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{ "count": 38465, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=21400", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=21200", "results": [ { "pk": 9415, "title": "Acute Stroke: Current Evidence-based Recommendations for Prehospital Care", "subtitle": null, "abstract": "Introduction: \nIn the United States, Emergency Medical Services (EMS) protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of a patient with a suspected stroke and to compare these recommendations against the current protocols utilized by the 33 EMS agencies in the State of California.\n \nMethods: \nWe performed a literature review of the current evidence in the prehospital treatment of a patient with a suspected stroke and augmented this review with guidelines from various national and international societies to create our evidence-based recommendations. We then compared the stroke protocols of each of the 33 EMS agencies for consistency with these recommendations. The specific protocol components that we analyzed were the use of a stroke scale, blood glucose evaluation, use of supplemental oxygen, patient positioning, 12 lead ECG and cardiac monitoring, fluid assessment and intravenous access, and stroke regionalization. \n \nResults: \nProtocols across EMS agencies in California varied widely. Most used some sort of stroke scale with the majority using the Cincinnati Prehospital Stroke Scale (CPSS). All recommended the evaluation of blood glucose with the level for action ranging from 60 to 80mg/dL. Cardiac monitoring was recommended in 58% and 33% recommended an ECG. More than half required the direct transport to a primary stroke center and 88% recommended hospital notification. \n \nConclusion: \nProtocols for a patient with a suspected stroke vary widely across the State of California. The evidence-based recommendations that we present for the prehospital diagnosis and treatment of this condition may be useful for EMS medical directors tasked with creating and revising these protocols.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Adult Acute Stroke Care 12-Lead EKG Stroke Stroke Care Stroke Care Emergency Medical Services Evidence-based Prehospital Protocols Regionalization Standardization" } ], "section": "Health Policy Analysis", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5tc756dp", "frozenauthors": [ { "first_name": "Nancy", "middle_name": "K.", "last_name": "Glober", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Karl", "middle_name": "A.", "last_name": "Sporer", "name_suffix": "", "institution": "EMS Medical Directors Association of California, California; University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Kama", "middle_name": "Z.", "last_name": "Guluma", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "John", "middle_name": "P.", "last_name": "Serra", "name_suffix": "", "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Joe", "middle_name": "A.", "last_name": "Barger", "name_suffix": "", "institution": "EMS Medical Directors Association of California, California", "department": "None" }, { "first_name": "John", "middle_name": "F.", "last_name": "Brown", "name_suffix": "", "institution": "EMS Medical Directors Association of California, California; University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Greg", "middle_name": "H.", "last_name": "Gilbert", "name_suffix": "", "institution": "EMS Medical Directors Association of California, California; Stanford University, Department of Emergency Medicine, Stanford, California", "department": "None" }, { "first_name": "Kristi", "middle_name": "L.", "last_name": "Koenig", "name_suffix": "", "institution": "EMS Medical Directors Association of California, California; University of California Irvine, Center for Disaster Medical Sciences, Orange, California", "department": "None" }, { "first_name": "Eric", "middle_name": "M.", "last_name": "Rudnick", "name_suffix": "", "institution": "EMS Medical Directors Association of California, California", "department": "None" }, { "first_name": "Angelo", "middle_name": "A.", "last_name": "Salvucci", "name_suffix": "", "institution": "EMS Medical Directors Association of California, California", "department": "None" } ], "date_submitted": "2015-10-20T20:24:53Z", "date_accepted": "2015-10-20T20:24:53Z", "date_published": "2016-03-03T00:29:05Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9415/galley/5285/download/" } ] }, { "pk": 9353, "title": "Factors Associated with First-Pass Success in Pediatric Intubation in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n The objective of this study was to investigate the factors associated with first-pass success in pediatric intubation in the emergency department (ED).\nMethods:\n We analyzed the data from two multicenter prospective studies of ED intubation in 17 EDs between April 2010 and September 2014. The studies prospectively measured patient’s age, sex, principal indication for intubation, methods (e.g., rapid sequence intubation [RSI]), devices, and intubator’s level of training and specialty. To evaluate independent predictors of first-pass success, we fit logistic regression model with generalized estimating equations. In the sensitivity analysis, we repeated the analysis in children <10 years.\nResults:\n A total of 293 children aged ≤18 years who underwent ED intubation were eligible for the analysis. The overall first-pass success rate was 60% (95%CI [54%-66%]). In the multivariable model, age ≥10 years (adjusted odds ratio [aOR], 2.45; 95% CI [1.23-4.87]), use of RSI (aOR, 2.17; 95% CI [1.31-3.57]), and intubation attempt by an emergency physician (aOR, 3.21; 95% CI [1.78-5.83]) were significantly associated with a higher chance of first-pass success. Likewise, in the sensitivity analysis, the use of RSI (aOR, 3.05; 95% CI [1.63-5.70]), and intubation attempt by an emergency physician (aOR, 4.08; 95% CI [1.92-8.63]) were significantly associated with a higher chance of first-pass success.\nConclusion:\n Based on two large multicenter prospective studies of ED airway management, we found that older age, use of RSI, and intubation by emergency physicians were the independent predictors of a higher chance of first-pass success in children. Our findings should facilitate investigations to develop optimal airway management strategies in critically-ill children in the ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "intubation" }, { "word": "pediatric" }, { "word": "Children" }, { "word": "Emergency Medicine" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0mg1p118", "frozenauthors": [ { "first_name": "Tadahiro", "middle_name": "", "last_name": "Goto", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Koichiro", "middle_name": "", "last_name": "Gibo", "name_suffix": "", "institution": "Okinawa Prefectural Chubu Hospital, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "Yusuke", "middle_name": "", "last_name": "Hagiwara", "name_suffix": "", "institution": "Tokyo Metropolitan Children’s Medical Center, Division of Paediatric Emergency Medicine, Department of Paediatric Emergency and Critical Care Medicine, Tokyo, Japan", "department": "None" }, { "first_name": "Masashi", "middle_name": "", "last_name": "Okubo", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "David", "middle_name": "F.M.", "last_name": "Brown", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Calvin", "middle_name": "A.", "last_name": "Brown III", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Kohei", "middle_name": "", "last_name": "Hasegawa", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2015-09-17T17:58:11Z", "date_accepted": "2015-09-17T17:58:11Z", "date_published": "2016-03-03T00:26:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9353/galley/5266/download/" } ] }, { "pk": 9489, "title": "Growing Trend of Alternative Tobacco Use Among the Nation’s Youth: A New Generation of Addicts", "subtitle": null, "abstract": "The Centers for Disease Control and Prevention (CDC) has published significant data and trends related to the rising epidemic of usage of alternate forms of tobacco among the nation’s youth. For the first time ever, the use of the electronic cigarette (e-cigarrette) has surpassed traditional cigarette usage in adolescents. E-cigarettes are battery-operated products designed to deliver aerosolized nicotine and other flavors to the consumer. Most look like conventional cigarettes but some resemble everyday items such as pens, USB drives, and memory sticks.1 In the following article, we present findings from the CDC’s Morbidity and Mortality Weekly Report with commentary on the state of this growing epidemic and barriers to effective screening methods.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "tobacco, adolescent, emergency department" } ], "section": "Vital Signs", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4fk564vs", "frozenauthors": [ { "first_name": "John", "middle_name": "R.", "last_name": "Marshall", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Bharath", "middle_name": "", "last_name": "Chakravarthy", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2015-11-26T23:56:26Z", "date_accepted": "2015-11-26T23:56:26Z", "date_published": "2016-03-03T00:25:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9489/galley/5306/download/" } ] }, { "pk": 9431, "title": "Moving Beyond Screening: How Emergency Departments Can Help Extinguish the HIV/AIDS Epidemic", "subtitle": null, "abstract": "While great strides have been made in diagnostic and treatment strategies, human immunodeficiency virus (HIV) remains a major public health epidemic. The Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report article, “Vital Signs: HIV Diagnosis, Care, and Treatment Among Persons Living with HIV – United States, 2011,” highlights current areas of concern regarding HIV diagnosis and care. The CDC estimates that 1.2 million people in the U.S. are living with HIV. Of them, 86% have received a diagnosis (14% remain undiagnosed and unaware), but only 40% are engaged in care and a mere 30% are virally suppressed. Emergency departments (EDs) can play a major role in combatting the HIV epidemic through regular screening and facilitating linkage to chronic HIV care. Universal opt-out screening as recommended by the CDC in 2006 has been shown to be effective but expensive, and has not been widely implemented in EDs nationwide. Cost-effective models and a renewed commitment from ED providers are needed to enhance ED-based HIV containment strategies.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine" }, { "word": "HIV" }, { "word": "screening" } ], "section": "Vital Signs", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31f057kr", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Menchine", "name_suffix": "", "institution": "Keck School of Medicine of USC, Department of Emergency Medicine, Los Angeles, California; USC Schaeffer Center for Health Policy and Economics, Los Angeles, California", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Zhou", "name_suffix": "", "institution": "Tufts University School of Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Bharath", "middle_name": "", "last_name": "Chakravarthy", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Department of Emergency Medicine, Irvine, California", "department": "None" } ], "date_submitted": "2015-10-30T04:17:03Z", "date_accepted": "2015-10-30T04:17:03Z", "date_published": "2016-03-03T00:23:32Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9431/galley/5292/download/" } ] }, { "pk": 9412, "title": "Impact of a Dedicated Emergency Medicine Teaching Resident Rotation at a Large Urban Academic Center", "subtitle": null, "abstract": "Introduction:\n In the face of declining bedside teaching and increasing emergency department (ED) crowding, balancing education and patient care is a challenge. Dedicated shifts by teaching residents (TRs) in the ED represent an educational intervention to mitigate these difficulties. We aimed to measure the perceived learning and departmental impact created by having TR.\nMethods:\n TRs were present in the ED from 12pm-10pm daily, and their primary roles were to provide the following: assist in teaching procedures, give brief “chalk talks,” instruct junior trainees on interesting cases, and answer clinical questions in an evidence-based manner. This observational study included a survey of fourth-year medical students (MSs), residents and faculty at an academic ED. Surveys measured the perceived effect of the TR on teaching, patient flow, ease of procedures, and clinical care.\nResults:\n Survey response rates for medical students, residents, and faculty are 56%, 77%, and 75%, respectively. MSs perceived improved procedure performance with TR presence and the majority agreed that the TR was a valuable educational experience. Residents perceived increased patient flow, procedure performance, and MS learning with TR presence. The majority agreed that the TR improved patient care. Faculty agreed that the TR increased resident and MS learning, as well as improved patient care and procedure performance.\nConclusion:\n The presence of a TR increased MS and resident learning, improved patient care and procedure performance as perceived by MSs, residents and faculty. A dedicated TR program can provide a valuable resource in achieving a balance of clinical education and high quality healthcare.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "emergency medicine, education, teaching resident, resident as teachers, LCME, ACGME" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/21s2z21g", "frozenauthors": [ { "first_name": "James", "middle_name": "", "last_name": "Ahn", "name_suffix": "", "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Golden", "name_suffix": "", "institution": "Pritzker School of Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Alyssa", "middle_name": "", "last_name": "Bryant", "name_suffix": "", "institution": "Emory University Hospital, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Christine", "middle_name": "", "last_name": "Babcock", "name_suffix": "", "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2015-10-19T11:41:08Z", "date_accepted": "2015-10-19T11:41:08Z", "date_published": "2016-03-03T00:21:28Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9412/galley/5283/download/" } ] }, { "pk": 9544, "title": "Care of Psychiatric Patients: The Challenge to Emergency Physicians", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3bc0r3vs", "frozenauthors": [ { "first_name": "Leslie", "middle_name": "", "last_name": "Zun", "name_suffix": "", "institution": "Mount Sinai Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2015-12-27T06:19:24Z", "date_accepted": "2015-12-27T06:19:24Z", "date_published": "2016-03-03T00:20:21Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9544/galley/5323/download/" } ] }, { "pk": 9368, "title": "Managing Agitation Associated with Schizophrenia and Bipolar Disorder in the Emergency Setting", "subtitle": null, "abstract": "Introduction:\n Patient agitation represents a significant challenge in the emergency department (ED), a setting in which medical staff are working under pressure dealing with a diverse range of medical emergencies. The potential for escalation into aggressive behavior, putting patients, staff, and others at risk, makes it imperative to address agitated behavior rapidly and efficiently. Time constraints and limited access to specialist psychiatric support have in the past led to the strategy of “restrain and sedate,” which was believed to represent the optimal approach; however, it is increasingly recognized that more patient-centered approaches result in improved outcomes. The objective of this review is to raise awareness of best practices for the management of agitation in the ED and to consider the role of new pharmacologic interventions in this setting.\nDiscussion:\n The Best practices in Evaluation and Treatment of Agitation (BETA) guidelines address the complete management of agitation, including triage, diagnosis, interpersonal calming skills, and medicine choices. Since their publication in 2012, there have been further developments in pharmacologic approaches for dealing with agitation, including both new agents and new modes of delivery, which increase the options available for both patients and physicians. Newer modes of delivery that could be useful in rapidly managing agitation include inhaled, buccal/sublingual and intranasal formulations. To date, the only formulation administered via a non-intramuscular route with a specific indication for agitation associated with bipolar or schizophrenia is inhaled loxapine. Non-invasive formulations, although requiring cooperation from patients, have the potential to improve overall patient experience, thereby improving future cooperation between patients and healthcare providers.\nConclusion: \nManagement of agitation in the ED should encompass a patient-centered approach, incorporating non-pharmacologic approaches if feasible. Where pharmacologic intervention is necessary, a cooperative approach using non-invasive medications should be employed where possible.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "agitation" }, { "word": "Schizophrenia" }, { "word": "bipolar disorder" }, { "word": "Antipsychotic" }, { "word": "BETA Guidelines" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/74w6d6vr", "frozenauthors": [ { "first_name": "Scott", "middle_name": "L.", "last_name": "Zeller", "name_suffix": "", "institution": "Alameda Health System, Department of Psychiatric Emergency Services, Oakland, California; University of California-Riverside, Department of Psychiatry, Riverside, California", "department": "None" }, { "first_name": "Leslie", "middle_name": "", "last_name": "Citrome", "name_suffix": "", "institution": "New York Medical College, Department of Psychiatry and Behavioral Sciences, Valhalla, New York", "department": "None" } ], "date_submitted": "2015-09-23T17:47:22Z", "date_accepted": "2015-09-23T17:47:22Z", "date_published": "2016-03-03T00:19:08Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9368/galley/5271/download/" } ] }, { "pk": 9267, "title": "Impact of Mental Health and Substance Use Disorders on Emergency Department Visit Outcomes for HIV Patients", "subtitle": null, "abstract": "Introduction: \nA disproportionate number of individuals with human immunodeficiency virus (HIV) have mental health and substance-use disorders (MHSUDs), and MHSUDs are significantly associated with their emergency department (ED) visits. With an increasing share of older adults among HIV patients, this study investigated the associations of MHSUDs with ED outcomes of HIV patients in four age groups: 21-34, 35-49, 50-64, and 65+ years.\nMethods:\n We used the 2012 Nationwide Emergency Department Sample (NEDS) dataset (unweighted n=23,244,819 ED events by patients aged 21+, including 115,656 visits by patients with HIV). Multinomial and binary logistic regression analyses, with “treat-and-release” as the base outcome, were used to examine associations between ED outcomes and MHSUDs among visits that included a HIV diagnosis in each age group.\nResults: \nMood and “other” mental disorders had small effects on ED-to-hospital admissions, as opposed to treat-and-release, in age groups younger than 65+ years, while suicide attempts had medium effects (RRR=3.56, CI [2.69-4.70]; RRR=4.44, CI [3.72-5.30]; and RRR=5.64, CI [4.38-7.26] in the 21-34, 35-49, and 50-64 age groups, respectively). Cognitive disorders had medium-to-large effects on hospital admissions in all age groups and large effects on death in the 35-49 (RRR=7.29, CI [3.90-13.62]) and 50-64 (RRR=5.38, CI [3.39-8.55]) age groups. Alcohol use disorders (AUDs) had small effects on hospital admission in all age groups (RRR=2.35, 95% CI [1.92-2.87]; RRR=2.15, 95% CI [1.95-2.37]; RRR=1.92, 95% CI [1.73-2.12]; and OR=1.93, 95% CI [1.20-3.10] in the 21-34, 35-49, 50-64, and 65+ age groups, respectively). Drug use disorders (DUDs) had small-to-medium effects on hospital admission (RRR=4.40, 95% CI [3.87-5.0]; RRR=4.07, 95% CI [3.77-4.40]; RRR=4.17, 95% CI [3.83-4.55]; and OR=2.53, 95% CI [2.70-3.78] in the 21-34, 35-49, 50-64, and 65+ age groups, respectively). AUDs and DUDs were also significantly related to the risk of death, and DUDs had a small effect on the risk of discharge against medical advice in the 35-49 and 50-64 age groups.