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{ "count": 39462, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=2000", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=1800", "results": [ { "pk": 47479, "title": "Redefining Rights: The Case For Limited AI Legal Personhood in Intellectual Property and Genetic Engineering", "subtitle": null, "abstract": "<p>This paper examines the implications of granting limited legal rights to artificial intelligence (AI), particularly on intellectual property law and the expanding field of human genetic engineering technologies. It advocates for an innovative legal schema that accords AI entities a restricted status of legal persons, altering the traditional conceptions of inventorship and proprietary rights within genetic engineering. This proposed legal framework seeks to correct the deficiencies evident within intellectual property paradigms, demonstrated by AI-enhanced CRISPR technologies and the problems they present to legal frameworks. Moreover, it aims to guarantee equitable access to genetic therapies and promote a more inclusive framework for innovation, addressing ethical imperatives and practical necessities in the evolving technological landscape.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "AI" }, { "word": "genetic engineering" }, { "word": "CRISPR" }, { "word": "intellectual property" }, { "word": "patent law" }, { "word": "genetic therapies" }, { "word": "innovation" }, { "word": "technology" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8k01b2d3", "frozenauthors": [ { "first_name": "Madison", "middle_name": "Cheau-Nian", "last_name": "Corliss", "name_suffix": "", "institution": "University of California San Diego", "department": "" } ], "date_submitted": "2025-05-19T17:12:31.314000-04:00", "date_accepted": "2025-05-19T22:20:46.116000-04:00", "date_published": "2025-05-20T23:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47479/galley/35826/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47479/galley/35826/download/" } ] }, { "pk": 47410, "title": "<!--StartFragment-->\nPlaying by the Volcker Rule: How Deregulation Threatens the Firewall Between Banks and Risk\n<!--EndFragment-->", "subtitle": null, "abstract": "<p>The Volcker Rule’s Covered Fund Provision, enacted under the Dodd-Frank Act in 2013, was designed to separate traditional banking from speculative investment activities to safeguard financial stability and delineate the roles of distinct segments within the financial system. In 2020, financial regulators compromised this regulatory firewall by excluding venture capital and credit funds from the provision’s restrictions, allowing banks to serve as investors, sponsors, and working partners. This paper critiques the 2020 modification through a combination of legal and regulatory analysis. I will first examine the foundational purpose and structure of the original Volcker Rule. Then, I will interpret the statutory definitions, treatment, and risk profiles of venture capital and credit funds. Together, these analyses support the paper’s primary contention that the 2020 modification failed on two core fronts: contradicting the original legislative intent of the Volcker Rule and reintroducing systemic vulnerabilities by enabling banks to invest in high-risk, illiquid, and speculative funds. Reinstating an uncompromising definition of covered funds and creating a clear separation of federally insured banks from speculative investments will be critical to maintaining systemic financial stability and preserving systemic resilience from future crises.</p>\n<p> </p>\n<p><br><!--EndFragment--></p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Volcker Rule" }, { "word": "Banking Regulation" }, { "word": "Covered Funds" }, { "word": "Covered Fund" }, { "word": "Dodd-Frank Act" }, { "word": "Venture Capital Funds" }, { "word": "Credit Funds" }, { "word": "Financial Regulation" }, { "word": "Bank Sponsorship" }, { "word": "Post-Crisis Regulation" }, { "word": "systemic risk" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1q94v8g1", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "Skyler", "last_name": "Kao", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-13T14:32:45.469000-04:00", "date_accepted": "2025-05-14T02:01:17.365000-04:00", "date_published": "2025-05-20T23:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47410/galley/35816/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47410/galley/35816/download/" } ] }, { "pk": 47495, "title": "Table of Contents", "subtitle": null, "abstract": "<p>Volume III of the Undergraduate Law Review at UC San Diego</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67s8288j", "frozenauthors": [ { "first_name": "Undergraduate Law Review", "middle_name": "at", "last_name": "UC San Diego", "name_suffix": "", "institution": "University of California San Diego", "department": "" } ], "date_submitted": "2025-05-21T00:31:54.930000-04:00", "date_accepted": "2025-05-21T00:33:12.719000-04:00", "date_published": "2025-05-20T23:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47495/galley/35833/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47495/galley/35833/download/" } ] }, { "pk": 47419, "title": "Weak Enforcement, Flawed Procedure, Dangerous Precedent: Analyzing the Effectiveness of International Law Through the Lens of the South China Sea Dispute", "subtitle": null, "abstract": "<p>International treaty law, while playing a crucial role in keeping states in check with one another, remains flawed both in terms of its procedural and enforcement measures. States are incentivized not to engage with international actors, like the International Court of Justice, instead choosing to avoid or outright ignore international attempts at dispute settlements for political or sovereignty-based reasons. The South China Sea dispute, involving several states in the Asia-Pacific vying for control over the region, serves as a key example of how nation-states have chosen to take advantage of weaknesses in both international judicial institutions and international law as a broader governing structure. This article seeks to analyze the effectiveness of international law and assess its legitimacy by using the South China Sea arbitration case to identify shortcomings in the procedure and enforcement of international law. It will also delve into how international law and treaty enforcement can be strengthened, including recommendations for changes in dispute resolution procedure as well as the establishment of stronger enforcement mechanisms.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "South China Sea" }, { "word": "International Law" }, { "word": "International Treaty Law" }, { "word": "International Maritime Law" }, { "word": "UNCLOS" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99b6n44w", "frozenauthors": [ { "first_name": "Grace", "middle_name": "Jeeann", "last_name": "Ha", "name_suffix": "", "institution": "University of California, San Diego", "department": "Political Science" } ], "date_submitted": "2025-05-13T23:15:44.295000-04:00", "date_accepted": "2025-05-14T02:00:09.496000-04:00", "date_published": "2025-05-20T23:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47419/galley/35820/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucsdulr/article/47419/galley/35820/download/" } ] }, { "pk": 21163, "title": "Real-time Ultrasound-guided Lumbar Puncture: A Comparison of Two Techniques Using Simulation", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> The current literature on the use of real-time ultrasound-guidance for lumbar punctures (LP) is limited. Two techniques have been described: the paramedian sagittal oblique (PSO); and the transverse interlaminar (TL) approach. Our objectives in this study were to compare the procedure outcomes between these two techniques and assess the ability of emergency physicians to perform ultrasound-guided LPs.</p>\n<p><strong>Methods: </strong>This was a prospective study whose participants included emergency physicians. Participants were randomized into either Group P (PSO technique) or Group T (TL technique). After a didactic session, participants then performed an ultrasound-guided LP on a training manikin, during which we collected procedure data. A survey was administered after completion of the procedure. </p>\n<p><strong>Results: </strong>A total of 31 participants were included, 16 in Group P and 15 in Group T. Most participants (90.3%) successfully performed the procedure, without a statistical difference between Group P and Group T (15/16 vs 13/15, P = 0.95). Group T required a longer average time to complete the procedure (176.7 ± 140.4 seconds [s] vs 311.2 ± 202.3 s, P = 0.04). There was no statistically significant difference between Group P and Group T with regard to average time needed to obtain the required ultrasound view (18.3 ± 14.6 s vs 35.1 ± 32.9 s, P = 0.09); number of needle redirections; total number of needle passes; first puncture success; number of participants who advanced the needle without visualization of the tip (13/16 vs 14/15, P = 0.64); penetration of the anterior dura; and needle contact with bone. The Likert-style questionnaire responses (reported on a 1-10 scale) revealed no difference between Group P and Group T as to perceived difficulty of finding the required ultrasound view (3 [interquartile range (IQR) 2-5) vs 5 (IQR 3-6.5), P = 0.10), perceived difficulty of needle tracking, or rating of the needle view when entering the intrathecal space. However, Group T reported a higher overall perceived level of difficulty (4 [IQR 3-5] vs 6 (IQR 5.5-7.5), P= 0.01). </p>\n<p><strong>Conclusion:</strong> This study suggests emergency physicians can be trained to use ultrasound-guidance for lumbar puncture in the simulation setting without significantly prohibitive training. Both techniques were performed with high success rates. There may be a preference for implementing the paramedian sagittal oblique approach over the transverse interlaminar.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "point-of-care" }, { "word": "procedure" }, { "word": "imaging" }, { "word": "lumbar puncture" } ], "section": "Clinical Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1vq721fb", "frozenauthors": [ { "first_name": "Kara", "middle_name": "", "last_name": "Samsel", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Wasiak", "name_suffix": "", "institution": "The University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona", "department": "" }, { "first_name": "Elaine", "middle_name": "", "last_name": "Situ-LaCasse", "name_suffix": "", "institution": "The University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona", "department": "" }, { "first_name": "Srikar", "middle_name": "", "last_name": "Adhikari", "name_suffix": "", "institution": "The University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona", "department": "" }, { "first_name": "Josie", "middle_name": "", "last_name": "Acuna", "name_suffix": "", "institution": "The University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona", "department": "" } ], "date_submitted": "2024-05-07T01:32:12.343000-04:00", "date_accepted": "2025-01-16T02:25:39.307000-05:00", "date_published": "2025-05-20T12:56:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21163/galley/36419/download/" } ] }, { "pk": 35271, "title": "Coronary Artery Bypass Grafting Is Rarely Done in the Acute Care of ST-elevation Myocardial Infarction Patients Treated by Emergency Medical Services", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>The use of coronary artery bypass grafting (CABG) for primary revascularization during the acute care of ST-elevation myocardial infarction (STEMI) patients has declined significantly in the past decade; but there is little data to determine whether there has been a change in the use of CABG for STEMI patients treated by emergency medical services (EMS). In this study we described the incidence of urgent or emergent CABG for STEMI patients treated in a large, regionalized cardiac care system.</p>\n<p><strong>Methods:</strong> We obtained data obtained for patients transported by EMS between January 2011– December 2022 who were diagnosed with acute STEMI on prehospital or emergency department (ED) electrocardiogram and taken for primary diagnostic catheterization. All STEMI patients were transported by EMS to one of 34 STEMI receiving centers (SRC) in a regionalized cardiac care system, all of which are required to maintain onsite cardiac surgery as a condition of their SRC designation. Patients were considered to have undergone urgent or emergent CABG if it was performed within 72 hours of the primary diagnostic cardiac catheterization. We excluded patients if no diagnostic catheterization was performed or if CABG was performed >72 hours after diagnostic catheterization. The primary outcome was the incidence of urgent or emergent CABG. Patients were further stratified by time between diagnostic catheterization and CABG (<24 hours, 24-48 hours, 48-72 hours).</p>\n<p><strong>Results:</strong> A total of 28,349 patients were transported by EMS and diagnosed with an acute STEMI during the study period. Only 384 (1.35%) patients underwent CABG within 72 hours of diagnostic catheterization: 268 (0.95%) underwent CABG in <24 hours; 71 (0.25%) in 24-48 hours, and 45 (0.16%) in 48-72 hours. The median age of patients undergoing CABG was 64 years (interquartile range 58-72). Twenty-eight (7.3%) experienced prehospital cardiac arrest, and eight (2.1%) required vasopressors. Prior to undergoing CABG, 137 patients (36%) underwent primary percutaneous coronary intervention. The proportion of patients undergoing CABG within 72 hours remained relatively stable between 2011–2022 at 1.19% and 1.96%, respectively. </p>\n<p><strong>Conclusion:</strong> Urgent or emergent CABG remained infrequently performed for acute STEMI patients after primary diagnostic catheterization. There was little change in the percentage of STEMI patients who received CABG within 72 hours of diagnostic catheterization over the past decade. These findings suggest that regional or local policies requiring on-site cardiac surgery at SRCs may be reconsidered.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "coronary artery bypass grafting" }, { "word": "ST-elevation myocardial infarction" }, { "word": "emergency medical services" }, { "word": "STEMI Receiving Centers" } ], "section": "Cardiology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7220f85s", "frozenauthors": [ { "first_name": "Jake", "middle_name": "", "last_name": "Toy", "name_suffix": "", "institution": "Los Angeles Emergency Medical Services Agency, Santa Fe Springs, California; Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California; The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" }, { "first_name": "Caroline", "middle_name": "", "last_name": "Lauer", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" }, { "first_name": "Amy", "middle_name": "H.", "last_name": "Kaji", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California; The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" }, { "first_name": "Joseph", "middle_name": "L.", "last_name": "Thomas", "name_suffix": "", "institution": "The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; David Geffen School of Medicine at UCLA, Los Angeles, California; David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" }, { "first_name": "Nichelle", "middle_name": "", "last_name": "Megowan", "name_suffix": "", "institution": "The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; David Geffen School of Medicine at UCLA, Los Angeles, California; David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" }, { "first_name": "Nichole", "middle_name": "", "last_name": "Bosson", "name_suffix": "", "institution": "Los Angeles Emergency Medical Services Agency, Santa Fe Springs, California; Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California; The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" }, { "first_name": "Marianne", "middle_name": "", "last_name": "Gausche-Hill", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California; Harbor-UCLA Medical Center, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" }, { "first_name": "Puneet", "middle_name": "", "last_name": "Dhawan", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Cardiothoracic Surgery, Torrance, California", "department": "" }, { "first_name": "Robert", "middle_name": "A.", "last_name": "Kloner", "name_suffix": "", "institution": "Huntington Medical Research Institutes, Pasadena, California; Keck School of Medicine of University of Southern California, Los Angeles, California", "department": "" }, { "first_name": "Sara", "middle_name": "", "last_name": "Rasnake", "name_suffix": "", "institution": "Los Angeles Emergency Medical Services Agency, Santa Fe Springs, California", "department": "" }, { "first_name": "William", "middle_name": "", "last_name": "French", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; Harbor-UCLA Medical Center, Department of Cardiology, Torrance, California", "department": "" }, { "first_name": "Shira", "middle_name": "", "last_name": "Schlesinger", "name_suffix": "", "institution": "Los Angeles Emergency Medical Services Agency, Santa Fe Springs, California; Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California; Harbor-UCLA Medical Center, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, Torrance, California; David Geffen School of Medicine at UCLA, Los Angeles, California", "department": "" } ], "date_submitted": "2024-09-03T13:47:14.008000-04:00", "date_accepted": "2025-01-24T15:38:45.950000-05:00", "date_published": "2025-05-20T12:30:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/35271/galley/36418/download/" } ] }, { "pk": 36710, "title": "Non-invasive Monitor of Effective Chest Compressions with Carotid and Femoral Artery Ultrasound in the Emergency Department", "subtitle": null, "abstract": "<p><strong>Background:</strong> End-tidal carbon dioxide (EtCO2) has been regarded as the gold standard for assessing the effectiveness of cardiopulmonary resuscitation (CPR). However, the clinically observed limitations of EtCO2 influenced by ventilation during CPR suggest the need to implement a new, non-invasive hemodynamic monitoring method to evaluate and optimize CPR effectiveness in real time.</p>\n<p><strong>Methods:</strong> For this prospective study we enrolled 31 cardiac arrest (CA) patients who presented to the emergency department (ED) and 13 healthy volunteers as point-of-care ultrasound (POCUS) controls. Two physicians not involved in the resuscitation team performed POCUS of the bilateral carotid and femoral arteries during chest compression within the first 10 minutes of CPR. The clinical data and presumed CA cause were recorded. We observed the arterial pulse and measured the peak systolic velocity (PSV). The EtCO2 values during POCUS were also recorded. We explored the correlation between arterial PSV and EtCO2.</p>\n<p><strong>Results:</strong> The mean age of the patients was 69 ± 2 years, and 22 were male. Of 25 patients who experienced out-of-hospital cardiac arrest, 18 had an average no/low-flow time >30 minutes before ED arrival. Five patients achieved return of spontaneous circulation (ROSC). We found no significant difference in arterial PSV between ROSC and non-ROSC patients. The PSV of the left femoral artery was most consistently and positively correlated with EtCO2 in CA patients (R2 0.35, P=0.003).</p>\n<p><strong>Conclusion:</strong> Detection of arterial peak systolic velocity by point-of-care ultrasound, especially of the left femoral artery, might be a feasible method for non-invasive, real-time monitoring of chest compression effectiveness during CPR.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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" }, { "word": "cardiopulmonary resuscitation" }, { "word": "point-of-care ultrasound" }, { "word": "peak systolic velocity" }, { "word": "End-tidal Carbon Dioxide" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/67x5m0nk", "frozenauthors": [ { "first_name": "Feihong", "middle_name": "", "last_name": "Yang", "name_suffix": "", "institution": "Zhongnan Hospital of Wuhan University, Department of Emergency Medicine, Wuhan, 430071, Hubei, People’s Republic of China", "department": "" }, { "first_name": "Hao", "middle_name": "", "last_name": "Zou", "name_suffix": "", "institution": "Zhongnan Hospital of Wuhan University, Department of Emergency Medicine, Wuhan, 430071, Hubei, People’s Republic of China", "department": "" }, { "first_name": "Jiaohong", "middle_name": "", "last_name": "Gan", "name_suffix": "", "institution": "Zhongnan Hospital of Wuhan University, Department of Emergency Medicine, Wuhan, 430071, Hubei, People’s Republic of China", "department": "" }, { "first_name": "Xia", "middle_name": "", "last_name": "Zhao", "name_suffix": "", "institution": "Zhongnan Hospital of Wuhan University, Department of Ultrasound, Wuhan, 430071, Hubei, People’s Republic of China", "department": "" }, { "first_name": "Xiaopeng", "middle_name": "", "last_name": "Tu", "name_suffix": "", "institution": "Zhongnan Hospital of Wuhan University, Department of Emergency Medicine, Wuhan, 430071, Hubei, People’s Republic of China", "department": "" }, { "first_name": "Cheng", "middle_name": "", "last_name": "Jiang", "name_suffix": "", "institution": "Zhongnan Hospital of Wuhan University, Department of Emergency Medicine, Wuhan, 430071, Hubei, People’s Republic of China", "department": "" }, { "first_name": "Jian", "middle_name": "", "last_name": "Xia", "name_suffix": "", "institution": "Zhongnan Hospital of Wuhan University, Department of Emergency Medicine, Wuhan, 430071, Hubei, People’s Republic of China; Hubei University of Science & Technology, Xianning Medical College, Department of Internal Medicine, Xianning, 437000, Hubei, People’s Republic of China", "department": "" } ], "date_submitted": "2024-10-09T22:53:05.709000-04:00", "date_accepted": "2025-01-28T15:00:03.448000-05:00", "date_published": "2025-05-20T12:29:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/36710/galley/36388/download/" } ] }, { "pk": 21279, "title": "Validation of a Methodology to Investigate Care Inequities for Transgender Patients", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Pain is a common chief complaint in the emergency department (ED), and there are known disparities in the management of pain among racial/ethnic minorities, women, and older adults. Transgender and gender diverse (TGD) individuals comprise another under-represented patient population in emergency medicine and are also at risk of disparities in care. To measure and evaluate the magnitude of care inequities among TGD individuals, first we need to be able to accurately identify the right cohort and comparison groups. The primary objective of this study was to establish an accurate and generalizable process for identifying TGD patients through the electronic health record (EHR). Secondary objectives included creating and validating a method for matching and comparing of TGD patients to cisgender patients. </p>\n<p><strong>Methods:</strong> This was a retrospective, observational cohort study that included patients presenting to Mayo Clinic EDs with a chief complaint of abdominal pain across four states (MN, WI, AZ, FL) between July 1, 2018–November 15, 2022. Patients ≥12 years of age were included. Patients’ sex assigned at birth and gender identity was extracted from the EHR via patient-provided registration fields. Two independent investigators independently reviewed each medical record of the identified TGD patient to validate the accuracy of pulled gender identity. Discrepancies were resolved by a third reviewer. Each transgender patient was matched to cisgender GBQ males (gay, bisexual, queer), cisgender LBQ (lesbian, bisexual, queer) females, cisgender heterosexual males, and cisgender heterosexual females using propensity score (PS) matching. We calculated the PS values using a multivariable logistic regression model where being transgender was the outcome, and covariates in the model included age, site, mental health history, and gastrointestinal history.</p>\n<p><strong>Results:</strong> We initially identified 300 patients as TGD based on electronic data pull. An additional 1,000 patients were also included in the cohort for matching purposes. The agreement between electronic and manual review was 99.9%, and the kappa was 0.998 (95% confidence interval 0.994-1.000). We were able to match patients except for GBQ males due to low numbers. There is a significant difference in age between groups (P <0.001) with GBQ males being older than other groups.</p>\n<p><strong>Conclusion: </strong>The methodology for identifying transgender and gender diverse patients in the EHR was accurate compared to manual review of gender identity. The TGD patients were able to be well matched, except to GBQ males. This provides a validated method to identify TGD patients in the EHR and further study disparities they may receive in care.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "transgender" }, { "word": "gender diverse" }, { "word": "Equity" }, { "word": "Inclusion" }, { "word": "Diversity" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7753v7hc", "frozenauthors": [ { "first_name": "Kellyn", "middle_name": "", "last_name": "Engstrom", "name_suffix": "", "institution": "Mayo Clinic, Department of Pharmacy, Rochester, Minnesota", "department": "" }, { "first_name": "Fernanda", "middle_name": "", "last_name": "Bellolio", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic, Department of Health Sciences Research, Division of Health Care Policy & Research, Rochester, Minnesota", "department": "" }, { "first_name": "Molly", "middle_name": "Moore", "last_name": "Jeffery", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic, Department of Health Sciences Research, Division of Health Care Policy & Research, Rochester, Minnesota", "department": "" }, { "first_name": "Sara", "middle_name": "C.", "last_name": "Sutherland", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Kayla", "middle_name": "P.", "last_name": "Carpenter", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Gia", "middle_name": "", "last_name": "Jackson", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Kristin", "middle_name": "", "last_name": "Cole", "name_suffix": "", "institution": "Mayo Clinic, Department of Quantitative Health Sciences, Rochester, Minnesota", "department": "" }, { "first_name": "Victor", "middle_name": "", "last_name": "Chedid", "name_suffix": "", "institution": "Mayo Clinic, Division of Gastroenterology and Hepatology, Rochester, Minnesota", "department": "" }, { "first_name": "Caroline", "middle_name": "J.", "last_name": "Davidge-Pitts", "name_suffix": "", "institution": "Mayo Clinic, Division of Endocrinology, Diabetes and Nutrition, Rochester, Minnesota", "department": "" }, { "first_name": "Kharmene", "middle_name": "L.", "last_name": "Sunga", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Cesar", "middle_name": "", "last_name": "Gonzalez", "name_suffix": "", "institution": "Mayo Clinic, Department of Psychology, Rochester, Minnesota", "department": "" }, { "first_name": "Caitlin", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "Mayo Clinic, Department of Pharmacy, Rochester, Minnesota; Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" } ], "date_submitted": "2024-05-30T19:56:08.271000-04:00", "date_accepted": "2024-12-13T15:28:39.558000-05:00", "date_published": "2025-05-20T12:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21279/galley/36379/download/" } ] }, { "pk": 20797, "title": "Moving Beyond “Check A Box”: Shifting Physician Perceptions and Culture with an Antiracism and Equity Curriculum", "subtitle": null, "abstract": "<p><strong>Objectives:</strong> The purpose of this study was to evaluate the impact of the Discussing Anti-Racism and Equity (DARE) curriculum on individual physician knowledge and practice, as well as on perceptions of group culture.