital orobservation unit.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/8868r9zk", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Chiu", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Kasper", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Rimmer", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" }, { "first_name": "Meaghan", "middle_name": "", "last_name": "Donnelly", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" }, { "first_name": "Yangmin", "middle_name": "", "last_name": "Chen", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" }, { "first_name": "Caroline", "middle_name": "", "last_name": "Chau", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Sidow", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" }, { "first_name": "Adam", "middle_name": "", "last_name": "Ash", "name_suffix": "", "institution": "Rapid Outpatient Setting Stress (ROSS) Clinical Research Organization, Saddle River, New Jersey", "department": "None" } ], "date_submitted": "2017-07-13T09:36:47-07:00", "date_accepted": "2017-07-13T09:36:47-07:00", "date_published": "2017-07-14T10:10:18-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/417/galley/181/download/" } ] }, { "pk": 416, "title": "Cranial Neuropathies and Neuromuscular Weakness: A Case of Mistaken Identity", "subtitle": null, "abstract": "We describe a case of wound botulism initially thought to represent Miller-Fisher variant Guillain-Barré syndrome (MFS). Botulism classically presents with the so-called “four D’s” (diplopia,dysarthria, dysphagia, dry mouth) with symmetric, descending weakness. MFS presents with a triadof limb-ataxia, areflexia, and ophthalmoplegia, with variable cranial nerve and extremity involvement.The distinction can be difficult but is important as early initiation of botulinum antitoxin is associatedwith improved patient outcomes in cases of botulism. Furthermore, it is important to recognizeintravenous drug use as a risk factor in the development of botulism, especially given an increase ininjection drug use.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/3vb623mh", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "Z.", "last_name": "Adams", "name_suffix": "", "institution": "The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "King", "name_suffix": "", "institution": "The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Colin", "middle_name": "", "last_name": "Kaide", "name_suffix": "", "institution": "The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio", "department": "None" } ], "date_submitted": "2017-07-13T09:16:21-07:00", "date_accepted": "2017-07-13T09:16:21-07:00", "date_published": "2017-07-14T10:06:17-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/416/galley/180/download/" } ] }, { "pk": 415, "title": "Sub-acute Tamponade and the Value of Point-of- Care Ultrasound for Rapid Diagnosis: A Case Report", "subtitle": null, "abstract": "Minoxidil is a strong oral vasodilator that is used to treat patients with hypertension refractoryto first-line medications. We report a case of minoxidil-associated subacute cardiac tamponadediagnosed by point-of-care ultrasound (POCUS) in a hypertensive patient. A 30-year-old male witha past medical history of poorly controlled hypertension (treated with minoxidil) and chronic kidneydisease presented with 2-3 days of chest pain and shortness of breath with markedly elevated bloodpressures. A point-of-care transthoracic echocardiogram revealed a massive pericardial effusion withsonographic tamponade physiology. We review the risk factors for developing pericardial effusionsthat progress to cardiac tamponade, the utility of diagnosing these patients by POCUS, and theincidence of patients who present with sonographic signs of cardiac tamponade without hypotension.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/2016f5bs", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "C.", "last_name": "Kolinsky", "name_suffix": "", "institution": "Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" }, { "first_name": "Albert", "middle_name": "J.", "last_name": "Kim", "name_suffix": "", "institution": "Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri", "department": "None" }, { "first_name": "Enyo", "middle_name": "A.", "last_name": "Ablordeppey", "name_suffix": "", "institution": "Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri\nWashington University School of Medicine, Department of Anesthesiology, Division of Critical Care, St. Louis, Missouri", "department": "None" } ], "date_submitted": "2017-07-13T09:11:03-07:00", "date_accepted": "2017-07-13T09:11:03-07:00", "date_published": "2017-07-14T10:00:55-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/415/galley/179/download/" } ] }, { "pk": 398, "title": "Abiotrophia defectiva Endocarditis: An Easy Miss", "subtitle": null, "abstract": "Subacute endocarditis often presents with an indolent course. A potentially lethal form generated byinfection with \nAbiotrophia defectiva\n may be easily overlooked early in its presentation. This reportdiscusses the case of an 18-year-old male discovered to have severe endocarditis after presentingto the emergency department with the chief complaint of foot pain.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/57h24254", "frozenauthors": [ { "first_name": "Erica", "middle_name": "", "last_name": "Escarcega", "name_suffix": "", "institution": "St. Luke's University Hospital, Department of Emergency Medicine, Pennsylvania", "department": "None" }, { "first_name": "Caitlin", "middle_name": "", "last_name": "Trovato", "name_suffix": "", "institution": "St. Luke’s University Hospital, Department of Critical Care Medicine, Bethlehem, Pennsylvania", "department": "None" }, { "first_name": "Osamudiamen", "middle_name": "", "last_name": "Idahosa", "name_suffix": "", "institution": "St. Luke’s University Hospital, Department of Critical Care Medicine, Bethlehem, Pennsylvania", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Gillard", "name_suffix": "", "institution": "St. Luke’s University Hospital, Department of Critical Care Medicine, Bethlehem, Pennsylvania", "department": "None" }, { "first_name": "Holly", "middle_name": "", "last_name": "Stankewicz", "name_suffix": "", "institution": "St. Luke’s University Hospital, Department of Emergency Medicine, Bethlehem, Pennsylvania", "department": "None" } ], "date_submitted": "2017-05-18T12:52:15-07:00", "date_accepted": "2017-05-18T12:52:15-07:00", "date_published": "2017-07-14T09:49:53-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/398/galley/163/download/" } ] }, { "pk": 414, "title": "A Case of Erythema Nodosum with Coccidoidomycosis", "subtitle": null, "abstract": "Erythema nodosum (EN) is associated with many systemic diseases and infections. This casereport provides an image of erythematous nodules, an overview of the various causes of EN, andthe laboratory tests and imaging that can be done in the emergency department to narrow its broaddifferential 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": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/154625ch", "frozenauthors": [ { "first_name": "Saema", "middle_name": "", "last_name": "Said", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Justin", "middle_name": "", "last_name": "Yanuck", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Burns", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" } ], "date_submitted": "2017-07-12T12:15:10-07:00", "date_accepted": "2017-07-12T12:15:10-07:00", "date_published": "2017-07-14T09:39:49-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/414/galley/178/download/" } ] }, { "pk": 413, "title": "Catecholamine-induced Ischemic Necrosis of the Hand", "subtitle": null, "abstract": "This case highlights the rare complication of ischemic hand necrosis following peripheraladministration of epinephrine and norepinephrine.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/3876q7zx", "frozenauthors": [ { "first_name": "David", "middle_name": "S.", "last_name": "Bostick", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Michael", "middle_name": "T.", "last_name": "McCurdy", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2017-07-12T12:12:06-07:00", "date_accepted": "2017-07-12T12:12:06-07:00", "date_published": "2017-07-14T09:36:27-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/413/galley/177/download/" } ] }, { "pk": 410, "title": "Adult Male with Neck Pain", "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/0295s21j", "frozenauthors": [ { "first_name": "Shaw", "middle_name": "", "last_name": "Natsui", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Sarah", "middle_name": "E.", "last_name": "Frasure", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2017-07-06T10:20:05-07:00", "date_accepted": "2017-07-06T10:20:05-07:00", "date_published": "2017-07-14T09:33:14-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/410/galley/174/download/" } ] }, { "pk": 409, "title": "Life-threatening Vesicular Bronchial Injury Requiring Veno-venous Extracorporeal Membrane Oxygenation Rescue in an Electronic Nicotine Delivery System User", "subtitle": null, "abstract": "The use of electronic nicotine delivery systems (ENDS) is increasing across the United States astobacco bans increase and more people use these devices in an attempt to quit smoking. They areunregulated by the Food and Drug Administration, and there is significant concern that ENDS couldproduce several toxic byproducts.\nIn this case a 35-year-old female presented to the emergency department with sudden-onsetdyspnea. She denied current tobacco smoking, but she was a user of ENDS. When bronchoscopywas performed, an extensive pattern of suspected chemical injury was noted in her airways. Sherequired transfer to a tertiary center where she required extracorporeal membranous oxygenation.\nDespite public opinion that ENDS are generally safe, or at least safer than tobacco smoking,contrary evidence is mounting. We postulate that her injuries were likely suffered secondary to useof an ENDS.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/2fd2j1rp", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "", "last_name": "Carter", "name_suffix": "", "institution": "Ohio University Heritage College of Osteopathic Medicine, Department of Emergency Medicine, Portsmouth, Ohio", "department": "None" }, { "first_name": "Dalkeith", "middle_name": "", "last_name": "Tucker", "name_suffix": "", "institution": "Ohio University Heritage College of Osteopathic Medicine, Department of Emergency Medicine, Portsmouth, Ohio", "department": "None" }, { "first_name": "Ahmet", "middle_name": "", "last_name": "Kilic,", "name_suffix": "", "institution": "The Ohio State University Wexner Medical Center, Department of Cardiac Surgery, Columbus, Ohio", "department": "None" }, { "first_name": "Thomas", "middle_name": "J.", "last_name": "Papadimos", "name_suffix": "", "institution": "The Ohio State University Wexner Medical Center, Department of Anesthesiology, Columbus, Ohio", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Barlow", "name_suffix": "", "institution": "Ohio University Heritage College of Osteopathic Medicine, Department of Emergency Medicine, Portsmouth, Ohio", "department": "None" }, { "first_name": "Ellen", "middle_name": "", "last_name": "Berry", "name_suffix": "", "institution": "Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio", "department": "None" } ], "date_submitted": "2017-07-06T10:17:11-07:00", "date_accepted": "2017-07-06T10:17:11-07:00", "date_published": "2017-07-14T09:28:54-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/409/galley/173/download/" } ] }, { "pk": 405, "title": "An Unusual Case of Posterior Reversible Encephalopathy Syndrome", "subtitle": null, "abstract": "A 21-year-old pregnant female with no significant past medical history presented with acute onsetheadache and nausea as well as tonic-clonic seizures, then rapidly decompensated into a coma withcomplete absence of brainstem reflexes. The patient was ultimately diagnosed with hemolysis, elevatedliver enzymes, and low platelets (HELLP syndrome) and subsequent posterior reversible encephalopathysyndrome (PRES) with brainstem involvement. Emergent delivery and blood pressure control resulted inrapid and complete neurologic recovery.