\nConclusion:\n The high prevalence of MHSUDs and their significant roles in ED visit outcomes in patients with HIV provide support for integrated care for these patients outside the ED to reduce their ED visits and costly hospital admissions and institutional care that follows, especially for the increasing numbers of older adults with HIV.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "HIV" }, { "word": "Mental Disorders" }, { "word": "substance use disorders" }, { "word": "Hospital admission" }, { "word": "death" }, { "word": "Older Adults" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3mq0w0wz", "frozenauthors": [ { "first_name": "Bryan", "middle_name": "Y.", "last_name": "Choi", "name_suffix": "", "institution": "Warren Alpert Medical School at Brown Univeristy and Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Diana", "middle_name": "M.", "last_name": "DiNitto", "name_suffix": "", "institution": "The University of Texas at Austin, School of Social Work, Austin, Texas", "department": "None" }, { "first_name": "C.", "middle_name": "Nathan", "last_name": "Marti", "name_suffix": "", "institution": "The University of Texas at Austin, School of Social Work, Austin, Texas", "department": "None" }, { "first_name": "Namkee", "middle_name": "G.", "last_name": "Choi", "name_suffix": "", "institution": "The University of Texas at Austin, School of Social Work, Austin, Texas", "department": "None" } ], "date_submitted": "2015-07-30T02:47:45Z", "date_accepted": "2015-07-30T02:47:45Z", "date_published": "2016-03-03T00:17:39Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9267/galley/5235/download/" } ] }, { "pk": 9562, "title": "Bullosis Diabeticorum", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "diabetes, bullae, bullosis diabeticorum" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/98p865ts", "frozenauthors": [ { "first_name": "Meina", "middle_name": "J.", "last_name": "Michael", "name_suffix": "", "institution": "The George Washington University School of Medicine and Health Sciences, Washington, DC", "department": "None" }, { "first_name": "Jason", "middle_name": "M.", "last_name": "Mefford", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shadi", "middle_name": "", "last_name": "Lahham", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Carrie", "middle_name": "E.", "last_name": "Chandwani", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2016-01-06T21:11:02Z", "date_accepted": "2016-01-06T21:11:02Z", "date_published": "2016-03-03T00:15:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9562/galley/5328/download/" } ] }, { "pk": 9460, "title": "Young Woman with a Fever and Chest Pain", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "ultrasound, bedside ultrasound, POC ultrasound, lung ultrasound, pneumonia" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/20f5p8r8", "frozenauthors": [ { "first_name": "Kristin", "middle_name": "H.", "last_name": "Dwyer", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Joshua", "middle_name": "S.", "last_name": "Rempell", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2015-11-12T02:01:41Z", "date_accepted": "2015-11-12T02:01:41Z", "date_published": "2016-03-03T00:14:25Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9460/galley/5299/download/" } ] }, { "pk": 9471, "title": "Traumatic Arthrotomy with Pneumarthrosis on Plain Radiograph of the Knee", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Pneumarthrotomy, laceration to joint, traumatic arthrotomy" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0vk6m5sp", "frozenauthors": [ { "first_name": "Timothy", "middle_name": "D.", "last_name": "Roberts", "name_suffix": "", "institution": "Starship Children’s Hospital, Department of Paediatric Orthopaedics, Auckland, New Zealand", "department": "None" } ], "date_submitted": "2015-11-18T23:28:28Z", "date_accepted": "2015-11-18T23:28:28Z", "date_published": "2016-03-03T00:13:20Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9471/galley/5303/download/" } ] }, { "pk": 9463, "title": "Salicylate Toxicity from Genital Exposure to a Methylsalicylate-Containing Rubefacient", "subtitle": null, "abstract": "Methylsalicylate-containing rubefacients have been reported to cause salicylate poisoning after ingestion, topical application to abnormal skin, and inappropriate topical application to normal skin. Many over-the-counter products contain methylsalicylate. Topical salicylates rarely produce systemic toxicity when used appropriately; however, methylsaliclyate can be absorbed through intact skin. Scrotal skin can have up to 40-fold greater absorption compared to other dermal regions. We report a unique case of salicylate poisoning resulting from the use of a methylsalicylate-containing rubefacient to facilitate masturbation in a male teenager. Saliclyate toxicity has not previously been reported from the genital exposure to methylsaliclyate.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Salicylism, methylsalicylate, masturbation, rebefacient" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2qq46130", "frozenauthors": [ { "first_name": "Trevonne", "middle_name": "M.", "last_name": "Thompson", "name_suffix": "", "institution": "The University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Theodore", "middle_name": "", "last_name": "Toerne", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Timothy", "middle_name": "B.", "last_name": "Erickson", "name_suffix": "", "institution": "The University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2015-11-13T16:56:24Z", "date_accepted": "2015-11-13T16:56:24Z", "date_published": "2016-03-03T00:12:33Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9463/galley/5300/download/" } ] }, { "pk": 9496, "title": "Electronic Vapor Cigarette Battery Explosion Causing Shotgun-like Superficial Wounds and Contusion", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25q3x7j8", "frozenauthors": [ { "first_name": "Siri", "middle_name": "", "last_name": "Shastry", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Mark", "middle_name": "I.", "last_name": "Langdorf", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2015-12-03T03:45:15Z", "date_accepted": "2015-12-03T03:45:15Z", "date_published": "2016-03-03T00:10:43Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9496/galley/5308/download/" } ] }, { "pk": 9505, "title": "Turbid Peritoneal Fluid", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "peritoneal fluid, peritonitis, diagnostic procedures" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/45t526dx", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "L.", "last_name": "Burleson", "name_suffix": "", "institution": "University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "Henry", "middle_name": "E.", "last_name": "Wang", "name_suffix": "", "institution": "University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" } ], "date_submitted": "2015-12-07T17:19:53Z", "date_accepted": "2015-12-07T17:19:53Z", "date_published": "2016-03-03T00:09:39Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9505/galley/5311/download/" } ] }, { "pk": 9373, "title": "There’s an App for That? Highlighting the Difficulty in Finding Clinically Relevant Smartphone Applications", "subtitle": null, "abstract": "Introduction:\n The use of personal mobile devices in the medical field has grown quickly, and a large proportion of physicians use their mobile devices as an immediate resource for clinical decision-making, prescription information and other medical information. The iTunes App Store (Apple, Inc.) contains approximately 20,000 apps in its “Medical” category, providing a robust repository of resources for clinicians; however, this represents only 2% of the entire App Store. The App Store does not have strict criteria for identifying content specific to practicing physicians, making the identification of clinically relevant content difficult. The objective of this study is to quantify the characteristics of existing medical applications in the iTunes App Store that could be used by emergency physicians, residents, or medical students.\nMethods:\n We found applications related to emergency medicine (EM) by searching the iTunes App Store for 21 terms representing core content areas of EM, such as “emergency medicine,” “critical care,” “orthopedics,” and “procedures.” Two physicians independently reviewed descriptions of these applications in the App Store and categorized each as the following: Clinically Relevant, Book/Published Source, Non-English, Study Tools, or Not Relevant. A third physician reviewer resolved disagreements about categorization. Descriptive statistics were calculated.\nResults:\n We found a total of 7,699 apps from the 21 search terms, of which 17.8% were clinical, 9.6% were based on a book or published source, 1.6% were non-English, 0.7% were clinically relevant patient education resources, and 4.8% were study tools. Most significantly, 64.9% were considered not relevant to medical professionals. Clinically relevant apps make up approximately 6.9% of the App Store’s “Medical” Category and 0.1% of the overall App Store.\nConclusion:\n Clinically relevant apps represent only a small percentage (6.9%) of the total App volume within the Medical section of the App Store. Without a structured search-and-evaluation strategy, it may be difficult for the casual user to identify this potentially useful content. Given the increasing adoption of devices in healthcare, national EM associations should consider curating these resources for their members.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine" }, { "word": "Medical Technology" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/007652dr", "frozenauthors": [ { "first_name": "Warren", "middle_name": "", "last_name": "Wiechmann", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Kwan", "name_suffix": "", "institution": "UCSF-Fresno, Department of Emergency Medicine, Fresno, California", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Bokarius", "name_suffix": "", "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Shannon", "middle_name": "L.", "last_name": "Toohey", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" } ], "date_submitted": "2015-09-25T18:49:33Z", "date_accepted": "2015-09-25T18:49:33Z", "date_published": "2016-03-03T00:08:21Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9373/galley/5273/download/" } ] }, { "pk": 9402, "title": "Point-of-Care Ultrasound to Evaluate a Teenager with Presyncope", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Hypertrophic cardiomyopathy, ultrasound, presyncope" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43w9v2gh", "frozenauthors": [ { "first_name": "Michael", "middle_name": "T.", "last_name": "Long", "name_suffix": "", "institution": "Rady Children’s Hospital, Division of Emergency Medicine, San Diego, California; University of California at San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Samuel", "middle_name": "", "last_name": "Lam", "name_suffix": "", "institution": "Rady Children’s Hospital, Division of Emergency Medicine, San Diego, California;\nUniversity of California at San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" } ], "date_submitted": "2015-10-13T19:44:30Z", "date_accepted": "2015-10-13T19:44:30Z", "date_published": "2016-03-03T00:06:40Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9402/galley/5281/download/" } ] }, { "pk": 9355, "title": "Retrospective Review of Ocular Point-of-Care Ultrasound for Detection of Retinal Detachment", "subtitle": null, "abstract": "Introduction: \nRetinal detachment is an ocular emergency that commonly presents to the emergency department (ED). Ophthalmologists are able to accurately make this diagnosis with a dilated fundoscopic exam, scleral depression or ophthalmic ultrasound when a view to the retina is obstructed. Emergency physicians (EPs) are not trained to examine the peripheral retina, and thus ophthalmic ultrasound can be used to aid in diagnosis. We assessed the accuracy of ocular point-of-care ultrasound (POCUS) in diagnosing retinal detachment.\nMethods: \nWe retrospectively reviewed charts of ED patients with suspected retinal detachment who underwent ocular POCUS between July 2012 and May 2015. Charts were reviewed for patients presenting to the ED with ocular complaints and clinical concern for retinal detachment. We compared ocular POCUS performed by EPs against the criterion reference of the consulting ophthalmologist’s diagnosis.\nResults: \nWe enrolled a total of 109 patients. Of the 34 patients diagnosed with retinal detachment by the ophthalmologists, 31 were correctly identified as having retinal detachment by the EP using ocular POCUS. Of the 75 patients who did not have retinal detachment, 72 were ruled out by ocular POCUS by the EP. This resulted in a POCUS sensitivity of 91% (95% CI [76-98]) and specificity of 96% (95% CI [89-99]).\nConclusion:\n This retrospective study suggests that ocular POCUS performed by EPs can aid in the diagnosis of retinal detachment in ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Ultrasound, Ocular ultrasound, retinal detachment" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/46f4c3r4", "frozenauthors": [ { "first_name": "Bradley", "middle_name": "", "last_name": "Jacobsen", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Irvine, California", "department": "None" }, { "first_name": "Sari", "middle_name": "", "last_name": "Lahham", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Irvine, California", "department": "None" }, { "first_name": "Shadi", "middle_name": "", "last_name": "Lahham", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "University of California Irvine, Gavin Herbert Eye Institute, Department of Ophthalmology, Irvine, California", "department": "None" }, { "first_name": "Sophia", "middle_name": "", "last_name": "Spann", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "John", "middle_name": "C.", "last_name": "Fox", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2015-09-20T02:53:16Z", "date_accepted": "2015-09-20T02:53:16Z", "date_published": "2016-03-03T00:05:30Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9355/galley/5267/download/" } ] }, { "pk": 9479, "title": "Mistakes and Pitfalls Associated with Two-Point Compression Ultrasound for Deep Vein Thrombosis", "subtitle": null, "abstract": "Introduction:\n Two-point compression ultrasound is purportedly a simple and accurate means to diagnose proximal lower extremity deep vein thrombosis (DVT), but the pitfalls of this technique have not been fully elucidated. The objective of this study is to determine the accuracy of emergency medicine resident-performed two-point compression ultrasound, and to determine what technical errors are commonly made by novice ultrasonographers using this technique.\nMethods:\n This was a prospective diagnostic test assessment of a convenience sample of adult emergency department (ED) patients suspected of having a lower extremity DVT. After brief training on the technique, residents performed two-point compression ultrasounds on enrolled patients. Subsequently a radiology department ultrasound was performed and used as the gold standard. Residents were instructed to save videos of their ultrasounds for technical analysis.\nResults:\n Overall, 288 two-point compression ultrasound studies were performed. There were 28 cases that were deemed to be positive for DVT by radiology ultrasound. Among these 28, 16 were identified by the residents with two-point compression. Among the 260 cases deemed to be negative for DVT by radiology ultrasound, 10 were thought to be positive by the residents using two-point compression. This led to a sensitivity of 57.1% (95% CI [38.8-75.5]) and a specificity of 96.1% (95% CI [93.8-98.5]) for resident-performed two-point compression ultrasound. This corresponds to a positive predictive value of 61.5% (95% CI 42.8% to 80.2%) and a negative predictive value of 95.4% (95% CI 92.9% to 98.0%). The positive likelihood ratio is 14.9 (95% CI 7.5 to 29.5) and the negative likelihood ratio is 0.45 (95% CI 0.29 to 0.68). Video analysis revealed that in four cases the resident did not identify a DVT because the thrombus was isolated to the superior femoral vein (SFV), which is not evaluated by two-point compression. Moreover, the video analysis revealed that the most common mistake made by the residents was inadequate visualization of the popliteal vein.\nConclusion:\n Two-point compression ultrasound does not identify isolated SFV thrombi, which reduces its sensitivity. Moreover, this technique may be more difficult than previously reported, in part because novice ultrasonographers have difficulty properly assessing the popliteal vein.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Deep Vein Thrombosis" }, { "word": "emergency physician performed ultrasound" }, { "word": "2-point compression" }, { "word": "emergency medicine resident" }, { "word": "Ultrasound Education" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3n07x6z2", "frozenauthors": [ { "first_name": "Tony", "middle_name": "", "last_name": "Zitek", "name_suffix": "", "institution": "University of Nevada School of Medicine, Department of Emergency Medicine, Reno, Nevada; University Medical Center of Southern Nevada, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Jamie", "middle_name": "", "last_name": "Baydoun", "name_suffix": "", "institution": "University of Nevada School of Medicine, Department of Emergency Medicine, Reno, Nevada; University Medical Center of Southern Nevada, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Salvador", "middle_name": "", "last_name": "Yepez", "name_suffix": "", "institution": "University Medical Center of Southern Nevada, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "Wesley", "middle_name": "", "last_name": "Forred", "name_suffix": "", "institution": "University Medical Center of Southern Nevada, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" }, { "first_name": "David", "middle_name": "E.", "last_name": "Slattery", "name_suffix": "", "institution": "University of Nevada School of Medicine, Department of Emergency Medicine, Reno, Nevada; University Medical Center of Southern Nevada, Department of Emergency Medicine, Las Vegas, Nevada", "department": "None" } ], "date_submitted": "2015-11-21T22:39:37Z", "date_accepted": "2015-11-21T22:39:37Z", "date_published": "2016-03-03T00:02:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9479/galley/5305/download/" } ] }, { "pk": 9148, "title": "Computerized Diagnostic Assistant for the Automatic Detection of Pneumothorax on Ultrasound: A Pilot Study", "subtitle": null, "abstract": "Introduction:\n Bedside thoracic ultrasound (US) can rapidly diagnose pneumothorax (PTX) with improved accuracy over the physical examination and without the need for chest radiography (CXR); however, US is highly operator dependent. A computerized diagnostic assistant was developed by the United States Army Institute of Surgical Research to detect PTX on standard thoracic US images. This computer algorithm is designed to automatically detect sonographic signs of PTX by systematically analyzing B-mode US video clips for pleural sliding and M-mode still images for the seashore sign. This was a pilot study to estimate the diagnostic accuracy of the PTX detection computer algorithm when compared to an expert panel of US trained physicians.