</p>\n<p><strong>Methods:</strong> DARE was a longitudinal multimodal curriculum targeted at pediatric and adult emergency medicine (EM) trainees and faculty, made up of 12 lectures/workshops, three simulations, five book clubs, and two movie screenings. We used a multiphase, parallel convergent mixed-methods approach. Focus groups before and after DARE explored prior education, antiracism attitudes and behaviors, perceived impact of intervention curriculum, and perceptions of departmental medical culture. We elucidated themes using thematic analysis. Surveys of trainees and attendings evaluated individual attitudes and practices related to equity and antiracism.</p>\n<p><strong>Results:</strong> We held nine focus groups with a total of 52 participants. Half of participants were EM residents (26), and half were faculty (12 pediatric EM and 14 general EM). Four major themes emerged around antiracism education and DARE. Both trainees and faculty reported a lack of standardized or effective prior education, although trainees are beginning to report increased exposure in medical school. Participants reported an overall positive impact of DARE on individual knowledge and practice, with continued room for improvement. Focus groups particularly highlighted a perceived shift in departmental antiracist culture post-DARE. Finally, future curricular aims were elucidated. A total of 56 surveys showed significant improvement in all realms of antiracism medical- practice questions when posed as retrospective pre-post questions (P < 0.01). </p>\n<p><strong>Conclusion:</strong> The DARE curriculum increased individual antiracism awareness and cultivated culture shift among the targeted clinician group. Focus groups provided clear next steps for ongoing and expanded education.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "antiracism" }, { "word": "health equity" }, { "word": "Medical Education" }, { "word": "Qualitative Research" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nd745mm", "frozenauthors": [ { "first_name": "Hannah", "middle_name": "", "last_name": "Barber Doucet", "name_suffix": "", "institution": "Boston University Chobanian & Avedisian School of Medicine, Department of Pediatrics, Boston, Massachusetts", "department": "" }, { "first_name": "Timmy", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "" }, { "first_name": "Taneisha", "middle_name": "", "last_name": "Wilson", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "" } ], "date_submitted": "2024-04-12T08:59:19.753000-04:00", "date_accepted": "2025-02-06T14:04:33.515000-05:00", "date_published": "2025-05-19T12:53:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/20797/galley/36381/download/" } ] }, { "pk": 21200, "title": "Evaluation of Point-of-Care Ultrasound Use in Emergency Medicine Residents: An Observational Study", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Point-of-care ultrasound (POCUS) is integral to emergency medicine (EM) training. It is unclear how EM residents use POCUS and how these skills are maintained as they progress in residency training. The purpose of this study was to evaluate resident use of POCUS at various timepoints in EM training.</p>\n<p><strong>Methods:</strong> This was a retrospective cohort study of EM residents at a single, three-year training program between July 1, 2014–June 30, 2022. Residents were included if they had completed three consecutive years of training and an ultrasound rotation in their postgraduate year (PGY)-1. The following time points were assessed: PGY-1 rotation and 3-, 6-, 12-, 18-, and 24-months post-rotation. Number of scans, accuracy of interpretation, acceptability for credit, and percentage of technically limited studies (TLS) were collected at each point. We analyzed performance characteristics using mixed-effects binomial logistic regression with time as a fixed effect and resident as a random effect. Models were fit separately for each performance characteristic and likelihood ratio tests were performed to determine whether performance varied over time.</p>\n<p><strong>Results:</strong> A total of 65 residents were included with a total of 13,229 exams performed during the study period. Cardiac and focused assessment with sonography in trauma examinations were performed most commonly. Overall accuracy of all exams during the examination period was 97.1% (95% confidence interval [CI] 96.2-98.0%), TLS was 14.5% (95% CI 9.7-20.6%), and acceptability was 82.9% (95% CI 76.3-88.2%). Trend over time (3, 6, 12, 18, and 24 months) found no differences in accuracy (P = 0.84), TLS (P = 0.20), or acceptability (P = 0.28). Further analyses by individual exam types also showed no significant differences in accuracy, acceptability, nor TLS.</p>\n<p><strong>Conclusion: </strong>Accuracy, acceptability, and percentage of technically limited scans did not significantly vary over time, suggesting that POCUS skills are maintained from PGY-1 rotation to each time point evaluated in this study.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "education" }, { "word": "Emergency Medicine" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8069b9wx", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Fareri", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "VandeHei", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Ben", "middle_name": "", "last_name": "Schnapp", "name_suffix": "", "institution": "None", "department": "" }, { "first_name": "Corlin", "middle_name": "", "last_name": "Jewell", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Michael", "middle_name": "R.", "last_name": "Lasarev", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Biostatistics and Medical Informatics, Madison, Wisconsin", "department": "" }, { "first_name": "Roxana", "middle_name": "", "last_name": "Alexandridis", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Biostatistics and Medical Informatics, Madison, Wisconsin", "department": "" }, { "first_name": "Dana", "middle_name": "", "last_name": "Resop", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Sara", "middle_name": "", "last_name": "Damewood", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Hani", "middle_name": "I.", "last_name": "Kuttab", "name_suffix": "", "institution": "University of Wisconsin-Madison, Department of Emergency Medicine, Madison, Wisconsin", "department": "" } ], "date_submitted": "2024-05-14T18:52:28.892000-04:00", "date_accepted": "2025-01-21T16:34:42.961000-05:00", "date_published": "2025-05-19T12:14:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21200/galley/36386/download/" } ] }, { "pk": 39677, "title": "Civil Monetary Penalties from Violations of the Emergency Medical Treatment and Labor Act for Patients Arriving or Leaving with Law Enforcement", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> The Emergency Medical Treatment and Labor Act (EMTALA), a federal law enacted in 1986, is intended to prevent inadequate, delayed, or denied treatment of emergency medical or emergency psychiatric conditions by Medicare-participating hospitals when individuals present to dedicated emergency departments (EDs). EMTALA requires all patients seeking evaluation for an emergency medical condition (EMC) at a dedicated ED to have an appropriate medical screening exam (MSE), stabilization of identified EMCs, and an appropriate transfer if specialized services are needed for stabilization.</p>\n<p><strong>Methods:</strong> We obtained summaries of all EMTALA-related civil monetary penalties (CMPs) between 2002–2023 from the Office of the Inspector General (OIG) and reviewed them for instances where patients arrived or departed with law enforcement officers (LEOs). In this article, we describe the characteristics of these CMPs. </p>\n<p><strong>Results:</strong> Of 260 EMTALA-related CMPs, 15 (5.8%) were identified as having involved patients arriving to or departing from an ED with LEOs. Among these, nine (60%) involved patients arriving to the ED with LEOs, of whom five (55.6%) were transported to alternate facilities by LEOs at the direction of ED staff without receipt of an appropriate MSE. Overall, eight (88.9%) of nine patients arriving with LEOs involved psychiatric concerns. Four cases were identified as having involved patients discharged from but not arriving to the ED with LEOs. Of these, two involved patients brought to the ED for evaluation of psychiatric conditions and discharged to jail without appropriate MSE after becoming disruptive. Two involved patients with psychiatric issues sent to jail without appropriate MSE/stabilization, some due to hospital policies pertaining to alcohol intoxication. Two involved patients without noted psychiatric concerns escorted from the ED with the assistance of LEOs after reported to be “resistant” or “aggressive.” One returned to the ED in cardiac arrest, and another was subsequently diagnosed with bacterial meningitis. </p>\n<p><strong>Conclusion:</strong> Overall, 5.8% of EMTALA-related CMPs involved patients arriving to or departing from the ED with LEOs; most of these involved patients with psychiatric emergencies. In many cases, LEOs were advised to either transport patients to an alternate medical facility without an appropriate MSE, or disruptive or intoxicated patients with noted psychiatric concerns were discharged to jail without adequate MSE or stabilization. Findings indicate a need for education surrounding EMTALA requirements to provide MSEs and, if needed, stabilizing treatment prior to discharge or transfer for all patients presenting to the ED, regardless of LEO involvement.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "access to care" }, { "word": "Health Policy" }, { "word": "Correctional (carceral) medicine" }, { "word": "EMTALA" } ], "section": "Emergency Department Administration", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5ts9b70p", "frozenauthors": [ { "first_name": "Sameer", "middle_name": "", "last_name": "Ahmed", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Zach", "middle_name": "", "last_name": "Reichert", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California; Los Angeles General Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Genevieve", "middle_name": "", "last_name": "Santillanes", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California; Los Angeles General Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Carmen", "middle_name": "", "last_name": "Toomer", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Sandra", "middle_name": "", "last_name": "Tyler-Mills", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Neha", "middle_name": "", "last_name": "Vontela", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Jasmine", "middle_name": "", "last_name": "Hsia", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Axeen", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California; University of Southern California, Leonard D. Schaeffer Center for Health Policy and Economics, Los Angeles, California", "department": "" }, { "first_name": "Saman", "middle_name": "", "last_name": "Kashani", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California; Los Angeles General Medical Center, Department of Emergency Medicine, Los Angeles, California; Los Angeles County Fire Department, Los Angeles, California", "department": "" }, { "first_name": "Joe", "middle_name": "", "last_name": "Nakagawa", "name_suffix": "", "institution": "City of Hawthorne Police Department, Hawthorne, California", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Menchine", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California; Los Angeles General Medical Center, Department of Emergency Medicine, Los Angeles, California; University of Southern California, Leonard D. Schaeffer Center for Health Policy and Economics, Los Angeles, California", "department": "" }, { "first_name": "Sophie", "middle_name": "", "last_name": "Terp", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California; Los Angeles General Medical Center, Department of Emergency Medicine, Los Angeles, California; University of Southern California, Leonard D. Schaeffer Center for Health Policy and Economics, Los Angeles, California", "department": "" } ], "date_submitted": "2024-11-04T14:13:08.546000-05:00", "date_accepted": "2025-02-06T13:55:57.619000-05:00", "date_published": "2025-05-19T12:08:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/39677/galley/36416/download/" } ] }, { "pk": 33574, "title": "Descriptive Analysis of Resources Used to Learn About Residency Programs Since Transition to Virtual Interviews", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>The transition to virtual interviews over the past four years has been associated with changes to the ways that applicants collect information on residency programs. </p>\n<p><strong>Methods:</strong> Our program collected free-response data from questionnaires completed by applicants prior to their virtual interview days over the course of four recruitment cycles. We performed a descriptive analysis of these responses to identify the frequency with which students have been accessing various resources to learn about programs, and to learn how that has changed over time. </p>\n<p><strong>Results:</strong> Our findings over four years and 322 applicants (of 391 surveyed, response rate 82%) indicated that the three most common sources of information were individual program websites, the Emergency Medicine Resident’s Association (EMRA) Match website, and Instagram. These sources were reported more frequently than personal experience, word of mouth, and advice from mentors. Other online resources were rarely used. </p>\n<p><strong>Conclusion:</strong> These findings may help program leaders to direct their limited time and attention towards marketing their programs through online resources most commonly used by applicants.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "applicant" }, { "word": "Resources" }, { "word": "online" }, { "word": "social media" }, { "word": "Interviews" } ], "section": "Medical Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8pb0p1zw", "frozenauthors": [ { "first_name": "Richard", "middle_name": "", "last_name": "Bounds", "name_suffix": "", "institution": "University of Vermont Health Network, Department of Emergency Medicine, Burlington, Vermont", "department": "" }, { "first_name": "John", "middle_name": "", "last_name": "Priester", "name_suffix": "", "institution": "University of Vermont Health Network, Department of Emergency Medicine, Burlington, Vermont", "department": "" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Lewis", "name_suffix": "", "institution": "University of Vermont Health Network, Department of Emergency Medicine, Burlington, Vermont", "department": "" }, { "first_name": "Roz", "middle_name": "", "last_name": "King", "name_suffix": "", "institution": "University of Vermont Health Network, Department of Emergency Medicine, Burlington, Vermont", "department": "" }, { "first_name": "Skyler", "middle_name": "", "last_name": "Lentz", "name_suffix": "", "institution": "University of Vermont Health Network, Department of Emergency Medicine, Burlington, Vermont", "department": "" } ], "date_submitted": "2024-08-03T08:32:21.318000-04:00", "date_accepted": "2025-02-11T09:27:00.331000-05:00", "date_published": "2025-05-19T03:58:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/33574/galley/36399/download/" } ] }, { "pk": 21222, "title": "Association of Heat Index and Patient Presentation Rate at a Stadium", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>A mass gathering is defined as an event that has the potential to strain the resources of the local health system. An onsite physician for mass gatherings can mitigate the strain on the local health infrastructure. One factor affecting onsite medical usage and patient presentation rates is the heat index, which is a calculated value of perceived heat exposure that combines air temperature and relative humidity. In this study we asked whether there was a positive association between heat index and patient presentation rates for onsite medical care at a bounded (large event in an enclosed location) professional stadium sporting event. We hypothesized that a positive correlation exists between these two variables and assess whether it might surpass current onsite resources.</p>\n<p><strong>Methods:</strong> We performed a prospective observational study with patients seeking medical care at a baseball stadium in a large northeastern city in the United States. The onsite physician collected information on patients who presented during games held at the stadium. Data on game attendance, temperature in degrees Fahrenheit (F), humidity, and heat index were collected using government and professional organization websites. We assessed the correlation between heat index and patient presentation rate with the Pearson product-moment correlation (PPMC) per 100,000 attendees at the game. </p>\n<p><strong>Results:</strong> A total of 81 baseball games occurred at the studied stadium from April–September 2023, with eight games excluded due to incomplete data. The heat index ranged from 46°F to 91°F, with a mean (± SD) of 70.8°F (± 10.4°F). The number of patients varied from 0-5 per game, with a mean of 1.92 (± 1.13), and stadium attendance ranged from 25,007 to 47,295, with a mean of 40,824. The patient presentation rate per 100,000 in attendance was 5.04 (± 2.13). The PPMC was calculated to be 0.37 (P < .01), indicating a positive correlation between heat index and patient presentation rates. The most common reasons for seeking medical care were lightheadedness and musculoskeletal complaints. </p>\n<p><strong>Conclusion:</strong> In this study we found that the heat index was moderately associated with higher patient presentation rates at bounded mass gathering baseball events. No additional resources were needed, but this correlation could aid future event medical planning efforts as the climate continues to evolve.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Climate Change", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3qr29651", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Wolin", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Wolf", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" }, { "first_name": "John", "middle_name": "", "last_name": "Su", "name_suffix": "", "institution": "Stanford Medicine, Department of Emergency Medicine, Stanford, California", "department": "" }, { "first_name": "Eric", "middle_name": "", "last_name": "Quinn", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Eng", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" }, { "first_name": "Humaira", "middle_name": "", "last_name": "Ali", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Lobel", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" }, { "first_name": "Matt", "middle_name": "Samuel", "last_name": "Friedman", "name_suffix": "", "institution": "Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York", "department": "" } ], "date_submitted": "2024-08-18T21:52:42.211000-04:00", "date_accepted": "2025-02-11T08:22:19.749000-05:00", "date_published": "2025-05-19T03:40:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21222/galley/36411/download/" } ] }, { "pk": 41184, "title": "Field vs. Emergency Department Intubation: A Retrospective Review of Hospital Outcomes of Trauma Patients", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Definitive airway management is crucial for severely injured trauma patients when basic pre-hospital interventions fail to provide adequate oxygenation and ventilation. Endotracheal intubation by emergency medical service (EMS) personnel is often necessary before reaching the emergency department (ED). While some studies suggest that advanced airway protocols in the pre-hospital setting improve survival in patients with severe head injuries, others indicate potential complications and adverse outcomes associated with pre-hospital intubation. In this study we aimed to evaluate whether trauma patients who underwent intubation by EMS in the field experienced different hospital outcomes compared to those intubated by physicians in the ED. Specifically, it assessed the impact of pre-hospital intubation on the number of days requiring mechanical ventilation, intensive care unit length of stay (ICU LOS), and overall hospital LOS.</p>\n<p><strong>Methods:</strong> We conducted a retrospective chart review at a single, level II trauma center from January 1, 2019–December 31, 2023, involving trauma patients requiring intubation. Patients were divided into two groups: 608 patients ED department (ED ETT). Primary outcomes included days on mechanical ventilation, while secondary outcomes included ICU and hospital LOS. An independent t-test was performed to compare the differences in mean ventilator days, ICU LOS, and hospital LOS between the two groups, accepting P-value of <0.10 as significant.</p>\n<p><strong>Results:</strong> The study included 1,010 patients, with a mean age of 55.5 years in the ED group and 52.5 years in the pre-hospital group. No statistically significant differences were found in mean ventilator days (4.1 ± 4.6 days for the ED group and 4.1 ± 5.7 days for the pre-hospital group), ICU LOS (5.8 ± 6.1 days in the ED ETT group vs 5.6 ± 7.4 days in the pre-hospital ETT group), or overall hospital LOS (10.1 ± 13.6 days in the ED group vs 10.2 ± 17.5 days in the pre-hospital group). </p>\n<p><strong>Conclusion: </strong>These findings indicate no significant differences in patient outcomes between those intubated pre-hospital and those intubated in the ED. Further research is needed to make modifications to airway management protocols in the pre-hospital setting.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "airway" }, { "word": "trauma patients" }, { "word": "prehospital" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2wk6558m", "frozenauthors": [ { "first_name": "Mitchell", "middle_name": "", "last_name": "Vorce", "name_suffix": "", "institution": "Florida State College of Medicine, Department of Emergency Medicine Residency, Sarasota, Florida", "department": "" }, { "first_name": "Sagar", "middle_name": "", "last_name": "Galwankar", "name_suffix": "", "institution": "Florida State College of Medicine, Department of Emergency Medicine Residency, Sarasota, Florida", "department": "" }, { "first_name": "Jarrod", "middle_name": "", "last_name": "Shuck", "name_suffix": "", "institution": "Florida State College of Medicine, Department of Emergency Medicine Residency, Sarasota, Florida", "department": "" }, { "first_name": "Amit", "middle_name": "", "last_name": "Agrawal", "name_suffix": "", "institution": "All India Institute of Medical Sciences, Department of Neurosurgery, Bhopal, Madhya Pradesh, India", "department": "" } ], "date_submitted": "2024-12-06T15:58:23.294000-05:00", "date_accepted": "2025-03-10T16:06:35.893000-04:00", "date_published": "2025-05-19T03:30:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41184/galley/36421/download/" } ] }, { "pk": 39696, "title": "Ultrasound-guided Emergency Pericardiocentesis Simulation on Human Cadavers: A Scoping Review", "subtitle": null, "abstract": "<p><strong>Objectives:</strong> Emergency pericardiocentesis is a critical but infrequently performed procedure in emergency medicine, necessitating effective training modalities for emergency physicians. In this scoping review we aimed to identify existing literature on simulation of ultrasound-guided pericardiocentesis in human cadavers. </p>\n<p><strong>Methods:</strong> We carried out a scoping review based on a search on the use of sonography on human cadavers. The following databases were searched: MEDLINE; EMBASE; CENTRAL; BIOSIS Previews; and Web of Science Core Collection. Additionally, we performed a gray literature search. Title and abstract screening were done by a single reviewer, and full-text review was performed by two independent reviewers. Studies included were limited to those published in English or German, focusing specifically on ultrasound-guided pericardiocentesis training models in human cadavers, with no restrictions on publication year or outcomes.</p>\n<p><strong>Results:</strong> Our search strategy yielded 9,821 publications and 1,440 reports were assessed for eligibility. Ultimately, four studies met the inclusion criteria. All were conducted in the USA; two used soft-embalmed cadavers, one reported using fresh frozen cadavers, and one did not specify the cadaver type used. All studies accessed the pericardial sac using large-bore catheters or peripheral lines, filling it with (colored) water for simulation.</p>\n<p><strong>Conclusions:</strong> Evidence on ultrasound-guided emergency pericardiocentesis simulation on human cadavers remains limited, but based on the four studies we reviewed human cadavers could be used for (emergency) pericardiocentesis simulation.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Pericardiocentesis" }, { "word": "Simulation" }, { "word": "Human Cadaver" }, { "word": "Ultrasound-guided" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6ns0703m", "frozenauthors": [ { "first_name": "Luca", "middle_name": "", "last_name": "Ünlü", "name_suffix": "", "institution": "University Hospital Basel, Department of Emergency Medicine, Petersgraben 2, CH-4031, Basel, Switzerland", "department": "" }, { "first_name": "Felix", "middle_name": "", "last_name": "Margenfeld", "name_suffix": "", "institution": "University of Basel, Department of Anatomy, Pestalozzistrasse 20, CH-4056, Basel, Switzerland", "department": "" }, { "first_name": "Adib", "middle_name": "", "last_name": "Zendehdel", "name_suffix": "", "institution": "University of Basel, Department of Anatomy, Pestalozzistrasse 20, CH-4056, Basel, Switzerland", "department": "" }, { "first_name": "Johannes", "middle_name": "", "last_name": "Griese", "name_suffix": "", "institution": "University Hospital Basel, Department of Emergency Medicine, Petersgraben 2, CH-4031, Basel, Switzerland", "department": "" }, { "first_name": "Amélie", "middle_name": "", "last_name": "Poilliot", "name_suffix": "", "institution": "University of Basel, Department of Anatomy, Pestalozzistrasse 20, CH-4056, Basel, Switzerland", "department": "" }, { "first_name": "Magdalena", "middle_name": "", "last_name": "Müller-Gerbl", "name_suffix": "", "institution": "University of Basel, Department of Anatomy, Pestalozzistrasse 20, CH-4056, Basel, Switzerland", "department": "" }, { "first_name": "Christian", "middle_name": "H.", "last_name": "Nickel", "name_suffix": "", "institution": "University Hospital Basel, Department of Emergency Medicine, Petersgraben 2, CH-4031, Basel, Switzerland", "department": "" }, { "first_name": "Mirza", "middle_name": "", "last_name": "Dedic", "name_suffix": "", "institution": "University Hospital Basel, Department of Emergency Medicine, Petersgraben 2, CH-4031, Basel, Switzerland", "department": "" } ], "date_submitted": "2024-11-07T06:54:12.776000-05:00", "date_accepted": "2025-02-16T20:10:13.635000-05:00", "date_published": "2025-05-19T03:22:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/39696/galley/36413/download/" } ] }, { "pk": 47301, "title": "Ending Nuclear Weapons, Before They End Us", "subtitle": null, "abstract": "<p>n/a</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Expert Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5v313057", "frozenauthors": [ { "first_name": "Kamran", "middle_name": "", "last_name": "Abbasi", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Parveen", "middle_name": "", "last_name": "Ali", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Virginia", "middle_name": "", "last_name": "Barbour", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Marion", "middle_name": "", "last_name": "Birch", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Inga", "middle_name": "", "last_name": "Blum", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Peter", "middle_name": "", "last_name": "Doherty", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Andy", "middle_name": "", "last_name": "Haines", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ira", "middle_name": "", "last_name": "Helfand", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Richard", "middle_name": "", "last_name": "Horton", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Kati", "middle_name": "", "last_name": "Juva", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Jose", "middle_name": "F.", "last_name": "Lapena", "name_suffix": "Jr", "institution": "", "department": "" }, { "first_name": "Robert", "middle_name": "", "last_name": "Mash", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Olga", "middle_name": "", "last_name": "Mironova", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Arun", "middle_name": "", "last_name": "Mitra", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Carlos", "middle_name": "", "last_name": "Monteiro", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Elena", "middle_name": "N.", "last_name": "Naumova", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Onazi", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Tilman", "middle_name": "", "last_name": "Ruff", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Peush", "middle_name": "", "last_name": "Sahni", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "James", "middle_name": "", "last_name": "Tumwine", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Carlos", "middle_name": "", "last_name": "Umaña", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Paul", "middle_name": "", "last_name": "Yonga", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Chris", "middle_name": "", "last_name": "Zielinski", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-04-24T14:18:48.281000-04:00", "date_accepted": "2025-04-24T14:23:51.387000-04:00", "date_published": "2025-05-19T03:11:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47301/galley/36372/download/" } ] }, { "pk": 39705, "title": "Emergency Medical Service Responders’ Perspectives on Transgender, Intersexual, and Non-Binary Patients in Germany", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Gender minorities, including transgender, intersexual and non-binary (TIN) individuals, are at risk of receiving suboptimal care in emergency departments due to clinicians’ limited knowledge and formal training in TIN-specific needs. Little evidence is available regarding emergency medical service (EMS) responders, including paramedics (EMT-P), emergency medical technicians (EMT) ,and prehospital emergency physicians (EP). Therefore, in this study we aimed to explore the experiences and knowledge, attitudes, and education/training needs of EMS professionals in Germany regarding the care of TIN patients.