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/3mz1h06k", "frozenauthors": [ { "first_name": "Robert", "middle_name": "P.", "last_name": "Zemple", "name_suffix": "", "institution": "Carilion Clinic, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Tomer", "middle_name": "", "last_name": "Pelleg", "name_suffix": "", "institution": "Carilion Clinic, Department of Internal Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Moises", "middle_name": "R.", "last_name": "Cossio", "name_suffix": "", "institution": "Carilion Clinic, Department of Pulmonary Critical Care, Roanoke, Virginia", "department": "None" } ], "date_submitted": "2017-07-05T16:46:53-07:00", "date_accepted": "2017-07-05T16:46:53-07:00", "date_published": "2017-07-14T09:16:38-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/405/galley/169/download/" } ] }, { "pk": 44367, "title": "“The Voice of the Veteran”: An Actionable, Focus-Group-Driven Approach to Improving Veterans’ Inpatient Experience at an Urban Academic VA Medical Center", "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/5f55445r", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "Hsu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Shanon", "middle_name": "", "last_name": "Peter", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-12T13:35:27-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44367/galley/33163/download/" } ] }, { "pk": 44340, "title": "Chronic Subdural Hematoma in an Elderly Patient: Diagnosis and Management Overview in Primary Care Setting", "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/8fm640v0", "frozenauthors": [ { "first_name": "Amy", "middle_name": "S.", "last_name": "Wang", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-12T10:02:25-07:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44340/galley/36657/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44340/galley/36657/download/" } ] }, { "pk": 44315, "title": "Review and Current Treatment of Peritoneal Carcinomatosis Due to Metastatic Gastric Cancer", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4745z9z4", "frozenauthors": [ { "first_name": "Michael", "middle_name": "G", "last_name": "Quon", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sittiporn", "middle_name": "", "last_name": "Bencharit", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-12T10:01:07-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44315/galley/33113/download/" } ] }, { "pk": 10571, "title": "Head CT for Minor Head Injury Presenting to the Emergency Department in the Era of Choosing Wisely", "subtitle": null, "abstract": "Introduction:\n The Choosing Wisely campaign currently recommends avoiding computed tomography(CT) of the head in low-risk emergency department (ED) patients with minor head injury, based onvalidated decision rules. However, the degree of adherence to this guideline in clinical practice isunknown. The objective of this study was to evaluate adherence to the Choosing Wisely campaign’srecommendations regarding head CT imaging of patients with minor head injury in the ED.\nMethods:\n We conducted a retrospective cohort study of adult ED patients at a Level I traumacenter. Patients aged ≥ 18 years who presented to the ED with minor head injury were identified viaInternational Classification of Diseases, 9th Revision, Clinical Modification codes. Medical recordabstraction was conducted to determine the presence of clinical symptoms of the NEXUS II criteria,medical resource use, and head CT findings. We used descriptive statistics to characterize the studysample, and proportions were used to quantify guidelines adherence.\nResults:\n A total of 489 subjects met inclusion criteria. ED providers appropriately applied the ChoosingWisely criteria for 75.5% of patients, obtaining head CTs when indicated by the NEXUS II rule (41.5%),and not obtaining head CTs when the NEXUS II criteria were not met (34.0%). However, ED providersobtained non-indicated CTs in 23.1% of patients. Less than 2% of the sample did not receive a headCT when imaging was indicated by NEXUS II.\nConclusion:\n ED providers in our sample had variable adherence to the Choosing Wisely head-CTrecommendation, especially for patients who did not meet the NEXUS II criteria. [West J EmergMed. 2017;18(5)821-829.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Choosing Wisely" }, { "word": "CT Decision Rules" } ], "section": "Treatment Protocol Assessment", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2p02k1rf", "frozenauthors": [ { "first_name": "John", "middle_name": "", "last_name": "DeAngelis", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York\nCambridge Health Alliance, Department of Emergency Medicine, Cambridge, Massachusetts", "department": "None" }, { "first_name": "Valerie", "middle_name": "", "last_name": "Lou", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" }, { "first_name": "Timmy", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" }, { "first_name": "Henry", "middle_name": "", "last_name": "Tran", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" }, { "first_name": "Praneeta", "middle_name": "", "last_name": "Bremjit", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York\nJefferson Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Molly", "middle_name": "", "last_name": "McCann", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" }, { "first_name": "Peter", "middle_name": "", "last_name": "Crane", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" }, { "first_name": "Courtney", "middle_name": "", "last_name": "Jones", "name_suffix": "", "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York", "department": "None" } ], "date_submitted": "2017-01-20T12:39:05-08:00", "date_accepted": "2017-01-20T12:39:05-08:00", "date_published": "2017-07-12T08:17:28-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10571/galley/5803/download/" } ] }, { "pk": 44342, "title": "Cutaneous Follicle Center Lymphoma in a Pregnant Patient", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5q95t9np", "frozenauthors": [ { "first_name": "Anabella", "middle_name": "", "last_name": "Pascucci", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-11T10:05:24-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44342/galley/33138/download/" } ] }, { "pk": 44341, "title": "Cutaneous Findings in Hereditary Leiomyomatosis and Renal Cell Cancer", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/75w775bd", "frozenauthors": [ { "first_name": "Sean", "middle_name": "", "last_name": "Dreyer", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Bonita", "middle_name": "", "last_name": "Kozma", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-11T10:04:15-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44341/galley/33137/download/" } ] }, { "pk": 10514, "title": "Appropriateness of Bolus Antihypertensive Therapy for Elevated Blood Pressure in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n While moderate to severely elevated blood pressure (BP) is present in nearly halfof all emergency department (ED) patients, the incidence of true hypertensive emergencies inED patients is low. Administration of bolus intravenous (IV) antihypertensive treatment to lowerBP in patients without a true hypertensive emergency is a wasteful practice that is discouragedby hypertension experts; however, anecdotal evidence suggests this occurs with relatively highfrequency. Accordingly, we sought to assess the frequency of inappropriate IV antihypertensivetreatment in ED patients with elevated BP absent a hypertensive emergency.\nMethods:\n We performed a retrospective cohort study from a single, urban, teaching hospital.Using pharmacy records, we identified patients age 18-89 who rec eived IV antihypertensivetreatment in the ED. We defined treatment as inappropriate if documented suspicion for anindicated cardiovascular condition or acute end-organ injury was lacking. Data abstractionincluded adverse events and 30-day readmission rates, and analysis was primarily descriptive.\nResults:\n We included a total of 357 patients over an 18-month period. The mean age was 55;51% were male and 93% black, and 127 (36.4%) were considered inappropriately treated.Overall, labetalol (61%) was the most commonly used medication, followed by enalaprilat(18%), hydralazine (18%), and metoprolol (3%). There were no significant differences betweenappropriate and inappropriate BP treatment groups in terms of clinical characteristics oradverse events. Hypotension or bradycardia occurred in three (2%) patients in the inappropriatetreatment cohort and in two (1%) patients in the appropriately treated cohort. Survival todischarge and 30-day ED revisit rates were equivalent.\nConclusion:\n More than one in three patients who were given IV bolus antihypertensive treatmentin the ED received such therapy inappropriately by our definitio n, suggesting that significantresources could perhaps be saved through education of providers and development of clearlydefined BP treatment protocols. [West J Emerg Med. 2017;18(5)957-962.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "hypertension" }, { "word": "hypertensive emergency, antihypertensive therapy" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7k58685w", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "B.", "last_name": "Miller", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Arter", "name_suffix": "", "institution": "Detroit Medical Center, Detroit Receiving Hospital, Detroit, Michigan", "department": "None" }, { "first_name": "Suprat", "middle_name": "S.", "last_name": "Wilson", "name_suffix": "", "institution": "Detroit Medical Center, Detroit Receiving Hospital, Detroit, Michigan", "department": "None" }, { "first_name": "Alexander", "middle_name": "T.", "last_name": "Janke", "name_suffix": "", "institution": "Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "None" }, { "first_name": "Aaron", "middle_name": "", "last_name": "Brody", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Brian", "middle_name": "P.", "last_name": "Reed", "name_suffix": "", "institution": "Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut\nWayne State University, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Phillip", "middle_name": "D.", "last_name": "Levy", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine, Detroit, Michigan\nWayne State University, Cardiovascular Research Institute, Detroit, Michigan", "department": "None" } ], "date_submitted": "2016-12-20T20:35:56-08:00", "date_accepted": "2016-12-20T20:35:56-08:00", "date_published": "2017-07-11T07:51:58-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10514/galley/5781/download/" } ] }, { "pk": 10810, "title": "Loaded Questions: Internet Commenters’ Opinions on Physician-Patient Firearm Safety Conversations", "subtitle": null, "abstract": "Introduction:\n Medical and public health societies advocate that healthcare providers (HCPs) counselat-risk patients to reduce firearm injury risk. Anonymous online media comments often contain extremeviewpoints and may therefore help in understanding challenges of firearm safety counseling. To helpinform injury prevention efforts, we sought to examine commenters’ stated opinions regarding firearmsafety counseling HCPs.\nMethods\n: Qualitative descriptive analysis of online comments posted following news items (in May-June, 2016) about a peer-reviewed publication addressing when and how HCPs should counsel patientsregarding firearms.\nResults:\n Among 871 comments posted by 522 individuals, most (57%) were generally negative towardfirearm discussions, 17% were positive, and 26% were neutral/unclear. Two major categories andmultiple themes emerged. “Areas of agreement” included that discussions may be valuable (1) whenaddressing risk of harm to self or others, (2) in pediatric injury prevention, and (3) as general safetyeducation (without direct questioning), and that (4) HCPs lack gun safety and cultural knowledge. “Areasof tension” included whether (1) firearms are a public health issue, (2) counseling is effective preventionpractice, (3) suicide could/should be prevented, and (4) firearm safety counseling is within HCPs’ purview.\nConclusion:\n Among this set of commenters with likely extreme viewpoints, opinions were generallynegative toward firearm safety conversations, but with some support in specific situations. Providingeducation, counseling, or materials without asking about firearm ownership was encouraged. Engagingfirearm advocates when developing materials may enhance the acceptability of prevention activities.[West J Emerg Med. 2017;18(5)903-912.