\nMethods:\n This was a retrospective study using archived thoracic US obtained on adult patients presenting to the emergency department (ED) between 5/23/2011 and 8/6/2014. Emergency medicine residents, fellows, attending physicians, physician assistants, and medical students performed the US examinations and stored the images in the picture archive and communications system (PACS). The PACS was queried for all ED bedside US examinations with reported positive PTX during the study period along with a random sample of negatives. The computer algorithm then interpreted the images, and we compared the results to an independent, blinded expert panel of three physicians, each with experience reviewing over 10,000 US examinations.\nResults:\n Query of the PACS system revealed 146 bedside thoracic US examinations for analysis. Thirteen examinations were indeterminate and were excluded. There were 79 true negatives, 33 true positives, 9 false negatives, and 12 false positives. The test characteristics of the algorithm when compared to the expert panel were sensitivity 79% (95 % CI [63-89]) and specificity 87% (95% CI [77-93]). For the 20 images scored as highest quality by the expert panel, the algorithm demonstrated 100% sensitivity (95% CI [56-100]) and 92% specificity (95% CI [62-100]).\nConclusion: \nThis novel computer algorithm has potential to aid clinicians with the identification of the sonographic signs of PTX in the absence of expert physician sonographers. Further refinement and training of the algorithm is still needed, along with prospective validation, before it can be utilized in clinical practice.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "ultrasound" }, { "word": "Pneumothorax" }, { "word": "Automated" }, { "word": "Diagnosis" }, { "word": "Bedside" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/948486m9", "frozenauthors": [ { "first_name": "Shane", "middle_name": "M.", "last_name": "Summers", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Eric", "middle_name": "J.", "last_name": "Chin", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Brit", "middle_name": "J.", "last_name": "Long", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Ronald", "middle_name": "D.", "last_name": "Grisell", "name_suffix": "", "institution": "United States Army Institute of Surgical Research, San Antonio, Texas", "department": "None" }, { "first_name": "John", "middle_name": "G.", "last_name": "Knight", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Kurt", "middle_name": "W.", "last_name": "Grathwohl", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Pulmonary/Critical Care, San Antonio, Texas", "department": "None" }, { "first_name": "John", "middle_name": "L.", "last_name": "Ritter", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Radiology, San Antonio, Texas", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "D.", "last_name": "Morgan", "name_suffix": "", "institution": "Brooke Army Medical Center, Department of Emergency Medicine, San Antonio, Texas", "department": "None" }, { "first_name": "Jose", "middle_name": "", "last_name": "Salinas", "name_suffix": "", "institution": "United States Army Institute of Surgical Research, San Antonio, Texas", "department": "None" }, { "first_name": "Lorne", "middle_name": "H.", "last_name": "Blackbourne", "name_suffix": "", "institution": "United States Army Medical Department Center and School", "department": "None" } ], "date_submitted": "2015-09-08T23:56:19Z", "date_accepted": "2015-09-08T23:56:19Z", "date_published": "2016-03-03T00:00:40Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9148/galley/5137/download/" } ] }, { "pk": 9510, "title": "Ultrasound-Guided Cannulation: Time to Bring Subclavian Central Lines Back", "subtitle": null, "abstract": "Despite multiple advantages, subclavian vein (SCV) cannulation via the traditional landmark approach has become less used in comparison to ultrasound (US) guided internal jugular catheterization due to a higher rate of mechanical complications. A growing body of evidence indicates that SCV catheterization with real-time US guidance can be accomplished safely and efficiently. While several cannulation approaches with real-time US guidance have been described, available literature suggests that the infraclavicular, longitudinal “in-plane” technique may be preferred. This approach allows for direct visualization of needle advancement, which reduces risk of complications and improves successful placement. Infraclavicular SCV cannulation requires simultaneous use of US during needle advancement, but for an inexperienced operator, it is more easily learned compared to the traditional landmark approach. In this article, we review the evidence supporting the use of US guidance for SCV catheterization and discuss technical aspects of the procedure itself.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "subclavian vein, subclavian central line, vascular access, ultrasound guidance, longitudinal approach, in-plane approach, infraclavicular approach" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8ns5s4h0", "frozenauthors": [ { "first_name": "Talayeh", "middle_name": "", "last_name": "Rezayat", "name_suffix": "", "institution": "David Geffen School of Medicine, UCLA, Division of Pulmonary and Critical Care Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "R.", "last_name": "Stowell", "name_suffix": "", "institution": "Maricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "L.", "last_name": "Kendall", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Turner", "name_suffix": "", "institution": "David Geffen School of Medicine, UCLA, Division of Pulmonary and Critical Care Medicine, Los Angeles, California", "department": "None" }, { "first_name": "J.", "middle_name": "Christian", "last_name": "Fox", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Igor", "middle_name": "", "last_name": "Barjaktarevic", "name_suffix": "", "institution": "David Geffen School of Medicine, UCLA, Division of Pulmonary and Critical Care Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2015-12-12T02:00:07Z", "date_accepted": "2015-12-12T02:00:07Z", "date_published": "2016-03-02T23:59:44Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9510/galley/5315/download/" } ] }, { "pk": 9381, "title": "Effect of Intraosseous Tibial vs. Intravenous Vasopressin in a Hypovolemic Cardiac Arrest Model", "subtitle": null, "abstract": "Introduction:\n This study compared the effects of vasopressin via tibial intraosseous (IO) and intravenous (IV) routes on maximum plasma concentration (Cmax), the time to maximum concentration (Tmax), return of spontaneous circulation (ROSC), and time to ROSC in a hypovolemic cardiac arrest model.\nMethods:\n This study was a randomized prospective, between-subjects experimental design. A computer program randomly assigned 28 Yorkshire swine to one of four groups: IV (n=7), IO tibia (n=7), cardiopulmonary resuscitation (CPR) + defibrillation (n=7), and a control group that received just CPR (n=7). Ventricular fibrillation was induced, and subjects remained in arrest for two minutes. CPR was initiated and 40 units of vasopressin were administered via IO or IV routes. Blood samples were collected at 0.5, 1, 1.5, 2, 2.5, 3, and 4 minutes. CPR and defibrillation were initiated for 20 minutes or until ROSC was achieved. We measured vasopressin concentrations using high-performance liquid chromatography.\nResults:\n There was no significant difference between the IO and IV groups relative to achieving ROSC (p=1.0) but a significant difference between the IV compared to the CPR+ defibrillation group (p=0.031) and IV compared to the CPR-only group (p=0.001). There was a significant difference between the IO group compared to the CPR+ defibrillation group (p=0.031) and IO compared to the CPR-only group (p=0.001). There was no significant difference between the CPR + defibrillation group and the CPR group (p=0.127). There was no significant difference in Cmax between the IO and IV groups (p=0.079). The mean ± standard deviation of Cmax of the IO group was 58,709 ± 25,463pg/mL compared to the IV group, which was 106,198 ± 62,135pg/mL. There was no significant difference in mean Tmax between the groups (p=0.084). There were no significant differences in odds of ROSC between the tibial IO and IV groups.\nConclusion:\n Prompt access to the vascular system using the IO route can circumvent the interruption in treatment observed with attempting conventional IV access. The IO route is an effective modality for the treatment of hypovolemic cardiac arrest and may be considered first line for rapid vascular access.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "vasopressin, intraosseous, cardiopulmonary resuscitation, hemorrhage" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/81b9c86b", "frozenauthors": [ { "first_name": "Justin", "middle_name": "", "last_name": "Fulkerson", "name_suffix": "", "institution": "U.S. Army Graduate Program in Anesthesia, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Lowe", "name_suffix": "", "institution": "U.S. Army Graduate Program in Anesthesia, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Tristan", "middle_name": "", "last_name": "Anderson", "name_suffix": "", "institution": "U.S. Army Graduate Program in Anesthesia, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Heather", "middle_name": "", "last_name": "Moore", "name_suffix": "", "institution": "U.S. Army Graduate Program in Anesthesia, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Craig", "name_suffix": "", "institution": "U.S. Army Graduate Program in Anesthesia, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Don", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "U.S. Army Graduate Program in Anesthesia, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2015-09-30T18:40:13Z", "date_accepted": "2015-09-30T18:40:13Z", "date_published": "2016-03-02T23:57:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9381/galley/5275/download/" } ] }, { "pk": 9420, "title": "Physician Quality Reporting System Program Updates and the Impact on Emergency Medicine Practice", "subtitle": null, "abstract": "In 2007, the Centers for Medicaid and Medicare Services (CMS) created a novel payment program to create incentives for physician’s to focus on quality of care measures and report quality performance for the first time. Initially termed “The Physician Voluntary Reporting Program,” various Congressional actions, including the Tax Relief and Health Care Act of 2006 (TRHCA) and Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) further strengthened and ensconced this program, eventually leading to the quality program termed today as the Physician Quality Reporting System (PQRS). As a result of passage of the Affordable Care Act of 2010, the PQRS program has expanded to include both the “traditional PQRS” reporting program and the newer “Value Modifier” program (VM). For the first time, these programs were designed to include pay-for-performance incentives for all physicians providing care to Medicare beneficiaries and to measure the cost of care. The recent passage of the Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act in March of 2015 includes changes to these payment programs that will have an even more profound impact on emergency care providers. We describe the implications of these important federal policy changes for emergency physicians.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "PQRS, payment system, payment policy" } ], "section": "Emergency Department Administration", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7xp8c5gf", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "L.", "last_name": "Wiler", "name_suffix": "", "institution": "University of Colorado, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Granovsky", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington D.C.", "department": "None" }, { "first_name": "Stephen", "middle_name": "V.", "last_name": "Cantrill", "name_suffix": "", "institution": "University of Colorado, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Newell", "name_suffix": "", "institution": "CEP America, Department of Emergency Medicine, Emeryville, California", "department": "None" }, { "first_name": "Arjun", "middle_name": "K.", "last_name": "Venkatesh", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine and Center for Outcomes Research and Evaluation, New Haven, Connecticut", "department": "None" }, { "first_name": "Jeremiah", "middle_name": "D.", "last_name": "Schuur", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Harvard University School of Medicine, Department of Emergency Medicine, Boston Massachusetts", "department": "None" } ], "date_submitted": "2015-10-23T05:43:58Z", "date_accepted": "2015-10-23T05:43:58Z", "date_published": "2016-03-02T23:53:11Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9420/galley/5287/download/" } ] }, { "pk": 41397, "title": "IRCHLB-IV-Abstracts of Presentations at the 4th International Research Conference on Huanglongbing", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "International Research Conference on Huanglongbing (IRCHLB)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9jw2w985", "frozenauthors": [ { "first_name": "Jim", "middle_name": "", "last_name": "Graham", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Lukasz", "middle_name": "", "last_name": "Stelinski", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-02-29T21:00:55Z", "date_accepted": "2016-02-29T21:00:55Z", "date_published": "2016-03-02T19:56:46Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41397/galley/30995/download/" } ] }, { "pk": 44114, "title": "Metaplastic Breast Cancer in a Young Woman: A Case report", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99r7259k", "frozenauthors": [ { "first_name": "Merry", "middle_name": "L.", "last_name": "Tetef", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-03-02T16:25:01Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44114/galley/32917/download/" } ] }, { "pk": 44135, "title": "Inflammatory Biomarker Pairs as Outcome Measures in Peritoneal Dialysis: A Pilot Study", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/13w7n17b", "frozenauthors": [ { "first_name": "Panida", "middle_name": "", "last_name": "Ditsawanon", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Qiaoyuan", "middle_name": "", "last_name": "Wu", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Sharon", "middle_name": "G.", "last_name": "Adler", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ying", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Janine", "middle_name": "", "last_name": "LaPage", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Aditi", "middle_name": "", "last_name": "Nayak", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Ali", "middle_name": "", "last_name": "Andalibi", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Pornanong", "middle_name": "", "last_name": "Aramwit", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Tiane", "middle_name": "", "last_name": "Dai", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-03-02T07:12:32Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44135/galley/32938/download/" } ] }, { "pk": 1788, "title": "Web Application Teaching Tools for Statistics Using R and Shiny", "subtitle": null, "abstract": "Technology plays a critical role in supporting statistics education, and student comprehension is improved when simulations accompanied by dynamic visualizations are employed. Many web-based teaching tool applets programmed in Java/Javascript are publicly available (e.g., www.rossmanchance.com, www.socr.ucla.edu) These provide a user-friendly interface which is accessible and appealing to students in introductory statistics courses. However, not all statistics educators are fluent in Java/Javascript and may not be able to tailor these apps or develop their own. Shiny, a web application framework for R created by RStudio, facilitates applet development for educators who are familiar with R. We illustrate the utility, convenience, and versatility of Shiny through our collection of 17 freely available apps covering a range of topics and levels (found at www.statistics.calpoly.edu/shiny) Our Shiny source code is publicly available so that anyone may tailor our apps as desired. We provide feedback on how our apps have been used in statistics classes including some challenges that were encountered. We also discuss feasibility on building, launching, and deploying Shiny apps. A brief tutorial on installing and using Shiny is provided in the appendix. Some teaching materials based on our Shiny apps are also included in the appendix.", "language": "en", "license": null, "keywords": [ { "word": "Statistics Education, Introductory Statistics, Technology Implementation, Web-Based Applications, R, Shiny" } ], "section": "Technology Innovations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/00d4q8cp", "frozenauthors": [ { "first_name": "JIMMY", "middle_name": "", "last_name": "DOI", "name_suffix": "", "institution": "California Polytechnic State University, San Luis Obispo", "department": "None" }, { "first_name": "GAIL", "middle_name": "", "last_name": "POTTER", "name_suffix": "", "institution": "California Polytechnic State University, San Luis Obispo and The EMMES Corporation (Rockville, MD)", "department": "None" }, { "first_name": "JIMMY", "middle_name": "", "last_name": "WONG", "name_suffix": "", "institution": "California Polytechnic State University, San Luis Obispo and FDA/Center for Drug Evaluation and Research", "department": "None" }, { "first_name": "IRVIN", "middle_name": "", "last_name": "ALCARAZ", "name_suffix": "", "institution": "California Polytechnic State University, San Luis Obispo and OpenX", "department": "None" }, { "first_name": "PETER", "middle_name": "", "last_name": "CHI", "name_suffix": "", "institution": "California Polytechnic State University, San Luis Obispo and Ursinus College", "department": "None" } ], "date_submitted": "2015-05-15T18:59:16Z", "date_accepted": "2015-05-15T18:59:16Z", "date_published": "2016-02-23T14:25:29Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/tise/article/1788/galley/1234/download/" } ] }, { "pk": 44112, "title": "Cardiac Manifestation of Lymphedema", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gr3g7rp", "frozenauthors": [ { "first_name": "Reena", "middle_name": "", "last_name": "Patel", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-22T23:47:55Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44112/galley/32915/download/" } ] }, { "pk": 39425, "title": "Adaptive Capacity for eutrophication governance of the Laurentian Great Lakes", "subtitle": null, "abstract": "The Great Lakes are the largest freshwater body in the world, holding 20% of the worlds freshwater. Together, Lakes Superior, Michigan, Huron, Erie and Ontario, are home to over 35million Americans and Canadians, a factor that lead to severe human related stress to the lakes’ ecosystem. The eutrophication of Lake Erie is one manifestation of this anthropogenic stress from nutrient enrichment from farming, sewage treatment plant discharges, airborne emissions and nutrient flows from paved surfaces. This paper examines the eutrophication of Lake Erie and shows that it is a wicked problem that can benefit from an adaptive governance approach. More specifically, it proposes a framework for assessing adaptive capacity and tests this framework through key informant interviews in the case where adaptive capacity was displayed; a Lake Erie that went from severe eutrophication the 1960s to significant nutrient reduction and restoration of the Lake Erie ecosystem in the 1990s. This research also aims to identify gaps in adaptive capacity for current eutrophication governance of Lake Erie.