</p>\n<p><strong>Methods:</strong> In April 2023, we electronically surveyed EMTs, EMT-Ps and prehospital EPs from ambulance stations across Germany. Participants completed a questionnaire consisting of 15 closed-ended items assessing their experience and knowledge, attitudes, and education/training needs regarding the care of TIN patients. We used standard descriptive statistics and tested for group differences using the chi-square test.</p>\n<p><strong>Results:</strong> Of the 2,925 potential respondents, 906 completed the survey and were eligible for further analysis (response rate: 31%). Of these, 218 (24%) were prehospital EPs and 688 (76%) were EMTs and EMT-Ps, the latter two being significantly younger and less experienced. Almost half of the respondents reported having experience in caring for TIN patients as EMS responders (45% of EMTs/EMT-Ps vs 40% of prehospital EPs) but demonstrated significant gaps in non-medical and medical knowledge. Attitudes toward TIN patients were generally positive, but there were discrepancies between perceived comfort and actual communication behavior, with up to 25% of respondents overall avoiding questions they would ask non-TIN patients. Most respondents had no formal training in the appropriate management of TIN patients: only 7% of EMTs/EMT-Ps and 5% of prehospital EPs indicated having received such training during their professional or medical training. Our survey showed that 63% of EMTs/EMT-Ps and 62% of prehospital EPs agreed that there is an urgent need to increase awareness for TIN patients among EMS responders.</p>\n<p><strong>Conclusion:</strong> Despite generally positive attitudes toward transexual, intersexual and non-binary patients, EMS responders in Germany demonstrated deficits in knowledge and clinical preparedness to care for this vulnerable patient population, indicating that the care of TIN patients has not yet become routine in EMS and highlighting a strong need for improved education and training.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "emergency medical services" }, { "word": "Gender minorities" }, { "word": "paramedics" }, { "word": "emergency medical technician" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/32j9t9p3", "frozenauthors": [ { "first_name": "Torben", "middle_name": "", "last_name": "Brod", "name_suffix": "", "institution": "Hannover Medical School, Department of Emergency Medicine, Hannover, Germany", "department": "" }, { "first_name": "Kambiz", "middle_name": "", "last_name": "Afshar", "name_suffix": "", "institution": "Hannover Medical School, Institute for General Practice and Palliative Care, Hannover, Germany", "department": "" }, { "first_name": "Christoph", "middle_name": "", "last_name": "Schroeder", "name_suffix": "", "institution": "Hannover Medical School, Department of Emergency Medicine, Hannover, Germany", "department": "" }, { "first_name": "Carsten", "middle_name": "", "last_name": "Stoetzer", "name_suffix": "", "institution": "Hannover Medical School, Institute for General Practice and Palliative Care, Hannover, Germany", "department": "" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Stiel", "name_suffix": "", "institution": "Hannover Medical School, Institute for General Practice and Palliative Care, Hannover, Germany", "department": "" } ], "date_submitted": "2024-11-08T02:49:20.311000-05:00", "date_accepted": "2025-02-27T16:53:59.789000-05:00", "date_published": "2025-05-19T03:10:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/39705/galley/36383/download/" } ] }, { "pk": 35607, "title": "Age-stratified Association Between Plasma Adiponectin Levels and Mortality in Septic Patients", "subtitle": null, "abstract": "<p><strong>Background:</strong> Plasma adiponectin (APN) levels might be affected by age. In this study we aimed to study the association between plasma APN levels and age and the effects of APN levels on mortality in age-stratified septic patients.</p>\n<p><strong>Methods:</strong> We conducted this single-center, retrospective study with 173 patients with sepsis and 57 controls. Physical and demographic characteristics were recorded, and blood samples were collected to measure plasma APN levels. Using this data, we determined the association between plasma APN levels and age, and the effect of plasma APN levels on mortality in age-stratified septic patients.</p>\n<p><strong>Results:</strong> We stratified patients into three age groups: < 60 years (middle age); 60-80 years (advanced age); and elderly (≥ 80 years). Plasma APN levels increased with increasing age in both the control group and the sepsis group. Mortality also increased with age: 12.3% in the < 60 group; 24.6% in those 60-80 years of age; and 36.2% in elderly patients >80 years (P<0.001). In middle-aged and advanced-age patients, APN levels were found to be associated with 28-day mortality based on the receiver operating characteristic curve analysis. Furthermore, APN levels remained independently associated with 28-day mortality in patients < 80 years. However, in elderly patients the APN levels showed no significant association with 28-day mortality. </p>\n<p><strong>Conclusion:</strong> We found a positive association between plasma adiponectin levels and age in septic patients. Low circulating levels of APN were associated with 28-day mortality in septic patients < 80 years of age. We found no significant association between APN and mortality in sepsis patients who were > 80 years of age.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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" }, { "word": "Elderly adults" }, { "word": "Adiponectin" }, { "word": "Mortality" } ], "section": "Infectious Disease", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9vj3h32s", "frozenauthors": [ { "first_name": "Hui", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "China-Japan Friendship Hospital, Department of Intensive Care Unit, Beijing, People’s Republic of China", "department": "" }, { "first_name": "Ming", "middle_name": "", "last_name": "Ma", "name_suffix": "", "institution": "Beijing Haidian Hospital, Department of Orthopedics (Minimally Invasive Spine Surgery Branch), Beijing, People’s Republic of China", "department": "" }, { "first_name": "Jinfeng", "middle_name": "", "last_name": "Dong", "name_suffix": "", "institution": "China-Japan Friendship Hospital, Department of Intensive Care Unit, Beijing, People’s Republic of China", "department": "" }, { "first_name": "Jun", "middle_name": "", "last_name": "Duan", "name_suffix": "", "institution": "China-Japan Friendship Hospital, Department of Intensive Care Unit, Beijing, People’s Republic of China", "department": "" } ], "date_submitted": "2024-10-01T09:08:01.332000-04:00", "date_accepted": "2025-02-04T17:08:27.304000-05:00", "date_published": "2025-05-19T03:02:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/35607/galley/36404/download/" } ] }, { "pk": 41454, "title": "A case study on the risk of spread of citrus huanglongbing in family farming in São Paulo and Minas Gerais States, Brazil", "subtitle": null, "abstract": "<p>Since its detection in Brazil in 2004, huanglongbin g (HLB) has caused expressive damage to the citrus belt in São Paulo, Minas Gerais and Paraná states. The disease incidence is higher in small groves mainly related to family farming. A risk analysis was performed in citrus regions in São Paulo and Minas Gerais with the objective of identifying the main factors associated with the introduction and spread of HLB in this farm profile. A structured questionnaire was applied comprising 27 closed questions with binary answers (0 or 1 as no or yes ) to 39 citrus growers along 12 municipalities. The regions were selected according to the HLB incidence and relevance of citrus family farming, and farms were assessed by non-probabilistic and convenience sampling. The Analytic Hierarchy Process (AHP) was used to prioritize and weigh specific criteria related to the factors evaluated. Based on the answers, each farm was classified into four risk classes: low (0 to 0.25), intermediate (0.26 to 0.50), high (0.51 to 0.75) and very high (0.76 to 1). The introduction risks into the sampled farms were very high due to the disease occurrence in neighboring areas. However, factors that most contributed to the spread risk within groves were different between the two regions evaluated. In South MG, lack of basic knowledge about HLB pathosystem and low use of control measures were major issues, whereas in East SP the spread was more related to grove age, productivity and density, and absence of area-wide management.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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": "Citrus spp." }, { "word": "Candidatus Liberibacter spp." }, { "word": "Diaphorina citri" }, { "word": "decision support" }, { "word": "dissemination" }, { "word": "production system" }, { "word": "quarantine pest" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/74m566cc", "frozenauthors": [ { "first_name": "Manuela", "middle_name": "", "last_name": "Sulzbach", "name_suffix": "", "institution": "Departamento de Horticultura e Silvicultura, Programa de Pós-Graduação em Fitotecnia, Faculdade de Agronomia, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 7712, CEP 91540-000, Porto Alegre, RS, Brazil", "department": "None" }, { "first_name": "Ester", "middle_name": "Alice", "last_name": "Ferreira", "name_suffix": "", "institution": "Empresa de Pesquisa Agropecuária de Minas Gerais, Unidade Regional Sul, Rodovia Lavras/Ijaci Km 02, Campus da Universidade Federal Lavras, CEP 37200-000, Lavras, MG, Brazil", "department": "None" }, { "first_name": "Fernando", "middle_name": "Alves de", "last_name": "Azevedo", "name_suffix": "", "institution": "Centro de Citricultura Sylvio Moreira, Instituto Agronômico, Rod. Anhanguera, km 158, CEP 13490-970, Cordeirópolis, SP, Brazil", "department": "None" }, { "first_name": "Renato", "middle_name": "Beozzo", "last_name": "Bassanezi", "name_suffix": "", "institution": "Fundecitrus, Fundo de Defesa da Citricultura, Av. Dr. Adhemar Pereira de Barros, 201, CEP 14807-040, Araraquara, SP, Brazil", "department": "" }, { "first_name": "Sérgio", "middle_name": "Francisco", "last_name": "Schwarz", "name_suffix": "", "institution": "Departamento de Horticultura e Silvicultura, Programa de Pós-Graduação em Fitotecnia, Faculdade de Agronomia, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 7712, CEP 91540-000, Porto Alegre, RS, Brazil", "department": "None" }, { "first_name": "Roberto", "middle_name": "Pedroso de", "last_name": "Oliveira", "name_suffix": "", "institution": "Embrapa Clima Temperado, Rodovia BR-392, km 78, CEP 96010-971, Pelotas, RS, Brazil", "department": "None" }, { "first_name": "Francisco", "middle_name": "Ferraz", "last_name": "Laranjeira", "name_suffix": "", "institution": "Embrapa Mandioca e Fruticultura, Rua Embrapa, CEP 44380-000, Cruz das Almas, BA, Brazil", "department": "None" }, { "first_name": "Eduardo", "middle_name": "Augusto", "last_name": "Girardi", "name_suffix": "", "institution": "Embrapa Mandioca e Fruticultura, Rua Embrapa, CEP 44380-000, Cruz das Almas, BA, Brazil and Fundecitrus, Fundo de Defesa da Citricultura, Av. Dr. Adhemar Pereira de Barros, 201, CEP 14807-040, Araraquara, SP, Brazil", "department": "" } ], "date_submitted": "2021-02-19T09:54:45-05:00", "date_accepted": "2025-12-16T19:16:42-05:00", "date_published": "2025-05-19T03:00:00-04:00", "render_galley": { "label": "Other", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41454/galley/47590/download/" }, "galleys": [ { "label": "Other", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41454/galley/47590/download/" } ] }, { "pk": 21297, "title": "Patient Sociodemographic Factors Are Associated with Receiving Point-of-care Ultrasound in the Emergency Department", "subtitle": null, "abstract": "<p><strong>Background:</strong> Point-of-care ultrasound (POCUS) is widely used in emergency medicine (EM) and increasingly throughout healthcare. Prior studies have revealed disparities in the use of imaging in the emergency department (ED) based on sociodemographic factors; however, the association between these factors and POCUS use is unknown. Our aim was to compare the odds of receiving POCUS in the ED based on patient race and ethnicity, language, sex, and type of insurance.</p>\n<p><strong>Methods:</strong> We reviewed electronic health records (EHR) matched to a departmental POCUS database from November 2021–June 2023 at an academic Level I trauma center. We included ED patients diagnosed with an International Classification of Diseases code mapped to chest or flank pain, who had a cardiac troponin obtained, or had been evaluated as a trauma activation or alert. Our primary outcome was whether a patient received transthoracic echocardiography (cardiac), renal, or focused assessment with sonography in trauma. Predictor variables were race/ethnicity group (non-Hispanic [NH] White, NH Black, Hispanic, other), patient language, sex assigned at birth, and insurance type as recorded in the EHR. We performed descriptive analyses and logistic regression (adjusted odds ratio [aOR], 95% confidence interval [CI]) controlling for body mass index, age, comorbidities, and triage hypotension or tachycardia.</p>\n<p><strong>Results:</strong> Of the 25,389 ED patients meeting inclusion criteria, 79.5% were NH White, 95.3% listed English as their primary language, 51.5% were female, and 33.4% had private payor insurance. After adjusting for confounding, patients had lower odds of receiving POCUS if they were “other” race/ethnicity as compared to NH White (aOR 0.65, CI 0.42-0.99, P = .04), female as compared to male (aOR 0.81, CI 0.69-0.94, P = .007), or if they had Medicare (aOR 0.67, CI 0.54-0.84, P <.001) or Medicaid (aOR 0.66, CI 0.52-0.83, P = .001) as compared to private payors. </p>\n<p><strong>Conclusion:</strong> Overall, patients of female sex and patients with Medicaid or Medicare had lower odds of receiving point-of-care ultrasound in the ED. Although we did not find a difference in POCUS use among non-Hispanic White, NH Black, and Hispanic patients, patients belonging to other race/ethnicity categories had lower odds of receiving POCUS compared to NH White patients.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "POCUS" }, { "word": "chest pain" }, { "word": "ultrasound" }, { "word": "Race" }, { "word": "Ethnicity" }, { "word": "sex" }, { "word": "Insurance" }, { "word": "emergency department" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2sv26306", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "M.", "last_name": "Wubben", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "" }, { "first_name": "Devin", "middle_name": "", "last_name": "Spolsdoff", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "" }, { "first_name": "Karisa", "middle_name": "K.", "last_name": "Harland", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "" }, { "first_name": "Marina", "middle_name": "", "last_name": "Del Rios", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "" } ], "date_submitted": "2024-06-03T18:36:42.503000-04:00", "date_accepted": "2025-01-21T23:47:04.918000-05:00", "date_published": "2025-05-19T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21297/galley/36387/download/" } ] }, { "pk": 21267, "title": "Practical Status and Social Background of Current Mobile Stroke Units Worldwide: A Survey and Investigation", "subtitle": null, "abstract": "<p><strong>Background:</strong> We aimed to clarify the current challenges involved in introducing and operating mobile stroke units (MSU) in new regions, considering the social background of regions with MSUs.</p>\n<p><strong>Methods:</strong> We conducted a questionnaire survey on the operational and financial status of all active MSU programs worldwide as of March 2023, and investigated the demographic, economic, and healthcare backgrounds of areas with and without active MSUs. We compared the data for the two groups at the country, state, or city level. We then correlated data gathered from the survey and the investigation.</p>\n<p><strong>Results:</strong> Of the 33 MSU programs contacted, 19 (59%) responded. The responding programs treated a range of 52-1,663 (median 781) patients at an MSU per year. The most commonly reported hours of operation were eight hours every weekday (5, 26%). The majority had four staff on board (11, 58%). No physicians were on board in six MSUs (32%). The catchment area radius ranged from 5-250 (median 22) kilometers. The start-up costs and subsequent annual operation costs of an MSU ranged from $0.7-1.8 million (median 1.0) and $0.7 -1.7 (median 1.0) million US dollars, respectively. Reimbursement was obtained by eight (47%), with full reimbursement by two (12%). A negative gross financial balance was reported in eight MSUs (53%, of 15), and a financial challenge was reported in 17 (94%, of 18). Compared to the non-MSU group at the country level, active MSU groups had a significantly higher population, nominal gross domestic product, healthcare access and quality index, and physician density. They also had significantly lower age-standardized stroke incidence rates and age-standardized stroke disability-adjusted life year rate. The MSU operation time was significantly positively correlated with age-standardized stroke incidence rate and negatively with physician density.</p>\n<p><strong>Conclusion:</strong> Despite facing serious financial problems, mobile stroke units currently operate around the world. However, the social context of MSUs appears relatively advanced. For future implementation of MSUs, cost-saving strategies and reimbursements should be addressed, and national or regional social backgrounds should be considered.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "mobile stroke unit" }, { "word": "Acute Stroke" }, { "word": "prehospital" }, { "word": "emergency medical service" }, { "word": "Telemedicine" } ], "section": "Neurology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/39x4b5sp", "frozenauthors": [ { "first_name": "Masahiko", "middle_name": "", "last_name": "Hiroki", "name_suffix": "", "institution": "Tsukuba Medical Center Hospital, Department of Neurology, Tsukuba, Ibaraki, Japan; Ibaraki Mobile Healthcare Corporation, Tsukuba, Ibaraki, Japan", "department": "" }, { "first_name": "Mototsugu", "middle_name": "", "last_name": "Kohno", "name_suffix": "", "institution": "Tsukuba Medical Center Hospital, Department of Emergency and Critical Care Medicine, Tsukuba, Ibaraki, Japan", "department": "" }, { "first_name": "Yutaka", "middle_name": "", "last_name": "Kohno", "name_suffix": "", "institution": "Ibaraki Prefectural University of Health Sciences, Department of Neurology, Center for Medical Sciences, Ami, Ibaraki, Japan", "department": "" }, { "first_name": "Masaki", "middle_name": "", "last_name": "Misawa", "name_suffix": "", "institution": "Ibaraki Mobile Healthcare Corporation, Tsukuba, Ibaraki, Japan; Faculty of Health Sciences, Department of Radiological Sciences, Komazawa University, Setagaya, Tokyo, Japan", "department": "" } ], "date_submitted": "2024-05-28T00:43:03.169000-04:00", "date_accepted": "2025-01-21T23:46:49.445000-05:00", "date_published": "2025-05-19T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21267/galley/36415/download/" } ] }, { "pk": 34857, "title": "Exposure to Community Violence and Adverse Childhood Experiences in the Emergency Department", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Adverse childhood experiences (ACEs) and exposure to community violence are public health issues linked to negative mental and physical health outcomes. The emergency department (ED) can play a critical role in the care of patients with a history of trauma exposure. Unfortunately, patients’ experiences often go unidentified, leading to missed opportunities to address and prevent further harm. </p>\n<p><strong>Methods: </strong>We administered a 22-question survey of trauma exposure in ED patients to 1) identify the prevalence of exposure to community violence and ACEs and resulting post-traumatic stress disorder (PTSD) symptoms, and 2) determine perceived social service needs. This self-administered survey study was conducted on a convenience sample of 267 adult patients at one academic hospital in Chicago, IL, between July 2018–December 2019. This ED sees approximately 70,000 patients annually. These were fluent English-speaking patients who were non-critically ill or altered and chosen randomly after being assigned to an ED room, typically during regular business hours based on research associate availability. They were not offered compensation for study participation. The survey included demographic information and questions modified from the Adverse Childhood Experiences Study questionnaire, the 54-item Survey of Exposure to Community Violence, and the Primary Care PTSD screen. Participants were also asked to identify resources to address their exposure to trauma. </p>\n<p><strong>Results: </strong>Of 268 surveys, 267 were completed; 88% of participants endorsed exposure to ACEs or community violence (95% confidence interval [CI] 84.1-91.9%, p < 0.001 compared to general US population rate of 61%). A total of 53.6% of respondents endorsed exposure to at least one ACE (95% CI, 47.6-59.6%), and 15.7% were exposed to ≥4 ACE (95% CI, 11.3-20.1%). The most commonly endorsed categories of ACE were “emotional neglect” (30.3%, 95% CI 24.8%-35.8%); “emotional abuse” (25.8%, 95% CI 20.6%-31.1%); and “exposure to family substance use” (21%, 95% CI 16.1%-25.9%). When asked about personal experience with violence in the community, 47.9% said they had been shoved, kicked or punched (95% CI 41.9%-53.9%), 8% had been stabbed (95% CI 4.8%-11.3%), and 6.7% had been shot (95% CI 3.7%-9.7%). Among the survey participants, 26.2% said they had seen someone die from violence either in their home or in their neighborhood (95% CI 20.9%-31.5%). ZIP Code analysis indicates that most patients resided in neighborhoods near our ED and were likely to utilize it for medical care. Of respondents with exposure to trauma 38% asked for resources through their primary care clinic (95% CI 32.2%-43.8%), while 77.4% asked for resources through faith-based organizations (95% CI 72.4%-82.4%).</p>\n<p><strong>Conclusion:</strong> These findings suggest that most respondents in the ED have experienced trauma, and many are interested in community and clinical resources. These results demonstrate the need for trauma-informed screening in the ED and support for institutional and community-level interventions to address patient experiences</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Trauma" }, { "word": "Trauma-Informed Care" }, { "word": "exposure to community violence" }, { "word": "adverse childhood experiences" }, { "word": "emergency department" }, { "word": "Post-Traumatic Stress Disorder" }, { "word": "Public health" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9nj5956b", "frozenauthors": [ { "first_name": "Leslie", "middle_name": "", "last_name": "Cachola", "name_suffix": "", "institution": "Cook County Health, Department of Emergency Medicine, Chicago, Illinois", "department": "" }, { "first_name": "Yanina", "middle_name": "", "last_name": "Guevara", "name_suffix": "", "institution": "Case Western University-University Hospitals, Department of Emergency Medicine, Cleveland, Ohio", "department": "" }, { "first_name": "Sobia", "middle_name": "", "last_name": "Ansari", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "" } ], "date_submitted": "2024-08-24T14:33:34.417000-04:00", "date_accepted": "2025-01-18T18:26:25.761000-05:00", "date_published": "2025-05-18T12:34:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/34857/galley/36376/download/" } ] }, { "pk": 21266, "title": "Dispatch Decisions and Emergency Medical Services Response in the Prehospital Care of Status Epilepticus", "subtitle": null, "abstract": "<p><strong>Objective:</strong> Emergency medical dispatch is intended to ensure that emergency medical services (EMS) allocate appropriate resources for the treatment of patients with status epilepticus (SE). However, it is unclear whether dispatch algorithms accurately identify those patients having a seizure-related medical emergency and how dispatch algorithms influence what prehospital resources are allocated for the encounter.</p>\n<p><strong>Methods:</strong> We performed a cross-sectional analysis of prehospital encounters for SE using data from the 2019 ESO Data Collaborative. We included patients who were ≥18 years of age, had an EMS diagnostic impression of SE, and did not have a cardiac arrest. We examined the dispatch-determined complaint designated by the emergency medical dispatch (EMD) code, dispatch-determined level of acuity (A, B, C, D), ambulance response, and training level of the responding prehospital professional.