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Firearm" }, { "word": "internet" }, { "word": "qualitative" }, { "word": "health care" }, { "word": "physician" } ], "section": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pg9d6fq", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "E.", "last_name": "Knoepke", "name_suffix": "", "institution": "University of Colorado School of Medicine, Adult & Child Consortium for Outcomes Research & Delivery Science, Aurora, Colorado", "department": "None" }, { "first_name": "Amanda", "middle_name": "", "last_name": "Allen", "name_suffix": "", "institution": "Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois", "department": "None" }, { "first_name": "Megan", "middle_name": "L.", "last_name": "Ranney", "name_suffix": "", "institution": "Brown University, Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island\nBrown University, Emergency Digital Health Innovation Program, Providence, Rhode Island\nRhode Island Hospital, Injury Prevention Center, Providence, Rhode Island", "department": "None" }, { "first_name": "Garen", "middle_name": "J.", "last_name": "Wintemute", "name_suffix": "", "institution": "University of California, Davis, Department of Emergency Medicine, Davis, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "D.", "last_name": "Matlock", "name_suffix": "", "institution": "University of Colorado School of Medicine, Adult & Child Consortium for Outcomes Research & Delivery Science, Aurora, Colorado\nUniversity of Colorado School of Medicine, Department of Medicine, Aurora, Colorado\nVA Eastern Colorado Geriatric Research Education and Clinical Center, Denver, Colorado", "department": "None" }, { "first_name": "Marian", "middle_name": "E.", "last_name": "Betz", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" } ], "date_submitted": "2017-05-15T08:01:35-07:00", "date_accepted": "2017-05-15T08:01:35-07:00", "date_published": "2017-07-11T07:24:26-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10810/galley/5885/download/" } ] }, { "pk": 10647, "title": "Duration of Mechanical Ventilation in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n Due to hospital crowding, mechanically ventilated patients are increasinglyspending hours boarding in emergency departments (ED) before intensive care unit (ICU)admission. This study aims to evaluate the association between time ventilated in the ED and inhospitalmortality, duration of mechanical ventilation, ICU and hospital length of stay (LOS).\nMethods:\n This was a multi-center, prospective, observational study of patients ventilated in theED, conducted at three academic Level I Trauma Centers from July 2011 to March 2013. Allconsecutive adult patients on invasive mechanical ventilation were eligible for enrollment. Weperformed a Cox regression to assess for a mortality effect for mechanically ventilated patientswith each hour of increasing LOS in the ED and multivariable regression analyses to assessfor independently significant contributors to in-hospital mortal ity. Our primary outcome was inhospitalmortality, with secondary outcomes of ventilator days, ICU LOS and hospital LOS. Wefurther commented on use of lung protective ventilation and frequency of ventilator changesmade in this cohort.\nResults:\n We enrolled 535 patients, of whom 525 met all inclusion criteria. Altered mental statuswithout respiratory pathology was the most common reason for intubation, followed by traumaand respiratory failure. Using iterated Cox regression, a mortality effect occurred at ED time ofmechanical ventilation > 7 hours, and the longer ED stay was also associated with a longer totalduration of intubation. However, adjusted multivariable regression analysis demonstrated onlyolder age and admission to the neurosciences ICU as independently associated with increasedmortality. Of interest, only 23.8% of patients ventilated in the ED for over seven hours hadchanges made to their ventilator.\nConclusion:\n In a prospective observational study of patients mechanically ventilated in the ED,there was a significant mortality benefit to expedited transfer o f patients into an appropriate ICUsetting. [West J Emerg Med. 2017;18(5)972-979.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Mechanical ventilation, ICU outcomes, length of stay, critical care, endotracheal intubation, hospital mortality" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8q27h6k2", "frozenauthors": [ { "first_name": "Lauren", "middle_name": "B.", "last_name": "Angotti", "name_suffix": "", "institution": "Medical University of South Carolina, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Charleston, South Carolina", "department": "None" }, { "first_name": "Jeremy", "middle_name": "", "last_name": "Richards", "name_suffix": "", "institution": "Medical University of South Carolina, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Charleston, South Carolina", "department": "None" }, { "first_name": "Daniel", "middle_name": "F.", "last_name": "Fisher", "name_suffix": "", "institution": "Massachusetts General Hospital, Respiratory Care Services, Boston, Massachusetts", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "D.", "last_name": "Sankoff", "name_suffix": "", "institution": "University of Colorado at Denver, School of Medicine, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Todd", "middle_name": "A.", "last_name": "Seigel", "name_suffix": "", "institution": "Kaiser Permanente East Bay, Oakland and Richmond Medical Centers, Department of Emergency Medicine and Critical Care, Oakland, California", "department": "None" }, { "first_name": "Haitham", "middle_name": "S.", "last_name": "Al Ashry", "name_suffix": "", "institution": "Medical University of South Carolina, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Charleston, South Carolina", "department": "None" }, { "first_name": "Susan", "middle_name": "R.", "last_name": "Wilcox", "name_suffix": "", "institution": "Medical University of South Carolina, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Charleston, South Carolina\nMedical University of South Carolina, Division of Emergency Medicine, Charleston, South Carolina", "department": "None" } ], "date_submitted": "2017-03-01T12:58:49-08:00", "date_accepted": "2017-03-01T12:58:49-08:00", "date_published": "2017-07-11T07:21:43-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10647/galley/5831/download/" } ] }, { "pk": 10428, "title": "Severe Hyperkalemia: Can the Electrocardiogram Risk Stratify for Short-term Adverse Events?", "subtitle": null, "abstract": "Introduction: \nThe electrocardiogram (ECG) is often used to identify which hyperkalemic patients are atrisk for adverse events. However, there is a paucity of evidence to support this practice. This studyanalyzes the association between specific hyperkalemic ECG abnormalities and the development ofshort-term adverse events in patients with severe hyperkalemia.\nMethods:\n We collected records of all adult patients with potassium (K+) ≥6.5 mEq/L in the hospitallaboratory database from August 15, 2010, through January 30, 2015. A chart review identified patientdemographics, concurrent laboratory values, ECG within one hour of K+ measurement, treatments andoccurrence of adverse events within six hours of ECG. We defined adverse events as symptomaticbradycardia, ventricular tachycardia, ventricular fibrillation, cardiopulmonary resuscitation (CPR) and/ordeath. Two emergency physicians blinded to study objective independently examined each ECG forrate, rhythm, peaked T wave, PR interval duration and QRS complex duration. Relative risk wascalculated to determine the association between specific hyperkalemic ECG abnormalities and shorttermadverse events.\nResults:\n We included a total of 188 patients with severe hyperkalemia in the final study group. Adverseevents occurred within six hours in 28 patients (15%): symptomatic bradycardia (n=22), death (n=4),ventricular tachycardia (n=2) and CPR (n=2). All adverse events occurred prior to treatment with calciumand all but one occurred prior to K+-lowering intervention. All patients who had a short-term adverse eventhad a preceding ECG that demonstrated at least one hyperkalemic abnormality (100%, 95% confidenceinterval [CI] [85.7-100%]). An increased likelihood of short-term adverse event was found forhyperkalemic patients whose ECG demonstrated QRS prolongation (relative risk [RR] 4.74, 95% CI[2.01-11.15]), bradycardia (HR<50) (RR 12.29, 95%CI [6.69-22.57]), and/or junctional rhythm (RR 7.46,95%CI 5.28-11.13). There was no statistically significant correlation between peaked T waves andshort-term adverse events (RR 0.77, 95% CI [0.35-1.70]).\nConclusion:\n Our findings support the use of the ECG to risk stratify patients with severehyperkalemia for short-term adverse events. [West J Emerg Med. 2017;18(5)963-971.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "arrhythmias" }, { "word": "Cardiac" }, { "word": "ECG" }, { "word": "QRS prolongation" }, { "word": "bradycardia" }, { "word": "T wave peaked" }, { "word": "Renal Insufficiency" }, { "word": "chronic kidney disease" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7623h6zc", "frozenauthors": [ { "first_name": "Nicole", "middle_name": "", "last_name": "Durfey", "name_suffix": "", "institution": "Kent Hospital, Department of Emergency Medicine, Warwick, Rhode Island", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Lehnhof", "name_suffix": "", "institution": "Kent Hospital, Department of Emergency Medicine, Warwick, Rhode Island", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Bergeson", "name_suffix": "", "institution": "Kent Hospital, Department of Emergency Medicine, Warwick, Rhode Island", "department": "None" }, { "first_name": "Shayla", "middle_name": "N.M.", "last_name": "Durfey", "name_suffix": "", "institution": "The Warren Alpert Medical School of Brown University, Providence, Rhode Island", "department": "None" }, { "first_name": "Victoria", "middle_name": "", "last_name": "Leytin", "name_suffix": "", "institution": "The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Kristina", "middle_name": "", "last_name": "McAteer", "name_suffix": "", "institution": "The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Eric", "middle_name": "", "last_name": "Schwam", "name_suffix": "", "institution": "The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Justin", "middle_name": "", "last_name": "Valiquet", "name_suffix": "", "institution": "Kent Hospital, Department of Emergency Medicine, Warwick, Rhode Island", "department": "None" } ], "date_submitted": "2016-10-31T10:33:37-07:00", "date_accepted": "2016-10-31T10:33:37-07:00", "date_published": "2017-07-10T14:32:34-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10428/galley/5734/download/" } ] }, { "pk": 10726, "title": "Diagnostic Accuracy of Ultrasound for Identifying Shoulder Dislocations and Reductions: A Systematic Review of the Literature", "subtitle": null, "abstract": "Introduction:\n Patients with shoulder dislocations commonly present to the emergency department.Ultrasound has the potential to save time, radiation exposure, healthcare costs, and possibleneed for re-sedation. We conducted this systematic review to compare the diagnostic accuracy ofultrasound compared with plain radiography in the assessment of shoulder dislocations.\nMethods:\n We searched PubMed, Scopus, the Cochrane Database of Systematic Reviews,and the Cochrane Central Register of Controlled Trials for relevant trials. Primary data and testcharacteristics were obtained for all included studies. We used QUADAS-2 to assess study quality.Meta-analysis was not performed due to significant heterogeneity.\nResults:\n Four studies met our inclusion criteria, comprising 531 assessments with 202 dislocations.Most studies had a sensitivity of 100% for identifying dislocations. One study demonstrated asensitivity of 54%, and another had only one dislocation that was misidentified. All studies were100% specific for detecting dislocation.\nConclusion: \nUltrasound may be considered as an alternative diagnostic method for the detectionof shoulder dislocation and reduction, but further studies are necessary before routine use. [West JEmerg Med. 2017;18(5)937-942.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "ultrasound" }, { "word": "ultrasonography" }, { "word": "Shoulder" }, { "word": "dislocation" }, { "word": "reduction" }, { "word": "relocation" }, { "word": "systematic review" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/50c9s42z", "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": "Frances", "middle_name": "", "last_name": "Russell", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" } ], "date_submitted": "2017-04-05T09:28:29-07:00", "date_accepted": "2017-04-05T09:28:29-07:00", "date_published": "2017-07-10T14:31:13-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10726/galley/5853/download/" } ] }, { "pk": 10618, "title": "Antimicrobial Therapy for Pneumonia in the Emergency Department: The Impact of Clinical Pharmacists on Appropriateness", "subtitle": null, "abstract": "Introduction:\n Pneumonia impacts over four million people annually and is the leading cause of infectiousdisease-related hospitalization and mortality in the United States. Appropriate empiric antimicrobialtherapy decreases hospital length of stay and improves mortality. The objective of our study was to testthe hypothesis that the presence of an emergency medicine (EM) clinical pharmacist improves the timingand appropriateness of empiric antimicrobial therapy for community-acquired pneumonia (CAP) andhealthcare-associated pneumonia (HCAP).