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Eutrophication, governance, adaptive capacity, Great Lakes" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9qf8s9s7", "frozenauthors": [ { "first_name": "Savitri", "middle_name": "", "last_name": "Jetoo", "name_suffix": "", "institution": "McMaster University,Department of Civil Engineering.", "department": "None" }, { "first_name": "Gail", "middle_name": "", "last_name": "Krantzberg", "name_suffix": "", "institution": "Professor and Director of the Center for Engineering and Public Policy offering Canada's first Master's Degree in Engineering and Public Policy.", "department": "None" } ], "date_submitted": "2015-05-15T17:46:49Z", "date_accepted": "2015-05-15T17:46:49Z", "date_published": "2016-02-22T06:49:10Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39425/galley/29764/download/" } ] }, { "pk": 39450, "title": "Review: Managing the Unknown: Essays on Environmental Ignorance", "subtitle": null, "abstract": "Book review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "environmental policy" }, { "word": "environmental management" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4d41417j", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE, Québec, Canada", "department": "None" } ], "date_submitted": "2016-01-18T21:09:04Z", "date_accepted": "2016-01-18T21:09:04Z", "date_published": "2016-02-22T06:09:20Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39450/galley/29782/download/" } ] }, { "pk": 39449, "title": "Review: David Brower: The Making of the Environmental Movement", "subtitle": null, "abstract": "Book review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2ww26274", "frozenauthors": [ { "first_name": "Byron", "middle_name": "P.", "last_name": "Anderson", "name_suffix": "", "institution": "Retired/Northern Illinois University", "department": "None" } ], "date_submitted": "2016-01-16T17:20:36Z", "date_accepted": "2016-01-16T17:20:36Z", "date_published": "2016-02-22T06:06:32Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39449/galley/29781/download/" } ] }, { "pk": 44111, "title": "Delayed Presentation of Alport Syndrome", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5gj3948q", "frozenauthors": [ { "first_name": "Sonya", "middle_name": "", "last_name": "Heitmann", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Rauz", "middle_name": "", "last_name": "Eshraghi", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-21T23:47:08Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44111/galley/32914/download/" } ] }, { "pk": 2068, "title": "Content-Based Instruction Understood in Terms of Connectionism and Constructivism", "subtitle": null, "abstract": "Despite the number of articles devoted to the topic of content-based instruction (CBI), little attempt has been made to link the claims for CBI to research in cognitive science. In this article, I review the CBI model of foreign language (FL) instruction in the context of its close alignment with two emergent frameworks in cognitive science: connectionism and constructivism. I show that these frameworks offer powerful support for the features of CBI that make it an attractive alternative to textbook-based learning. In addition, I argue that the general principles associated with connectionism and constructivism suggest further avenues for development within CBI, especially in the areas of pattern recognition and speech processing.\n \nTo describe connectionism and constructivism as emergent frameworks in cognitive science is perhaps misleading. They would be better described as landmark theories that have in recent years experienced a revival, in large part due to the influence of research associated with increased brain imaging capabilities and large-scale computational modeling. Connectionism and constructivism originally stem from separate disciplines (mathematics and psychology, respectively). Conceptually, however, they are sufficiently broad as to have implications for many different fields. Taken separately or together, connectionism and constructivism have been especially influential in fields that deal with behavioral phenomena. Where there is an intersection between biology and culture, connectionism and constructivism provide the kinds of insights on learning that are otherwise difficult to untangle from the standpoint of a purely nature or purely nurture perspective.", "language": "en", "license": null, "keywords": [ { "word": "Content-Based Instruction" }, { "word": "Connectionism" }, { "word": "constructivism" }, { "word": "foreign language acquisition" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2cg5m3vs", "frozenauthors": [ { "first_name": "Stephanie", "middle_name": "", "last_name": "Lain", "name_suffix": "", "institution": "UC Santa Cruz", "department": "None" } ], "date_submitted": "2015-10-11T23:33:53Z", "date_accepted": "2015-10-11T23:33:53Z", "date_published": "2016-02-18T23:46:45Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2068/galley/1360/download/" } ] }, { "pk": 44110, "title": "A Case of Paroxysmal Cold Hemoglobinuria", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9v98p9gf", "frozenauthors": [ { "first_name": "Antonio", "middle_name": "M.", "last_name": "Pessegueiro", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-18T23:40:34Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44110/galley/32913/download/" } ] }, { "pk": 44109, "title": "Wheezing Secondary to Gastroesophageal Reflux Disease (GERD)", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pm344qs", "frozenauthors": [ { "first_name": "Amruti", "middle_name": "", "last_name": "Borad", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-17T23:39:54Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44109/galley/32912/download/" } ] }, { "pk": 44108, "title": "Primary Amyloidosis: A Case Report and Review", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0mv4t937", "frozenauthors": [ { "first_name": "Nathan", "middle_name": "", "last_name": "Cox", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Digish", "middle_name": "", "last_name": "Shah", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-12T23:39:10Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44108/galley/32911/download/" } ] }, { "pk": 44107, "title": "Heparin-Induced Thrombocytopenia and the New Oral Anticoagulants", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6dn251qh", "frozenauthors": [ { "first_name": "Juan", "middle_name": "M.", "last_name": "Alcantar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Fukai", "middle_name": "L.", "last_name": "Chuang", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-12T23:38:20Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44107/galley/32910/download/" } ] }, { "pk": 41631, "title": "Western Association of Vertebrate Paleontology Annual Meeting: Program with Abstracts", "subtitle": null, "abstract": "Abstracts and program for the February 13-14, 2016, WAVP Annual Meeting, Anza-Borrego Desert State Park, Borrego Springs, CA, USA.", "language": "en", "license": null, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3km3d2wm", "frozenauthors": [ { "first_name": "Joanne", "middle_name": "S.", "last_name": "Ingwall", "name_suffix": "", "institution": "Anza-Borrego Desert State Park", "department": "None" }, { "first_name": "George", "middle_name": "T.", "last_name": "Jefferson", "name_suffix": "", "institution": "Colorado Desert District Stout Research Center, Anza-Borrego Desert State Park", "department": "None" }, { "first_name": "Myrl", "middle_name": "", "last_name": "Beck", "name_suffix": "", "institution": "Anza-Borrego Desert State Park", "department": "None" } ], "date_submitted": "2016-02-12T05:52:26Z", "date_accepted": "2016-02-12T05:52:26Z", "date_published": "2016-02-11T08:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41631/galley/31162/download/" } ] }, { "pk": 9253, "title": "Can Simulation Measure Differences in Task-Switching Ability Between Junior and Senior Emergency Medicine Residents?", "subtitle": null, "abstract": "Introduction:\n Work interruptions during patient care have been correlated with error. Task-switching is identified by the Accreditation Council for Graduate Medical Education (ACGME) as a core competency for emergency medicine (EM). Simulation has been suggested as a means of assessing EM core competencies. We assumed that senior EM residents had better task-switching abilities than junior EM residents. We hypothesized that this difference could be measured by observing the execution of patient care tasks in the simulation environment when a patient with a ST-elevation myocardial infarction (STEMI) interrupted the ongoing management of a septic shock case.\nMethods:\n This was a multi-site, prospective, observational, cohort study. The study population consisted of a convenience sample of EM residents in their first three years of training. Each subject performed a standardized simulated encounter by evaluating and treating a patient in septic shock. At a predetermined point in every sepsis case, the subject was given a STEMI electrocardiogram (ECG) for a separate chest pain patient in triage and required to verbalize an interpretation and action. We scored learner performance using a dichotomous checklist of critical actions covering sepsis care, ECG interpretation and triaging of the STEMI patient.\nResults: \nNinety-one subjects participated (30 postgraduate year [PGY]1s, 32 PGY2s, and 29 PGY3s). Of those, 87 properly managed the patient with septic shock (90.0% PGY1s, 100% PGY2, 96.6% PGY 3s; p=0.22). Of the 87 who successfully managed the septic shock, 80 correctly identified STEMI on the simulated STEMI patient (86.7% PGY1s, 96.9% PGY2s, 93.1% PGY3s; p=0.35). Of the 80 who successfully managed the septic shock patient and correctly identified the STEMI, 79 provided appropriate interventions for the STEMI patient (73.3% PGY1s, 93.8% PGY2s, 93.8% PGY3s; p=0.07).\nConclusion:\n When management of a septic shock patient was interrupted with a STEMI ECG in a simulated environment we were unable to measure a significant difference in the ability of EM residents to successfully task-switch when compared across PGY levels of training. This study may help refine the use of simulation to assess EM resident competencies.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Task-switching, multitasking, emergency, milestones" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/03m4q9mf", "frozenauthors": [ { "first_name": "Dustin", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, CA", "department": "None" }, { "first_name": "Daniel", "middle_name": "G.", "last_name": "Miller", "name_suffix": "", "institution": "University of Iowa, Department of Emergency Medicine, Iowa City, Iowa", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "", "last_name": "Cukor", "name_suffix": "", "institution": "University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts", "department": "None" } ], "date_submitted": "2015-07-22T23:01:42Z", "date_accepted": "2015-07-22T23:01:42Z", "date_published": "2016-02-11T01:29:34Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9253/galley/5228/download/" } ] }, { "pk": 60750, "title": "Pollution Emission Trading: A Possible Solution to China’s Enforcement Obstacles in Fighting Against Air Pollution?", "subtitle": null, "abstract": "China’s air pollution has become a major environmental concern for the Chinese government and the Chinese public. Although China has established a comprehensive legal framework for environmental protection, many obstacles impede the enforcement of environmental laws and regulations. In light of the Chinese government’s vigorous use of emission trading as a primary means of addressing the environmental problems in recent years, this paper identifies and explains the major economic, legal, political, social, and cultural impediments to enforcing the environmental regulation of China. The paper then engages in a comparative analysis of the emission trading programs of the United States and China, focusing on their different features and varied performance levels in terms of participation and compliance enforcement. The analysis reveals that China’s pollution emission trading programs are simply hybrids of traditional command-and-control and modern market-based approaches to environmental regulation – approaches that have been unable to help resolve long-standing enforcement problems. Nevertheless, such empirical findings do not lead to the conclusion that China should give up emission trading. The study shows that emission trading possesses advantageous features that can help relieve the economic, political, legal, social, and cultural impediments to enforcement faced by China. The paper thus proposes that the Chinese government should undertake further reforms to establish a real market for emission trading.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "environmental law" }, { "word": "China" }, { "word": "air pollution" }, { "word": "emissions trading" }, { "word": "pollution emissions trading" }, { "word": "Cap-and-Trade" }, { "word": "market-based approach" } ], "section": "Comments", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8jg5686h", "frozenauthors": [ { "first_name": "Jiangfeng", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "Yale Law School", "department": "" } ], "date_submitted": "2016-02-11T00:47:32Z", "date_accepted": "2016-02-11T00:47:32Z", "date_published": "2016-02-11T00:47:47Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60750/galley/46713/download/" } ] }, { "pk": 60749, "title": "Come and “Take” It: Whooping Cranes, Texas Water Rights, Endangered Species Act Liability, and Reconciling Ecological Scientific Testimony Within the Context of Proximate Causation", "subtitle": null, "abstract": "Tension between science and the law is a pervading feature of Endangered Species Act (ESA) jurisprudence. Incorporating the scientific discipline of ecology within the legal landscape presents distinct challenges, particularly in comparison with more traditional laboratory sciences. Within the realm of Endangered Species Act liability, the intricacies of nature exacerbate already complicated links of causation, challenging the ability to prove violations of the “take” prohibition. Because uncertainties permeate scientists’ ability to understand complex ecosystem processes, courts should rely on the overarching practicality of common law principles when reviewing ecological testimony.\n \nWhen evaluating claims that allege violations of the “take” prohibition, the proximate causation standard operates as a threshold to prevent assigning liability to a party or entity that otherwise may be just one insignificant link in an attenuated ecological chain. \nThe proximate causation standard advanced by the Supreme Court in \nBabbitt v. Sweet Home\n demonstrates the practicality of maintaining established legal principles, specifically as a limit to relying on scientific testimony as a means of proving causation. More recently, \nthe reasoning in \nAransas Project v. Shaw, \nwhere an environmental group alleged that the Texas Commission of Environmental Quality caused the “take” of endangered whooping cranes,\n \nillustrates the challenges associated with proving the cause of ecological injuries. Although the United States District Court for the Southern District of Texas assigned ESA liability based on scientific testimony, the Fifth Circuit reversed the lower court because this attenuated chain of causation lacked the required proximate cause analysis. In the context of ESA liability, where judges must understand complex ecosystem processes, this dichotomy reflects the reliability of proximate causation as a foundation to ensure equitable results.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "environmental law" }, { "word": "Endangered Species Act" }, { "word": "whooping cranes" }, { "word": "endangered species act liability" }, { "word": "proximate cause" }, { "word": "proximate causation" }, { "word": "ecology" } ], "section": "Comments", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/22n904z8", "frozenauthors": [ { "first_name": "Brett", "middle_name": "A.", "last_name": "Miller", "name_suffix": "", "institution": "Texas A&M University School of Law", "department": "" } ], "date_submitted": "2016-02-11T00:36:15Z", "date_accepted": "2016-02-11T00:36:15Z", "date_published": "2016-02-11T00:36:30Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60749/galley/46712/download/" } ] }, { "pk": 60747, "title": "Critical Habitat's Limited Role Under the Endangered Species Act and Its Improper Transformation into \"Recovery\" Habitat", "subtitle": null, "abstract": "The Endangered Species Act (ESA) requires that areas be designated as critical habitat for species that are protected under the Act. Once designated, critical habitat is protected from “destruction or adverse modification” by Section 7(a)(2) of the ESA, which applies to any action authorized, funded, or carried out by a federal agency, including permits and other authorizations issued to private landowners and resource users. In 1978, Congress enacted extensive amendments to the ESA that were intended to limit the scope of critical habitat to areas essential for the survival of protected species. Based on these amendments, the U.S. Fish and Wildlife Service and the National Marine Fisheries Service adopted regulations that recognized critical habitat’s limited role in conserving species, including a definition of “destruction or adverse modification” that emphasized impacts to the protected species’ survival. In \nSierra Club v. U.S. Fish and Wildlife Service\n and \nGifford Pinchot Task Force v. U.S. Fish and Wildlife Service\n however, the Fifth Circuit and the Ninth Circuit respectively held that the agencies’ adverse modification definition is unlawful and that the purpose of critical habitat is to recover species. These cases have strongly influenced the administration of the ESA over the past decade and the Services recently relied on these cases to justify regulations that will transform critical habitat into recovery habitat. The authors maintain that a reassessment of the role of critical habitat is needed to ensure that the regulatory and judicial treatment of critical habitat conforms to the intent of Congress.