</p>\n<p><strong>Results:</strong> Of the 18,515 patient encounters for SE with an EMD code, 8,279 (44.9%) were women, and the mean age was 40.0 years (SD 19.7). There were 13,829 (75%) encounters that received a dispatch code for seizures/convulsions and 4,686 (25%) with a dispatch code for a non-seizure-related condition. Among encounters for SE identified by dispatch as seizures/convulsions, 6,412 (46.4%) were designated high acuity, 6,626 (63.6%) were designated low acuity, and the majority received emergent ambulance responses (98.1% among those designated high acuity and 81.8% among those designated low acuity) and an Advanced Life Support-trained responder (93.7% among those designated high acuity and 92.7% among those designated low acuity). Median response times were similar for all acuity levels (9.1, 8.8, 9.1, and 8.3 minutes for A-D, respectively). </p>\n<p><strong>Conclusion:</strong> Approximately one-fourth of SE cases were categorized as a non-seizure related condition at dispatch, and fewer than half received the highest acuity determinant code. Despite this, dispatch-assigned acuity did not have a strong relationship with the ambulance response or training level of the EMS responder or response time, suggesting that use of dispatch algorithms might be further optimized and highlighting a potential area to improve quality of EMS care.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "status epilepticus" }, { "word": "dispatch" }, { "word": "Seizure" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/770993sg", "frozenauthors": [ { "first_name": "Robert", "middle_name": "P.", "last_name": "McInnis", "name_suffix": "", "institution": "University of California, San Francisco, Department of Neurology, San Francisco, California; Weill Cornell Medical College, Department of Neurology, New York, New York", "department": "" }, { "first_name": "Andrew", "middle_name": "J.", "last_name": "Wood", "name_suffix": "", "institution": "University of California, San Francisco, Department of Neurology, San Francisco, California", "department": "" }, { "first_name": "Courtney", "middle_name": "L.", "last_name": "Shay", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "" }, { "first_name": "Anna", "middle_name": "A.", "last_name": "Haggart", "name_suffix": "", "institution": "University of Nebraska Medical Center, Omaha, Nebraska", "department": "" }, { "first_name": "Remle", "middle_name": "P.", "last_name": "Crowe", "name_suffix": "", "institution": "ESO Solutions, Inc, Austin, Texas", "department": "" }, { "first_name": "Elan", "middle_name": "L.", "last_name": "Guterman", "name_suffix": "", "institution": "University of California, San Francisco, Department of Neurology, San Francisco, California; University of California, San Francisco, Department of Neurology, Weill Institute for Neurosciences, San Francisco, California; University of California, San Francisco, Philip R. Lee Institute for Health Policy Studies, San Francisco, California", "department": "" } ], "date_submitted": "2024-05-29T22:30:42.836000-04:00", "date_accepted": "2025-01-21T23:46:22.605000-05:00", "date_published": "2025-05-18T12:15:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21266/galley/36396/download/" } ] }, { "pk": 21131, "title": "Post-Concussion Syndrome Following Blast Injury: A Cross-Sectional Study of Beirut Blast Casualties", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> The massive 2020 blast in Beirut, Lebanon, caused by improperly stored ammonium nitrate, was one of the most powerful non-nuclear explosions in history, Following the blast, head injuries emerged as a predominant presentation to the emergency department (ED). Blast-induced head injuries can lead to mild traumatic brain injuries (mTBI) mediated via primary blast overpressure without direct head trauma. The recovery process from mTBIs can be prolonged and affected by several factors. If symptoms persist for more than three months, patients should be evaluated for post-concussion syndrome (PCS). While clinical blast-injury studies have focused on repetitive blast exposure, this study evaluates a cohort exposed to a single blast. We hypothesized that a single blast exposure is sufficient to induce PCS symptoms similar to those exposed to repetitive blasts.</p>\n<p><strong>Methods:</strong> This cross-sectional study explores PCS in patients presenting to the ED of a tertiary-care center following the Beirut blast. Patients were identified through medical charts, contacted by phone, and consented to participate at least three months post-blast (beginning in November 2020). We used the Rivermead Post-Concussion Questionnaire (RPQ) to assess for PCS. We analyzed the association of PCS with patients and injury characteristics.</p>\n<p><strong>Results: </strong>Of 370 patients presenting to the ED, 145 (58.5%) completed the study questionnaire. Mean age was 39.8 ± 15.4 years, and 40% were females. Head trauma (46.9%) was the most common presentation. A total of 112 patients (77.2%) met the criteria for PCS, with a median RPQ score of 25 (interquartile range 18.75). After adjusting for injury types and distance from the blast, younger patients (adjusted odds ratio [aOR] 0.972, 95% confidence interval [CI] 0.947-0.998) and females (aOR 2.836, 95% CI 1.114-7.220) were more likely to suffer from PCS. </p>\n<p><strong>Conclusion:</strong> Our study revealed a remarkably high prevalence of PCS among survivors of the Beirut blast, with younger individuals and females disproportionately affected. This highlights the need for age- and sex-specific rehabilitation and support programs. However, the study was limited by incomplete patients records and contact information, leading to the exclusion of a significant number of patients who initially presented to the ED. Ultimately, this study underscores the crucial role of robust public health preparedness and specialized care pathways against future large-scale catastrophes. Further assessment, including neurobiomarker evaluation, will be conducted on these survivors.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Beirut Blast" }, { "word": "Post concussion Syndrome" }, { "word": "Concussion" }, { "word": "Rivermead Post-Concussion Questionnaire" }, { "word": "Traumatic Brain Injury" }, { "word": "bTBI" }, { "word": "TBI" }, { "word": "RPQ" }, { "word": "PCS" } ], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xw557cz", "frozenauthors": [ { "first_name": "Hind", "middle_name": "", "last_name": "Anan", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon", "department": "" }, { "first_name": "Moustafa", "middle_name": "", "last_name": "Al Hariri", "name_suffix": "", "institution": "Qatar University College of Medicine, Tamayuz Simulation Center, QU Health Sector, Doha, Qatar", "department": "" }, { "first_name": "Eveline", "middle_name": "", "last_name": "Hitti", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon", "department": "" }, { "first_name": "Firas", "middle_name": "", "last_name": "Kobeissy", "name_suffix": "", "institution": "American University of Beirut, Department of Biochemistry and Molecular Genetics, Beirut, Lebanon Morehouse School of Medicine, Department of Neurobiology, Atlanta, Georgia", "department": "" }, { "first_name": "Afif", "middle_name": "", "last_name": "Mufarrij", "name_suffix": "", "institution": "American University of Beirut Medical Center, Department of Emergency Medicine, Beirut, Lebanon", "department": "" } ], "date_submitted": "2024-05-01T13:39:03.105000-04:00", "date_accepted": "2025-01-18T18:37:47.377000-05:00", "date_published": "2025-05-18T12:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21131/galley/36420/download/" } ] }, { "pk": 41567, "title": "The Orientation of Smintheion in Troad and its Connection to Apollonian Myths", "subtitle": null, "abstract": "<p>The present research measures the orientation of the Hellenistic temple of Apollo Smintheus in Troad, and notices it aligns with the rising points of Vega and Deneb (in the constellations of Lyra and Cygnus) and commands a superb view of the Hydra-Crater-Corvus constellation group. The animals and objects presented in these asterisms appear in Apollo’s fables, which may explain this choice of orientation. In addition, the timing of events depicted in these myths are compatible with the appearance and disappearance of the relevant asterisms in the sky. This connection is also seen in other Apollo temples in Asia Minor, indicating a wider dissemination of this astronomical symbolism.</p>\n<p> </p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0 International (CC BY 4.0)", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Smintheion" }, { "word": "Smintheum" }, { "word": "Apollo Smintheus" }, { "word": "orientation" }, { "word": "Apollonian myths" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3fr502sv", "frozenauthors": [ { "first_name": "Themis", "middle_name": "G", "last_name": "Dallas", "name_suffix": "", "institution": "University of Thessaly", "department": "Dpt. of History, Archaeology and Social Anthropology" } ], "date_submitted": "2025-01-05T10:05:53.383000-05:00", "date_accepted": "2025-04-02T09:57:09.657000-04:00", "date_published": "2025-05-17T13:34:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jac/article/41567/galley/35793/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jac/article/41567/galley/35793/download/" } ] }, { "pk": 34873, "title": "Emergency Medicine Residency Website Wellness Pages: A Content Analysis", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> The COVID-19 pandemic impacted the way medical students seek residency positions. In 2020, the Accreditation Council for Graduate Medical Education advocated for virtual interviews. Most emergency medicine (EM) interviews in 2023 remained virtual, and this format will persist for the foreseeable future. Since students are not evaluating programs in person in most cases, residency websites are crucial for prospective residents. Resident wellness is critical for resident training and important to prospective residents; it follows that programs must be transparent about resident wellness on websites. In this study we aimed to quantify the number of EM programs with wellness pages on their websites and identify themes portrayed on those pages. </p>\n<p><strong>Methods:</strong> We analyzed residency website wellness pages from EM websites based on the 2022 directory of the Electronic Residency Application Service. We independently coded wellness statements through an inductive process. Codes were revised iteratively to consensus and organized into themes. </p>\n<p><strong>Results:</strong> We identified 278 (100%) EM residency websites. Of these websites, 57 (20.5%) had a wellness page, 45 (16.2%) linked to an institutional page that discussed wellness, 169 (60.8%) discussed wellness themes on their website in areas other than a wellness page, and 69 (24.8%) had no direct mention of wellness anywhere on their website. Using this information, we identified themes including community involvement, growth and development, nutrition and health, psychological well-being, social and relaxation activities, wellness culture and environment, wellness curriculum, wellness structure and resources, and work-life integration. </p>\n<p><strong>Conclusion:</strong> Most EM program websites do not include a wellness page. Of the programs that do, we identified important themes. The absence of dedicated wellness pages on most EM websites suggests an opportunity for programs to better communicate their wellness initiatives to applicants, helping them identify programs that align with their values.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Wellness" }, { "word": "Graduate Medical Education" }, { "word": "Application Process" }, { "word": "Residency Websites" }, { "word": "Medical Education" } ], "section": "Medical Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/262251cg", "frozenauthors": [ { "first_name": "Alexandra", "middle_name": "", "last_name": "Sappington", "name_suffix": "", "institution": "Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana", "department": "" }, { "first_name": "Brian", "middle_name": "", "last_name": "Milman", "name_suffix": "", "institution": "University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas", "department": "" } ], "date_submitted": "2024-08-28T14:46:31.252000-04:00", "date_accepted": "2025-02-21T15:19:48.278000-05:00", "date_published": "2025-05-16T14:05:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/34873/galley/36400/download/" } ] }, { "pk": 47444, "title": "Front Matter", "subtitle": null, "abstract": "<p>Front Matter</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3rv4z7wp", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T21:39:51.902000-04:00", "date_accepted": "2025-05-14T21:46:40.898000-04:00", "date_published": "2025-05-15T04:30:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47444/galley/35784/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47444/galley/35784/download/" } ] }, { "pk": 47448, "title": "Introduction", "subtitle": null, "abstract": "<p>On behalf of the Editorial Board, I am honored to present the 53rd volume of Mester, the academic journal published by the graduate students of the Department of of Spanish and Portuguese at the University of California, Los Angeles. This volume is organized into two complementary sections: a general dossier focused on the theme of Queer Resistance, and a special supplement dedicated to the representation of Trans and Travesti Struggles in cultural production. </p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "INTRODUCTION", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/284986p3", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T22:56:52.045000-04:00", "date_accepted": "2025-05-14T23:37:06.445000-04:00", "date_published": "2025-05-15T04:30:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47448/galley/35782/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47448/galley/35782/download/" } ] }, { "pk": 47450, "title": "Mester 53 Cover", "subtitle": null, "abstract": "<p>Front Cover</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "COVER", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8jf0k3cv", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T23:10:49.576000-04:00", "date_accepted": "2025-05-14T23:37:39.870000-04:00", "date_published": "2025-05-15T04:30:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47450/galley/35787/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47450/galley/35787/download/" } ] }, { "pk": 47447, "title": "Table of Contents", "subtitle": null, "abstract": "<p>Table of Contents</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "CONTENTS", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4ps0q49t", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T22:17:46.276000-04:00", "date_accepted": "2025-05-14T22:19:21.901000-04:00", "date_published": "2025-05-15T04:30:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47447/galley/35785/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47447/galley/35785/download/" } ] }, { "pk": 47451, "title": "Back Cover", "subtitle": null, "abstract": "<p>Back Cover</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "BACK COVER", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1nv2k099", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T23:20:05.990000-04:00", "date_accepted": "2025-05-14T23:38:08.621000-04:00", "date_published": "2025-05-15T04:05:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47451/galley/35788/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47451/galley/35788/download/" } ] }, { "pk": 47452, "title": "Mester PDF Digital Version", "subtitle": null, "abstract": "<p>Mester Digital Version</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "MESTER VOL. 53 PDF (DIGITAL VERSION)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/55n19268", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T23:31:36.653000-04:00", "date_accepted": "2025-05-14T23:39:14.655000-04:00", "date_published": "2025-05-15T04:05:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47452/galley/35789/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47452/galley/35789/download/" } ] }, { "pk": 47449, "title": "Notes on Editors and Contributors", "subtitle": null, "abstract": "<p>Notes on Editors and Contributors</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "NOTES ON EDITORS AND CONTRIBUTORS", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7dj7g4rz", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T22:55:49.062000-04:00", "date_accepted": "2025-05-14T23:36:26.213000-04:00", "date_published": "2025-05-15T04:05:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47449/galley/35786/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47449/galley/35786/download/" } ] }, { "pk": 47411, "title": "Oaxaca, más allá de una postal", "subtitle": null, "abstract": "<p>In this interview, Oaxacan writer Antonio Pacheco Zarate reflects on his creative process and his engagement with the dynamics of gender and sexuality in rural spaces in Mexico. </p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Centraleros" }, { "word": "Gender and Sexuality" }, { "word": "Oaxaca City" }, { "word": "Pacheco Zarate" } ], "section": "INTERVIEW", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8v45160k", "frozenauthors": [ { "first_name": "José", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "UC Los Angeles", "department": "" } ], "date_submitted": "2025-05-14T20:31:08.631000-04:00", "date_accepted": "2025-05-14T21:46:17.614000-04:00", "date_published": "2025-05-15T04:05:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47411/galley/35781/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/47411/galley/35781/download/" } ] }, { "pk": 38038, "title": "Transgrediendo el entorno corporal: la producción de conocimiento trans* con Linn da Quebrada", "subtitle": null, "abstract": "<p>En una era en la que los creadores de contenido LGBT latinoamericanos como los cantautores y compositores Pabllo Vittar y Arca han ganado reconocimiento y seguimiento internacional, es fácil para los consumidores digerir sus obras sin profundizar en sus procesos de pensamiento. En América Latina, particularmente en Brasil, Linn da Quebrada tiene una presencia similar, ya que periodistas y académicos elogian su trabajo de “género terrorista” dentro de las estructuras heteronormativas, clasistas y racistas de Brasil. A través del análisis del documental Bixa Travesty (2018) y de dos de las canciones de Linn da Quebrada, “A Lenda” (2018) y “Enviadescer” (2016), sostengo que sus producciones creativas sirven como proyecto epistemológico crucial para delinear lo que Quebrada cree que es esencial a la hora de definir las experiencias afrobrasileñas y las figuras travestis. El análisis ofrecería perspectivas alternativas que enfatizan la dedicación de toda la vida de Quebrada a trastocar las fuerzas opresivas de Brasil en lugar de crear una ilusión que caracteriza a Quebrada como alguien que quiere ser digerible para las masas.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Linn da Quebrada" }, { "word": "formaciones de identidad" }, { "word": "marginación" }, { "word": "afro" }, { "word": "travesti" }, { "word": "Brasil" } ], "section": "TRANS AND TRAVESTI STRUGGLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7ww887wd", "frozenauthors": [ { "first_name": "Bilal", "middle_name": "", "last_name": "Choudhry", "name_suffix": "", "institution": "Columbia University", "department": "None" } ], "date_submitted": "2024-04-22T21:33:14-04:00", "date_accepted": "2024-04-22T21:33:14-04:00", "date_published": "2025-05-15T04:05:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38038/galley/35756/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38038/galley/35756/download/" } ] }, { "pk": 38036, "title": "A escrita de um obituário em “Los claveles de Jennifer” de Iván Monalisa Ojeda", "subtitle": null, "abstract": "<p>Baseado na narrativa “Los claveles de Jennifer”, apresentado na coletânea Las biuty queens (2019), do multiartista transgênero de dois espíritos Iván Monalisa Ojeda, este texto analisa como a narradora engendra um obituário sobre a personagem Jennifer – travesti- loca e prostituta hondurenha , assassinada em quarto de hotel em Nova York, no inverno de 1997. Nesse quadro, as articulações linguísticas e imagéticas apresentadas por Monalisa Ojeda inscrevem um personagem na esfera da palavra e da existência legítima do discurso, de modo a estabelecer questionamentos em torno da construção política do “humano” a corpos dissidentes de sexualidade e gênero. Para tanto, partimos do conceito de “obituário”, de Judith Butler (2004), a partir de uma perspectiva e leitura decoloniais do texto literário.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Obituário" }, { "word": "Monalisa Ojeda" }, { "word": "travesti-loca" }, { "word": "“Los claveles de Jennifer”" } ], "section": "TRANS AND TRAVESTI STRUGGLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25m3t832", "frozenauthors": [ { "first_name": "Luiz Henrique", "middle_name": "Moreira", "last_name": "Soares", "name_suffix": "", "institution": "Universidade Estadual Paulista (UNESP), Campus de São José do Rio Preto, São Paulo, Brasil.", "department": "None" }, { "first_name": "Cláudia", "middle_name": "Maria Ceneviva", "last_name": "Nigro", "name_suffix": "", "institution": "Universidade Estadual Paulista (UNESP), Campus de São José do Rio Preto, São Paulo, Brasil.", "department": "None" } ], "date_submitted": "2024-04-04T19:11:03-04:00", "date_accepted": "2024-04-04T19:11:03-04:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38036/galley/35755/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38036/galley/35755/download/" } ] }, { "pk": 38041, "title": "Cuerpo y archivo en movimiento: actos corporalizados y resistencia trans* en Quebranto (2013)", "subtitle": null, "abstract": "<p>This paper analyzes director Roberto Fiesco's narrative and ethnographic approach in the documentary \"Quebranto\" (2013), focusing on Coral Bonelli, a transgender woman, dancer, and sex worker from Mexico City. Fiesco blends audiovisual techniques and archival footage to biographically depict Bonelli, using oral testimony and innovative editing. Drawing on Diana Taylor’s and Sarah Pink’s theories, the study explores how these elements manage the biographical and emotional depth of Bonelli's story. It examines spatial elements in the film, which construct a narrative voice and contribute to Bonelli’s portrayal. Ultimately, the paper explores how Fiesco’s strategies convey Bonelli’s transcendence through archival footage, personal performance, and narrative innovation, pushing the boundaries of documentary cinema in representing queer subjectivity.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "transgender" }, { "word": "Documentary" }, { "word": "Queer Studies" }, { "word": "performance" }, { "word": "archive" } ], "section": "TRANS AND TRAVESTI STRUGGLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/68k4j8dj", "frozenauthors": [ { "first_name": "Raúl", "middle_name": "", "last_name": "Romo", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2024-06-21T20:52:58-04:00", "date_accepted": "2024-06-21T20:52:58-04:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38041/galley/35758/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38041/galley/35758/download/" } ] }, { "pk": 38042, "title": "Differences in Phonation of Lesbian Spanish Speakers", "subtitle": null, "abstract": "<p>This paper investigates the phonetic characteristics of Spanish-speaking lesbian women, focusing specifically on creakiness in their voice quality. While there is extensive research on the phonetic markers associated with queer speech in English-speaking contexts, there is a significant gap in understanding how these markers manifest in other languages, particularly in Spanish. This study addresses this gap by exploring whether lesbian Spanish speakers exhibit distinct phonetic features that differentiate them from their heterosexual counterparts. The study involved four participants, two of whom were lesbian women (one openly lesbian and one not openly lesbian) and two heterosexual women, all of whom were college students from Michoacán, Mexico. The participants engaged in three tasks: a cooperative description task to elicit semi-spontaneous speech, a sociophonetic interview to collect natural speech, and a socio demographic survey to gather relevant extralinguistic information. The recordings were analyzed to assess the presence and degree of creakiness in each participant’s speech. The findings indicate that, similar to English-speaking contexts, Spanish-speaking lesbian women do exhibit creakiness in their voice quality. However, the degree of creakiness varied between the openly lesbian and non-openly lesbian participants. This study contributes to the understanding of queer speech by highlighting the phonetic characteristics of lesbian Spanish speakers, particularly in relation to creakiness. It bridges a crucial gap in the literature by providing insights into how sexual identity is expressed and perceived through speech in non-English languages. The results underscore the complexity of queer speech and the importance of considering both identity and performativity in phonetic research.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Phonation" }, { "word": "Creakiness" }, { "word": "Phonetics" }, { "word": "queer" }, { "word": "Spanish" } ], "section": "QUEER RESISTANCE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4vd545s4", "frozenauthors": [ { "first_name": "Jesús", "middle_name": "", "last_name": "Duarte", "name_suffix": "", "institution": "UC Los Angeles", "department": "None" } ], "date_submitted": "2024-08-14T05:19:38-04:00", "date_accepted": "2024-08-14T05:19:38-04:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38042/galley/35759/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38042/galley/35759/download/" } ] }, { "pk": 38019, "title": "<em>Disuelta, Sostenida, Creada</em>: Cristina Peri Rossi’s <em>Evohé</em> as Queer Feminism", "subtitle": null, "abstract": "<p>This essay analyzes the poems of Cristina Peri Rossi’s <em>Evohé</em> (1971) with canonical queer and feminist theories to gauge whether the collection may complicate the political and theoretical rift between queers and feminists. By way of close readings of the poems and comparisons with contemporaneous feminist and subsequent queer theories, I argue that <em>Evohé</em> evokes many prevailing queer and feminist concerns, and the collection can thus be conceptualized as queer and feminist. Moreover, in comparing the feminist dimension and the queer dimension of <em>Evohé</em>, I contend that the collection speaks to queer feminism—and especially that which Lynne Huffer theorizes—because of its exceptional illustration of relational dissolution: an eroticism beyond the moral individual, but with a maintained sense of relationality.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Cristina Peri Rossi" }, { "word": "Poetry" }, { "word": "queer feminism" }, { "word": "queer theory" }, { "word": "Feminist theory" } ], "section": "QUEER RESISTANCE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4z74c9bh", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "Mason", "last_name": "Edwards", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2024-01-26T23:12:17-05:00", "date_accepted": "2024-01-26T23:12:17-05:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38019/galley/35752/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38019/galley/35752/download/" } ] }, { "pk": 38018, "title": "En la encrucijada de opresiones: explorando <em>Native Country of the Heart</em> desde lo interseccional", "subtitle": null, "abstract": "<p>Este artículo analiza la autobiografía <em>Native Country of the Heart </em>de Cherríe Moraga, explorando cómo la autora aborda las complejidades de la identidad y opresión chicana desde una perspectiva interseccional. Aplicando la teoría de Kimberlé Crenshaw, se examina cómo el género, raza, sexualidad y discriminación moldean la vida de Moraga. Se arguye que Moraga utiliza narrativas para desafiar estereotipos, visibilizar experiencias marginadas y promover justicia social. El análisis enfatiza su representación de historias personales y familiares como actos de resistencia contra el silenciamiento colonial.