\nMethods:\n This was a retrospective observational cohort study of all emergency department (ED) patientspresenting to a Midwest 60,000-visit academic ED from July 1, 2008, to March 1, 2016, who presentedto the ED with pneumonia and received antimicrobial therapy. The treatment group consisted of patientswho presented during the hours an EM pharmacist was present in the ED (Monday-Friday, 0900-1800).The control group included patients presenting during the hours when an EM clinical pharmacist was notphysically present in the ED (Monday-Friday, 1800-0900, Saturday/Sunday 0000-2400 day). We definedappropriate empiric antimicrobial therapy using the Infectious Diseases Society of America consensusguidelines on the management of CAP, and management of HCAP.\nResults: \nA total of 406 patients were included in the final analysis (103 treatment patients and 303 controlpatients). During the hours the EM pharmacist was present, patients were significantly more likely toreceive appropriate empiric antimicrobial therapy (58.3% vs. 38.3%; p<0.001). Regardless of pneumoniatype, patients seen while an EM pharmacist was present were significantly more likely to receiveappropriate antimicrobial therapy (CAP, 77.7% vs. 52.9% p=0.008, HCAP, 47.7% vs. 28.8%, p=0.005).There were no significant differences in clinical outcomes.\nConclusion:\n The presence of an EM clinical pharmacist significantly increases the likelihood ofappropriate empiric antimicrobial therapy for patients presenting to the ED with pneumonia. [West JEmerg Med. 2017;18(5)856-863.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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 Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3k38771d", "frozenauthors": [ { "first_name": "Brett", "middle_name": "A.", "last_name": "Faine", "name_suffix": "", "institution": "University of Iowa, College of Pharmacy, Iowa City, Iowa\nUniversity of Iowa, Department of Emergency Medicine, Iowa City, Iowa\nUniversity of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa\nUniversity of Iowa Hospitals and Clinics, Department of Pharmacy, Iowa City, Iowa", "department": "None" }, { "first_name": "Nicholas", "middle_name": "", "last_name": "Mohr", "name_suffix": "", "institution": "University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa\nUniversity of Iowa, Hospitals and Clinics, Department of Anesthesia, Iowa City, Iowa", "department": "None" }, { "first_name": "Jenna", "middle_name": "", "last_name": "Dietrich", "name_suffix": "", "institution": "Carilion Roanoke Memorial Hospital, Department of Critical Care Pharmacy, Roanoke, Virginia", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Meadow", "name_suffix": "", "institution": "University of Iowa, College of Pharmacy, Iowa City, Iowa", "department": "None" }, { "first_name": "Kari", "middle_name": "", "last_name": "Harland", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Chrischilles", "name_suffix": "", "institution": "University of Iowa, College of Public Health, Iowa City, Iowa\nUniversity of Iowa, Department of Epidemiology, Iowa City, Iowa", "department": "None" } ], "date_submitted": "2017-02-11T09:03:08-08:00", "date_accepted": "2017-02-11T09:03:08-08:00", "date_published": "2017-07-10T14:30:04-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10618/galley/5820/download/" } ] }, { "pk": 10379, "title": "Sepsis Definitions: The Search for Gold and What CMS Got Wrong", "subtitle": null, "abstract": "On October 1, 2015, the United States Centers for Medicare and Medicaid Services (CMS) issued acore measure addressing the care of septic patients. These core measures are controversial amonghealthcare providers. This article will address that there is no gold standard definition for sepsis, severesepsis or septic shock and the CMS-assigned definitions for severe sepsis and septic shock arepremature and inconsistent with evidence-based definitions. [West J Emerg Med. 2017;18(5)951-956.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "sepsis, CMS guidelines, definitions" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/85h8v5qg", "frozenauthors": [ { "first_name": "Annahieta", "middle_name": "", "last_name": "Kalantari", "name_suffix": "", "institution": "Aria Jefferson Health, Department of Emergency Medicine, Philadelphia, Pennsylvania\n\nPhiladelphia College of Osteopathic Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Haney", "middle_name": "", "last_name": "Mallemat", "name_suffix": "", "institution": "Cooper Medical School of Rowan University, Department of Emergency Medicine, Department of Critical Care Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Scott", "middle_name": "D.", "last_name": "Weingart", "name_suffix": "", "institution": "Stony Brook Medicine, Department of Emergency Medicine, Division of Emergency Critical Care, Stony Brook, New York", "department": "None" } ], "date_submitted": "2016-10-08T09:29:48-07:00", "date_accepted": "2016-10-08T09:29:48-07:00", "date_published": "2017-07-10T14:28:19-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10379/galley/5707/download/" } ] }, { "pk": 34970, "title": "How Grammar Encodes Space in Cogtse Rgyalrong", "subtitle": null, "abstract": "This paper presents the grammatical systems that are used for the concepts of space in the Cogtse dialect of Rgyalrong. Cogtse is noted for the way it lexicalizes a rich set of orientations (up-down, east-west, upstream-downstream) in terms of nominals, pronominals, verbs, and adverbials. Together with locative postpositions and the relator-noun construction, they constitute the three primary kinds of grammatical devices to incorporate notions of space. Despite the fact that Cogtse lexicalizes the intrinsic, relative, and absolute (based on the six orientations) frames of reference; no occurrence of ‘left’ and ‘right’ has been observed in the discourse data, spontaneous or preplanned. Speakers clearly prefer the absolute references that take the above-mentioned orientations as the basis. Finally, this paper illustrates from two socio-cultural perspectives how entrenched the orientation system is in Rgyalrong. The selection of semantically-dependent perfectivizer reveals the way Rgyalrong speakers conceptualize events in orientational terms; while the seating arrangement in the Rgyalrong house demonstrates that in assigning orientation terms to refer to various indoor spaces, cultural conceptions override natural geographical settings.", "language": "en", "license": null, "keywords": [ { "word": "Rgyalrong, Cogtse, space, orientation, topological, motion, frames of reference, culture" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7k7535h6", "frozenauthors": [ { "first_name": "You-Jing", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "Peking University", "department": "None" } ], "date_submitted": "2016-03-16T19:32:04-07:00", "date_accepted": "2016-03-16T19:32:04-07:00", "date_published": "2017-07-09T10:57:27-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34970/galley/26080/download/" } ] }, { "pk": 34993, "title": "Introduction: The Grammatical Encoding of Space in Tibeto-Burman Languages", "subtitle": null, "abstract": "The current volume arose from a one-day pre-meeting workshop entitled “How Grammar Encodes Space in Tibeto-Burman” at the 48th International Conference on Sino-Tibetan Languages and Linguistics, which was held at the University of California, Santa Barbara in August of 2015.", "language": "en", "license": null, "keywords": [ { "word": "Spatial Encoding" }, { "word": "Tibeto-Burman" }, { "word": "introduction" }, { "word": "Space" }, { "word": "Direction" }, { "word": "grammar" }, { "word": "Morphosyntax" }, { "word": "Semantics" }, { "word": "Culture" }, { "word": "Himalayas" }, { "word": "typology" }, { "word": "Frame of Reference" } ], "section": "Introduction to Special Issue 16.1", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4x41x1n4", "frozenauthors": [ { "first_name": "Carol", "middle_name": "", "last_name": "Genetti", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Kristine", "middle_name": "A", "last_name": "Hildebrandt", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2017-07-09T11:07:20-07:00", "date_accepted": "2017-07-09T11:07:20-07:00", "date_published": "2017-07-09T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34993/galley/26095/download/" } ] }, { "pk": 34973, "title": "On the expression of spatial concepts in Lahu", "subtitle": null, "abstract": "Spatial/locative/directional concepts are sometimes highly grammaticalized in Tibeto-Burman, notably in the Qiangic languages, which are famous for their systems of “directional prefixes” preposed to verbs to indicate the literal or figurative direction of the verbal event.", "language": "en", "license": null, "keywords": [ { "word": "Lahu, spatial encoding, Tibeto-Burman" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3cv938qt", "frozenauthors": [ { "first_name": "James", "middle_name": "", "last_name": "Matisoff", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-04-20T14:33:08-07:00", "date_accepted": "2016-04-20T14:33:08-07:00", "date_published": "2017-07-09T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34973/galley/26082/download/" } ] }, { "pk": 34988, "title": "Review: Le prisme des langues (préface de Claude Hagège).", "subtitle": null, "abstract": "Book Review", "language": "en", "license": null, "keywords": [ { "word": "Nicolas Tournadre" }, { "word": "Le prisme des langues" }, { "word": "review" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5f80w59p", "frozenauthors": [ { "first_name": "George", "middle_name": "", "last_name": "van Driem", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2017-04-24T11:29:06-07:00", "date_accepted": "2017-04-24T11:29:06-07:00", "date_published": "2017-07-09T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34988/galley/26091/download/" } ] }, { "pk": 34967, "title": "Space in Lisu", "subtitle": null, "abstract": "Space is categorized and expressed in Lisu in all areas of structure, both nominal and verbal. Within the nominal system, there is a complex deictic system which differs between dialects and which has distinct fused locative forms, as well as a large set of spatial frame nominals, some derived from body parts, as well as directional suffixes and a spatial marker suffix; the ways in which these suffixes combine with nouns and noun stems differ slightly between dialects. There are also some general nouns for location in space and a spatial numeral classifier. Some of these nominal spatial forms are metaphorically extended to temporal, comparative and more lexicalized uses. Within the verbal system, directions of motion and types of location are expressed by lexically distinct verbs. As in most Ngwi languages related to Lisu, there is a morphosyntactically distinct set of dimensional extent stative verbs expressing spatial extension as well as temporal extent. There is also a set of posthead directional serial verbs. Finally, there are spatial adverbial forms productively based on the dimensional extent verbs.", "language": "en", "license": null, "keywords": [ { "word": "Deictic, locative, directional, spatial, dimensional extent" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z85b7bv", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Bradley", "name_suffix": "", "institution": "La Trobe University", "department": "None" } ], "date_submitted": "2016-02-28T12:55:08-08:00", "date_accepted": "2016-02-28T12:55:08-08:00", "date_published": "2017-07-09T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34967/galley/26077/download/" } ] }, { "pk": 34968, "title": "Spatial Relations in Manange and Nar-Phu", "subtitle": null, "abstract": "This is an account of the forms and semantic dimensions of spatial relations in Manange (Tibeto-Burman, Tamangic; Nepal), with comparison to sister language Nar-Phu. Topological relations (“IN/ON/AT/NEAR”) in