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "environmental law" }, { "word": "Endangered Species Act" }, { "word": "critical habitat" }, { "word": "conservation habitat" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/49j0k5fs", "frozenauthors": [ { "first_name": "Norman", "middle_name": "D.", "last_name": "James", "name_suffix": "", "institution": "Fennemore Craig, P.C.", "department": "" }, { "first_name": "Thomas", "middle_name": "J.", "last_name": "Ward", "name_suffix": "", "institution": "National Association of Homebuilders", "department": "" } ], "date_submitted": "2016-02-11T00:26:04Z", "date_accepted": "2016-02-11T00:26:04Z", "date_published": "2016-02-11T00:26:20Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60747/galley/46710/download/" } ] }, { "pk": 60745, "title": "Table of Contents", "subtitle": null, "abstract": "Vol. 34.1 - Table of Contents", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "environmental law" } ], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5jt778jk", "frozenauthors": [ { "first_name": "JELP", "middle_name": "", "last_name": "Board", "name_suffix": "", "institution": "UCLA Law School", "department": "" } ], "date_submitted": "2016-02-11T00:12:47Z", "date_accepted": "2016-02-11T00:12:47Z", "date_published": "2016-02-11T00:13:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60745/galley/46709/download/" } ] }, { "pk": 60744, "title": "Masthead", "subtitle": null, "abstract": "Vol. 34.1 - JELP Masthead", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "environmental law" } ], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/39q7b5qx", "frozenauthors": [ { "first_name": "JELP", "middle_name": "", "last_name": "Board", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2016-02-11T00:09:39Z", "date_accepted": "2016-02-11T00:09:39Z", "date_published": "2016-02-11T00:09:53Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60744/galley/46708/download/" } ] }, { "pk": 60743, "title": "Front Matter", "subtitle": null, "abstract": "Vol. 34.1 - Front Matter", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "environmental law" } ], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5jx7d8pp", "frozenauthors": [ { "first_name": "JELP", "middle_name": "", "last_name": "Board", "name_suffix": "", "institution": "UCLA Law School", "department": "" } ], "date_submitted": "2016-02-11T00:04:18Z", "date_accepted": "2016-02-11T00:04:18Z", "date_published": "2016-02-11T00:05:02Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jelp/article/60743/galley/46707/download/" } ] }, { "pk": 44275, "title": "A Case of Myocardial Infarction Following Induction Chemotherapy for Acute Myelogenous Leukemia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/72r8k29s", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Jones", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Roswell", "middle_name": "", "last_name": "Quinn", "name_suffix": "MD, PhD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-10T16:04:34Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44275/galley/33074/download/" } ] }, { "pk": 2783, "title": "Coyolxauhqui: Challenging Patriarchy by Re-imagining her birth story", "subtitle": null, "abstract": "By employing a Chicana Feminist Epistemology (CFE) and Gloria Anzaldúas Coyolxauhqui analysis in theory, I offer a narrative and examination of the ways to challenge patriarchy through birth stories. More importantly, discuss the ways we build on scholarship offered by Chicanas and Indigena identified women who may or may not be mothers of children, but rather as producers of knowledge; academic, spiritual, or self-fulfilling. In addition, I discuss the ways in which women can piece together the fragmented story of Coyolxauhqui, via the multiplicity of complicated, but critical identities, by sharing their stories.", "language": "en", "license": null, "keywords": [ { "word": "Chicana Feminist Epistemology" }, { "word": "Coyolxauhqui" }, { "word": "Chicana" }, { "word": "Indigena" }, { "word": "Gloria Anzaldúa" }, { "word": "Mothers of Color in Academia" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4f47x7bh", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Vega", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2015-09-02T07:00:02Z", "date_accepted": "2015-09-02T07:00:02Z", "date_published": "2016-02-08T22:15:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2783/galley/1645/download/" } ] }, { "pk": 2787, "title": "\"The Myth of Oneness ”: Erasure of Indigenous and Ethnic Identities in Digital Feminist Discourse", "subtitle": null, "abstract": "This paper described numerous issues in traditional and social media representation of the One Billion Rising movement regarding the representation of global feminist agendas. Using this movement as a primary case study, an argument describing the proposed myth of ‘oneness’ embedded within the movement and exposing the issues within this myth are discussed.", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9849m5t3", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Pierre", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2015-09-16T05:06:49Z", "date_accepted": "2015-09-16T05:06:49Z", "date_published": "2016-02-08T22:14:58Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2787/galley/1647/download/" } ] }, { "pk": 2788, "title": "Acting up, Talking Back: TITA, TIARA, and the Value of Gossip", "subtitle": null, "abstract": "This article examines through an archival lens \nTell it to ACT UP \nand \nTIARA, \nthe weekly internal papers of the New York and Los Angeles chapters of the AIDS Coalition to Unleash Power (ACT UP). During their short lives, from 1990 to 1992, the papers published news, suggestions, commentary, complaints, and gossip. In spite it challenge to the core archival concept of reliability, this article asserts that gossip provides unique evidence of affect, sex and sexuality, and offers deeper understandings of the individual and group dynamics that made and unmade ACT UP. Gossip, affect, and bodily experience are all knowledges and ways of knowing that have been feminized are therefore frequently devalued and derided in scholarship and practice. The form, content, and tone of these papers are used to make an argument for the value of gossip as a discursive practice. This article contributes to the growing literature in archival studies on conceptualizing and contending with human experiences—especially affects, sex, and bodily experiences—that challenge, defy, and problematize archival capture, theory, and practice asserting that gossip should be deployed as vital source in this larger project.", "language": "en", "license": null, "keywords": [ { "word": "Affect" }, { "word": "Archives" }, { "word": "evidence" }, { "word": "Gossip" }, { "word": "Sexuality" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9d2007bj", "frozenauthors": [ { "first_name": "Marika", "middle_name": "", "last_name": "Cifor", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2015-09-16T16:57:41Z", "date_accepted": "2015-09-16T16:57:41Z", "date_published": "2016-02-08T22:14:46Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2788/galley/1648/download/" } ] }, { "pk": 2789, "title": "Textiles of Change: How Arpilleras can Expand Traditional Definitions of Records", "subtitle": null, "abstract": "In the 1970s, Chilean women began creating textiles known as \narpilleras\n (from the Spanish word for burlap) as a way of documenting their lives and experiences. Under the Pinochet regime (1973-1990), arpilleras depicting the difficult, often violent, experiences of Chilean women began to gain global recognition. Through an internship with the Tower Museum archives in Derry~Londonderry in Northern Ireland, I worked with a collection of arpilleras that had been donated by Roberta Bacic, a Chilean lecturer currently living in Northern Ireland who has focused her research on arpilleras. Considered to be both museum artifacts and archival records, these textile works challenge classical professional distinctions drawn between the two categories. Situating their dual categorizations within a combined museum and archival setting allows us to rethink the ways in which traditional definitions of archival records may not only exclude women's voices but also fail to consider how gendered activities and expressions might play a role in records’ formation.", "language": "en", "license": null, "keywords": [ { "word": "Archives" }, { "word": "Record" }, { "word": "Arpillera" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/80j818zz", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "", "last_name": "Doolan", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2015-10-08T06:29:24Z", "date_accepted": "2015-10-08T06:29:24Z", "date_published": "2016-02-08T22:14:27Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2789/galley/1649/download/" } ] }, { "pk": 2793, "title": "Mentoring Away the Glass Ceiling in Academia: A Cultured Critique edited by Brenda L. H. Marina", "subtitle": null, "abstract": "Mentoring Away the Glass Ceiling in Academia: A Cultured Critiqued\n (2015) edited by Brenda L. H. Marina, is a comprehensive examination of women’s experiences in various stages in academia and the way in which mentoring can serve as a tool to break the glass ceiling that keep many women from reaching high positions in academia.Over a qualitative approach this book brings together narratives and counternarratives of women in academia to explore the ways mentorship can help the diversity gap for women by drawing from their own experiences.", "language": "en", "license": null, "keywords": [ { "word": "women, mentorship, narratives, academia" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15k8533m", "frozenauthors": [ { "first_name": "Magali", "middle_name": "", "last_name": "Campos", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2015-12-22T04:06:02Z", "date_accepted": "2015-12-22T04:06:02Z", "date_published": "2016-02-08T22:13:54Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2793/galley/1653/download/" } ] }, { "pk": 2797, "title": "Review: Indexing It All: The Subject in the Age of Documentation, Information, and Data, by Ronald E. Day", "subtitle": null, "abstract": "Day, Ronald E.\n Indexing It All: The Subject in the Age of Documentation, Information, and Data\n. Cambridge, MA: The MIT Press, 2014. 170 pp. ISBN 978-0-262-02821-9", "language": "en", "license": null, "keywords": [ { "word": "Review, Documentation, Information, Data" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/80m1s60f", "frozenauthors": [ { "first_name": "Seth", "middle_name": "", "last_name": "Erickson", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2016-01-22T07:04:00Z", "date_accepted": "2016-01-22T07:04:00Z", "date_published": "2016-02-08T22:13:31Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2797/galley/1654/download/" } ] }, { "pk": 2798, "title": "Special Issue on Gender in Education and Information Studies: Interrogating Knowledge Production, Social Structures and Equitable Access", "subtitle": null, "abstract": "N/A", "language": "en", "license": null, "keywords": [], "section": "Editor's Note", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/03b836gg", "frozenauthors": [ { "first_name": "Stacy", "middle_name": "E.", "last_name": "Wood", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "Marika", "middle_name": "", "last_name": "Cifor", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Ilano", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2016-02-08T21:40:30Z", "date_accepted": "2016-02-08T21:40:30Z", "date_published": "2016-02-08T22:13:18Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2798/galley/1655/download/" } ] }, { "pk": 2732, "title": "The Keeper of the Collections and the Delta Collection: Regulating Obscenity at the Library of Congress, 1940-1963", "subtitle": null, "abstract": "During and after World War II the Library of Congress held one of the largest collections of materials regarding sex and sexuality in the world. Largely composed of erotica and items considered to be pornographic or obscene, including books, motion pictures, photographs, and playing cards, the Library’s Delta Collection was separated from the general collection with highly restricted access. This collection was largely composed of materials seized by the Customs Bureau and the Postal Service, in addition to certain materials obtained through the Copyright Office, as the Library of Congress made the final decision regarding destruction, storage, and circulation of such items. The Delta Collection served to protect the materials from mutilation, preserve the cultural record, protect citizens from harmful obscenity, and function as a repository of sample materials for consultation by federal agencies. From evidence supplied by archival papers of the Keeper of the Collections, the office charged with maintaining the Delta Collection, this paper will show that an examination of LC policies and practices adds to our understanding of federal sexual politics and policing, particularly during the McCarthy era. The paper provides a narrative of the events that shaped the creation and maintenance of the Delta Collection and a discussion of its increased political significance during and after the war. It also offers an analysis of the use of the Delta symbol, which has origins in Greek mythology. The aim of is to shed light on the complexities of the Library of Congress’s role as a federal cultural institution in the control of sexually explicit materials.", "language": "en", "license": null, "keywords": [ { "word": "Library of Congress" }, { "word": "Obscenity" }, { "word": "McCarthy era" }, { "word": "censorship" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mn1k1k5", "frozenauthors": [ { "first_name": "Melissa", "middle_name": "", "last_name": "Adler", "name_suffix": "", "institution": "University of Kentucky", "department": "None" } ], "date_submitted": "2014-07-07T00:01:54Z", "date_accepted": "2014-07-07T00:01:54Z", "date_published": "2016-02-08T22:11:56Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2732/galley/1621/download/" } ] }, { "pk": 41630, "title": "Early Eocene (Wasatchian) rodent assemblages from the Washakie Basin, Wyoming", "subtitle": null, "abstract": "Rodent assemblages are described from two early Eocene (Wasatchian North American Land Mammal Age; Graybullian subage) localities from the Main Body of the Wasatch Formation in the Washakie Basin, Wyoming. One locality (UCMP V71237) represents a catastrophic death assemblage and the other (UCMP V71238) is a channel lag which immediately overlies it. Quarrying and screen-washing at these localities has resulted in the recovery of 81 specimens from V71237 and 224 specimens from V71238 and comprising a uniquely rich, stratigraphically controlled sample. The rodent fauna from these localities include Paramys copei, P. taurus, Lophiparamys murinus, Microparamys hunterae, Tuscahomys ctenodactylops, and Knightomys cf. K. minor. These specimens provide substantial new morphological data for the previously poorly-known M. hunterae, T. ctenodactylops, and L. murinus. Comparison of relative abundances demonstrates that T. ctenodactylops is the most common in both localities, but that the smaller bodied species M. hunterae and Knightomys cf. K. minor are much rarer in the lag deposit.", "language": "en", "license": null, "keywords": [ { "word": "Wasatch Formation" }, { "word": "Mammalia" }, { "word": "Rodentia" }, { "word": "Diversity" }, { "word": "abundance" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6946n7r3", "frozenauthors": [ { "first_name": "Suzanne", "middle_name": "G.", "last_name": "Strait", "name_suffix": "", "institution": "Marshall University", "department": "None" }, { "first_name": "Patricia", "middle_name": "A.", "last_name": "Holroyd", "name_suffix": "", "institution": "University of California Museum of Paleontology", "department": "None" }, { "first_name": "Carrie", "middle_name": "A.", "last_name": "Denvir", "name_suffix": "", "institution": "Marshall University", "department": "None" }, { "first_name": "Brian", "middle_name": "D.", "last_name": "Rankin", "name_suffix": "", "institution": "University of California Museum of Paleontology", "department": "None" } ], "date_submitted": "2016-02-08T09:15:11Z", "date_accepted": "2016-02-08T09:15:11Z", "date_published": "2016-02-08T08:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41630/galley/31161/download/" } ] }, { "pk": 44103, "title": "Incidentally Found Meningioma – Is Ignorance Truly A Bliss?", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6cw6s7gj", "frozenauthors": [ { "first_name": "Gloria", "middle_name": "S.", "last_name": "Kim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Anh", "middle_name": "T.", "last_name": "Kieu", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-07T22:18:25Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44103/galley/32906/download/" } ] }, { "pk": 44102, "title": "An Asymptomatic Young Male with Bicuspid Aortic Valve with Severe Aortic Insufficiency", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/22x1q5wm", "frozenauthors": [ { "first_name": "Sandra", "middle_name": "", "last_name": "Vizireanu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gopi", "middle_name": "", "last_name": "Manthripragada", "name_suffix": "MD, FACC", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-04T22:17:41Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44102/galley/32905/download/" } ] }, { "pk": 20986, "title": "CHALLENGES AND BENEFITS OF HOMEOWNERSHIP: Conversations with Low-Income Homeowners in North Minneapolis", "subtitle": null, "abstract": "Homeownership as a cultural mainstay has proved difficult for low-income Americans both post-recession and in times of post-disaster recovery. This paper examines the challenges and benefits of homeownership for low-income homeowners of North Minneapolis struggling to maintain their homes in the aftermath of two crises: the great recession and a devastating tornado. Furthermore, this research examines the challenges of ownership for this vulnerable population in light if its role in the formation of place attachment to home. Data for this paper was gathered through an ethnographic study of low-income North Minneapolis homeowners being assisted by the home repair non-profit Rebuilding Together Twin Cities. Gaining an understanding of the issues faced by low-income homeowners experiencing the adverse effects of the housing crisis as well as a natural disaster will illuminate the complex nature of ownership and place attachment, and allow us to serve communities in need in a way that is conscientious of their experiences.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Homeownership, American dream, disaster recovery, non-profit, place attachment, home repair, housing crisis" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7v07n4f0", "frozenauthors": [ { "first_name": "Lisa", "middle_name": "", "last_name": "Berglund", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "None" } ], "date_submitted": "2015-01-27T00:40:36Z", "date_accepted": "2015-01-27T00:40:36Z", "date_published": "2016-02-04T07:54:35Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/criticalplanning/article/20986/galley/10685/download/" } ] }, { "pk": 44106, "title": "Amiodarone Induced Thyroiditis", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25d696zz", "frozenauthors": [ { "first_name": "Anh", "middle_name": "", "last_name": "Kieu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Gloria", "middle_name": "", "last_name": "Kim", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-02T23:37:12Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44106/galley/32909/download/" } ] }, { "pk": 44101, "title": "A Case of Shewanella Algae Bacteremia", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0jh2x1dp", "frozenauthors": [ { "first_name": "William", "middle_name": "", "last_name": "Reid", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramin", "middle_name": "", "last_name": "Salehi-Rad", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-02-01T22:16:51Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44101/galley/32904/download/" } ] }, { "pk": 2056, "title": "“Got Llorona?”: Teaching for the Development of Symbolic Competence", "subtitle": null, "abstract": "Cultural and literary texts are used in the foreign language classroom to support learners’ language development, cultural awareness, and reading comprehension. While classroom activities frequently facilitate a literal understanding of facts and events, these texts offer another potential level of analysis: symbolic dimensions, which focus on how meaning is constructed in the texts in relation to their historical and political contexts, to the readers’ own positionality and subjective experiences, and to the cultural values and beliefs that are attached to these meanings. This paper explores how to teach these symbolic dimensions through an exploration of the notion of symbolic competence. Using personal experiences teaching the legend of La Llorona in a university-level Spanish classroom, I explore two interrelated questions: 1) Can the legend of La Llorona offer insights into theorizations of symbolic competence?; 2) Can theorizations of symbolic competence be applied to the teaching of La Llorona in order to facilitate learners’ critical reflections on its symbolic dimensions? Three project-based classroom activities will be discussed to illustrate teaching for the development of symbolic competence.", "language": "en", "license": null, "keywords": [ { "word": "symbolic competence, Spanish, literary texts" } ], "section": "Teachers' Forum", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/25t4h70v", "frozenauthors": [ { "first_name": "Kimberly", "middle_name": "", "last_name": "Vinall", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" } ], "date_submitted": "2015-07-16T03:07:55Z", "date_accepted": "2015-07-16T03:07:55Z", "date_published": "2016-01-29T00:46:27Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2056/galley/1354/download/" } ] }, { "pk": 2055, "title": "Researching Vocabulary Development: A Conversation Analytic Approach", "subtitle": null, "abstract": "This paper contributes to the much debated yet still largely unanswered question of how second language (L2) learning is anchored and configured in and through social interaction. Using a socio-interactional approach to second language (L2) learning (e.g., Hellermann, 2008; Mondada & Pekarek Doehler, 2004; Pekarek Doehler, 2010), I examine students’ search for the meaning of a lexical item and subsequent use of the same item. This study is longitudinal in design and attempts to understand how participants orient to a lexical item as an object of learning to co-construct locally enacted and progressively more complex interactional repertoires in the target language. The data consists of recorded interactions between learners of German as they work on a project outside of the classroom for several days during a two-week period. The analysis involves tracking multiple episodes where a vocabulary item is used and attended to by the group of learners. Learners engage in learning practices and create opportunities for L2 learning through interaction, employing strategies such as timely peer assistance and appropriation of new conversational meanings.", "language": "en", "license": null, "keywords": [ { "word": "CA-for-SLA, sociocultural theory, word search, peer interaction, German as a foreign language, longitudinal" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4xk6t6x6", "frozenauthors": [ { "first_name": "Tetyana", "middle_name": "", "last_name": "Reichert", "name_suffix": "", "institution": "University of Waterloo", "department": "None" } ], "date_submitted": "2015-07-15T16:40:52Z", "date_accepted": "2015-07-15T16:40:52Z", "date_published": "2016-01-29T00:46:07Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2055/galley/1353/download/" } ] }, { "pk": 9591, "title": "Sponsors & Advertisements", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. 