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "identidad chicana" }, { "word": "interseccionalidad" }, { "word": "narrativa" }, { "word": "resistencia" }, { "word": "Cherríe Moraga." } ], "section": "QUEER RESISTANCE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0d7805z2", "frozenauthors": [ { "first_name": "Hamideh", "middle_name": "", "last_name": "Falahasl", "name_suffix": "", "institution": "University of Houston", "department": "None", "country": "United States" } ], "date_submitted": "2024-01-26T19:42:19-05:00", "date_accepted": "2024-01-26T19:42:19-05:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38018/galley/35751/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38018/galley/35751/download/" } ] }, { "pk": 38020, "title": "Estéticas de la desidentificación en tiempos de biosociabilidad: sobre las nuevas escrituras travesti-trans en América Latina", "subtitle": null, "abstract": "<p>En este trabajo busco elaborar una cartografía de la narrativa de y sobre travestis-trans en América Latina para detectar los vasos comunicantes que existen en los primeros cuentos y novelas sobre el tema, y las nuevas voces en América Latina. Revisaré los debates en torno a la aparición de les cuerpos trans como problema para el discurso biologista y dimórfico, y cómo desde la filosofía de las ciencias y los feminismos materialistas se ha cuestionado su veracidad. La propuesta de la filósofa y neurocientífica Lu Ciccia sobre el desmontaje del cerebro dimórfico y el privilegio de la posibilidad plástica del mismo me ayudará a encontrar vías de análisis de las nuevas escrituras travesti-trans en Latinoamérica. Así, me enfocaré en de dos novelas publicadas en 2023: Inacabada , de la chilena Ariel Florencia Richards, y Tapizado corazón de orquídeas negras , de la mexicana Évolet Aceves, a partir de las categorías de desidentificación y biosociabilidad . Mi objetivo será revelar las técnicas que ambas escritoras utilizan para pensar el cuerpo propio y comprobar que le otorgan un papel fundamental a sus universos afectivos. Buscaré demostrar que existe una paradoja inevitable en sus despliegues estéticos que acepta, por una parte, discursos heteronormativos, y por otro lado, niegan el encasillamiento de sus cuerpos en los sistemas de verdad del paradigma científico moderno. Finalmente, destacaré los simbolismos alternativos por medio de los cuales intentan dar sentido a sus existencias mediante nuevos marcos hermenéuticos que funcionen para sus subjetividades.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "literatura trans" }, { "word": "travesti" }, { "word": "desidentificación" }, { "word": "biosociabilidad" }, { "word": "intra-acción" }, { "word": "América Latina" } ], "section": "TRANS AND TRAVESTI STRUGGLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1mp3j13w", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Martínez González", "name_suffix": "", "institution": "State University New York, Stony Brook", "department": "None" } ], "date_submitted": "2024-01-27T00:04:47-05:00", "date_accepted": "2024-01-27T00:04:47-05:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38020/galley/36444/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38020/galley/36444/download/" } ] }, { "pk": 38040, "title": "Gestos queer revolucionarios: desobediencias disruptivas frente a la normativa del género", "subtitle": null, "abstract": "<p>This article examines the challenges of trans and queer dissidence in Latin America in relation to the so-called \"single-issue politics\", which emerge as a phenomenon in contrast to broader struggles of sexual dissidence liberation movements in the United States and, by extension, across the rest of the hemisphere. Throughout the essay, the author analyzes how <em>revolutionary queer gestures</em> function as disruptive practices against hegemonic social norms. Accordingly, the article focuses on how these gestures are articulated through artistic, cultural, and literary expressions grounded in narratives of emancipation and processes of normativity disruption. </p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "sexual dissidence" }, { "word": "Single-issue politics" }, { "word": "normativity" }, { "word": "queer gestures" }, { "word": "revolution" } ], "section": "QUEER RESISTANCE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/74k148m9", "frozenauthors": [ { "first_name": "Jesus", "middle_name": "", "last_name": "Galindo Benitez", "name_suffix": "", "institution": "University of Virginia", "department": "None" } ], "date_submitted": "2024-05-22T17:34:52-04:00", "date_accepted": "2024-05-22T17:34:52-04:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38040/galley/35757/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38040/galley/35757/download/" } ] }, { "pk": 38017, "title": "Hijos homosexuales y sus madres en el cine de Almodóvar: patriarcado, sexualidad y capitalismo", "subtitle": null, "abstract": "<p>This article analyzes the relationship between homosexual sons and their mothers in Almodóvar's films, a dynamic developed from their shared suffering under the patriarchy as depicted in the films Pain and Glory (2019) and What have I done to deserve this? (1984). There is agreement in these dynamics as to how these two marginalized groups must navigate a post-Franco Spain in order to prosper. By resisting patriarchal limitations by coming together, gay sons and their mothers learn how to use their relationship to their advantage. Within this Oedipal analysis of a homosexual son and heterosexual mother in two films, the body represents patriarchal systems of oppression (the home and the state), it can be used to escape poverty (the body as transactional), the body can allow gender expression (the body as an expression of queerness) and sexuality (the body allows sexual liberation). The article is an analysis of both queerness and motherhood in Almodóvar’s films. This analysis first establishes why gay boys gravitate to their mother in an oedipal framework. Once establishing why this dynamic is prevalent, it looks into how these two groups bond over their shared experiences under the post Franco dictatorship and unite forces in order to allow for sexual expression and liberation under a capitalist and sexist structure.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "LGBTQ+ studies" }, { "word": "film studies" }, { "word": "Almodovar" }, { "word": "motherhood" } ], "section": "QUEER RESISTANCE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6b26w1j0", "frozenauthors": [ { "first_name": "Javier", "middle_name": "", "last_name": "Ramirez Franco", "name_suffix": "", "institution": "University of Houston", "department": "None" } ], "date_submitted": "2023-12-05T10:33:12-05:00", "date_accepted": "2023-12-05T10:33:12-05:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38017/galley/35750/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38017/galley/35750/download/" } ] }, { "pk": 38045, "title": "La figura de García Lorca: memoria y resistencia queer en <em>Bones of Contention</em> ", "subtitle": null, "abstract": "<p>Este artículo explora la figura de Federico García Lorca como un símbolo de resistencia queer durante y después del Franquismo, destacando cómo su vida y obra fueron instrumentalizadas por movimientos activistas contemporáneos para visibilizar a las minorías sexuales. A través del análisis del documental Bones of Contention (2017), dirigido por Andrea Weiss, y la teoría de la performatividad de Judith Butler, se argumenta que Lorca no solo desafió las normas represivas del régimen franquista, sino que su muerte y desaparición se convirtieron en una metáfora poderosa para el movimiento LGTBI+ en España. El artículo también profundiza en la represión sufrida por las personas homosexuales durante la Guerra Civil y el Franquismo, subrayando la invisibilización de las mujeres homosexuales en el imaginario social de la época. Al resaltar el contexto histórico y las secuelas de la Guerra Civil española, el estudio muestra cómo la persecución y asesinato de Lorca se entrelazan con la lucha por la recuperación de la memoria histórica y los derechos de las minorías sexuales.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Memory Studies" }, { "word": "Queer Studies" }, { "word": "Spanish Civil War" } ], "section": "QUEER RESISTANCE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/40j5b9mv", "frozenauthors": [ { "first_name": "Cristina", "middle_name": "G", "last_name": "Vázquez", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" } ], "date_submitted": "2024-09-16T02:05:21-04:00", "date_accepted": "2024-09-16T02:05:21-04:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38045/galley/35761/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38045/galley/35761/download/" } ] }, { "pk": 38044, "title": "Resurgimiento queer: resistencia política y cultural en las representaciones artísticas y literarias latinoamericanas", "subtitle": null, "abstract": "<p>En este estudio analizaré en profundidad los orígenes del continuo acoso al queer, comenzaré repasando los aspectos históricos de las diversas luchas feministas que impulsaron la lucha del movimiento queer. Haré énfasis en las instancias de violencia que existen hacia el queer en Latinoamérica y el origen de su repudio. Finalizaré proponiendo cómo las obras de distintos artistas mexicanos y latinoamericanos proponen, a través de la escritura y las letras, un posible cambio progresista en las estructuras sociales. Igualmente me apoyaré en los conceptos teóricos propuestos por Michel Foucault y Judith Butler, esto para más fácil entender la realidad que afectan a las minorías sexuales y cómo estas teorías desatienden o ignoran las realidades latinoamericanas. Mi entendimiento de los conceptos teóricos se ejemplificará a través de distintas producciones literarias y cinematográficas de autores y cineastas latinoamericanos. Argumento que los movimientos sociales requieren de un análisis introspectivo que permitan vislumbrar los errores de la sociedad y encontrar posibles soluciones. Por lo que, es a través del análisis de las representaciones literarias, culturales y artísticas se puede ejemplificar y hacer hincapié a situaciones cotidianas que amenazan la vida y libertad de los sujetos queer. Propongo que como sociedad crítica entremos en un proceso de autoexploración que ayude a entender las actitudes negativas que existen hacia las emergentes expresiones de género.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "QUEER RESISTANCE", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1c34f5hv", "frozenauthors": [ { "first_name": "Waldo", "middle_name": "N", "last_name": "Díaz", "name_suffix": "", "institution": "California State University Sacramento", "department": "None" } ], "date_submitted": "2024-09-05T08:36:35-04:00", "date_accepted": "2024-09-05T08:36:35-04:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38044/galley/35760/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38044/galley/35760/download/" } ] }, { "pk": 38035, "title": "Tradições translocas? ReXistências nas performances culturais do Boi Estrela em Quixeramobim-Ceará/Brasil1", "subtitle": null, "abstract": "<p>Este artigo tem como objetivo principal refletir sobre a performance de tradição do Boi a partir da experiência queer na cultura popular do estado do Ceará, na região Nordeste do Brasil. Para tanto, trago uma das passagens de uma cartografia das dissidências sexuais e de gênero nessas manifestações culturais diante de uma pesquisa que desenvolvi entre os anos de 2020 a 2024, focando na presença da brincante Laura Karielly do Boi Estrela do Mestre Piauí na cidade de Quixeramobim. Desse modo, discuto a resistência queer por meio do desafio à uma linhagem hegemônica que enreda a própria tradição, levando em conta a ideia de artivismo em sua forma brincante e o corpo como um veículo de comunicação entre tempos. Há uma realeza queer que convoca a lembrança e perfaz a tradição pelas estéticas do encantamento em cena.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Boi" }, { "word": "Cultura Popular" }, { "word": "queer" }, { "word": "Ceará" }, { "word": "Brasil." } ], "section": "TRANS AND TRAVESTI STRUGGLES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0w95t1fz", "frozenauthors": [ { "first_name": "Ribamar", "middle_name": "José de", "last_name": "Oliveira Junior", "name_suffix": "", "institution": "Federal University of Rio de Janeiro (UFRJ)", "department": "None" } ], "date_submitted": "2024-03-26T02:12:59-04:00", "date_accepted": "2024-03-26T02:12:59-04:00", "date_published": "2025-05-15T04:00:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38035/galley/35754/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/mester/article/38035/galley/35754/download/" } ] }, { "pk": 47442, "title": "Appalachia As Ghost", "subtitle": null, "abstract": "A poem in the \"Verse in Place\" section of Parks Stewardship Forum.", "language": "eng", "license": null, "keywords": [], "section": "Verse in Place", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9ks4n8gd", "frozenauthors": [ { "first_name": "Trish", "middle_name": "J.", "last_name": "Gibson", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47442/galley/35779/download/" } ] }, { "pk": 47440, "title": "Artifacts in the Experience of Fuzzy “Nature”: A Commentary", "subtitle": null, "abstract": "Many peer-reviewed research publications have concluded that “experience of nature” is beneficial for mental health and well-being, but virtually all of them offer only fuzzy definitions of “nature,” or none at all, and the “nature” to which subjects are exposed is itself fuzzy. This commentary argues that accounting for the two kinds of fuzziness are the underappreciated roles of artifacts and natural kinds (as understood by cognitive psychologists and philosophers of science) in both researcher and subject thinking which involves quasi-natural places and scenes. Artifacts, if discerned, adulterate what might otherwise be considered “nature.” They arouse thinking about the intentions behind them and in doing so they may trigger rumination. Rumination is associated with depression and other undesirable mental states, now rampant in urban populations. Instances of natural kinds, by definition and in contrast, generally do not express human intentions, so attending to them entails less rumination. The commentary suggests several potential explanations for why exposure to fuzzy “nature” may be healthful despite the fact that a “green” landscape or scene abounds in artifacts. It ends with some implications for research and park practice.", "language": "eng", "license": null, "keywords": [ { "word": "Experience of nature; fuzzy nature; artifacts; Theory of Mind; park planning; park management" } ], "section": "Advances in Research and Management", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7136p92w", "frozenauthors": [ { "first_name": "Raymond", "middle_name": "", "last_name": "Chipeniuk", "name_suffix": "", "institution": "University of Northern British Columbia", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47440/galley/35777/download/" } ] }, { "pk": 47437, "title": "Biosphere Reserves: Learning Places for Sustainable Human Relationships with the Planet", "subtitle": null, "abstract": "An excerpt from the book Nature on the Edge: Lessons for the Biosphere from the California Coast.", "language": "eng", "license": null, "keywords": [], "section": "New Perspectives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9t80f9n6", "frozenauthors": [ { "first_name": "Bruce", "middle_name": "A.", "last_name": "Byers", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47437/galley/35774/download/" } ] }, { "pk": 47434, "title": "Braiding Partner Interests into a Youth Water Quality Monitoring Program", "subtitle": null, "abstract": "Many of America’s cherished national parks are seeing a domino effect of ecological change triggered by climatic shifts. Long-term monitoring offers an opportunity to document baseline conditions, detect change, and make informed decisions about how to address our uncertain future. Given the National Park Service’s commitment to embedding science-informed practices into all aspects of the agency’s work, we recently established a multi-entity partnership to improve direct experiences with water science in park-based youth programs that conduct monitoring, for the sake of both youth science literacy and long-term monitoring. Here, Grand Teton National Park, Teton Science Schools, and the University of Wyoming Science & Mathematics Teaching Center share an approach and lessons learned from an ongoing project to foster engagement of 5th-graders via water quality monitoring opportunities along the Snake River. We forged a partnership that evolved, much like the ebb and flow of the braided channel of the Snake. Insights include some of the challenges in identifying meaningful project elements and creating age-appropriate scientific monitoring protocols that meet converging goals and values.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5zm1k3s9", "frozenauthors": [ { "first_name": "Claire", "middle_name": "I.", "last_name": "Gunshenan", "name_suffix": "", "institution": "University of Wyoming", "department": "" }, { "first_name": "Martha", "middle_name": "C.", "last_name": "Inouye", "name_suffix": "", "institution": "University of Wyoming", "department": "" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Collins", "name_suffix": "", "institution": "University of Wyoming", "department": "" }, { "first_name": "Leslie", "middle_name": "", "last_name": "Cook", "name_suffix": "", "institution": "Teton Science Schools", "department": "" }, { "first_name": "Megan", "middle_name": "", "last_name": "Kohil", "name_suffix": "", "institution": "Grand Teton National Park", "department": "" }, { "first_name": "Julia", "middle_name": "", "last_name": "Olson", "name_suffix": "", "institution": "Teton Science Schools", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "HTML", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47434/galley/35771/download/" } ] }, { "pk": 47427, "title": "Cover, Masthead, and Table of Contents PSF Vol. 41 no. 2", "subtitle": null, "abstract": "<p>Cover, Masthead, and Table of Contents PSF Vol. 41 no. 2</p>", "language": "eng", "license": null, "keywords": [ { "word": "contents" } ], "section": "Cover, Masthead, and Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/23k122r9", "frozenauthors": [ { "first_name": "", "middle_name": "", "last_name": "", "name_suffix": "", "institution": "UCB/GWS", "department": "The PSF Editorial Team" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47427/galley/35764/download/" } ] }, { "pk": 47436, "title": "Engaging Students in Solutions-Oriented Climate Science Field Trips Through Local Partnerships", "subtitle": null, "abstract": "Youth climate change programming in parks and natural spaces offers a compelling, solutions-focused approach to addressing local impacts and should be championed by park and open space managers, educators, and community partners. By combining climate change education with hands-on experiences in nature, the San Mateo County Youth Exploring Climate Science (YECS) program exemplifies how parks and open spaces can inspire and empower the next generation to confront local climate challenges.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0d798083", "frozenauthors": [ { "first_name": "Jess", "middle_name": "", "last_name": "Dominick", "name_suffix": "", "institution": "San Mateo County Sustainability Department", "department": "" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Ford-Peterson", "name_suffix": "", "institution": "San Mateo County Sustainability Department", "department": "" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Wright", "name_suffix": "", "institution": "San Mateo County Sustainability Department", "department": "" }, { "first_name": "Karen", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "San Mateo County Sustainability Department", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47436/galley/35773/download/" } ] }, { "pk": 47435, "title": "Fostering the Next Generation of Climate Stewards: Miami-Dade County Parks, Recreation and Open Spaces Department as a Model for Park-Based Environmental Education (Field Case Studies)", "subtitle": null, "abstract": "<p>Parks programs serve as dynamic living classrooms, offering children and youth the chance to engage with climate change education in ways that are both immersive and impactful. Miami-Dade County Parks, Recreation and Open Spaces Department exemplifies this approach, leveraging South Florida’s natural landscapes to explore the phenomenon and effects of climate change. The Department’s programs enable young participants to observe first-hand the impacts of rising sea levels and extreme weather events on their communities, fostering an understanding of the urgent need for climate action. Through place-based learning opportunities, both in parks and within classroom settings, Miami-Dade County Parks combines experiential activities with curricula developed in partnership with educators and interdisciplinary teams.</p>", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4r79538t", "frozenauthors": [ { "first_name": "Maria", "middle_name": "I.", "last_name": "Nardi", "name_suffix": "", "institution": "Miami-Dade County Parks, Recreation and Open Spaces Department", "department": "" }, { "first_name": "Devin", "middle_name": "", "last_name": "Meheen", "name_suffix": "", "institution": "Miami-Dade County Parks, Recreation and Open Spaces Department", "department": "" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Bumpus", "name_suffix": "", "institution": "Miami-Dade County Parks, Recreation and Open Spaces Department", "department": "" }, { "first_name": "Maria", "middle_name": "", "last_name": "Padron", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Karen", "middle_name": "", "last_name": "Solms", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Gabriela", "middle_name": "", "last_name": "Lopez", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ruben", "middle_name": "", "last_name": "Arce", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47435/galley/35772/download/" } ] }, { "pk": 47431, "title": "How the Biophilic Profile Tool Might Inform Climate Advocacy", "subtitle": null, "abstract": "Across the globe, our park systems, which serve as strongholds for intact ecosystems and as some of the last bastions of wilderness, are exhibiting the impacts of a changing climate. This is particularly significant because these emblematic sites serve as vital educational opportunities. While parks are uniquely positioned as prospects for promoting climate advocacy, it is important to recognize that our relationship with climate change and our connection to nature varies dramatically across different groups of people. Consequently, the effectiveness of climate-related educational efforts depends directly on strategic messaging that aligns with these distinctions. By using the Biophilia Hypothesis as a theoretical framework and employing the Biophilic Profile, an educational tool that explores our nuanced connection to nature, valuable patterns can emerge that offer insights into strategies to diversify climate messaging to better align with different people’s unique ways of knowing. This alignment can promote more effective, responsive, and meaningful climate campaigns and environmental education initiatives.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7360x0js", "frozenauthors": [ { "first_name": "Scott", "middle_name": "", "last_name": "Ramsey", "name_suffix": "", "institution": "Prescott College", "department": "" }, { "first_name": "Steve", "middle_name": "", "last_name": "Sassaman", "name_suffix": "", "institution": "Arizona State University", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47431/galley/35768/download/" } ] }, { "pk": 47429, "title": "Invasive Species Management Through the Lens of Chemistry", "subtitle": null, "abstract": "In this \"Branching Out\" editorial, our guest columnists advocate that the time is now for a new field of conservation chemistry, one which aims to bring the best tools of modern chemistry innovation to the frontlines of conservation. The state-of-the-art medicine with which we rid human patients of cancers with precision can teach us a complementary approach to precision invasive species management and serve as a new tool in the fight to preserve biodiversity and improve planetary health.", "language": "eng", "license": null, "keywords": [], "section": "Points of View", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5bs972rg", "frozenauthors": [ { "first_name": "Yu-Pu", "middle_name": "", "last_name": "Juang", "name_suffix": "", "institution": "University of Michigan", "department": "" }, { "first_name": "Tim", "middle_name": "", "last_name": "Cernak", "name_suffix": "", "institution": "University of Michigan", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47429/galley/35766/download/" } ] }, { "pk": 47430, "title": "Park-Based Learning Inspires Youth to Rise to the Climate Challenge", "subtitle": null, "abstract": "There is tremendous potential to facilitate learning about climate change with and within US national park sites and in other parks across the country. This special issue focuses on partner agencies and organizations that have developed innovative approaches to engaging learners to better understand natural science, climate change, and sustainability ethics. There are hundreds of examples of this work and these types of partnerships across the country, and this special issue packages a unique combination of case studies and activity guides. The case study format may be more familiar, but we’re very excited to introduce a set of activity guides that could be adapted and used in classrooms, at camps, or on field trips to virtually any public land or park.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0jr5w00w", "frozenauthors": [ { "first_name": "Ana", "middle_name": "", "last_name": "Houseal", "name_suffix": "", "institution": "University of Wyoming", "department": "" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Thompson", "name_suffix": "", "institution": "Northern Michigan University", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47430/galley/35767/download/" } ] }, { "pk": 47433, "title": "Reading the Rocks: The Geology of National Parks as a Platform for Climate Change Education", "subtitle": null, "abstract": "In this case study we describe the integration of climate change education into a college-level General Education course entitled The Geology of National Parks at California State University, Fullerton. By focusing on developing student observation and interpretation skills in the examination of national park rocks and landscapes, the assignment structure guides students to understand and contrast the longevity of geological processes with that of recent, rapid, anthropogenic change. Through a series of scaffolded writing exercises, including observational analysis, creation of interpretive signage, and analysis of satellite imagery, students learn to distinguish between observations and interpretations, connect geological processes to past climate conditions, and recognize evidence of rapid, human-induced climate change. This approach fosters critical thinking and scientific literacy while engaging students with America’s national parks, including (but not limited to) Bryce Canyon, Zion, Grand Canyon, Yosemite, and Glacier. This case study serves as a guide for others who would like to incorporate similar assignments into their own courses and includes instructions for these activities that other instructors can use or adapt for their own context.