these languages are encoded by locative enclitics and also by a set of noun-like objects termed as “locational roots.” In Manange, the general locative enclitic is more frequently encountered for a wide range of topological relations, while in Nar-Phu, the opposite pattern is observed, i.e. more frequent use of locational roots. While the linguistic frame of reference system encoded in these forms is primarily relative (i.e. oriented on the speaker’s own viewing perspective), a more extrinsic/absolute system emerges with certain verbs of motion in these languages, with verbs like “come,” “go,” and certain verbs of placement or posture orienting to arbitrary fixed bearings such as slope. This account also provides some examples of cultural or metaphorical extensions of spatial forms as they are encountered in connected speech.", "language": "en", "license": null, "keywords": [ { "word": "Spatial Encoding" }, { "word": "Tibeto-Burman" }, { "word": "Manange" }, { "word": "Nar-Phu" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2813n7xw", "frozenauthors": [ { "first_name": "Kristine", "middle_name": "A", "last_name": "Hildebrandt", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-03-04T10:08:13-08:00", "date_accepted": "2016-03-04T10:08:13-08:00", "date_published": "2017-07-09T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34968/galley/26078/download/" } ] }, { "pk": 34972, "title": "The Grammatical Encoding of Space in Yonghe Qiang", "subtitle": null, "abstract": "Like other languages of the Western Sichuan linguistic area, the Yonghe variety of Qiang has robust grammatical systems for spatial concepts. Within the noun phrase, there are specialized locative casemarkers for different degrees of distance of the object being located. There is also a set of locational nouns, which are structured based on an intrinsic frame of reference, at least for some speakers. In the verb phrase, there is a system of five existential verbs, four of which have locational semantics; choice of existential depends on containment and attachment, then secondarily on the animacy of the referent being located. There is also a set of eight directional prefixes. These have different discourse frequencies, reflecting different levels of prefix-verb collocation. In addition, the prefixes primarily occur in perfective clauses and imperatives; however, they are optional when an adverbial phrase is also used. Thus, the system approximates derivation rather than inflection. These patterns of distribution, together with comparative data from other Western Sichuan languages, suggest a grammaticalization pathway from directional prefix to perfective to imperative.", "language": "en", "license": null, "keywords": [ { "word": "Qiang, Tibeto-Burman, space, directional orientation, grammaticalization, morphology, existential verbs, locational, derivation, frame of reference" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/08n1j3bt", "frozenauthors": [ { "first_name": "Nathaniel", "middle_name": "", "last_name": "Sims", "name_suffix": "", "institution": "UC Santa Barbara", "department": "None" }, { "first_name": "Carol", "middle_name": "", "last_name": "Genetti", "name_suffix": "", "institution": "UC Santa Barbara", "department": "None" } ], "date_submitted": "2016-04-17T12:14:15-07:00", "date_accepted": "2016-04-17T12:14:15-07:00", "date_published": "2017-07-09T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34972/galley/26081/download/" } ] }, { "pk": 34974, "title": "The Syntax and Semantics of Spatial Reference in Lamkang Verbs", "subtitle": null, "abstract": "Lamkang, a Naga Kuki-Chin langauge spoken in Manipur state, India, has the following verbs \nyung \n‘fly, go downwards’; \nhang- ‘\ngo up, climb’; \nhung- \n‘go up’; \nvang-\n ‘come’\n; hei- \ntravel, walk, move along’. These verbs have been grammaticalized and are used as directional morphemes. Lamkang speakers report that the correct use of directionals is one of the big stumbling blocks speakers of neighboring languages face when trying to speak Lamkang. The ‘up’, ‘down’, and ‘across’ dimensions are clear. But additional factors of social familiarity, distance and prestige, and metaphorical extensions into time, must be considered when indicating the direction of movement. The venitive, as well, is used not only to mark a deictic center but also to orient a listener’s gaze. To be truly fluent in Lamkang, one must utilize these multiple meanings.", "language": "en", "license": null, "keywords": [ { "word": "Tibeto-Burman, Manipur, Language Documentation, Dexis, Figure and Ground" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4481w2xc", "frozenauthors": [ { "first_name": "Shobhana", "middle_name": "Lakshmi", "last_name": "Chelliah", "name_suffix": "", "institution": "University of North Texas", "department": "None" }, { "first_name": "Tyler", "middle_name": "P", "last_name": "Utt", "name_suffix": "", "institution": "University of North Texas", "department": "None" } ], "date_submitted": "2016-05-01T11:13:22-07:00", "date_accepted": "2016-05-01T11:13:22-07:00", "date_published": "2017-07-09T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34974/galley/26083/download/" } ] }, { "pk": 411, "title": "Cervical Artery Dissection and Choosing Appropriate Therapy", "subtitle": null, "abstract": "Cervical artery dissection is a common cause of stroke in young adults. This may result from head andneck trauma; it can also occur spontaneously or secondary to genetic connective tissue or vasculardisorders. Neurologic symptoms arise as a result of thromboembolism and hypoperfusion causingcerebral ischemia. We present a case of a previously healthy male who was found to have a cervicalinternal carotid artery dissection and the decision to use antiplatelet therapy instead of anticoagulationto prevent stroke. Data is lacking regarding the efficacy of one therapy over the other.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/0546t65n", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "T.", "last_name": "Lau", "name_suffix": "", "institution": "Naval Medical Center, Department of Emergency Medicine, San Diego,California", "department": "None" }, { "first_name": "John", "middle_name": "S.", "last_name": "Hunt", "name_suffix": "", "institution": "Naval Medical Center, Department of Emergency Medicine, San Diego,California", "department": "None" }, { "first_name": "David", "middle_name": "I.", "last_name": "Burner", "name_suffix": "", "institution": "Scripps Mercy, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Andrea", "middle_name": "L.", "last_name": "Austin", "name_suffix": "", "institution": "Naval Medical Center, Department of Emergency Medicine, San Diego,California", "department": "None" } ], "date_submitted": "2017-07-06T11:12:36-07:00", "date_accepted": "2017-07-06T11:12:36-07:00", "date_published": "2017-07-06T12:26:26-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/411/galley/175/download/" } ] }, { "pk": 408, "title": "Testicular Rupture: A Tough Nut to Crack", "subtitle": null, "abstract": "Blunt scrotal injury represents a diagnostic dilemma for emergency physicians (EP).Consequently, point-of-care ultrasound (POCUS) has emerged as a tool for early investigation ofthe acute scrotum in the emergency department. We describe a case where an EP used scrotalPOCUS to immediately visualize the loss of testicular contour and underlying heterogeneousparenchyma to rapidly make the diagnosis of testicular rupture in a young male presenting withscrotal trauma. The use of POCUS in this case expedited therapy, likely improving the patient’soutcome. To our knowledge, this is the first detailed description of testi cular rupture diagnosedwith POCUS by an EP.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/42c5q0rq", "frozenauthors": [ { "first_name": "Tyler", "middle_name": "L.", "last_name": "Holliday", "name_suffix": "", "institution": "West Virginia University, School of Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Kristine", "middle_name": "S.", "last_name": "Robinson", "name_suffix": "", "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Nicole", "middle_name": "", "last_name": "Dorinzi", "name_suffix": "", "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Andrew", "middle_name": "W.", "last_name": "Vucelik", "name_suffix": "", "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Erin", "middle_name": "L.", "last_name": "Setzer", "name_suffix": "", "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Debra", "middle_name": "L.", "last_name": "Williams", "name_suffix": "", "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Melinda", "middle_name": "J.", "last_name": "Sharon", "name_suffix": "", "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Joseph", "middle_name": "J.", "last_name": "Minardi", "name_suffix": "", "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" } ], "date_submitted": "2017-07-06T10:12:54-07:00", "date_accepted": "2017-07-06T10:12:54-07:00", "date_published": "2017-07-06T12:15:38-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/408/galley/172/download/" } ] }, { "pk": 407, "title": "Hematometrocolpos in a Pubescent Girl with Abdominal Pain", "subtitle": null, "abstract": "Hematometrocolpos is a rare congenital abnormality of the female urogenital system that leadsto an imperforate hymen and subsequent retrograde menstruation. We present the case of a14-year-old female patient who presented to the emergency department with amenorrhea andabdominal pain, and was found to have an imperforate hymen and hematometrocolpos on transabdominalpoint-of-care ultrasound. It is important for emergency physicians to consider thisdiagnosis in pubescent female patients presenting with abdominal pain, as missed diagnosis canlead to infertility and other complications.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/55p4d86x", "frozenauthors": [ { "first_name": "Haleigh", "middle_name": "C.", "last_name": "Kotter", "name_suffix": "", "institution": "UCLA Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Weingrow", "name_suffix": "", "institution": "UCLA Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Caleb", "middle_name": "P.", "last_name": "Canders", "name_suffix": "", "institution": "UCLA Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2017-07-05T16:58:38-07:00", "date_accepted": "2017-07-05T16:58:38-07:00", "date_published": "2017-07-06T12:09:04-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/407/galley/171/download/" } ] }, { "pk": 406, "title": "Diagnosis of Septic Abortion with Point-of-care Ultrasound", "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/62p898x4", "frozenauthors": [ { "first_name": "Dawa", "middle_name": "", "last_name": "Sherpa", "name_suffix": "", "institution": "Alameda Health System – Highland Hospital, Oakland, California", "department": "None" }, { "first_name": "Brian", "middle_name": "D.", "last_name": "Johnson", "name_suffix": "", "institution": "University of Washington – Valley Medical Center, Renton, Washington", "department": "None" }, { "first_name": "Leila", "middle_name": "", "last_name": "Ben-Youssef", "name_suffix": "", "institution": "Alameda Health System – Highland Hospital, Oakland, California", "department": "None" }, { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2017-07-05T16:53:13-07:00", "date_accepted": "2017-07-05T16:53:13-07:00", "date_published": "2017-07-06T11:58:15-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/406/galley/170/download/" } ] }, { "pk": 404, "title": "When Too Much Is Enough: Pediatric Cyproheptadine Overdose with Confirmatory Level", "subtitle": null, "abstract": "Cyproheptadine is an H-1 antihistamine with anticholinergic and antiserotonergic effects.Cyproheptadine’s most common use has been in the management cold-induced urticaria. It is often usedin primary care for its side effect of appetite stimulation. Recently there has been increasing interest inits use in the treatment of drug-induced serotonin syndrome. Cyproheptadine overdose is uncommonlyreported in the medical literature. We report the rare case of a pediatric cyproheptadine overdose with aconfirmatory cyproheptadine level.