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": "Sponsors and Advertising", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/802952kp", "frozenauthors": [ { "first_name": "Vincent", "middle_name": "", "last_name": "Lam", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2016-01-26T01:44:23Z", "date_accepted": "2016-01-26T01:44:23Z", "date_published": "2016-01-26T01:46:37Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9591/galley/5341/download/" } ] }, { "pk": 9590, "title": "Masthead", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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": "Masthead", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/96q3c581", "frozenauthors": [ { "first_name": "Vincent", "middle_name": "", "last_name": "Lam", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2016-01-26T01:24:38Z", "date_accepted": "2016-01-26T01:24:38Z", "date_published": "2016-01-26T01:24:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9590/galley/5340/download/" } ] }, { "pk": 9589, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34p8065t", "frozenauthors": [ { "first_name": "Vincent", "middle_name": "", "last_name": "Lam", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2016-01-26T01:20:24Z", "date_accepted": "2016-01-26T01:20:24Z", "date_published": "2016-01-26T01:20:42Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9589/galley/5339/download/" } ] }, { "pk": 9444, "title": "Access to In-Network Emergency Physicians and Emergency Departments Within Federally Qualified Health Plans in 2015", "subtitle": null, "abstract": "Introduction: \nUnder regulations established by the Affordable Care Act, insurance plans must meet minimum standards in order to be sold through the federal Marketplace. These standards to become a qualified health plan (QHP) include maintaining a provider network sufficient to assure access to services. However, the complexity of emergency physician (EP) employment practices – in which the EPs frequently serve as independent contractors of emergency departments, independently establish insurance contracts, etc… – and regulations governing insurance repayment may hinder the application of network adequacy standards to emergency medicine. As such, we hypothesized the existence of QHPs without in-network access to EPs. The objective is to identify whether there are QHPs without in-network access to EPs using information available through the federal Marketplace and publicly available provider directories.\nResults: \nIn a national sample of Marketplace plans, we found that one in five provider networks lacks identifiable in-network EPs. QHPs lacking EPs spanned nearly half (44%) of the 34 states using the federal Marketplace.\nConclusion: \nOur data suggest that the present regulatory framework governing network adequacy is not generalizable to emergency care, representing a missed opportunity to protect patient access to in-network physicians. These findings and the current regulations governing insurance payment to EPs dis-incentivize the creation of adequate physician networks, incentivize the practice of balance billing, and shift the cost burden to patients.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Health Policy" }, { "word": "Health Reform" }, { "word": "Insurance" }, { "word": "Emergency Medicine" } ], "section": "Emergency Department Access", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7x22k9hg", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "C.", "last_name": "Dorner", "name_suffix": "", "institution": "Vanderbilt University School of Medicine, Nashville, Tennessee; Harvard T.H. Chan School of Public Health, Department of Health Policy and Management, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo, Jr.", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Jeremiah", "middle_name": "D.", "last_name": "Schuur", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ali", "middle_name": "S.", "last_name": "Raja", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2015-11-06T23:37:33Z", "date_accepted": "2015-11-06T23:37:33Z", "date_published": "2016-01-20T08:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9444/galley/5294/download/" } ] }, { "pk": 39452, "title": "Review: Thinking Critically About Environments for Young Children: Bridging Theory and Practice", "subtitle": null, "abstract": "Book review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Classroom environment" }, { "word": "Early childhood education--Environmental aspects" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5d5251zd", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE, Québec, Canada", "department": "None" } ], "date_submitted": "2016-01-19T16:36:24Z", "date_accepted": "2016-01-19T16:36:24Z", "date_published": "2016-01-19T16:40:45Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39452/galley/29784/download/" } ] }, { "pk": 39451, "title": "Review: An Introduction to the Sociology of Ignorance: Essays on the Limits of Knowing", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Ignorance (Theory of Knowledge)" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8jd89294", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE, Québec, Canada", "department": "None" } ], "date_submitted": "2016-01-18T21:13:54Z", "date_accepted": "2016-01-18T21:13:54Z", "date_published": "2016-01-18T21:19:14Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39451/galley/29783/download/" } ] }, { "pk": 39447, "title": "Review: Wilderburbs: Communities on Nature's Edge", "subtitle": null, "abstract": "Book review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "wildland-urban interface" }, { "word": "Suburbs--West, US" }, { "word": "Urban-rural migration" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8bx389k7", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE, Québec, G1V 0A6, Canada", "department": "None" } ], "date_submitted": "2016-01-04T15:43:23Z", "date_accepted": "2016-01-04T15:43:23Z", "date_published": "2016-01-18T19:27:38Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39447/galley/29779/download/" } ] }, { "pk": 9575, "title": "Frozen Funding on Firearm Research: “Doing Nothing is No Longer an Acceptable Solution”", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Perspective", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3n15r8kk", "frozenauthors": [ { "first_name": "Marian", "middle_name": "E.", "last_name": "Betz", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Megan", "middle_name": "L.", "last_name": "Ranney", "name_suffix": "", "institution": "Rhode Island Hospital/Alpert Medical School, Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Garen", "middle_name": "J.", "last_name": "Wintemute", "name_suffix": "", "institution": "University of California, Davis, Violence Prevention Research Program, Department of Emergency Medicine, Sacramento, California", "department": "None" } ], "date_submitted": "2016-01-14T18:32:01Z", "date_accepted": "2016-01-14T18:32:01Z", "date_published": "2016-01-15T20:53:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9575/galley/5333/download/" } ] }, { "pk": 9396, "title": "In Response to: Poisonings with Suicidal Intent Aged 0-21 Years Reported to Poison Centers 2003-12", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Discourse on Integrating Emergency Care and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9h61p08p", "frozenauthors": [ { "first_name": "Daria", "middle_name": "", "last_name": "Falkowitz", "name_suffix": "", "institution": "North Shore University Hospital, Department of Emergency Medicine, Division of Medical Toxicology, Manhasset, New York", "department": "None" } ], "date_submitted": "2015-10-08T23:19:57Z", "date_accepted": "2015-10-08T23:19:57Z", "date_published": "2016-01-14T20:14:47Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9396/galley/5280/download/" } ] }, { "pk": 44100, "title": "Recurrent Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Adenitis in an Adult on Immunosuppressive Therapy", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1f9973zf", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "", "last_name": "Yao", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-01-13T22:16:03Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44100/galley/32903/download/" } ] }, { "pk": 9501, "title": "Response to Comments on \"Poisonings with Suicidal Intent Aged 0-21 Years Reported to Poison Centers 2003-12\"", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Discourse on Integrating Emergency Care and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6zg341bd", "frozenauthors": [ { "first_name": "Sophia", "middle_name": "", "last_name": "Sheikh", "name_suffix": "", "institution": "University of Florida College of Medicine-Jacksonville, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" } ], "date_submitted": "2015-12-04T19:22:42Z", "date_accepted": "2015-12-04T19:22:42Z", "date_published": "2016-01-13T01:21:08Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9501/galley/5310/download/" } ] }, { "pk": 9298, "title": "Shot in the Heart", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "truamatic ventricular septal defect" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2197s1v5", "frozenauthors": [ { "first_name": "Abdullah", "middle_name": "", "last_name": "Bakhsh", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia; King Abdulaziz University, Department of Emergency Medicine, Jeddah, Saudi Arabia", "department": "None" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Morse", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Surgery, Atlanta, Georgia", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Funderburk", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Surgery, Atlanta, Georgia", "department": "None" }, { "first_name": "Patrick", "middle_name": "", "last_name": "Meloy", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Katie", "middle_name": "", "last_name": "Dean", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "", "last_name": "Siegelman", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Todd", "middle_name": "", "last_name": "Taylor", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" } ], "date_submitted": "2015-08-18T00:54:28Z", "date_accepted": "2015-08-18T00:54:28Z", "date_published": "2016-01-13T01:19:10Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9298/galley/5248/download/" } ] }, { "pk": 9319, "title": "Identifying Frequent Users of an Urban Emergency Medical Service Using Descriptive Statistics and Regression Analyses", "subtitle": null, "abstract": "This retrospective cohort study provides a descriptive analysis of a population that frequently uses an urban emergency medical service (EMS) and identifies factors that contribute to use among all frequent users. For purposes of this study we divided frequent users into the following groups: low- frequent users (4 EMS transports in 2012), medium-frequent users (5 to 6 EMS transports in 2012), high-frequent users (7 to 10 EMS transports in 2012) and super-frequent users (11 or more EMS transports in 2012). Overall, we identified 539 individuals as frequent users.\nFor all groups of EMS frequent users (i.e. low, medium, high and super) one or more hospital admissions, receiving a referral for follow-up care upon discharge, and having no insurance were found to be statistically significant with frequent EMS use (P<0.05). Within the diagnostic categories, 41.61% of super-frequent users had a diagnosis of “primarily substance abuse/misuse” and among low-frequent users a majority, 53.33%, were identified as having a “reoccurring (medical) diagnosis.” Lastly, relative risk ratios for the highest group of users, super-frequent users, were 3.34 (95% CI [1.90-5.87]) for obtaining at least one referral for follow-up care, 13.67 (95% CI [5.60-33.34]) for having four or more hospital admissions and 5.95 (95% CI [1.80-19.63]) for having a diagnoses of primarily substance abuse/misuse.\nFindings from this study demonstrate that among low- and medium-frequent users a majority of patients are using EMS for reoccurring medical conditions. This could potentially be avoided with better care management. In addition, this study adds to the current literature that illustrates a strong correlation between substance abuse/misuse and high/super-frequent EMS use. For the subgroup analysis among individuals 65 years of age and older, we did not find any of the independent variables included in our model to be statistically significant with frequent EMS use.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Frequent Users" }, { "word": "EMS" }, { "word": "Emergency Medical Services, Rhode Island" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/32b15672", "frozenauthors": [ { "first_name": "Chenelle", "middle_name": "", "last_name": "Norman", "name_suffix": "", "institution": "Brown University, School of Public Health, Providence, Rhode Island", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Mello", "name_suffix": "", "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island; Rhode Island Hospital, Injury Prevention Center, Providence, Rhode Island; Brown University, School of Public Health, Providence, Rhode Island", "department": "None" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Choi", "name_suffix": "", "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island; Brown University, School of Public Health, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2015-08-26T04:43:33Z", "date_accepted": "2015-08-26T04:43:33Z", "date_published": "2016-01-13T01:14:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9319/galley/5251/download/" } ] }, { "pk": 9345, "title": "A Rare Cause of Headache", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Cerebral vein thrombosis,MR,emergency" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nx0r1r6", "frozenauthors": [ { "first_name": "Rohat", "middle_name": "", "last_name": "Ak", "name_suffix": "", "institution": "Fatih Sultan Mehmet Education and Research Hospital, Department of Emergency Medicine, Bostanci/Istanbul, Turkey", "department": "None" }, { "first_name": "Fatih", "middle_name": "", "last_name": "Doğanay", "name_suffix": "", "institution": "Fatih Sultan Mehmet Education and Research Hospital, Department of Emergency Medicine, Bostanci/Istanbul, Turkey", "department": "None" }, { "first_name": "Özge", "middle_name": "E.", "last_name": "Onur", "name_suffix": "", "institution": "Fatih Sultan Mehmet Education and Research Hospital, Department of Emergency Medicine, Bostanci/Istanbul, Turkey", "department": "None" } ], "date_submitted": "2015-09-10T17:59:04Z", "date_accepted": "2015-09-10T17:59:04Z", "date_published": "2016-01-13T01:09:35Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9345/galley/5261/download/" } ] }, { "pk": 9360, "title": "Seldinger Technique for Placement of “Peripheral” Internal Jugular Line: Novel Approach for Emergent Vascular Access", "subtitle": null, "abstract": "This is a case report describing the ultrasound-guided placement of a peripheral intravenous catheter into the internal jugular vein of a patient with difficult vascular access. Although this technique has been described in the past, this case is novel in that the Seldinger technique was used to place the catheter. This allows for safer placement of a longer catheter (2.25”) without the need for venous dilation, which is potentially hazardous.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Difficult intravenous access" }, { "word": "peripheral IJ" }, { "word": "peripheral internal jugular" }, { "word": "ultrasound guided vascular access" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7db5j10n", "frozenauthors": [ { "first_name": "Adam", "middle_name": "J.", "last_name": "Ash", "name_suffix": "", "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Raio", "name_suffix": "", "institution": "Good Samaritan Hospital Medical Center, Department of Emergency Medicine, West Islip, New York", "department": "None" } ], "date_submitted": "2015-09-21T15:40:32Z", "date_accepted": "2015-09-21T15:40:32Z", "date_published": "2016-01-13T01:03:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9360/galley/5269/download/" } ] }, { "pk": 9417, "title": "Ultrasound Evaluation of Upper Extremity Deformity", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "ultrasound" }, { "word": "wooden foreign body" }, { "word": "Emergency Medicine" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/27c701q0", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Janicki", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Otto", "middle_name": "", "last_name": "Liebmann", "name_suffix": "", "institution": "Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2015-10-21T21:01:59Z", "date_accepted": "2015-10-21T21:01:59Z", "date_published": "2016-01-13T00:52:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9417/galley/5286/download/" } ] }, { "pk": 9317, "title": "Tension Hydrothorax Related to Disseminated Endometriosis", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "endometriosis, tension hydrothorax" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1c20m25n", "frozenauthors": [ { "first_name": "AnnKate", "middle_name": "", "last_name": "Deal", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Evans", "name_suffix": "", "institution": "Virgina Commonwealth University, Department of Emergency Medicine, Richmond, Virginia", "department": "None" }, { "first_name": "Francis", "middle_name": "L.", "last_name": "Counselman", "name_suffix": "", "institution": "Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia; Emergency Physicians of Tidewater, Norfolk, Virginia", "department": "None" } ], "date_submitted": "2015-08-25T17:14:08Z", "date_accepted": "2015-08-25T17:14:08Z", "date_published": "2016-01-13T00:40:26Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9317/galley/5250/download/" } ] }, { "pk": 9106, "title": "Emergency Department of a Rural Hospital in Ecuador", "subtitle": null, "abstract": "Introduction: \nThere is a paucity of data studying patients and complaints presenting to emergency departments (EDs) in low- and middle-income countries. The town of Pedro Vicente Maldonado (PVM) is located in the northwestern highlands of Ecuador. Hospital PVM (HPVM) is a rural teaching hospital providing family medicine residency training. These physicians provide around-the-clock acute medical care in HPVM’s ED. This study provides a first look at a functioning ED in rural Latin America by reviewing one year of ED visits to HPVM.