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/89t8m3g4", "frozenauthors": [ { "first_name": "Natalie", "middle_name": "", "last_name": "Bursztyn", "name_suffix": "", "institution": "University of Montana", "department": "" }, { "first_name": "Diane", "middle_name": "", "last_name": "Clemens-Knott", "name_suffix": "", "institution": "California State University–Fullerton", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47433/galley/35770/download/" } ] }, { "pk": 47428, "title": "Refoundation", "subtitle": null, "abstract": "In this \"Letter from Woodstock,\" our columnist contemplates Trump's unprecedented assault on the National Park Service and the national park system, and how it will one day be overcome.", "language": "eng", "license": null, "keywords": [], "section": "Points of View", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/96h1b04h", "frozenauthors": [ { "first_name": "Rolf", "middle_name": "", "last_name": "Diamant", "name_suffix": "", "institution": "GWS", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47428/galley/35765/download/" } ] }, { "pk": 47438, "title": "Strategic Collaboration with the National Park Service Advances Native Sovereignty", "subtitle": null, "abstract": "An excerpt from the book \"National Parks, Native Sovereignty: Experiments in Collaboration.\"", "language": "eng", "license": null, "keywords": [], "section": "New Perspectives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4kr0j95d", "frozenauthors": [ { "first_name": "Christina", "middle_name": "", "last_name": "Gish Hill", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Matthew", "middle_name": "J.", "last_name": "Hill", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Brooke", "middle_name": "", "last_name": "Neely", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47438/galley/35775/download/" } ] }, { "pk": 47432, "title": "The Biophilic Profile Tool as a Guide for Climate Change Conversations", "subtitle": null, "abstract": "Participation in recreational activities in parks and protected areas can inspire both climate change awareness and advocacy by encouraging healthy engagement with nature. However, programming must align with the various ways we relate to nature to be effective. One strategy of alignment is to employ the Biophilic Profile tool, an education survey adapted from the Kellert-Shorb Biophilic Values Indicator (KSBVI). Emerging from the Biophilia Hypothesis, the KSBVI has been utilized by the authors to screen participants before programs to develop curricula that better cater toward participants’ preferred values. The activity guide we present here has multiple activities that can be facilitated in the field for a range of participants. Through the implementation of the Biophilic Profile tool, the authors have found a heightened awareness of nature-connectedness in participants and have been able to guide deeper conversations surrounding climate consciousness by effectively matching relevant activities that strengthen these relationships with nature.", "language": "eng", "license": null, "keywords": [], "section": "Featured Theme Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99s244g5", "frozenauthors": [ { "first_name": "Steve", "middle_name": "", "last_name": "Sassaman", "name_suffix": "", "institution": "Arizona State University", "department": "" }, { "first_name": "Deidra", "middle_name": "", "last_name": "Goodwin", "name_suffix": "", "institution": "DGoodwin Experiential LLC", "department": "" }, { "first_name": "Scott", "middle_name": "", "last_name": "Ramsey", "name_suffix": "", "institution": "Prescott College", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47432/galley/35769/download/" } ] }, { "pk": 47439, "title": "Where is the “Real” Grand Canyon?", "subtitle": null, "abstract": "<p>An excerpt from the book \"Framing Nature: The Creation of an American Icon at the Grand Canyon.\"</p>", "language": "eng", "license": null, "keywords": [], "section": "New Perspectives", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/66z8q2z5", "frozenauthors": [ { "first_name": "Yolonda", "middle_name": "", "last_name": "Youngs", "name_suffix": "", "institution": "California State University–San Bernardino", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47439/galley/35776/download/" } ] }, { "pk": 47441, "title": "Wilderness Fire: The Beauty of Fire-Prone Landscapes", "subtitle": null, "abstract": "The Selway-Bitterroot Wilderness, a vast 1.3-million-acre expanse in western Montana and eastern Idaho, is a landscape deeply intertwined with fire. Today, this rugged wilderness area has one of the most active fire regimes in the contiguous US, and continues to be a “natural laboratory” for us to understand how fire interacts with forests, especially in a time of changing climate. I have spent two summers in the heart of the Selway-Bitterroot as part of research teams from the University of Montana, gathering data from and creating images of this unique area. These images reveal a landscape where fire is an agent of destruction but also one of stability and rejuvenation—a balancing force that creates space for new growth and adaptation.", "language": "eng", "license": null, "keywords": [], "section": "The Photographer’s Frame", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9kz4c4dh", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Kreider", "name_suffix": "", "institution": "University of Montana", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-05-15T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/psf/article/47441/galley/35778/download/" } ] }, { "pk": 24870, "title": "Trends in Studies on Transesophageal Echocardiography in Emergency Medicine: A Scoping Review", "subtitle": null, "abstract": "<p><strong>Background:</strong> Transesophageal echocardiography (TEE) has been introduced in resuscitative scenarios in recent decades, with a growing number of emergency physicians learning, performing, and studying resuscitative TEE.</p>\n<p><strong>Objective:</strong> Our goal was to characterize publishing trends regarding TEE use in emergency medicine (EM) and to investigate the increasing interest in potential applications of TEE in emergency departments (ED).</p>\n<p><strong>Methods:</strong> We retrieved published research associated with the use of TEE in EM from the Web of Science database from inception to December 31, 2023. We analyzed trends based on the number of articles published annually. To systematically map trends related to TEE in emergency medicine (EM), we extracted data on the number of unique EM TEE practitioners, institutions performing EM TEE, study topics, and other characteristics from research articles and case reports. To better reflect research trends, we exclusively conducted subgroup analysis on the research articles. We used linear regression analysis to analyze trends and conducted checkpoints on the timelines.</p>\n<p><strong>Results: </strong>Of the 964 titles and abstracts screened, we included 99 eligible published articles after careful review. Articles related to EM TEE increased from one article in 1991 to 20 articles in 2023, and the rate of publication has increased rapidly since 2018 (+12.4 publications per year, 95% confidence interval [CI] 9.8-15.0, P<0.001). The number of EM TEE practitioners and EM TEE-performing institutions underwent a rapid expansion with an inflection point between 2018–2020, with a rate of +91.7 practitioners per year and +36.5 institutions per year. Subgroup analysis revealed a similar trend in the published research articles. The most common indications for EM TEE were cardiac arrest (72.7%), shock (13.1%), and procedural guidance (11.1%). The United States published the majority of EM TEE-related articles (51.5%). </p>\n<p><strong>Conclusion:</strong> The present study highlights that TEE-related articles in EM continue to accelerate. Among the indications for TEE, cardiac arrest remains the most frequently discussed. This scoping review provides insights into the expanding interest and applications of TEE in the field of EM.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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" }, { "word": "emergency" }, { "word": "Trend Analysis" }, { "word": "scoping review" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8fc640rd", "frozenauthors": [ { "first_name": "Bor-Yuan", "middle_name": "", "last_name": "Tseng", "name_suffix": "", "institution": "Tzu Chi University, School of Medicine, Hualien, Taiwan; Far Eastern Memorial Hospital, Department of General Medicine, New Taipei City, Taiwan", "department": "" }, { "first_name": "Chih-Jui", "middle_name": "", "last_name": "Yang", "name_suffix": "", "institution": "Tzu Chi University, School of Medicine, Hualien, Taiwan; Far Eastern Memorial Hospital, Department of General Medicine, New Taipei City, Taiwan", "department": "" }, { "first_name": "Jen-Tang", "middle_name": "", "last_name": "Sun", "name_suffix": "", "institution": "Tzu Chi University, School of Medicine, Hualien, Taiwan; Far Eastern Memorial Hospital, Department of Emergency Medicine, New Taipei City, Taiwan; Lunghwa University of Science and Technology, Taoyuan City, Taiwan", "department": "" }, { "first_name": "Yiju Teresa", "middle_name": "", "last_name": "Liu", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "" }, { "first_name": "Kabir", "middle_name": "", "last_name": "Yadav", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California; Lundquist Institute for Biomedical Innovation, Torrance, California", "department": "" }, { "first_name": "Yu-Lin", "middle_name": "", "last_name": "Hsieh", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Medicine, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts, USA", "department": "" }, { "first_name": "Sheng-En", "middle_name": "", "last_name": "Chu", "name_suffix": "", "institution": "Far Eastern Memorial Hospital, Department of Emergency Medicine, New Taipei City, Taiwan; Cardinal Tien Junior College of Healthcare and Management, Department of Nursing, Yilan, Taiwan; Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Department of Emergency Medicine, Chiayi, Taiwan", "department": "" }, { "first_name": "Chen-Wei", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Tzu Chi University, School of Medicine, Hualien, Taiwan; Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Department of Emergency Medicine, Chiayi, Taiwan", "department": "" }, { "first_name": "Yi-Kung", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Tzu Chi University, School of Medicine, Hualien, Taiwan; Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Department of Emergency Medicine, Chiayi, Taiwan", "department": "" }, { "first_name": "Tou-Yuan", "middle_name": "", "last_name": "Tsai", "name_suffix": "", "institution": "Tzu Chi University, School of Medicine, Hualien, Taiwan; Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Department of Emergency Medicine, Chiayi, Taiwan", "department": "" } ], "date_submitted": "2024-06-15T10:09:58.728000-04:00", "date_accepted": "2025-01-14T15:42:58.996000-05:00", "date_published": "2025-05-14T12:45:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/24870/galley/36385/download/" } ] }, { "pk": 20355, "title": "A Systematic Review of Guidelines for Emergency Department Care of Sexual Minorities: Implementable Actions to Improve Care", "subtitle": null, "abstract": "<p>Introduction: Sexual minorities, including lesbian, gay, bisexual, asexual, pansexual, and others make up 4.0 to 5.4% of the North American population. Stigmatization and minority stress can lead to poorer health status in sexual minorities, and a previous scoping review showed gaps in the emergency medicine (EM) literature for care of sexual minorities. In this review we sought to examine existing guidelines for the care of sexual minorities that made recommendations relevant to care in the emergency department (ED).</p>\n<p>Methods: Using the PRISMA criteria, we performed a systematic search of OVID Medline, EMBASE, CINAHL, and the grey literature for clinical practice guidelines (CPG) and best practice statements (BPS) published until July 31, 2022. Articles were included if they were in English, included medical care of sexual minority populations of any age, in any setting, region, or nation, and were of national or international scope. Exclusion criteria included primary research studies, systematic or narrative reviews or otherwise non-CPG or BPS statements, editorials or letters to the editor, articles of regional or individual hospital scope, non-medical articles, or if a more recent version of the CPG or BPS existed. We identified, recorded, and assessed for quality all recommendations relevant to using the AGREE-II and AGREE-REX tools. Inter-rater reliability was assessed using the interclass correlation coefficient. We coded recommendations for the relevant point of care while in the ED (triage, registration, rooming, investigations, etc).</p>\n<p>Results: We excluded 2,413 of 2,534 unique articles. Only nine articles contributed 11 ED-relevant recommendations. Seven of the nine articles were found to be of moderate to high quality; 6 of 11 recommendations were identified as high quality and adaptable. They included recommendations for screening, testing, and care of HIV+ sexual minority populations, and general or trauma care for men who have sex with men and sexual minority populations in general.</p>\n<p>Conclusion: This is the most comprehensive review of guidance documents for care of sexual minority populations to date. It identifies 11 actionable recommendations for the ED and identifies opportunities for community-led development of comprehensive clinical practice guidelines for care of sexual minority populations in the ED. </p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "LGB" }, { "word": "sexual minorities" }, { "word": "social determinents of health" }, { "word": "Gay" }, { "word": "Lesbian" }, { "word": "bisexual" }, { "word": "pansexual" }, { "word": "Asexual" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5q35b4dp", "frozenauthors": [ { "first_name": "Michael", "middle_name": "I.", "last_name": "Kruse", "name_suffix": "", "institution": "McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Sawyer", "middle_name": "", "last_name": "Karabelas-Pittman", "name_suffix": "", "institution": "Queen’s University School of Medicine, Faculty of Health Sciences, School of Medicine, Kingston, Ontario, Canada", "department": "" }, { "first_name": "Grace", "middle_name": "", "last_name": "Northrop", "name_suffix": "", "institution": "University of Ottawa School of Medicine, Faculty of Medicine, Ottawa, Ontario, Canada", "department": "" }, { "first_name": "Joanna", "middle_name": "", "last_name": "Stuart", "name_suffix": "", "institution": "University of British Columbia, Faculty of Medicine, Vancouver, British Columbia, Canada", "department": "" }, { "first_name": "Suneel", "middle_name": "", "last_name": "Upadhye", "name_suffix": "", "institution": "McMaster University, Division of Emergency Medicine, Hamilton, Ontario, Canada", "department": "" }, { "first_name": "Blair", "middle_name": "L.", "last_name": "Bigham", "name_suffix": "", "institution": "Scarbrough Health Network, Department of Critical Care. Toronto, Ontario, Canada; University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada", "department": "" } ], "date_submitted": "2024-03-17T14:30:36.962000-04:00", "date_accepted": "2025-01-14T15:15:25.083000-05:00", "date_published": "2025-05-13T13:10:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/20355/galley/36380/download/" } ] }, { "pk": 19438, "title": "Development and Evaluation of a Novel Curriculum for Whole Blood Transfusion by Paramedics in the Prehospital Environment", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Resuscitation with low-titer O+ whole blood improves the outcomes of patients with hemorrhagic shock. Recently, some emergency medical services (EMS) agencies have started to carry blood in the field. However, there exists no standardized training program to teach paramedics the fundamentals of blood administration. This study describes one EMS system’s experience with implementing a novel, whole blood educational curriculum. </p>\n<p><strong>Methods:</strong> We used Kern’s six-step framework to develop a novel curriculum to provide paramedics the requisite knowledge to safely administer blood in the field. The course included an asynchronous component as well as an in-person, skills competency verification. The asynchronous portion was open to any paramedic, but only paramedic supervisors were eligible for the in-person skills check as they are the ones tasked with administering blood in the field. The course was evaluated through survey and performance outcome measurements. </p>\n<p><strong>Results:</strong> Fifty-three (26.5%) of 200 total paramedics at a combined career and volunteer fire department enrolled in the asynchronous course, and 31 (58.5%) completed the pre- and post-course survey. Of participating paramedic supervisors, 20 of 20 (100%) finished both portions of the course. Survey answers were based on a 5-point Likert scale. We reported results as a mean, with 5 corresponding to “strongly comfortable” or “strongly agree.” There was a statistically significant increase in the number of respondents who felt overall comfortable in administering blood from 3.51 to 4.16 (P = 0.003). Additionally, there was an increase in the number of paramedics who reported feeling comfortable performing the procedure of a blood transfusion from 3.11 to 4.13 (P = <0.001). Nearly all participants (30/31) would recommend the course to someone else. In the first three months of carrying blood in the field, there were 12 units of blood transfused and no protocol deviations or safety events. </p>\n<p><strong>Conclusion:</strong> This study provides a model for the successful creation and implementation of a prehospital blood transfusion educational program using Kern’s framework. The curriculum was implemented in a single EMS system with senior paramedics, which may limit generalizability.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "whole blood" }, { "word": "paramedic" }, { "word": "EMS" }, { "word": "resuscitation" } ], "section": "Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/28g4925s", "frozenauthors": [ { "first_name": "Eric", "middle_name": "", "last_name": "Garfinkel", "name_suffix": "", "institution": "Johns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Robby", "middle_name": "", "last_name": "May", "name_suffix": "", "institution": "Howard County, Department of Fire & Rescue Services, Marriottsville, Maryland", "department": "" }, { "first_name": "Asa", "middle_name": "", "last_name": "Margolis", "name_suffix": "", "institution": "Johns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Eric", "middle_name": "", "last_name": "Cohn", "name_suffix": "", "institution": "Howard County, Department of Fire & Rescue Services, Marriottsville, Maryland", "department": "" }, { "first_name": "Steven", "middle_name": "", "last_name": "Colburn", "name_suffix": "", "institution": "Howard County, Department of Fire & Rescue Services, Marriottsville, Maryland", "department": "" }, { "first_name": "Tom", "middle_name": "", "last_name": "Grawey", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "Johns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland", "department": "" } ], "date_submitted": "2024-02-13T21:16:52.340000-05:00", "date_accepted": "2024-10-13T15:38:52.606000-04:00", "date_published": "2025-05-13T10:06:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/19438/galley/36394/download/" } ] }, { "pk": 25005, "title": "Emergency Department Blood Pressure Management in Type B Aortic Dissection: An Analysis with Machine Learning", "subtitle": null, "abstract": "<p><strong>Background:</strong> Acute aortic dissections (AAD) have a high morbidity and mortality rate. Treatment for type B aortic dissection includes strict systolic blood pressure (SBP) and heart rate (HR) control per the American Heart Association (AHA) guidelines. However, predictors of successful emergency department (ED) management of SBP have not been well studied. </p>\n<p><strong>Methods:</strong> We retrospectively analyzed the records of adult patients presenting to any regional ED with type B AAD between 2017–2020 with initial SBP >120 mmHg and HR >60 beats per minute (bpm) and were subsequently transferred to our quaternary center. Primary outcome was SBP <120 mmHg based on both the 2010 and 2022 AHA guidelines and HR <60 bpm (based on the 2010 guideline), or HR <80 (2022 guideline). We used random forest (RF) algorithms, a machine-learning tool that uses clusters of decision trees to predict a categorical outcome, to identify predictors of achieving HR and SBP goals prior to ED departure, defined as the time point at which patients left the referring ED to come to our institution. </p>\n<p><strong>Results:</strong> The analysis included 134 patients. At the time of ED departure, 26 (19%) had SBP <120 mmHg, 96 (67%) received anti-impulse therapy, and 40 (28%) received beta-blocker or vasodilator infusions specifically. The RF algorithm identified higher triage SBP and treatment with intravenous labetalol as the top predictors for SBP >120 mmHg at ED departure, contrary to AHA guidelines. Pain management with higher total morphine equivalent unit, as well as shorter time to computed tomography as predictors for HR <60 bpm and <80 bpm, were in concert with AHA guidelines.</p>\n<p><strong>Conclusion:</strong> Many patients with type B AAD did not achieve hemodynamic parameters in line with 2010 or 2022 AHA guidelines while being in the ED prior to transferring to a quaternary care center for further evaluation and management. Patients with higher heart rate and systolic blood pressure on ED arrival were less likely to achieve goals at the time of departure from the referring EDs. Those receiving more pain medications prior to transfer were more likely to meet certain AHA goals.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Keywords: Type B aortic dissection" }, { "word": "Emergency management" }, { "word": "american heart association guideline" }, { "word": "systolic blood pressure" }, { "word": "heart rate" }, { "word": "Antihypertensive" }, { "word": "Type B" }, { "word": "Aortic Dissection" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4b04t42g", "frozenauthors": [ { "first_name": "Nelson", "middle_name": "", "last_name": "Chen", "name_suffix": "", "institution": "University of Maryland School of Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Jessica", "middle_name": "V.", "last_name": "Downing", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Program in Trauma, The R. Adam Cowley Shock Trauma Center, Baltimore, Maryland", "department": "" }, { "first_name": "Jacob", "middle_name": "", "last_name": "Epstein", "name_suffix": "", "institution": "Research Associate Program in Emergency Medicine and Critical Care, University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Samira", "middle_name": "", "last_name": "Mudd", "name_suffix": "", "institution": "Research Associate Program in Emergency Medicine and Critical Care, University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Angie", "middle_name": "", "last_name": "Chan", "name_suffix": "", "institution": "Research Associate Program in Emergency Medicine and Critical Care, University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Sneha", "middle_name": "", "last_name": "Kuppireddy", "name_suffix": "", "institution": "Research Associate Program in Emergency Medicine and Critical Care, University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Roya", "middle_name": "", "last_name": "Tehrani", "name_suffix": "", "institution": "Research Associate Program in Emergency Medicine and Critical Care, University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Isha", "middle_name": "", "last_name": "Vashee", "name_suffix": "", "institution": "Research Associate Program in Emergency Medicine and Critical Care, University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Emily", "middle_name": "", "last_name": "Hart", "name_suffix": "", "institution": "University of Maryland Medical Center, Critical Care Resuscitation Unit, Baltimore, Maryland", "department": "" }, { "first_name": "Emily", "middle_name": "", "last_name": "Esposito", "name_suffix": "", "institution": "University of Maryland School of Medicine, Program in Trauma, The R. Adam Cowley Shock Trauma Center, Baltimore, Maryland", "department": "" }, { "first_name": "Rose", "middle_name": "", "last_name": "Chasm", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Quincy", "middle_name": "K.", "last_name": "Tran", "name_suffix": "", "institution": "Research Associate Program in Emergency Medicine and Critical Care, University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Program in Trauma, The R. Adam Cowley Shock Trauma Center, Baltimore, Maryland", "department": "" } ], "date_submitted": "2024-06-29T08:09:57.441000-04:00", "date_accepted": "2024-11-26T13:31:13.521000-05:00", "date_published": "2025-05-12T12:23:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/25005/galley/36412/download/" } ] }, { "pk": 21242, "title": "Evaluation of Disparities in Emergency Department Admission and Wait Times for Non-English Preferred Patients", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Patients who prefer to communicate in a language other than English are vulnerable to the consequences of medical communication barriers. Studies of non-English language preferred (NELP) and English language preferred (ELP) patients have shown differences in rates of hospital admission and wait times—factors known to be related to increased costs and lower patient satisfaction. However, few studies include languages other than Spanish or account for patient acuity level. </p>\n<p><strong>Methods:</strong> We performed a retrospective cohort study at an urban, Level I trauma center from January–December 2020. Patients were grouped by language preference, with NELP languages grouped into three categories: Spanish; Chinese (Mandarin, Cantonese, Taishanese, Taiwanese, and Zhongshan-Chinese dialect); and other (all other remaining languages). We extracted age, sex, race, ethnicity, language preference, emergency department (ED) discharge disposition, and Emergency Severity Index Score (ESI) from the electronic health record. The primary outcome was the hospital admission rate. Secondary outcomes were the time from patient arrival to placement in the treatment room and the time from patient arrival to disposition. We analyzed data with chi-square tests, logistic, and linear regressions.</p>\n<p><strong>Results: </strong>Of the 58,079 unique ED encounters, 26.4% (15,307) patients identified as NELP. Within NELP patient encounters, 75.0% preferred Spanish, 13.9% preferred Chinese, and 11.1% preferred another language. After adjusting for age and acuity, Spanish language- and Chinese language-preferred patients were at 16% and 14% higher odds of admission, respectively (odds ratio [OR] 1.16, 95% confidence interval [CI] 1.10-1.23 and OR 1.14, CI 1.02-1.27 respectively), compared to ELP patients. NELP patients waited an average 5.4 minutes longer to be roomed (95% CI 4.46-6.29) and 15.6 minutes longer until disposition (95% CI 12.62-18.54, P<0.05). This discrepancy was greater for patients triaged at lower acuities, with ESI 5 Spanish language- and Chinese language-preferred patients waiting an average of 50.3 and 90.6 minutes longer than ELP patients until disposition (95% CI 17.67-83.57; and 95% CI 24.31-81.57 respectively).</p>\n<p><strong>Conclusion:</strong> After adjusting for acuity level and age, non-English language preferred patients were at higher odds of admission and experienced disparate wait times, especially at lower acuity levels. Further investigation is needed to understand the causes of these differences and mitigate these health inequities.