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/85f9m16k", "frozenauthors": [ { "first_name": "Terrance", "middle_name": "", "last_name": "McGovern", "name_suffix": "", "institution": "St. Joseph’s Regional Medical Center, Department of Emergency Medicine, Paterson, New Jersey", "department": "None" }, { "first_name": "Justin", "middle_name": "", "last_name": "McNamee", "name_suffix": "", "institution": "Emergency Medicine Professionals, Ormond Beach, Florida", "department": "None" }, { "first_name": "Steven", "middle_name": "", "last_name": "Marcus", "name_suffix": "", "institution": "Rutgers University Hospital, Department of Emergency Medicine, Newark, New Jersey", "department": "None" }, { "first_name": "Josh", "middle_name": "", "last_name": "Kashani", "name_suffix": "", "institution": "St. Joseph’s Regional Medical Center, Department of Emergency Medicine,Paterson, New Jersey", "department": "None" } ], "date_submitted": "2017-07-05T16:42:40-07:00", "date_accepted": "2017-07-05T16:42:40-07:00", "date_published": "2017-07-06T11:05:25-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/404/galley/168/download/" } ] }, { "pk": 403, "title": "A Man with Cyanotic Digits", "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/45j4w996", "frozenauthors": [ { "first_name": "Tess", "middle_name": "", "last_name": "Wiskel", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University\nDepartment of Emergency Medicine, Providence, RI", "department": "None" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "Bass", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University\nDepartment of Plastic and Reconstructive Surgery, Providence, RI", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "", "last_name": "Feden", "name_suffix": "", "institution": "Warren Alpert Medical School of Brown University\nDepartment of Emergency Medicine, Providence, RI", "department": "None" } ], "date_submitted": "2017-06-05T12:34:23-07:00", "date_accepted": "2017-06-05T12:34:23-07:00", "date_published": "2017-07-06T11:00:04-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/403/galley/167/download/" } ] }, { "pk": 402, "title": "Paratracheal Cysts", "subtitle": null, "abstract": "Paratracheal cysts are a common finding on CT scan. In the setting of trauma, they can mimic pneumomediastinum. The nature of the paratracheal cyst is diverse, however they could be considered to be tracheal diverticula. We report a case of trauma with the incidental finding of a cyst in the thoracic outlet and how this may affect the work up for trauma. It is important that emergency physicians be mindful of this finding especially in the setting of trauma. The anatomic location of the cysts may complicate certain procedures such as central venous catheterization of the internal jugular vein.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/75w892z2", "frozenauthors": [ { "first_name": "Mohammad", "middle_name": "R.", "last_name": "Mohebbi", "name_suffix": "", "institution": "University of Missouri-Columbia, Department of Emergency Medicine, Columbia, Missouri", "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": "2017-06-05T12:25:13-07:00", "date_accepted": "2017-06-05T12:25:13-07:00", "date_published": "2017-07-06T10:55:59-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/402/galley/166/download/" } ] }, { "pk": 401, "title": "Aortoesophageal Fistula", "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/9ks1d7xj", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Roten", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "Peterf", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California", "department": "None" } ], "date_submitted": "2017-06-05T12:21:01-07:00", "date_accepted": "2017-06-05T12:21:01-07:00", "date_published": "2017-07-06T10:44:46-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/401/galley/165/download/" } ] }, { "pk": 400, "title": "Compartment and Crush Syndromes After Sleep Deprivation and a Therapeutic Dose of Zolpidem", "subtitle": null, "abstract": "Despite extensive review in the literature, compartment syndrome and crush syndrome remaindifficult to diagnose. Trauma, toxins and reperfusion have been associated with these syndromes.Cases involving alcohol and drug abuse have described patients “found down” compressing anextremity. We present a case of a registered nurse who developed compartment syndrome inmultiple limbs due to prolonged sleep after sleep deprivation and zolpidem use. To our knowledge,this is the first case of compartment syndrome or crush syndrome to have occurred in the settingof zolpidem use. Sleep disruption in healthcare workers represents a public health issue withdangerous sequelae, both acute and chronic.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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/9sx9n9n1", "frozenauthors": [ { "first_name": "Martin", "middle_name": "R.", "last_name": "Huecker", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "None" }, { "first_name": "Eric", "middle_name": "", "last_name": "Yazel", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "None" } ], "date_submitted": "2017-06-05T10:15:44-07:00", "date_accepted": "2017-06-05T10:15:44-07:00", "date_published": "2017-07-06T10:38:23-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/400/galley/164/download/" } ] }, { "pk": 33550, "title": "Car Wars", "subtitle": null, "abstract": "A self-driving car is a computer you put your body in. Fiction by Cory Doctorow.", "language": null, "license": { "name": "Creative Commons Attribution-ShareAlike 4.0", "short_name": "CC BY-SA 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jv2p09h", "frozenauthors": [ { "first_name": "Cory", "middle_name": "", "last_name": "Doctorow", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-06T10:00:00-07:00", "render_galley": null, "galleys": [ { "label": "HTML", "type": "pdf", "path": "https://journalpub.escholarship.org/limn/article/33550/galley/24623/download/" } ] }, { "pk": 33549, "title": "Hacktoids (or, The <em>Limn</em> Index)", "subtitle": null, "abstract": "Limn tapped its extensive network of underground operatives to bring you this extraordinary list of facts about hacks, leaks, and breaches.", "language": null, "license": { "name": "Creative Commons Attribution-ShareAlike 4.0", "short_name": "CC BY-SA 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37w2c32p", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-06T10:00:00-07:00", "render_galley": null, "galleys": [ { "label": "HTML", "type": "pdf", "path": "https://journalpub.escholarship.org/limn/article/33549/galley/24622/download/" } ] }, { "pk": 33548, "title": "Preface: Hacks, Leaks, and Breaches", "subtitle": null, "abstract": "Gabriella Coleman and Christopher Kelty guide readers through Limn Number 8 on Hacks, Leaks, and Breaches.", "language": null, "license": { "name": "Creative Commons Attribution-ShareAlike 4.0", "short_name": "CC BY-SA 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8ht4c54d", "frozenauthors": [ { "first_name": "Christopher M.", "middle_name": "", "last_name": "Kelty", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "E. Gabriella", "middle_name": "", "last_name": "Coleman", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-07-06T10:00:00-07:00", "render_galley": null, "galleys": [ { "label": "HTML", "type": "pdf", "path": "https://journalpub.escholarship.org/limn/article/33548/galley/24621/download/" } ] }, { "pk": 38219, "title": "An Abstract Model of Historical Processes", "subtitle": null, "abstract": "A theoretical model is presented which provides a way to simulate, at a very abstract level, power struggles in the social world. In the model, agents can benet or harm each other, to varying degrees and with diering levels of inuence. The agents interact over time, using the power they have to try to get more of it, while being constrained in their strategic choices by social inertia. The outcomes of the model are probabilistic. More research is needed to determine whether the model has any empirical validity.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Theoretical History" }, { "word": "Political Sociology" }, { "word": "agent-based simulation" }, { "word": "Game theory" }, { "word": "Balance of Power" }, { "word": "Conflict Studies" }, { "word": "interdependence" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9sv1d0h8", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Poulshock", "name_suffix": "", "institution": "Drexel University Thomas R. Kline School of Law", "department": "None" } ], "date_submitted": "2016-08-16T19:06:00-07:00", "date_accepted": "2016-08-16T19:06:00-07:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38219/galley/28769/download/" } ] }, { "pk": 38224, "title": "Cultural Evolution of an Institution: The Sabbath", "subtitle": null, "abstract": "According to the biblical account the Sabbath has been commanded at Mount Sinai during the Exodus. Reasonably, there can be no archaeological evidence to confirm that. However, the archaeological evidence points to a rankless society in pre-monarchic Israel. Lack of social layers in settled societies does raise questions about controlling the lawlessness. Livni and Stone mathematically established that the Sabbath could keep unruliness under control and that later, starting with the Second Temple, it did so. This multi-disciplinary report portrays the history of the Sabbath in terms of socio-cultural evolution combining analyses of anthropologists, archaeologists, biblical scholars and computation methods. The report shows that the Sabbath is at least 3000 years old.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Sabbath" }, { "word": "covenant" }, { "word": "cultural evolution" }, { "word": "egalitarian society" }, { "word": "history simulation" }, { "word": "pre-monarchic Israel" } ], "section": "Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/958045dp", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "Livni", "name_suffix": "", "institution": "Omega-n, Aviation,Science & Art, Inc.", "department": "None" } ], "date_submitted": "2016-12-04T06:25:39-08:00", "date_accepted": "2016-12-04T06:25:39-08:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38224/galley/28772/download/" } ] }, { "pk": 34969, "title": "Directional Pre-verbal Particles in Hakha Lai", "subtitle": null, "abstract": "Hakha Lai is mainly spoken in Hakha and Thantlang areas, and their vicinities in Chin State, Myanmar (formerly known as Burma). It is also spoken in the adjacent areas of India and Bangladesh. Lai speakers are about 100,000 people. Lai is also used extensively as a second language by speakers of other Chin languages in the Chin Hills.\n \nThe data in H. Lai are transcribed in both standard orthography as well as a phonemic orthography developed and used when the first author was a consultant for a two-semesters long field method class (Fall 1997 – Spring 1998) conducted by Prof. James A. Matisoff at UC Berkeley.\n H. Lai has five pairs of directional pre-verbal particles which describe the “where” of the participants and the “how” of the actions involved. This paper analyzes these deictic phenomena in terms of how the interlocutors behave in relation to position, distance, and movement, their diachronic origins, and their other functions.