\nMethods:\n All ED visits between April 14, 2013, and April 13, 2014, were included and analyzed, totaling 1,239 patient visits. Data were collected from their electronic medical record and exported into a de-identified Excel® database where it was sorted and categorized. Variables included age, gender, mode of arrival, insurance type, month and day of the week of the service, chief complaint, laboratory and imaging requests, and disposition. We performed descriptive statistics, and where possible, comparisons using Student’s T or chi-square, as appropriate.\nResults:\n Of the 1239 total ED visits, 48% were males and 52% females; 93% of the visits were ambulatory, and 7% came by ambulance. Sixty-three percent of the patients had social security insurance. The top three chief complaints were abdominal pain (25.5%), fever (15.1%) and trauma (10.8%). Healthcare providers requested labs on 71.3% of patients and imaging on 43.2%. The most frequently requested imaging studies were chest radiograph (14.9%), upper extremity radiograph (9.4%), and electrocardiogram (9.0%). There was no seasonal or day-of-week variability to number of ED patients. The chief complaint of human or animal bite made it more likely the patient would be admitted, and the chief complaint of traumatic injury made it more likely the patient would be transferred.\nConclusion:\n Analysis of patients presenting to a rural ED in Ecuador contributes to the global study of acute care in the developing world and also provides a self-analysis identifying disease patterns of the area, training topics for residents, areas for introducing protocols, and information to help planning for rural EDs in low- and middle-income countries.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Department, Emergency Medicine, Rural, Latin America, Ecuador, Andean Health and Development, Saludesa" } ], "section": "Global Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/38s4m6gj", "frozenauthors": [ { "first_name": "Tara", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "Maricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Gaus", "name_suffix": "", "institution": "University of Wisconsin School of Medicine and Public Health, Department of Family Medicine, Madison, Wisconsin", "department": "None" }, { "first_name": "Diego", "middle_name": "", "last_name": "Herrera", "name_suffix": "", "institution": "Central University of Ecuador, Catholic University of Ecuador, Department of Family Medicine, Santo Domingo, Ecuador", "department": "None" } ], "date_submitted": "2015-06-25T03:23:49Z", "date_accepted": "2015-06-25T03:23:49Z", "date_published": "2016-01-13T00:30:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9106/galley/5109/download/" } ] }, { "pk": 9179, "title": "Emergency Medicine Resident Rotations Abroad: Current Status and Next Steps", "subtitle": null, "abstract": "Introduction:\n International rotations for residents are increasingly popular, but there is a dearth of evidence to demonstrate that these rotations are safe and that residents have appropriate training and support to conduct them.\nMethods:\n A survey was sent to all U.S. emergency medicine (EM) residencies with publicly available e-mail addresses. The survey documents and examines the training and support that emergency medicine residents are offered for international rotations and the frequency of adverse safety events.\nResults:\n 72.5% of program director responded that their residents are participating in rotations abroad. However, only 15.4% of programs reported offering training specific to working abroad. The results point to an increased need for specific training and insurance coverage.\nConclusion:\n Oversight of international rotations should be improved to guarantee safety and education benefit.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "International rotations, resident safety" } ], "section": "Global Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2m84r5pt", "frozenauthors": [ { "first_name": "Stephen", "middle_name": "C.", "last_name": "Morris", "name_suffix": "", "institution": "University of Washington School of Medicine, Division of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Erika", "middle_name": "D.", "last_name": "Schroeder", "name_suffix": "", "institution": "North Sound Emergency Medicine, Everett, Washington", "department": "None" } ], "date_submitted": "2015-07-16T15:38:23Z", "date_accepted": "2015-07-16T15:38:23Z", "date_published": "2016-01-13T00:28:30Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9179/galley/5165/download/" } ] }, { "pk": 9509, "title": "Crossing Borders", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Global Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/934912fn", "frozenauthors": [ { "first_name": "Erik", "middle_name": "D.", "last_name": "Barton", "name_suffix": "", "institution": "University of California Irvine Medical Center, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2015-12-08T23:38:26Z", "date_accepted": "2015-12-08T23:38:26Z", "date_published": "2016-01-13T00:23:31Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9509/galley/5314/download/" } ] }, { "pk": 9322, "title": "Point-of-Care Multi-Organ Ultrasound Improves Diagnostic Accuracy in Adults Presenting to the Emergency Department with Acute Dyspnea", "subtitle": null, "abstract": "Introduction:\n Determining the etiology of acute dyspnea in emregency department (ED) patients is often difficult. Point-of-care ultrasound (POCUS) holds promise for improving immediate diagnostic accuracy (after history and physical), thus improving use of focused therapies. We evaluate the impact of a three-part POCUS exam, or “triple scan” (TS) – composed of abbreviated echocardiography, lung ultrasound and inferior vena cava (IVC) collapsibility assessment – on the treating physician’s immediate diagnostic impression.\nMethods:\n A convenience sample of adults presenting to our urban academic ED with acute dyspnea (Emergency Severity Index 1, 2) were prospectively enrolled when investigator sonographers were available. The method for performing components of the TS has been previously described in detail. Treating physicians rated the most likely diagnosis after history and physical but before other studies (except electrocardiogram) returned. An investigator then performed TS and disclosed the results, after which most likely diagnosis was reassessed. Final diagnosis (criterion standard) was based on medical record review by expert emergency medicine faculty blinded to TS result. We compared accuracy of pre-TS and post-TS impression (primary outcome) with McNemar’s test. Test characteristics for treating physician impression were also calculated by dichotomizing acute decompensated heart failure (ADHF), chronic obstructive pulmonary disease (COPD) and pneumonia as present or absent.\nResults:\n 57 patients were enrolled with the leading final diagnoses being ADHF (26%), COPD/asthma (30%), and pneumonia (28%). Overall accuracy of the treating physician’s impression increased from 53% before TS to 77% after TS (p=0.003). The post-TS impression was 100% sensitive and 84% specific for ADHF.\nConclusion:\n In this small study, POCUS evaluation of the heart, lungs and IVC improved the treating physician’s immediate overall diagnostic accuracy for ADHF, COPD/asthma and pneumonia and was particularly useful to immediately exclude ADHF as the cause of acute dyspnea.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "ultrasound" }, { "word": "Dyspnea" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/69d904q7", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "", "last_name": "Mantuani", "name_suffix": "", "institution": "Alameda Health System Highland Campus, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Bradley", "middle_name": "W.", "last_name": "Frazee", "name_suffix": "", "institution": "Alameda Health System Highland Campus, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Jahan", "middle_name": "", "last_name": "Fahimi", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Alameda Health System Highland Campus, Department of Emergency Medicine, Oakland, California", "department": "None" } ], "date_submitted": "2015-08-27T23:04:48Z", "date_accepted": "2015-08-27T23:04:48Z", "date_published": "2016-01-13T00:21:32Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9322/galley/5253/download/" } ] }, { "pk": 8815, "title": "Medication Overdoses at a Public Emergency Department in Santiago, Chile", "subtitle": null, "abstract": "Introduction:\n While a nationwide poison control registry exists in Chile, reporting to the center is sporadic and happens at the discretion of the treating physician or by patients’ self-report. Moreover, individual hospitals do not monitor accidental or intentional poisoning in a systematic manner. The goal of this study was to identify all cases of intentional medication overdose (MO) that occurred over two years at a large public hospital in Santiago, Chile, and examine its epidemiologic profile.\nMethods:\n This study is a retrospective, explicit chart review conducted at Hospital Sótero del Rio from July 2008 until June 2010. We included all cases of identified intentional MO. Alcohol and recreational drugs were included only when they were ingested with other medications.\nResults:\n We identified 1,557 cases of intentional MO and analyzed a total of 1,197 cases, corresponding to 0.51% of all emergency department (ED) presentations between July 2008 and June 2010. The median patient age was 25 years. The majority was female (67.6%). Two peaks were identified, corresponding to the spring of each year sampled. The rate of hospital admission was 22.2%. Benzodiazepines, selective serotonin reuptake inhibitors, and tricyclic antidepressants (TCA) were the causative agents most commonly found, comprising 1,044 (87.2%) of all analyzed cases. Acetaminophen was involved in 81 (6.8%) cases. More than one active substance was involved in 35% of cases. In 7.3% there was ethanol co-ingestion and in 1.0% co-ingestion of some other recreational drug (primarily cocaine). Of 1,557 cases, six (0.39%) patients died. TCA were involved in two of these deaths.\nConclusion:\n Similar to other developed and developing nations, intentional MO accounts for a significant number of ED presentations in Chile. Chile is unique in the region, however, in that its spectrum of intentional overdoses includes an excess burden of tricyclic antidepressant and benzodiazepine overdoses, a relatively low rate of alcohol and recreational drug co-ingestion, and a relatively low rate of acetaminophen ingestion.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "drug overdose" }, { "word": "Chile" }, { "word": "toxicology" } ], "section": "Global Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9n10f6v7", "frozenauthors": [ { "first_name": "Pablo", "middle_name": "", "last_name": "Aguilera", "name_suffix": "", "institution": "Facultad de Medicina, Pontificia Universidad Católica de Chile, Programa de Medicina de Urgencia, Santiago, Chile", "department": "None" }, { "first_name": "Marcela", "middle_name": "", "last_name": "Garrido", "name_suffix": "", "institution": "Facultad de Medicina, Pontificia Universidad Católica de Chile, Programa de Medicina de Urgencia, Santiago, Chile", "department": "None" }, { "first_name": "Eli", "middle_name": "", "last_name": "Lessard", "name_suffix": "", "institution": "University of Southern California, Los Angeles, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Julian", "middle_name": "", "last_name": "Swanson", "name_suffix": "", "institution": "University of Southern California, Los Angeles, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "William", "middle_name": "K.", "last_name": "Mallon", "name_suffix": "", "institution": "University of Southern California, Los Angeles, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Fernando", "middle_name": "", "last_name": "Saldias", "name_suffix": "", "institution": "Facultad de Medicina, Pontificia Universidad Católica de Chile, Programa de Medicina de Urgencia, Santiago, Chile", "department": "None" }, { "first_name": "Carlos", "middle_name": "", "last_name": "Basaure", "name_suffix": "", "institution": "Facultad de Medicina, Pontificia Universidad Católica de Chile, Programa de Medicina de Urgencia, Santiago, Chile", "department": "None" }, { "first_name": "Barbara", "middle_name": "", "last_name": "Lara", "name_suffix": "", "institution": "Facultad de Medicina, Pontificia Universidad Católica de Chile, Programa de Medicina de Urgencia, Santiago, Chile", "department": "None" }, { "first_name": "Stuart", "middle_name": "P.", "last_name": "Swadron", "name_suffix": "", "institution": "University of Southern California, Los Angeles, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2015-03-23T04:36:53Z", "date_accepted": "2015-03-23T04:36:53Z", "date_published": "2016-01-12T23:14:26Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8815/galley/5030/download/" } ] }, { "pk": 9357, "title": "Association of Insurance Status with Severity and Management in ED Patients with Asthma Exacerbation", "subtitle": null, "abstract": "Introduction:\n Previous studies have demonstrated an association of low socioeconomic status with frequent asthma exacerbations. However, there have been no recent multicenter efforts to examine the relationship of insurance status – a proxy for socioeconomic status – with asthma severity and management in adults. The objective is to investigate chronic and acute asthma management disparities by insurance status among adults requiring emergency department (ED) treatment in the United States.\nMethods:\n We conducted a multicenter chart review study (48 EDs in 23 U.S. states) on ED patients, aged 18-54 years, with acute asthma between 2011 and 2012. Each site underwent training (lecture, practice charts, certification) before reviewing randomly selected charts. We categorized patients into three groups based on their primary health insurance: private, public, and no insurance. Outcome measures were chronic asthma severity (as measured by ≥2 ED visits in one-year period) and management prior to the index ED visit, acute asthma management in the ED, and prescription at ED discharge.\nResults:\n The analytic cohort comprised 1,928 ED patients with acute asthma. Among these, 33% had private insurance, 40% had public insurance, and 27% had no insurance. Compared to patients with private insurance, those with public insurance or no insurance were more likely to have ≥2 ED visits during the preceding year (35%, 49%, and 45%, respectively; p<0.001). Despite the higher chronic severity, those with no insurance were less likely to have guideline-recommended chronic asthma care – i.e., lower use of inhaled corticosteroids (ICS [41%, 41%, and 29%; p<0.001]) and asthma specialist care (9%, 10%, and 4%; p<0.001). By contrast, there were no significant differences in acute asthma management in the ED – e.g., use of systemic corticosteroids (75%, 79%, and 78%; p=0.08) or initiation of ICS at ED discharge (12%, 12%, and 14%; p=0.57) – by insurance status.\nConclusion:\n In this multicenter observational study of ED patients with acute asthma, we found significant discrepancies in chronic asthma severity and management by insurance status. By contrast, there were no differences in acute asthma management among the insurance groups.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Acute asthma" }, { "word": "Insurance" }, { "word": "disparity" }, { "word": "Public health" }, { "word": "Race" }, { "word": "management" }, { "word": "severity" } ], "section": "Emergency Department Access", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0xm3b9m1", "frozenauthors": [ { "first_name": "Kohei", "middle_name": "", "last_name": "Hasegawa", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Samantha", "middle_name": "J.", "last_name": "Stoll", "name_suffix": "", "institution": "North Shore Medical Center, Department of Emergency Medicine, Salem, Massachusetts", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Ahn", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Rashid", "middle_name": "F.", "last_name": "Kysia", "name_suffix": "", "institution": "John H. Stroger Jr. Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Ashley", "middle_name": "F.", "last_name": "Sullivan", "name_suffix": "", "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo Jr.", "name_suffix": "", "institution": "Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School", "department": "None" } ], "date_submitted": "2015-09-20T20:11:41Z", "date_accepted": "2015-09-20T20:11:41Z", "date_published": "2016-01-12T23:07:27Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9357/galley/5268/download/" } ] }, { "pk": 9269, "title": "Randomized Controlled Trial of Electronic Care Plan Alerts and Resource Utilization by High Frequency Emergency Department Users with Opioid Use Disorder", "subtitle": null, "abstract": "Introduction:\n There is a paucity of literature supporting the use of electronic alerts for patients with high frequency emergency department (ED) use. We sought to measure changes in opioid prescribing and administration practices, total charges and other resource utilization using electronic alerts to notify providers of an opioid-use care plan for high frequency ED patients.\nMethods:\n This was a randomized, non-blinded, two-group parallel design study of patients who had 1) opioid use disorder and 2) high frequency ED use. Three affiliated hospitals with identical electronic health records participated. Patients were randomized into “Care Plan” versus “Usual Care groups”. Between the years before and after randomization, we compared as primary outcomes the following: 1) opioids (morphine mg equivalents) prescribed to patients upon discharge and administered to ED and inpatients; 2) total medical charges, and the numbers of; 3) ED visits, 4) ED visits with advanced radiologic imaging (computed tomography [CT] or magnetic resonance imaging [MRI]) studies, and 5) inpatient admissions.\nResults:\n A total of 40 patients were enrolled. For ED and inpatients in the “Usual Care” group, the proportion of morphine mg equivalents received in the post-period compared with the pre-period was 15.7%, while in the “Care Plan” group the proportion received in the post-period compared with the pre-period was 4.5% (ratio=0.29, 95% CI [0.07-1.12]; p=0.07). For discharged patients in the “Usual Care” group, the proportion of morphine mg equivalents prescribed in the post-period compared with the pre-period was 25.7% while in the “Care Plan” group, the proportion prescribed in the post-period compared to the pre-period was 2.9%. The “Care Plan” group showed an 89% greater proportional change over the periods compared with the “Usual Care” group (ratio=0.11, 95% CI [0.01-0.092]; p=0.04). Care plans did not change the total charges, or, the numbers of ED visits, ED visits with CT or MRI or inpatient admissions.