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "non-English Language Preferred" }, { "word": "Limited English Speaking" }, { "word": "admissions" }, { "word": "Admission Rate" }, { "word": "Wait Time" }, { "word": "English Language Preferred" }, { "word": "limited English proficiency" }, { "word": "Spanish" }, { "word": "Chinese" }, { "word": "operations" }, { "word": "ED" }, { "word": "emergency department" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8nq3b234", "frozenauthors": [ { "first_name": "John", "middle_name": "", "last_name": "Wong-Castillo", "name_suffix": "", "institution": "University of California San Francisco – Fresno, Department of Emergency Medicine, Fresno, California", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Berger", "name_suffix": "", "institution": "Virginia Commonwealth University Health System, Department of Emergency Medicine and Internal Medicine, Richmond, Virginia", "department": "" }, { "first_name": "Juan Carlos", "middle_name": "", "last_name": "Montoy", "name_suffix": "", "institution": "Virginia Commonwealth University Health System, Department of Emergency Medicine and Internal Medicine, Richmond, Virginia", "department": "" }, { "first_name": "Riham", "middle_name": "", "last_name": "Alwan", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "" } ], "date_submitted": "2024-05-24T22:28:37.180000-04:00", "date_accepted": "2025-01-18T19:13:30.142000-05:00", "date_published": "2025-05-12T12:10:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/21242/galley/36378/download/" } ] }, { "pk": 47396, "title": "CPC-EM Full-Text Issue", "subtitle": null, "abstract": "", "language": null, "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "CPC-EM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/20j9t9f3", "frozenauthors": [ { "first_name": "Clinical Practice and Cases in Emergency Medicine", "middle_name": "", "last_name": "CPC-EM", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-12T03:59:22.315000-04:00", "date_accepted": "2025-05-12T04:01:40.845000-04:00", "date_published": "2025-05-12T04:03:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47396/galley/35713/download/" } ] }, { "pk": 33483, "title": "Delirious Hyperactivity and Agitation in a Young Male Unveiling an Intriguing Underlying Diagnosis: Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Altered mental status presentations are commonplace in the emergency department (ED), but not all are due to psychiatric etiologies, even if the patient has had a previous psychiatric diagnosis. It is critical to evaluate for organic causes of a patient’s altered presentation. This case highlights the necessity of a broad workup to correctly diagnose an altered patient.</p>\n<p><strong>Case Report: </strong>A 23-year-old Haitian male with a past medical history of bipolar 1 disorder, seizure disorder, and developmental delay presented to a critical access ED for altered mental status. The patient was given 300 milligrams of ketamine for delirious hyperactivity and agitation by emergency medical services in the field. On physical examination, the patient was in acute respiratory distress, hypoxic, not tolerating secretions, tachycardic, lethargic, and was subsequently intubated for airway protection. Computed tomography (CT) of the brain without contrast was obtained and revealed findings consistent with Fahr disease.</p>\n<p><strong>Conclusion</strong>: Fahr disease is a rare neurodegenerative condition that causes accumulation of calcium deposits in the basal ganglia as demonstrated on CT. Phenotypes can be variable, including<br>symptoms such as parkinsonism, chorea, dystonia, cognitive impairment, and ataxia. This case illustrates the importance of a broad differential diagnosis and emergent medical interventions for emergency physicians practicing in critical access facilities.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Delirious hyperactivity" }, { "word": "agitation" }, { "word": "basal ganglia" }, { "word": "Fahr disease" }, { "word": "intracranial calcifications" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0tm5g8x9", "frozenauthors": [ { "first_name": "Mitch", "middle_name": "", "last_name": "Garey", "name_suffix": "", "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Florida", "department": "" }, { "first_name": "Joy", "middle_name": "", "last_name": "McLaughlin", "name_suffix": "", "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Florida", "department": "" }, { "first_name": "Harman", "middle_name": "", "last_name": "Kaur", "name_suffix": "", "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Florida", "department": "" }, { "first_name": "Jason", "middle_name": "", "last_name": "Graf", "name_suffix": "", "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Florida", "department": "" }, { "first_name": "Jacklyn", "middle_name": "", "last_name": "Garcia", "name_suffix": "", "institution": "HCA FL Aventura Hospital, Department of Radiology, Florida", "department": "" }, { "first_name": "Megan", "middle_name": "Elizabeth", "last_name": "Dekok", "name_suffix": "MSc", "institution": "Rocky Vista University College of Osteopathic Medicine, Parker, Colorado", "department": "" }, { "first_name": "Alexander", "middle_name": "John", "last_name": "Scumpia", "name_suffix": "", "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Florida; Lakeside Medical Center, Department of Emergency Medicine, Belle Glade, Florida", "department": "" } ], "date_submitted": "2024-09-16T11:31:45.393000-04:00", "date_accepted": "2025-01-17T18:47:42.044000-05:00", "date_published": "2025-05-10T16:04:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/33483/galley/38476/download/" } ] }, { "pk": 38448, "title": "Point-of-care Ultrasound Clarified the Diagnosis of an Occipital Artery Pseudoaneurysm After Blunt Trauma", "subtitle": null, "abstract": "<p><strong>Case Presentation:</strong> A 54-year-old male presented to the emergency department one month after blunt trauma to the head complaining of two weeks of worsening swelling over his right posterior scalp. Computed tomography of the head without contrast showed a soft tissue lesion. Point-of-care ultrasound (POCUS) was performed to clarify the soft tissue lesion that was found on computed tomography and revealed an occipital artery pseudoaneurysm.</p>\n<p><strong>Discussion</strong>: An occipital artery pseudoaneurysm is a rare diagnosis. A POCUS performed by the emergency physician ensured an accurate and timely diagnosis for this patient</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "blunt head trauma" }, { "word": "point-of-care ultrasound" }, { "word": "pulsatile mass" }, { "word": "Pseudoaneurysm" }, { "word": "occipital artery" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/89p4q24f", "frozenauthors": [ { "first_name": "Kahra", "middle_name": "", "last_name": "Nix", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Sydney", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Perling", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Brandon", "middle_name": "", "last_name": "Parkinson", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Haely", "middle_name": "", "last_name": "Studebaker", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" }, { "first_name": "Brett", "middle_name": "", "last_name": "Foster", "name_suffix": "", "institution": "University of Louisville School of Medicine, Department of Emergency Medicine, Louisville, Kentucky", "department": "" } ], "date_submitted": "2024-10-28T09:48:59.700000-04:00", "date_accepted": "2025-02-02T09:43:15.185000-05:00", "date_published": "2025-05-10T15:47:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/38448/galley/38493/download/" } ] }, { "pk": 41795, "title": "An Agent-Based Approach to Study the Producer-Scrounger Game in Humans", "subtitle": null, "abstract": "<p>In social foraging situations, group members choose between two strategies: (a) actively engage in searching for resource sources (Producing); or (b) join a resource source previously discovered by another group member (Scrounging). Two predictions of the Rate-Maximization Model are: (a) the proportion of producers will be lower in conditions where the group size is larger; and (b) the proportion of producers will be lower in conditions where the number of resources is higher. While these predictions have been tested across various species, the number of studies involving human participants remains relatively low. Using an agent-based model approach, we propose a Direct Interaction Task to study the producer-scrounger game in human participants. In this online behavioral task, a single participant moves freely within the habitat and competes for resources against agents. The study involved 80 university students assigned to one of four conditions that varied by group size (G4, G8) and the number of prey (F5, F15). The results show a decrease in the producer index when the group size was larger; however, no effect was observed for the number of prey. This study highlights the potential for investigating social foraging in controlled environments without extensive physical space. </p>\n<p> </p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Producer scrounger game" }, { "word": "Agent based model" }, { "word": "human" }, { "word": "group size" }, { "word": "Food units." } ], "section": "Brief Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7km81160", "frozenauthors": [ { "first_name": "Laurent", "middle_name": "", "last_name": "Avila CHauvet", "name_suffix": "", "institution": "Sonora Institute of Technology", "department": "Psychology" }, { "first_name": "Alejandro", "middle_name": "", "last_name": "Segura", "name_suffix": "", "institution": "Other", "department": "" }, { "first_name": "Óscar", "middle_name": "", "last_name": "García-Leal", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Diana", "middle_name": "", "last_name": "Mejia-Cruz", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-01-08T20:43:11.291000-05:00", "date_accepted": "2025-02-10T14:01:50.637000-05:00", "date_published": "2025-05-09T12:00:00-04:00", "render_galley": { "label": "CE_Chauvet_Final_pdf", "type": "pdf", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/41795/galley/35702/download/" }, "galleys": [ { "label": "CE_Chauvet_Final_pdf", "type": "pdf", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/41795/galley/35702/download/" } ] }, { "pk": 47374, "title": "Book Review: Cultural Astronomy in Latin America", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0 International (CC BY 4.0)", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Cultural Astronomy" }, { "word": "archaeoastronomy" }, { "word": "Ethnoastronomy" }, { "word": "Latin American Astronomy" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5pz2g606", "frozenauthors": [ { "first_name": "Jose", "middle_name": "Nicolas", "last_name": "Balbi", "name_suffix": "", "institution": "Museum of the Observatory of Cosmic Physics of San Miguel", "department": "" } ], "date_submitted": "2025-05-08T16:48:38.101000-04:00", "date_accepted": "2025-05-08T16:50:23.139000-04:00", "date_published": "2025-05-08T21:56:00-04:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jac/article/47374/galley/35700/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jac/article/47374/galley/35700/download/" } ] }, { "pk": 61612, "title": "Contributors", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Contributors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6pm6v573", "frozenauthors": [ { "first_name": "Edward Kenneth", "middle_name": "Lazaro", "last_name": "Nadurata", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:29:40-04:00", "date_accepted": "2025-05-07T18:29:40-04:00", "date_published": "2025-05-07T18:29:59-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61612/galley/47542/download/" } ] }, { "pk": 61611, "title": "Review: Prison Dancer: The Musical—A Nod to the Filipino as a World-Class Talent", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/47x3244v", "frozenauthors": [ { "first_name": "Rey", "middle_name": "", "last_name": "Rosales", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:21:46-04:00", "date_accepted": "2025-05-07T18:21:46-04:00", "date_published": "2025-05-07T18:28:44-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61611/galley/47541/download/" } ] }, { "pk": 61610, "title": "Review: Leeroy New’s Balete Bulate Bituka at The Bentway", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7m80277v", "frozenauthors": [ { "first_name": "Bianca", "middle_name": "Weeko", "last_name": "Martin", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:20:49-04:00", "date_accepted": "2025-05-07T18:20:49-04:00", "date_published": "2025-05-07T18:28:20-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61610/galley/47540/download/" } ] }, { "pk": 61609, "title": "Book Review: Care Activism: Migrant Domestic Workers, Movement-Building, and Communities of Care by Ethel Tungohan", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/38h8k31n", "frozenauthors": [ { "first_name": "Kad", "middle_name": "", "last_name": "Mariano", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:19:41-04:00", "date_accepted": "2025-05-07T18:19:41-04:00", "date_published": "2025-05-07T18:27:48-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61609/galley/47539/download/" } ] }, { "pk": 61608, "title": "X Marks the Spot: Filipinx Futurities", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Leese Street Studio", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93q2j5gw", "frozenauthors": [ { "first_name": "Marissa", "middle_name": "", "last_name": "Largo", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:18:20-04:00", "date_accepted": "2025-05-07T18:18:20-04:00", "date_published": "2025-05-07T18:27:24-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61608/galley/47538/download/" } ] }, { "pk": 61607, "title": "Kinesthetic Interventions: Choreographies And Sounds Of The 2022 Philippine Elections", "subtitle": null, "abstract": "Philippine dance abounds with political intention, transforming thefamily, region, and nation. As a response to sociopolitical events, I considerdances in campaign events leading up to the 2022 Philippine elections. Whatcan dance tell us about the relationship between political leaders and thosewho are led? What historico-political insights come from the spontaneous andephemeral quality of election performances? Using movement observation, Isurvey “election season dances” performed and circulated via Twitter (now X)and YouTube. I suggest that these are appeals to affect and to bodies’ desiresto move collectively—important components of Philippine performativetraditions.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/55r7x4k4", "frozenauthors": [ { "first_name": "Liza", "middle_name": "M", "last_name": "Constantino", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:16:51-04:00", "date_accepted": "2025-05-07T18:16:51-04:00", "date_published": "2025-05-07T18:27:07-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61607/galley/47537/download/" } ] }, { "pk": 61606, "title": "Imelda’s Dreaming: Applied Theatre in Mobilizing Political Discourse in Filipino Canadian Diasporic Communities", "subtitle": null, "abstract": "This essay charts the practice of applied theatre that traverses transnationality.It demonstrates methodological intervention in creating diasporicperformances by engaging open and emancipative dialogical encounters usingapplied theatre. The author deploys community- based theatre performanceto activate political discourse for/with/among diasporic community members.Using autoethnographic and affective inquiry, this article instigates theatreas a process of artistic improvisation that animates historical persona,found space, and other theatrical elements to provoke political discontent anddispleasure. The article raises several questions: How do we expand the performancepraxis of community theatre and performance making for FilipinoCanadian communities beyond exotic representation of culture of Philippineheritage? How can creativity and criticality be interwoven into performancemaking? How may applied theatre become a relevant performance praxis ofcommunity formation in a politically-divided diasporic community in Canada?By using autoethnography and performance ethnography, the essay scaffoldsa praxis of community-based performance creation through the techniques ofapplied theatre as configured for diasporic communities, themes, and politicalpredispositions. It constitutes the use of ethnography as self-reflexive modeof ethical intervention in performance re-roots itself from vernacular vocabularyof relational collaboration in community building to decolonize the praxisof applied theatre. Gesturing towards these Indigenous relational Philippineconcepts as frameworks in applying theatre for diasporic performance creation,the paper argues that Filipino diasporic performance has the power tocreate a space for political discourse for/with/among diasporic communitymembers.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1gk4q91j", "frozenauthors": [ { "first_name": "Dennis", "middle_name": "", "last_name": "Gupa", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:15:15-04:00", "date_accepted": "2025-05-07T18:15:15-04:00", "date_published": "2025-05-07T18:26:50-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61606/galley/47536/download/" } ] }, { "pk": 61605, "title": "“Daytoy iti kaya’t iti, apukuk”: Refusing “sayang” in My Grandmother and I", "subtitle": null, "abstract": "This article explores the tensions and possibilities of kinship betweena queer grandchild and his Filipinx grandmother during the AIDS epidemic inLani Montreal’s play, My Grandmother and I. While the AIDS crisis is oftenarticulated as a collective moment of loss and mourning in Canada, this articleargues that Dino and Lola refuse the logics of empire that deem his deathas “sayang” and instead, open space for transnational Indigenous solidarity,humor, and care. However, this article notes that these queer possibilities andfuturities are conditioned by the gendered dimensions of care work in thenuclear family.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3962p2f5", "frozenauthors": [ { "first_name": "Ariel", "middle_name": "Monzon", "last_name": "Dela Cruz", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:13:43-04:00", "date_accepted": "2025-05-07T18:13:43-04:00", "date_published": "2025-05-07T18:26:30-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61605/galley/47535/download/" } ] }, { "pk": 61604, "title": "Setting the Scene: An Introduction to FilipiNEXT", "subtitle": null, "abstract": "Between July 13 and July 15, 2022, a group of about 60 Filipinx Canadian scholars, artists, organisers, and community members gathered at York University, located in Toronto,for a transdisciplinary workshop called FilipiNEXT. Participants came from across Canada and the United States, not only from major urban centres of Toronto and Vancouverbut also from smaller cities and towns such as Halifax (Nova Scotia), Hazelton (British Columbia [BC]), Winnipeg (Manitoba), and Calgary (Alberta) as well as Honolulu, Hawaii, and Ithaca, New York. The diverse demographic geographies that characterised the workshop were thus markedly different from previous Filipinx Canadian anthologies and gatherings, which tended towards participants from Southern Ontario and Greater Vancouver. As organisers, we wanted the workshop to mirror the geographical distribution of Filipinx academics in Canada. Along with traditional academic presentations, panels, and discussions, the gathering featured the work of visual and performing artists, a graduate student-focused workshop, as well as informal modes of gathering—chikahan, kwentuhan and tsismisan— over food and refreshments. Among other things, those of us who gathered at FilipiNEXT had the opportunity to bear witness to and learn from the current state of scholarship about Filipinx lives, cultures, and communities in Canada; discuss what it means to be Filipinx folks navigating institutions such as academia, art worlds, and organising communities; and articulate our desires and visions for the future of Filipinx studies in Canada.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9pk7045w", "frozenauthors": [ { "first_name": "John Paul", "middle_name": "", "last_name": "Catungal", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:11:49-04:00", "date_accepted": "2025-05-07T18:11:49-04:00", "date_published": "2025-05-07T18:26:10-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61604/galley/47534/download/" } ] }, { "pk": 61603, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5nm34162", "frozenauthors": [ { "first_name": "Edward Kenneth", "middle_name": "Lazaro", "last_name": "Nadurata", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:07:46-04:00", "date_accepted": "2025-05-07T18:07:46-04:00", "date_published": "2025-05-07T18:25:34-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61603/galley/47533/download/" } ] }, { "pk": 61602, "title": "Front Matter", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7kh6q6tz", "frozenauthors": [ { "first_name": "Edward Kenneth", "middle_name": "Lazaro", "last_name": "Nadurata", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-07T18:06:15-04:00", "date_accepted": "2025-05-07T18:06:15-04:00", "date_published": "2025-05-07T18:25:16-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alonfilipinxjournal/article/61602/galley/47532/download/" } ] }, { "pk": 38444, "title": "A Rare Case Report of Contrast Media-induced Sympathetic Crashing Acute Pulmonary Edema", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Sympathetic crashing acute pulmonary edema (SCAPE), also known as flash pulmonary edema or hypertensive acute heart failure, is a critical condition characterized by a rapid escalation of sympathetic outflow, excessive afterload, and worsening heart failure. Although rare, contrast<br>media-induced pulmonary edema is a severe adverse reaction, occurring in 0.001-0.008% of patients<br>receiving intravenous contrast and accounting for 10-20% of lethal contrast reactions.</p>\n<p><strong>Case Report:</strong> A 70-year-old male developed acute respiratory distress shortly after undergoing an outpatient, contrast-enhanced computed tomography. Despite treatment for suspected anaphylaxis, the patient’s condition continued to deteriorate until a diagnosis of SCAPE was ultimately recognized. Treatment with high-dose nitroglycerin, non-invasive positive pressure ventilation (NIPPV), and eventual intubation resulted in the patient’s full recovery.</p>\n<p><strong>Conclusion: </strong>This report highlights the importance of recognizing SCAPE in patients presenting with sudden dyspnea after contrast administration and emphasizes the need for early intervention with NIPPV and vasodilators to reduce morbidity and mortality.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "SCAPE" }, { "word": "pulmonary edema" }, { "word": "hypoxia" }, { "word": "contrast induced" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0n68h8d3", "frozenauthors": [ { "first_name": "Clates", "middle_name": "P", "last_name": "Adams", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "" }, { "first_name": "Christian", "middle_name": "I", "last_name": "Wade", "name_suffix": "", "institution": "Brooke Army Medical Center, The San Antonio Uniformed Service Health Education Consortium, Department of Emergency Medicine, San Antonio, Texas", "department": "" } ], "date_submitted": "2024-10-27T18:33:16.454000-04:00", "date_accepted": "2025-02-19T14:14:44.887000-05:00", "date_published": "2025-05-06T13:44:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/38444/galley/38477/download/" } ] }, { "pk": 40229, "title": "Strong evidence for maintenance of gradient representations during language processing", "subtitle": null, "abstract": "<p>To what degree listeners can maintain gradient subcategorical information about speech input in memory over time has been a matter of considerable debate. The literature has largely lacked formal computational models of potential mechanisms against which to compare human behavior. Here, we formalize several competing cognitive models of this process and quantitatively compare them to data from a series of behavioral experiments. We find consistently strong evidence in favor of models which allow for maintenance of subcategorical information over the course of an utterance. These results suggests that listeners are able to maintain relatively fine-grained details about prior linguistic input over long perceptual timescales. This work also highlights the importance of formalizing cognitive models of behavior to distinguish between competing theoretical mechanisms.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Regular Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0ds9702v", "frozenauthors": [ { "first_name": "Wednesday", "middle_name": "", "last_name": "Bushong", "name_suffix": "", "institution": "Wellesley College", "department": "Cognitive & Linguistic Sciences, Psychology" } ], "date_submitted": "2024-12-03T13:52:31.606000-05:00", "date_accepted": "2025-04-08T15:15:31.944000-04:00", "date_published": "2025-05-05T21:00:00-04:00", "render_galley": { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/40229/galley/35664/download/" }, "galleys": [ { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/40229/galley/35664/download/" }, { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/40229/galley/35665/download/" } ] }, { "pk": 1593, "title": "Isolating the extra-logical features of <em>but </em>and <em>so</em> by comparing their processing to <em>and</em>'s: An investigation with thematically neutral content", "subtitle": null, "abstract": "<p>Connectives such as <em>and</em>, <em>but</em>, and <em>so</em> conjoin two elements of discourse in characteristic ways. While highlighting (i) the conjunctive contribution of all three and (ii) the rich procedural information in the latter two, we posit that discourse connectives such as <em>but</em> and <em>so</em> convey specific kinds of extra-logical inferences, concerning <em>contrast</em> and causality, <em>respectively</em>. Unlike previous processing studies, which have focused either on the integration of a given connective to a provided thematic discourse representation or on its effect on processing downstream, we focus on the inferential potential of discourse connectives from the moment they are presented and in a largely thematically-neutral scenario. In order to systematically vary the processing import of discourse connectives, while holding constant all other variables, we present participants a repeatable game in which they determine whether a provided sentence – concerning a pair of letters – is true or false with respect to a provided three-letter word. For example, in one trial participants determine whether or not the sentence <em>There is a B </em>but<em> there is no T</em> is true with respect to the word <em>BET</em>. To isolate the processing contribution of the connective, the sentence is broken up into two segments (with the first containing the connective) in a self-paced task. This led to two pre-registered reading time experiments. In Experiment 1, in which the three-letter word is presented before the sentence, we found that <em>but</em> and <em>so</em> themselves are processed more slowly than and and that they each create specific discourse expectations, which are observable in post-connective reaction times. In Experiment 2, in which the word comes at the end of a trial (which means sentence-processing takes place without knowledge of the segments’ truth values), we confirmed the findings of Experiment 1. Overall, this study provides evidence showing that the extra-logical contributions in <em>but</em> and in <em>so</em> (i) come with processing costs that (ii) are due to rigid and complex procedures that addressees aim to cash out.