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/26d535zr", "frozenauthors": [ { "first_name": "Kenneth", "middle_name": "", "last_name": "VanBik", "name_suffix": "", "institution": "San Jose State University", "department": "None" } ], "date_submitted": "2016-03-16T11:15:50-07:00", "date_accepted": "2016-03-16T11:15:50-07:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/himalayanlinguistics/article/34969/galley/26079/download/" } ] }, { "pk": 2806, "title": "Electronic Storybooks Among Children of Low SES: Critically Re-Evaluating the Evidence from 1997-2009", "subtitle": null, "abstract": "This critical synthesis re-evaluates a widely-cited sample of peer-reviewed empirical journal articles supporting electronic storybooks as a promising medium for literacy learning among preschoolers of low SES. From a critical re-assessment of these experimental studies across quality variables indicative of good research design (e.g., participant description, treatment detail, treatment fidelity, operationalized measures, measure reliability, internal and external validity, and clarity of causal inference), synthesis results indicate that all studies contained methodological weaknesses in one of more of these areas. The most serious flaws observed were failure to utilize proven instrumentation, inadequately described samples, small samples, and non-uniform treatment conditions. Evidence suggests that higher quality studies are needed before conclusive statements can be made on the efficacy of e-storybooks for vulnerable populations. Implications and recommendations for future e-storybook research are discussed.", "language": "en", "license": null, "keywords": [ { "word": "electronic storybook" }, { "word": "emergent literacy skills" }, { "word": "low SES" }, { "word": "critical synthesis" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2936c7dj", "frozenauthors": [ { "first_name": "Anna", "middle_name": "Montana", "last_name": "Cirell", "name_suffix": "", "institution": "Arizona State University", "department": "None" } ], "date_submitted": "2016-08-15T12:24:35-07:00", "date_accepted": "2016-08-15T12:24:35-07:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2806/galley/1660/download/" } ] }, { "pk": 38228, "title": "Involvement of a Capitalist Crisis in the 1900-30 Inequality Trend Reversal", "subtitle": null, "abstract": "This paper proposes a supplemental secular cycle formulation for a modern capitalist society that employs financial, economic, and political metrics in place of population and sociopolitical violence. It makes use of Thomas Piketty’s (2014) hypothesis that excess investment return relative to economic growth causes inequality. In a capitalist society, the investing class can be considered as a proxy for elites. Inequality as measured by the ratio of financial to wage gains over time agrees with other economic measures. Rising inequality led to a reduction in capital productivity (output per person per unit of capital). This created instability in financial markets that generated the 1929 stock market crash. Application of a simplified version of the demographic structural theory to inequality trends shows political stress peaking in 1929. The depression that began with the stock market crash in that year resulted in a devastating political defeat for the ruling party in 1932 which brought in the political coalition that engineered the inequality trend reversal. This series of events can be considered as a modern version of the state collapse and reconstitution that was typically a key feature of premodern secular cycles.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "secular cycle" }, { "word": "Stock Market" }, { "word": "Economic Inequality" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/42p5m46m", "frozenauthors": [ { "first_name": "Michael", "middle_name": "Allen", "last_name": "Alexander", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2016-12-16T10:42:19-08:00", "date_accepted": "2016-12-16T10:42:19-08:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38228/galley/28776/download/" } ] }, { "pk": 38240, "title": "Seshat: Global History Databank Publishes First Set of Historical Data", "subtitle": null, "abstract": "This short report describes the publication of the first batch of historical data produced by \nSeshat: Global History Databank. \nThe data is available as free, open access material here; see also our website for more information on the Seshat project as a whole.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Seshat: Global History Databank" }, { "word": "databases" }, { "word": "Digital History" }, { "word": "Computational Social Science" } ], "section": "Databases", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/62c908fk", "frozenauthors": [ { "first_name": "Peter", "middle_name": "", "last_name": "Turchin", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2017-06-20T16:47:56-07:00", "date_accepted": "2017-06-20T16:47:56-07:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38240/galley/28784/download/" } ] }, { "pk": 38235, "title": "Trends in First Names Foreshadowed Hillary Clinton’s Electoral Defeat", "subtitle": null, "abstract": "I examine trends in the popularity of first names around the years of USA presidential elections, showing that the names 'Hillary' and 'Hilary' decreased abruptly by more than 90% in popularity following the 1992 election of Hillary Clinton's husband Bill. I show that this outcome is unique to the 1992 election, and argue that it may evidence a \"dislike\" for Hillary Clinton's public image among both Democratic and Republican voters, which may have eventually contributed to Hillary Clinton's losing the 2016 presidential election.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "political sociology, naming patterns and electoral success" } ], "section": "Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0qc7c973", "frozenauthors": [ { "first_name": "Stefano", "middle_name": "", "last_name": "Ghirlanda", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2017-01-23T09:46:16-08:00", "date_accepted": "2017-01-23T09:46:16-08:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38235/galley/28781/download/" } ] }, { "pk": 38241, "title": "What Economics Models Really Say. A Review of Economics Rules: The Rights and Wrongs of the Dismal Science by Dani Rodrik (Norton, 2015)", "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.\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": "Economic Models" }, { "word": "book review" }, { "word": "Economics" }, { "word": "Dani Rodrik" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7hr2x4hs", "frozenauthors": [ { "first_name": "Peter", "middle_name": "", "last_name": "Turchin", "name_suffix": "", "institution": "University of Connecticut; Seshat: Global History Databank", "department": "None" } ], "date_submitted": "2017-07-05T11:31:21-07:00", "date_accepted": "2017-07-05T11:31:21-07:00", "date_published": "2017-07-01T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38241/galley/28785/download/" } ] }, { "pk": 44366, "title": "When Sarcoidosis Presents Itself", "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/3nz039d0", "frozenauthors": [ { "first_name": "Marjan", "middle_name": "", "last_name": "Lyons", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-30T13:33:04-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44366/galley/33162/download/" } ] }, { "pk": 44365, "title": "When Back Pain is Osteosarcoma", "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/3tg3m715", "frozenauthors": [ { "first_name": "Neema", "middle_name": "", "last_name": "Heivand", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-30T13:31:13-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44365/galley/33161/download/" } ] }, { "pk": 2811, "title": "Invoking Agency: Talking About Racial Diversity and Campus Climate on Social Media", "subtitle": null, "abstract": "The 2015-2016 Undergraduate Research Partnership Initiative (URPI) study explored students’ use of social media to engage in discussion of racial/ethnic diversity and campus climate. The purpose of the study was to better understand how students utilize social media to talk about issues of racial/ethnic diversity and campus climate to inform how UCLA might capitalize on social media use to promote a safe, welcoming and empowering campus environment. Eighteen interviews and an in-depth content analysis of student Facebook pages were used to explore the following questions: 1) How do students describe their posting behaviors and engagement with issues of racial diversity and campus climate on social media? 2) How frequently do students use social media to discuss issues of racial diversity and campus climate in either positive or negative ways? and 3) What does participant posting behavior and engagement with issues of racial diversity and campus climate on social media say about the utility of social media in promoting a positive campus climate?", "language": "en", "license": null, "keywords": [ { "word": "diversity, social media, campus climate, higher education" } ], "section": "Research Briefs", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4b27g0vw", "frozenauthors": [ { "first_name": "Tiera", "middle_name": "chantè", "last_name": "Tanksley", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "Vanessa", "middle_name": "", "last_name": "Lopez", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Francisca", "middle_name": "", "last_name": "Martinez", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-10-21T15:12:43-07:00", "date_accepted": "2016-10-21T15:12:43-07:00", "date_published": "2017-06-28T13:46:33-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2811/galley/1664/download/" } ] }, { "pk": 2807, "title": "Using routines to improve diversity in higher education institutions", "subtitle": null, "abstract": "The author conducted a literature review pertaining to the use of organizational routines, organizational learning, and organizational diversity in an attempt to concisely depict the intersection of these research topics and further expand on these topics’ impact on increasing diversity within higher education institutions (HEIs). A summary of organizational routines defines organizational routines, demonstrates how routines are used within HEIs, and describes how HEIs modify their routines over time in an attempt to improve outcomes. Subsequently, a summary of organizational learning presents an overview of how HEIs learn from their current and past actions, defines single and double loop learning, and elaborates on barriers to learning that may, in fact, stem from attributes of chosen learning techniques. Finally, a summary of organizational diversity elaborates on the myriad of characteristics that should be included within the term “diversity,” describes the dearth of research findings regarding diversity that do not fall within visually noticeable diversity (e.g., skin color, gender), and presents the benefits to productivity that stem from having increased diversity within a HEI. After presenting summaries of the existing literature, the author concludes the review by presenting a list of practical implementations designed to assist HEIs in using routines as a means of improving diversity within HEIs.", "language": "en", "license": null, "keywords": [ { "word": "Higher education" }, { "word": "learning" }, { "word": "routines" }, { "word": "Diversity" } ], "section": "Literature Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7cs2t44d", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "C.", "last_name": "Hoover", "name_suffix": "", "institution": "Kansas University Medical Center", "department": "None" } ], "date_submitted": "2016-09-05T11:14:24-07:00", "date_accepted": "2016-09-05T11:14:24-07:00", "date_published": "2017-06-28T13:38:18-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2807/galley/1661/download/" } ] }, { "pk": 44344, "title": "Hospitalist Co-Management of Stroke Patients and Implementation of a Protocol for Standardization of Care", "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/05s039t5", "frozenauthors": [ { "first_name": "GX", "middle_name": "", "last_name": "Ng", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Janette", "middle_name": "", "last_name": "Zara", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Erin", "middle_name": "", "last_name": "Dowling", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-28T10:08:32-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44344/galley/33140/download/" } ] }, { "pk": 44343, "title": "The Case of Intractable Hiccups and Backaches", "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/9tj9j2vn", "frozenauthors": [ { "first_name": "Serena", "middle_name": "", "last_name": "Wang", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-28T10:07:17-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44343/galley/33139/download/" } ] }, { "pk": 60237, "title": "Restrictions Against Press and Paparazzi in California: Analysis of Sections 1708.8 and 1708.7 of the California Civil Code", "subtitle": null, "abstract": "In 2014 the California legislature passed into law updates to two parts of the state’s civil code aimed at protecting the privacy rights of all residents, notably celebrities. Two sections of the state’s civil code were amended to place limits on how the paparazzi can intrude on celebrities’ lives. Section 1708.8 provides protection for anyone’s privacy. Section 1708.7 limits harassment activities of anyone—including paparazzi—who stalks victims. This article analyzes both laws from a First Amendment perspective. It argues that several of the laws’ restrictions on the press regarding invasion of privacy and harassment are constitutional. Yet, the specific provisions aimed at the publication rights of the media are content-based restrictions and presumptively unconstitutional. The article also argues that the state legislature and courts need to clarify 1708.7’s anti-harassment provisions for clarity.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "press" }, { "word": "celebrity" }, { "word": "Privacy" }, { "word": "Paparazzi" }, { "word": "harassment" }, { "word": "California civil code" }, { "word": "Section 1708.8" }, { "word": "Section 1708.7" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4bj7x2tb", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "", "last_name": "Azriel", "name_suffix": "", "institution": "Kennesaw State University", "department": "" } ], "date_submitted": "2017-06-28T14:55:31-07:00", "date_accepted": "2017-06-28T14:55:31-07:00", "date_published": "2017-06-28T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_elr/article/60237/galley/46196/download/" } ] }, { "pk": 60239, "title": "The Dilemma of False Positives: Making Content ID Algorithms more Conducive to Fostering Innovative Fair Use in Music Creation", "subtitle": null, "abstract": "Content ID programs commonly use algorithms to block uploaded music when the algorithm concludes the owners of certain copyrighted works will claim their work is being used without consent. However, algorithmic enforcement programs can produce “false positives,” where legally allowable music associated with a reference file is inappropriately blocked. The phenomenon of false positives is especially problematic for songwriters, composers, experimental music artists and others who create music by combining their own vocal or instrumental performance with work created by others and “loops” from audio libraries. Balanced by such factors as how much a new work damages the market for a prior work and how much of a prior work is used in a new work, the “fair use” defense allows songwriters to upload technically infringing work if the new work amounts to a critique, is in the public domain, or sufficiently transforms the original work to render it new. This article explains how Content ID algorithms are developed and interpreted and discusses how the fair use defense can sometimes limit the extent to which Content ID programs can block innovative music creation. The article offers methods for defining and measuring algorithmic effectiveness that both account for the risk of false positives and protect the proprietary interests of copyright holders. It also proposes a new regulatory scheme that ensures these methods are implemented properly. The proposed regulatory scheme should lead to a more equitable system for music creators and original copyright holders and to more inventive and interesting music for fans.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "music" }, { "word": "Content ID" }, { "word": "algorithms" }, { "word": "False Positives" }, { "word": "fair use" }, { "word": "regulation" }, { "word": "copyright" }, { "word": "intellectual property" }, { "word": "IP law" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1x38s0hj", "frozenauthors": [ { "first_name": "Toni", "middle_name": "", "last_name": "Lester", "name_suffix": "", "institution": "Babson College", "department": "" }, { "first_name": "Dessislava", "middle_name": "", "last_name": "Pachamanova", "name_suffix": "", "institution": "Babson College", "department": "" } ], "date_submitted": "2017-06-28T15:16:03-07:00", "date_accepted": "2017-06-28T15:16:03-07:00", "date_published": "2017-06-28T00:00:00-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_elr/article/60239/galley/46198/download/" } ] }, { "pk": 44413, "title": "Low Back Pain: Importance of Red Flags", "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/2px0v16h", "frozenauthors": [ { "first_name": "Terence", "middle_name": "M.", "last_name": "Hammer", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-27T12:12:43-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44413/galley/33207/download/" } ] }, { "pk": 44412, "title": "Chronic Low Back Pain: Importance of Close Follow-Up with Additional History", "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/6bw530m2", "frozenauthors": [ { "first_name": "Terence", "middle_name": "M.", "last_name": "Hammer", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-27T12:10:04-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44412/galley/33206/download/" } ] }, { "pk": 44361, "title": "Neck masses: Beyond the Reactive Lymph Node", "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/8vq652dn", "frozenauthors": [ { "first_name": "Mufaddal", "middle_name": "", "last_name": "Dahodwala", "name_suffix": "MD, MS", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-27T11:07:53-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44361/galley/33157/download/" } ] }, { "pk": 44360, "title": "Metastatic Breast Cancer: A Rare Cause of Chronic Diarrhea", "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/6mt773x3", "frozenauthors": [ { "first_name": "Lisa", "middle_name": "", "last_name": "Lin", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mary", "middle_name": "", "last_name": "Farid", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-27T11:05:09-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44360/galley/33156/download/" } ] }, { "pk": 44359, "title": "A Case of Pericarditis Post Takotsubo’s Cardiomyopathy", "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/9kg5h4nr", "frozenauthors": [ { "first_name": "Nidhi", "middle_name": "", "last_name": "Thareja", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-27T11:04:22-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44359/galley/33155/download/" } ] }, { "pk": 44323, "title": "Management of Diffuse Pulmonary Coccidioidomycosis in End Stage Renal Disease", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6t64f75m", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Aronin", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ki", "middle_name": "Wan", "last_name": "Park", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-26T14:15:18-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44323/galley/33121/download/" } ] }, { "pk": 44322, "title": "A Case of Levamisole-Induced Vasculitis", "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/2744703d", "frozenauthors": [ { "first_name": "Brian", "middle_name": "", "last_name": "Donohoe", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Neil", "middle_name": "", "last_name": "Parikh", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-22T14:11:50-07:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44322/galley/33120/download/" } ] }, { "pk": 33551, "title": "The Spy Who Pwned Me", "subtitle": null, "abstract": "How did we get to state-sponsored hacking? Matt Jones traces the legal authorities and technical capacities that have transformed the power of the nation-state since the 1990s.", "language": null, "license": { "name": "Creative Commons Attribution-ShareAlike 4.0", "short_name": "CC BY-SA 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5300241s", "frozenauthors": [ { "first_name": "Matthew L.", "middle_name": "", "last_name": "Jones", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2017-06-22T10:00:00-07:00", "render_galley": null, "galleys": [ { "label": "HTML", "type": "pdf", "path": "https://journalpub.escholarship.org/limn/article/33551/galley/24624/download/" } ] }, { "pk": 46802, "title": "The Utah State Budget Report for FY16-17", "subtitle": null, "abstract": "Formulation of Utah’s $15.1 billion FY 2017 budget as usual reflected the state’s characteristic fiscal conservatism, however this year featured two notable changes – recognition of the state’s commitment to education, and a long-sought compromise on Medicaid expansion. As usual, a big share of new funding – more than two thirds – supported public and higher education. The total amount – $446 million – was 15% less than new money provided in the previous session. However, the Governor and Press praised legislative efforts this year, whereas last year’s appropriations were met by public protest. The debate about Medicaid Expansion, a hot topic in Utah, finally reached a compromise. The plan is not considered “full expansion” under the Affordable Care Act, but it does provide medical coverage to the neediest individuals experiencing poverty. Other notable budget changes include reversal and redirection of several transportation tax earmarks, and funding to challenge the federal government over control of public land.", "language": "en", "license": null, "keywords": [ { "word": "utah, budget, governor, legislative session, legislature, FY16, western state budget report" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5xq5z4gr", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "", "last_name": "Ball", "name_suffix": "", "institution": "Director, Office of the Legislative Fiscal Analyst", "department": "None" }, { "first_name": "Juliette", "middle_name": "", "last_name": "Tennert", "name_suffix": "", "institution": "Kem C. Gardner Policy Institute, David Eccles School of Business, University of Utah", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Robinson", "name_suffix": "", "institution": "Kem C. Gardner Policy Institute, David Eccles School of Business, University of Utah", "department": "None" } ], "date_submitted": "2017-06-15T10:05:13-07:00", "date_accepted": "2017-06-15T10:05:13-07:00", "date_published": "2017-06-21T11:49:52-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cjpp/article/46802/galley/35401/download/" } ] }, { "pk": 11036, "title": "WestJEM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "WestJEM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1gd950zf", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "S.", "last_name": "Schwe", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2017-06-21T09:09:01-07:00", "date_accepted": "2017-06-21T09:09:01-07:00", "date_published": "2017-06-21T09:09:22-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11036/galley/5949/download/" } ] }, { "pk": 11035, "title": "Table of Contents", "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": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4vs9m2kf", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "S.", "last_name": "Schwe", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2017-06-21T09:05:45-07:00", "date_accepted": "2017-06-21T09:05:45-07:00", "date_published": "2017-06-21T09:06:32-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11035/galley/5948/download/" } ] }, { "pk": 11034, "title": "WestJEM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "WestJEM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/17d6w82n", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "S.", "last_name": "Schwe", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2017-06-21T08:52:46-07:00", "date_accepted": "2017-06-21T08:52:46-07:00", "date_published": "2017-06-21T08:53:14-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11034/galley/5947/download/" } ] }, { "pk": 11033, "title": "Table of Contents", "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": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0521m660", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "S.", "last_name": "Schwe", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2017-06-21T08:46:50-07:00", "date_accepted": "2017-06-21T08:46:50-07:00", "date_published": "2017-06-21T08:48:08-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11033/galley/5946/download/" } ] }, { "pk": 11032, "title": "WestJEM Full-Text Issue", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "WestJEM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3tr6b38c", "frozenauthors": [ { "first_name": "Nancy", "middle_name": "G.", "last_name": "Hernandez", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2017-06-21T08:41:38-07:00", "date_accepted": "2017-06-21T08:41:38-07:00", "date_published": "2017-06-21T08:42:53-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11032/galley/5945/download/" } ] }, { "pk": 11029, "title": "Table of Contents", "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": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0j09b8gg", "frozenauthors": [ { "first_name": "Nancy", "middle_name": "G.", "last_name": "Hernandez", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2017-06-19T12:46:25-07:00", "date_accepted": "2017-06-19T12:46:25-07:00", "date_published": "2017-06-19T12:46:57-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11029/galley/5943/download/" } ] }, { "pk": 11027, "title": "Advertisements", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. 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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": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/995893d5", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "S", "last_name": "Schwe", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2017-06-19T11:13:42-07:00", "date_accepted": "2017-06-19T11:13:42-07:00", "date_published": "2017-06-19T11:17:08-07:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/11023/galley/5938/download/" } ] } ] }