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "Regular Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8fc3t67c", "frozenauthors": [ { "first_name": "Cecile", "middle_name": "", "last_name": "Larralde", "name_suffix": "", "institution": "Université Paris Cité, CNRS, Laboratoire de linguistique formelle / Moor House Research and Training Institute", "department": "" }, { "first_name": "Morgan", "middle_name": "", "last_name": "Moyer", "name_suffix": "", "institution": "Sorbonne Université", "department": "" }, { "first_name": "Nausicaa", "middle_name": "", "last_name": "Pouscoulous", "name_suffix": "", "institution": "University College London", "department": "Department of Linguistics" }, { "first_name": "Ira", "middle_name": "", "last_name": "Noveck", "name_suffix": "", "institution": "Université Paris Cité, CNRS, Laboratoire de linguistique formelle", "department": "" } ], "date_submitted": "2023-08-07T11:17:57.174000-04:00", "date_accepted": "2025-03-05T20:36:10.553000-05:00", "date_published": "2025-05-05T20:55:00-04:00", "render_galley": { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/1593/galley/35591/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/1593/galley/35590/download/" }, { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/1593/galley/35591/download/" } ] }, { "pk": 48207, "title": "The Urgency of the Arts in Addressing Student Isolation, Belonging, and Joyful Learning", "subtitle": null, "abstract": "Modern schools face constant challenges that require careful attention to bothacademic and emotional needs of their students. In response, schools and districtsacross the country are increasingly turning to the arts to build social-emotionallearning capacity, increase resilience, boost student achievement, provide studentswith creative, active learning experiences, and deepen understanding of non-arts subjects. The arts have emerged as a mechanism that brings together cognitive skills of problem solving, idea generation, flexibility, and joyful learning at a time of great need. This article chronicles the experiences of teachers as they integrate the arts to create opportunities for student creativity, empathy, and increased student achievement in arts and non-arts subjects. Recent studies on the capacity for the arts to address flow, interest, effort, and joyfulness are also shared.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Joyful" }, { "word": "belonging" }, { "word": "Social-emotional" }, { "word": "integration" }, { "word": "safety" }, { "word": "Empathy" } ], "section": "Teaching and Learning through the Arts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2w80k5zs", "frozenauthors": [ { "first_name": "Bradley", "middle_name": "", "last_name": "Foust", "name_suffix": "", "institution": "Southern New Hampshire University, Bartlett City Schools", "department": "None" }, { "first_name": "Ivonne", "middle_name": "Chand", "last_name": "O'Neal", "name_suffix": "", "institution": "MUSE Research", "department": "None" } ], "date_submitted": "2018-10-22T15:35:07-04:00", "date_accepted": "2018-10-22T15:35:07-04:00", "date_published": "2025-05-05T17:22:05-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cla_jlta/article/48207/galley/36313/download/" } ] }, { "pk": 54344, "title": "Front Matter v5 iss2", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3wp9d4q8", "frozenauthors": [ { "first_name": "JLPE", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-05-05T17:46:20-04:00", "date_accepted": "2025-05-05T17:46:20-04:00", "date_published": "2025-05-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54344/galley/41056/download/" } ] }, { "pk": 54340, "title": "Review of Bashir Mobasher, Constitutional Law and the Politics of Ethnic Accommodation: Institutional Design in Afghanistan", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7f10d48g", "frozenauthors": [ { "first_name": "Shamshad", "middle_name": "", "last_name": "Pasarlay", "name_suffix": "", "institution": "University of Chicago", "department": "" } ], "date_submitted": "2025-04-16T12:52:09-04:00", "date_accepted": "2025-04-16T12:52:09-04:00", "date_published": "2025-05-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54340/galley/41053/download/" } ] }, { "pk": 54345, "title": "Revisiting (Again) “Truth in Securities Revisited”: The SEC Disclosure Regime in the New Millennium", "subtitle": null, "abstract": "The system of disclosure for public companies no longer meets the needs of investors and other stakeholders. Largely put in place by the Securities and Exchange Commission in 1982, the principles underlying the system have failed to keep pace with shifts in the market and dramatic changes in technology. The system requires a paradigm shift and fundamental alterations in the principles underlying the approach to disclosure. The shift must include the integration of comparative data, the expansion of the categories subject to mandatory disclosure, and the disaggregation of financial statements. Failure to update the system of disclosure will result in investors increasingly relying on sources of information outside of the periodic reporting process, reducing the importance of required disclosure and the role of the Securities and Exchange Commission.", "language": "en", "license": null, "keywords": [ { "word": "Periodic reports" }, { "word": "climate change" }, { "word": "mandatory disclosure" }, { "word": "index investors" }, { "word": "permanent capital" }, { "word": "financial statement disaggregation" }, { "word": "materiality" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/86z4j62c", "frozenauthors": [ { "first_name": "J. Robert", "middle_name": "", "last_name": "Brown, Jr.", "name_suffix": "", "institution": "University of Denver", "department": "" } ], "date_submitted": "2025-05-05T17:58:11-04:00", "date_accepted": "2025-05-05T17:58:11-04:00", "date_published": "2025-05-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54345/galley/41057/download/" } ] }, { "pk": 54337, "title": "The Externality of Discounted Externalities", "subtitle": null, "abstract": "This article addresses an unexplored problem in the externalities literature: the present value of future\n \nexternalities. The problem arises because externalized costs and benefits occur in the future, and therefore should be discounted, yet discount rates used by corporate decision-makers are typically higher than the appropriate social discount rate.\n \nIn simple terms, corporations discount the future too much, and therefore underproduce potential future benefits and overproduce potential future costs. Our key insight is that the impact of high corporate discount rates, relative to the socially appropriate discount rate, is an \nadditional externality\n. We refer to the additional costs that arise when corporations use higher-than-optimal discount rates as “the externality of discounted externalities.”\n \nPolicy makers should take into account the difference between corporate and social discount rates. Regulators and courts that seek to incentivize corporations to make decisions about the future in socially optimal ways should not ignore the externality of discounted externalities.", "language": "en", "license": null, "keywords": [ { "word": "climate change" }, { "word": "externalities" }, { "word": "valuation" }, { "word": "ESG" }, { "word": "regulatory policy" }, { "word": "discount rates" }, { "word": "arbitrage" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/54j836d0", "frozenauthors": [ { "first_name": "Kent", "middle_name": "", "last_name": "Greenfield", "name_suffix": "", "institution": "Boston College", "department": "" }, { "first_name": "Frank", "middle_name": "", "last_name": "Partnoy", "name_suffix": "", "institution": "University of California Berkeley", "department": "" } ], "date_submitted": "2025-04-15T16:41:59-04:00", "date_accepted": "2025-04-15T16:41:59-04:00", "date_published": "2025-05-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54337/galley/41050/download/" } ] }, { "pk": 34850, "title": "Evaluating the Implementation of a “COVID-19 Test” Chief Concern in the Emergency Department", "subtitle": null, "abstract": "<p><strong>Background:</strong> During the COVID-19 pandemic, rapid, at-home testing for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) was inconsistently available. Consequently, for some patients, emergency departments (ED) became the preferred site to access COVID-19 testing. To improve operational efficiency, our ED implemented a “COVID-19 Test” chief concern (CC). Our primary objective in this analysis was to broadly assess the utilization of the new “COVID-19 Test” CC and associated clinical care. </p>\n<p><strong>Methods:</strong> We conducted a retrospective analysis of ED encounters from an academic ED and an affiliated, community-based ED of all patients after the establishment of a CC of “COVID-19 Test” from October 11, 2021–July 31, 2022. The data were extracted from the electronic health record. We calculated descriptive demographic statistics and ran a univariate and multivariate logistic regression with additional diagnostic or therapeutic interventions (binary) as the outcome variable to generate odds ratios (OR) and 95% confidence intervals (CI). </p>\n<p><strong>Results:</strong> A total of 320 patients were assigned a “COVID-19 Test” CC by a triage nurse. This was 0.5% of all ED encounters in this time frame. Of those, 45% were found to be SARS-CoV-2 positive. Admission or repeat ED visit at 72 hours occurred in 5.3% of patients. Nearly half (46.9%) of patients assigned a “COVID-19 Test” CC underwent additional ED interventions. Patients on Medicaid and those who self-identified as Black or Hispanic/Latino were disproportionately represented in the “COVID-19 Test” CC group as compared to the overall ED population. In multivariate analysis, an Emergency Severity Index of 1, 2 or 3 was associated with significantly higher odds of receiving additional interventions compared to ESI of 4 or 5 (adjusted OR: 46.85; 95% CI 13.28-165.26; P <0.001). </p>\n<p><strong>Conclusion:</strong> Patients assigned a chief concern of “COVID-19 Test” had a high COVID-19 positivity rate, often underwent additional ED interventions, and were at low risk of return ED visits or admission. Minoritized and low-income patients were disproportionately represented in the “COVID-19 Test” CC group, highlighting potential disparities in access to at-home COVID-19 testing and implementation of this CC.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "COVID-19" }, { "word": "chief complaint" }, { "word": "Chief Concern" }, { "word": "triage" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6fn127r2", "frozenauthors": [ { "first_name": "Collin", "middle_name": "", "last_name": "Michels", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Daniel", "middle_name": "J.", "last_name": "Hekman", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Rebecca", "middle_name": "J.", "last_name": "Schwei", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Ryan", "middle_name": "E.", "last_name": "Tsuchida", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Gauger", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Irene", "middle_name": "", "last_name": "Hurst", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Glazer", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Jenna", "middle_name": "", "last_name": "Brink", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Ciara", "middle_name": "", "last_name": "Barclay-Buchanan", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Manish", "middle_name": "N.", "last_name": "Shah", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Azita", "middle_name": "G.", "last_name": "Hamedani", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Pulia", "name_suffix": "", "institution": "University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin; University of Wisconsin–Madison, College of Engineering, Industrial and Systems Engineering, Madison, Wisconsin", "department": "" } ], "date_submitted": "2024-08-22T11:18:03.865000-04:00", "date_accepted": "2025-01-18T18:01:12.526000-05:00", "date_published": "2025-05-02T12:18:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/34850/galley/36390/download/" } ] }, { "pk": 38049, "title": "A Case Report of Rattlesnake Musk Exposure Causing Chemical Conjunctivitis", "subtitle": null, "abstract": "<p>INTRODUCTION</p>\n<p>Rattlesnakes are pit vipers belonging to the Viperidae family and Crotalinae subfamily. They inject venom into their victims via bites from two long, hollow fangs. This report describes a rare case of non-penetrating rattlesnake ocular exposure with symptoms. Prior reports, pathophysiology, evaluation, and treatment recommendations are also discussed. </p>\n<p>CASE REPORT</p>\n<p>A 56-year-old male picked up a rattlesnake and was sprayed in both eyes with venom. He had immediate pain and blurred vision. Despite copious initial irrigation, he continued to have worsening symptoms with conjunctival hemorrhage and scleral sloughing. After discussion with poison control, he was given six vials of intravenous antivenom. After additional irrigation and evaluation by ophthalmology, the patient symptoms stabilized but his exam still included blepharitis, subconjunctival hemorrhages, and bilateral small corneal epithelial defects. He was discharged home with corneal antibiotics and artificial tears. One week later, his symptoms were resolved, and his exam was normal.</p>\n<p>CONCLUSION</p>\n<p>Non-penetrating ocular rattlesnake envenomation is rare. It should be treated as any other ocular exposure beginning with copious irrigation, then detailed examination. Current recommendations argue against intravenous antivenom administration. However, intravenous antivenom can be considered if symptoms do not improve. </p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "rattlesnake" }, { "word": "ocular exposure" }, { "word": "case report" }, { "word": "snake musk" }, { "word": "chemical conjunctivitis" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6h30h3jd", "frozenauthors": [ { "first_name": "Raj", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "Riverside University Health System, Department of Emergency Medicine, Moreno Valley, California", "department": "" }, { "first_name": "Melanie", "middle_name": "Miyori", "last_name": "Randall", "name_suffix": "", "institution": "Riverside University Health System, Department of Emergency Medicine, Moreno Valley, California", "department": "" } ], "date_submitted": "2024-10-11T14:31:36.632000-04:00", "date_accepted": "2025-01-16T12:13:32.062000-05:00", "date_published": "2025-05-01T16:35:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/38049/galley/35745/download/" } ] }, { "pk": 41487, "title": "Case Report: ST-Elevation Myocardial Infarction in Third Trimester Pregnancy", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: While rare in pregnancy, acute coronary syndrome (ACS) does happen. It has been found to be more common in individuals with risk factors. A case of chest pain in a previously healthy female in her third trimester demonstrates the importance of keeping ACS high on the differential list.</p>\n<p><strong>Case Report: </strong>A 26-year-old pregnant female gravida five, para three at 37 weeks gestation with a past medical history of diet-controlled gestational diabetes, obesity, and family history of myocardial infarction (MI) presented to an outside hospital for chest pain and was transferred to the closest ST-elevation myocardial infarction (STEMI) receiving emergency department (ED) after she was found to have an electrocardiogram (ECG) concerning for acute STEMI. On arrival to the ED, STEMI protocol was activated based on ST-segment elevations on inferior and antero-lateral leads on the ECG. Bedside assessment of the fetus by obstetrics showed a viable intrauterine pregnancy, and the patient was taken to the cardiac catheterization lab. She was found to have a 100% thrombotic occlusion in the ostium of the right posterolateral artery, and percutaneous coronary intervention was performed. The patient was discharged with plans for cesarean section at 39 weeks.</p>\n<p><strong>Conclusion</strong>: This case highlights the need for early STEMI activation and consultation with obstetrics when a pregnant patient presents with an ECG suggestive of STEMI. It also emphasizes the importance of maintaining a high level of suspicion for STEMI in pregnant patients presenting with chest pain. Although rare—0.6 in 10,000 pregnancies—mortality rates range from 5.1-37% throughout pregnancy and postpartum. It is important to remember that pregnancy does not preclude a patient from undergoing standard treatment of acute MI.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "acute myocardial infarction" }, { "word": "spontaneous coronary artery dissection" }, { "word": "ST elevation myocardial infarction" }, { "word": "electrocardiogram" }, { "word": "pregnancy" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9hn14940", "frozenauthors": [ { "first_name": "Luis", "middle_name": "", "last_name": "Martinez", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "" }, { "first_name": "Emmelyn", "middle_name": "", "last_name": "Samones", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Kiemeney", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "" }, { "first_name": "Wiliam", "middle_name": "Michael", "last_name": "Downes", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "" } ], "date_submitted": "2024-12-13T13:47:24.252000-05:00", "date_accepted": "2025-02-24T17:08:46.667000-05:00", "date_published": "2025-05-01T16:23:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/41487/galley/35744/download/" } ] }, { "pk": 39988, "title": "Anterior Mitral Leaflet Flutter on M-mode Echocardiography as an Indicator of Atrial Fibrillation: Case Report", "subtitle": null, "abstract": "<p>Introduction. M-mode in bedside point-of-care ultrasound (POCUS) transthoracic echocardiography (TTE) remains an important tool for emergency physicians. M-mode of the mitral valve is used to assess ejection fraction (EF) during assessment of E-point septal separation (EPSS). Anterior mitral leaflet fluttering visualized on M-mode echocardiography is a known sequelae of aortic regurgitation. Although not reported in the Emergency Medicine literature, anterior mitral leaflet fluttering also occurs with atrial fibrillation.</p>\n<p>Case Report. We present the first case in peer-reviewed Emergency Medicine literature of anterior mitral leaflet fluttering observed on M-mode echocardiography caused by atrial fibrillation. Our patient was a 54-year-old male with chest pain who was evaluated in the Emergency Department with a point-of-care ultrasound transthoracic echocardiogram that showed anterior mitral leaflet fluttering on E-point septal separation. Subsequent inpatient workup confirmed the diagnosis of symptomatic atrial fibrillation without ischemia or clinically-significant aortic regurgitation.</p>\n<p>Conclusion. Emergency physicians must rapidly assess and risk-stratify undifferentiated patients presenting with chest pain. Understanding that anterior mitral leaflet fluttering on M-mode during EPSS may signal atrial fibrillation augments efficient and appropriate disposition of these patients.</p>\n<p>Keywords. POCUS, point-of-care ultrasound, transthoracic echocardiogram, TTE, M-mode, aortic regurgitation, atrial fibrillation, anterior mitral leaflet flutter, case report</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You 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": "POCUS" }, { "word": "point-of-care ultrasound" }, { "word": "transthoracic echocardiogram" }, { "word": "TTE" }, { "word": "M-mode" }, { "word": "aortic regurgitation" }, { "word": "atrial fibrillation" }, { "word": "anterior mitral leaflet flutter" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8g57z78k", "frozenauthors": [ { "first_name": "Maya", "middle_name": "", "last_name": "Alexandri", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Cavazos, Texas", "department": "" }, { "first_name": "Adam", "middle_name": "", "last_name": "Church", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Cavazos, Texas", "department": "" }, { "first_name": "Chelsea", "middle_name": "", "last_name": "Ausman", "name_suffix": "", "institution": "Rhine Ordnance Barracks, Department of Resuscitative Surgery, Rhineland-Palatinate, Germany", "department": "" }, { "first_name": "Dan", "middle_name": "", "last_name": "Brillhart", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Cavazos, Texas", "department": "" } ], "date_submitted": "2024-11-24T11:21:35.862000-05:00", "date_accepted": "2025-02-19T14:09:16.549000-05:00", "date_published": "2025-05-01T16:20:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/39988/galley/35743/download/" } ] }, { "pk": 48373, "title": "The Computational Power of a Human Society: a New Model of Social Evolution", "subtitle": null, "abstract": "<p>Social evolutionary theory seeks to explain increases in the scale and complexity of human societies, from origins to present. Over the course of the twentieth century, social evolutionary theory largely fell out of favor as a way of investigating human history, just when advances in complex systems science and computer science saw the emergence of powerful new conceptions of complex systems, and in particular new methods of measuring complexity. We propose that these advances in our understanding of complex systems and computer science should be brought to bear on our investigations into human history. To that end, we present a new framework for modeling how human societies co-evolve with their biotic environments, recognizing that both a society and its environment are computers. This leads us to model the dynamics of each of those two systems using the same, new kind of computational machine, which we define here. For simplicity, we construe a society as a set of interacting occupations and technologies. Similarly, under such a model, a biotic environment is a set of interacting distinct ecological and environmental processes. This provides novel ways to characterize social complexity, which we hope will cast new light on the archaeological and historical records. Our framework also provides a natural way to formalize both the energetic (thermodynamic) costs required by a society as it runs, and the ways it can extract thermodynamic resources from the environment in order to pay for those costs — and perhaps to grow with any left-over resources.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/01m702z1", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Wolpert", "name_suffix": "", "institution": "Santa Fe Institute", "department": "" }, { "first_name": "Kyle", "middle_name": "", "last_name": "Harper", "name_suffix": "", "institution": "University of Oklahoma", "department": "" } ], "date_submitted": "2025-06-01T09:20:26.115000-04:00", "date_accepted": "2025-06-01T09:21:02.912000-04:00", "date_published": "2025-05-01T06:30:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/48373/galley/40117/download/" } ] }, { "pk": 48369, "title": "The State as a Socio-Evolutionary Response to the Challenges of the Scale of Control and the Continuity Gap", "subtitle": null, "abstract": "<p>The article is an experience of theoretical reconstruction of the origin of the state as a natural phenomenon of evolution in general and social evolution in particular, under the formation of necessary and sufficient conditions. The analysis of R. Carneiro's criticism of M. Weber's classical definition, as well as the discussion of M. Berent's original concept of the non-state status of the ancient Greek polis, allow to formulate a new synthetic definition of the state. We add a new feature to the known characteristics: a formal structure of managerial positions reproduced across generations and independent of kinship relations. The conceptual scheme of the general evolutionary mechanism of the emergence of new structures combines classical ideas (from C. Darwin to A. Toynbee), as well as models of such anthropologists and sociologists (R. Carneiro, A. Stinchcombe, R. Collins, etc.). The scheme includes the following concepts: concerns, challenges-threats and challenges-opportunities, ingredients, response attempts, fixation mechanisms, providing structures, the most flexible and polyfunctional of which were called magic wands. The application of this construct to the theory of the origin of the state raises the question of the ingredients of the processes of formation of the first states. The ideas and results of the work of anthropologists and historical sociologists have made it possible to visualize the trends in the development of barbarian societies that led to the ingredients sought. Such reasoning not only reinforces R. Carneiro's classical theory, but also complements it with a general evolutionary mechanism. The first states emerged in response to historical challenges and concerns related to the economic, military and social development of barbarian societies, and then became the main magic wands in the political evolution of all world civilizations.</p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4sx9v8m1", "frozenauthors": [ { "first_name": "Nikolai", "middle_name": "", "last_name": "Rozov", "name_suffix": "", "institution": "Siberian Branch of Russian Academy of Sciences", "department": "Institute of Philosophy and Law" } ], "date_submitted": "2025-06-01T09:09:14.533000-04:00", "date_accepted": "2025-06-01T09:10:10.171000-04:00", "date_published": "2025-05-01T06:30:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/48369/galley/40116/download/" } ] }, { "pk": 64527, "title": "12.1 Table of Contents and Editors' Note (April 30, 2025)", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5735h429", "frozenauthors": [ { "first_name": "AGS Editors", "middle_name": "", "last_name": "", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-04-30T05:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/analoggamestudies/article/64527/galley/50361/download/" } ] }, { "pk": 64530, "title": "Book Review: Von bierbrauenden Mönchen und kriegerischen Nonnen Klöster und Klerus in analogen und digitalen Spielen", "subtitle": null, "abstract": "A review of the German language edited collection Of Beer-Brewing Monks and War-Like Nuns: Cloisters and Clergy in Analog and Digital Games, which addresses how church history, monastic culture, and monks and nuns themselves are represented in analog and digital games.", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "book review" }, { "word": "representation" }, { "word": "religion" }, { "word": "history" }, { "word": "monks" }, { "word": "nuns" }, { "word": "analog games" }, { "word": "digital games" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1qs7w3vm", "frozenauthors": [ { "first_name": "Evan", "middle_name": "", "last_name": "Torner", "name_suffix": "", "institution": "University of Cincinnati", "department": "German Studies, Film & Media Studies" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-04-30T05:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/analoggamestudies/article/64530/galley/50364/download/" } ] }, { "pk": 64529, "title": "How to Re-Configure the Social Interaction Among Danish Lonely Young Adults Through a Social Design Approach", "subtitle": null, "abstract": "This paper investigate how social design games may support interaction between lonely young adults that due to long-term loneliness need to train social skills which later can help them out of their loneliness. A leisure game was hacked based on previous fieldwork and presented for lonely young adults. The game was played and the inquiry was video-recorded with a group of attendees and the data was transcripted and analyzed within a narrative and small story approach. The findings from the data showed that social design games can help lonely young adults to train social competencies.", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "card games" }, { "word": "UNO" }, { "word": "social design" }, { "word": "serious games" }, { "word": "leisure" }, { "word": "loneliness" }, { "word": "player psychology" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9w84p6rk", "frozenauthors": [ { "first_name": "Mads", "middle_name": "Grønne", "last_name": "Bärenholdt", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-04-30T05:00:00-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/analoggamestudies/article/64529/galley/50363/download/" } ] } ] }