\nConclusion:\n Electronic care plans were associated with an incremental decrease in opioids (in morphine mg equivalents) prescribed to patients with opioid use disorder and high frequency ED use.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Opioids" }, { "word": "Substance Use Disorder" }, { "word": "Electronic Alerts" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1tn4k7k9", "frozenauthors": [ { "first_name": "Niels", "middle_name": "", "last_name": "Rathlev", "name_suffix": "", "institution": "Baystate Medical Center and Tufts University School of Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Reda", "middle_name": "", "last_name": "Almomen", "name_suffix": "", "institution": "ARAMCO, Department of Emergency Medicine, Dharan, Saudi Arabia", "department": "None" }, { "first_name": "Ashley", "middle_name": "", "last_name": "Deutsch", "name_suffix": "", "institution": "Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Howard", "middle_name": "", "last_name": "Smithline", "name_suffix": "", "institution": "Baystate Medical Center and Tufts University School of Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Haiping", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Visintainer", "name_suffix": "", "institution": "Baystate Medical Center, Department of Academic Affairs Administration, Springfield, Massachusetts", "department": "None" } ], "date_submitted": "2015-07-31T18:15:20Z", "date_accepted": "2015-07-31T18:15:20Z", "date_published": "2016-01-12T23:03:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9269/galley/5236/download/" } ] }, { "pk": 9394, "title": "Emergency Physicians as Good Samaritans: Survey of Frequency, Locations, Supplies and Medications", "subtitle": null, "abstract": "Introduction:\n Little is known about the frequency and locations in which emergency physicians (EPs) are bystanders to an accident or emergency; equally uncertain is which contents of an “emergency kit” may be useful during such events. The aim of this study was to describe the frequency and locations of Good Samaritan acts by EPs and also determine which emergency kit supplies and medications were most commonly used by Good Samaritans.\nMethods:\n We conducted an electronic survey among a convenience sample of EPs in Colorado.\nResults:\n Respondents reported a median frequency of 2.0 Good Samaritan acts per five years of practice, with the most common locations being sports and entertainment events (25%), road traffic accidents (21%), and wilderness settings (19%). Of those who had acted as Good Samaritans, 86% reported that at least one supply would have been useful during the most recent event, and 66% reported at least one medication would have been useful. The most useful supplies were gloves (54%), dressings (34%), and a stethoscope (20%), while the most useful medications were oxygen (19%), intravenous fluids (17%), and epinephrine (14%).\nConclusion:\n The majority of EPs can expect to provide Good Samaritan care during their careers and would be better prepared by carrying a kit with common supplies and medications where they are most likely to use them.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "emergency physician" }, { "word": "Good Samaritan" }, { "word": "Pre-hospital" }, { "word": "first aid, kit" } ], "section": "Ethical and Legal Issues", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/59z8886v", "frozenauthors": [ { "first_name": "Taylor", "middle_name": "W.", "last_name": "Burkholder", "name_suffix": "", "institution": "Denver Health and Hospital Authority, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Renee", "middle_name": "A.", "last_name": "King", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" } ], "date_submitted": "2015-10-08T19:32:53Z", "date_accepted": "2015-10-08T19:32:53Z", "date_published": "2016-01-12T23:01:16Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9394/galley/5279/download/" } ] }, { "pk": 9387, "title": "Frequency of Fractures Identified on Post-Reduction Radiographs after Shoulder Dislocation", "subtitle": null, "abstract": "Introduction:\n Most emergency physicians routinely obtain shoulder radiographs before and after shoulder dislocations. However, currently there is limited literature demonstrating how frequently new fractures are identified on post-reduction radiographs. The primary objective of this study was to determine the frequency of new, clinically significant fractures identified on post-reduction radiographs with a secondary outcome assessing total new fractures identified.\nMethods:\n We conducted a retrospective chart review using appropriate International Classification of Diseases, 9th Revision (ICD-9) codes to identify all potential shoulder dislocations that were reduced in a single, urban, academic emergency department (ED) over a five-year period. We excluded cases that required operative reduction, had associated proximal humeral head or shaft fractures, or were missing one or more shoulder radiograph reports. All charts were abstracted separately by two study investigators with disagreements settled by consensus among three investigators. Images from indeterminate cases were reviewed by a radiology attending physician with musculoskeletal expertise. The primary outcome was the percentage of new, clinically significant fractures defined as those altering acute ED management. Secondary outcomes included percentage of new fractures of any type.\nResults:\n We identified 185 total patients meeting our study criteria. There were no new, clinically significant fractures on post-reduction radiographs. There were 13 (7.0%; 95% CI [3.3%-10.7%]) total new fractures identified, all of which were without clinical significance for acute ED management.\nConclusion:\n Post-reduction radiographs do not appear to identify any new, clinically significant fractures. Practitioners should re-consider the use of routine post-reduction radiographs in the ED setting for shoulder dislocations.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "shoulder dislocation" }, { "word": "radiograph" }, { "word": "xray" }, { "word": "fractures" }, { "word": "post-reduction" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0zk8c264", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Gottlieb", "name_suffix": "", "institution": "Cook County Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Damali", "middle_name": "", "last_name": "Nakitende", "name_suffix": "", "institution": "Cook County Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Laurie", "middle_name": "", "last_name": "Krass", "name_suffix": "", "institution": "Cook County Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Anupam", "middle_name": "", "last_name": "Basu", "name_suffix": "", "institution": "Cook County Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Errick", "middle_name": "", "last_name": "Christian", "name_suffix": "", "institution": "Cook County Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Bailitz", "name_suffix": "", "institution": "Cook County Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2015-10-04T14:00:14Z", "date_accepted": "2015-10-04T14:00:14Z", "date_published": "2016-01-12T22:58:53Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9387/galley/5277/download/" } ] }, { "pk": 9338, "title": "Lethal Means Counseling for Parents of Youth Seeking Emergency Care for Suicidality", "subtitle": null, "abstract": "Introduction:\n A youth’s emergency department (ED) visit for suicidal behaviors or ideation provides an opportunity to counsel families about securing medications and firearms (i.e., lethal means counseling).\nMethods:\n In this quality improvement project drawing on the Counseling on Access to Lethal Means (CALM) model, we trained 16 psychiatric emergency clinicians to provide lethal means counseling with parents of patients under age 18 receiving care for suicidality and discharged home from a large children’s hospital. Through chart reviews and follow-up interviews of parents who received the counseling, we examined what parents recalled, their reactions to the counseling session, and actions taken after discharge.\nResults:\n Between March and July 2014, staff counseled 209 of the 236 (89%) parents of eligible patients. We conducted follow-up interviews with 114 parents, or 55% of those receiving the intervention; 48% of those eligible. Parents had favorable impressions of the counseling and good recall of the main messages. Among the parents contacted at follow up, 76% reported all medications in the home were locked as compared to fewer than 10% at the time of the visit. All who had indicated there were guns in the home at the time of the visit reported at follow up that all were currently locked, compared to 67% reporting this at the time of the visit.\nConclusion:\n Though a small project in just one hospital, our findings demonstrate the feasibility of adding a counseling protocol to the discharge process within a pediatric psychiatric emergency service. Our positive findings suggest that further study, including a randomized control trial in more facilities, is warranted.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "suicide, prevention, emergency care, lethal means" } ], "section": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0td33354", "frozenauthors": [ { "first_name": "Carol", "middle_name": "W.", "last_name": "Runyan", "name_suffix": "", "institution": "Colorado School of Public Health, Departments of Epidemiology and of Community and Behavioral Health, Program for Injury Prevention, Education and Research, Aurora, Colorado", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Becker", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Psychiatry, Aurora, Colorado", "department": "None" }, { "first_name": "Sara", "middle_name": "", "last_name": "Brandspigel", "name_suffix": "", "institution": "Colorado School of Public Health, Program for Injury Prevention, Education and Research, Aurora, Colorado", "department": "None" }, { "first_name": "Catherine", "middle_name": "", "last_name": "Barber", "name_suffix": "", "institution": "Harvard University, Harvard T. H. Chan School of Public Health, Boston, Massachusetts", "department": "None" }, { "first_name": "Aimee", "middle_name": "", "last_name": "Trudeau", "name_suffix": "", "institution": "Colorado Department of Public Health, Denver, Colorado", "department": "None" }, { "first_name": "Douglas", "middle_name": "", "last_name": "Novins", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Psychiatry, Aurora, Colorado", "department": "None" } ], "date_submitted": "2015-09-04T22:08:57Z", "date_accepted": "2015-09-04T22:08:57Z", "date_published": "2016-01-12T22:55:43Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9338/galley/5258/download/" } ] }, { "pk": 9321, "title": "Strain Echocardiography in Acute Cardiovascular Diseases", "subtitle": null, "abstract": "Echocardiography has become a critical tool in the evaluation of patients presenting to the emergency department (ED) with acute cardiovascular diseases and undifferentiated cardiopulmonary symptoms. New technological advances allow clinicians to accurately measure left ventricular (LV) strain, a superior marker of LV systolic function compared to traditional measures such as ejection fraction, but most emergency physicians (EPs) are unfamiliar with this method of echocardiographic assessment.\nThis article discusses the application of LV longitudinal strain in the ED and reviews how it has been used in various disease states including acute heart failure, acute coronary syndromes (ACS) and pulmonary embolism.\nIt is important for EPs to understand the utility of technological and software advances in ultrasound and how new methods can build on traditional two-dimensional and Doppler techniques of standard echocardiography. The next step in competency development for EP-performed focused echocardiography is to adopt novel approaches such as strain using speckle-tracking software in the management of patients with acute cardiovascular disease. With the advent of speckle tracking, strain image acquisition and interpretation has become semi-automated making it something that could be routinely added to the sonographic evaluation of patients presenting to the ED with cardiovascular disease. Once strain imaging is adopted by skilled EPs, focused echocardiography can be expanded and more direct, phenotype-driven care may be achievable for ED patients with a variety of conditions including heart failure, ACS and shock.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Echocardiography" }, { "word": "ultrasound" }, { "word": "myocardial infarction" }, { "word": "Heart Failure" }, { "word": "pulmonary embolism" }, { "word": "Strain" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8xr3z53x", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Favot", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Cheryl", "middle_name": "", "last_name": "Courage", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Ehrman", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Lyudmila", "middle_name": "", "last_name": "Khait", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Phillip", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan", "department": "None" } ], "date_submitted": "2015-08-27T03:32:11Z", "date_accepted": "2015-08-27T03:32:11Z", "date_published": "2016-01-12T22:51:24Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9321/galley/5252/download/" } ] }, { "pk": 9564, "title": "The San Bernardino, California, Terror Attack: Two Emergency Departments’ Response", "subtitle": null, "abstract": "On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC) or Arrowhead Regional Medical Center (ARMC). These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack. In an effort to shed a light on our response to others, we provide an account of how these two teaching hospitals prepared for and coordinated the medical care of these victims.\nIn general, both centers were able to quickly mobilize large number of staff and resources. Prior disaster drills proved to be invaluable. Both centers witnessed excellent teamwork and coordination involving first responders, law enforcement, administration, and medical personnel from multiple specialty services. Those of us working that day felt safe and protected. Although we did identify areas we could have improved upon, including patchy communication and crowd-control, they were minor in nature and did not affect patient care.\nMCIs pose major challenges to emergency departments and trauma centers across the country. Responding to such incidents requires an ever-evolving approach as no two incidents will present exactly alike. It is our hope that this article will foster discussion and lead to improvements in management of future MCIs.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5jr9k6r6", "frozenauthors": [ { "first_name": "Carol", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Walters", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Rodney", "middle_name": "", "last_name": "Borger", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Kathleen", "middle_name": "", "last_name": "Clem", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Gregory", "middle_name": "", "last_name": "Fenati", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Kiemeney", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Sakona", "middle_name": "", "last_name": "Seng", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Ho-Wang", "middle_name": "", "last_name": "Yuen", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Neeki", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California", "department": "None" }, { "first_name": "Dustin", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" } ], "date_submitted": "2016-01-08T03:08:53Z", "date_accepted": "2016-01-08T03:08:53Z", "date_published": "2016-01-12T22:40:20Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9564/galley/5329/download/" } ] }, { "pk": 44099, "title": "May Thurner Syndrome", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mw4w40f", "frozenauthors": [ { "first_name": "Angela", "middle_name": "", "last_name": "Ruman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-01-12T22:15:14Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44099/galley/32902/download/" } ] }, { "pk": 44098, "title": "Brain Abscess as a Complication of Acute Bacterial Rhinosinusitis", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9742v947", "frozenauthors": [ { "first_name": "Alina", "middle_name": "", "last_name": "Katsman", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-01-10T22:13:39Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44098/galley/32901/download/" } ] }, { "pk": 63262, "title": "Editors' Introduction", "subtitle": null, "abstract": "Introduction to Volume 5, Issue 2.", "language": "en", "license": null, "keywords": [ { "word": "Education" } ], "section": "Editors' Introduction", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4wz881h5", "frozenauthors": [ { "first_name": "BRE", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "University of California, Berkeley", "department": "" } ], "date_submitted": "2016-01-05T03:23:02Z", "date_accepted": "2016-01-05T03:23:02Z", "date_published": "2016-01-08T08:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/bre/article/63262/galley/48801/download/" } ] }, { "pk": 44097, "title": "Statin Induced Necrotizing Myopathy", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3cj3v1tc", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Wongchawart", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Roswell", "middle_name": "", "last_name": "Quinn", "name_suffix": "MD, PhD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-01-07T21:52:53Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44097/galley/32900/download/" } ] }, { "pk": 44096, "title": "Recognition of Ovarian Torsion: A Case Report", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1s39m94m", "frozenauthors": [ { "first_name": "Lindsay", "middle_name": "K.", "last_name": "Wells", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-01-06T21:52:01Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44096/galley/32899/download/" } ] }, { "pk": 63216, "title": "Homonormativity, Charternormativity, and Processes of Legitimation: Exploring the Affective-Spatio-Temporal-Fixed Dimensions of Marriage Equality and Charter Schools", "subtitle": null, "abstract": "Over the past five years, marriage equality and charter schools have emerged at the forefront of political conversations about equality and rights. Some argue that these policies extend access to certain benefits and opportunities to historically oppressed communities, thus furthering liberalism and egalitarianism. In this article, I engage these arguments by exploring how and why people from dominant cultures come to support marriage equality or charter schools despite not directly benefitting from these policy initiatives. Drawing upon queer theory and critical education policy studies, I utilize two terms—homonormativity and charternormativity—to describe how public arguments supporting marriage equality and charter schools elevate particular identities and normative behaviors for gay people and people of color. I theorize these similarities to reveal a process of policy legitimation that I call the affective-spatio-temporal-fixed—a concept that provides insight into why and how some policies that claim to promote increased equity gain traction in the neoliberal present whereas others do not.", "language": "en", "license": null, "keywords": [ { "word": "Charter Schools" }, { "word": "Education Policy" }, { "word": "Marriage Equality" }, { "word": "Queer Theory" }, { "word": "Neoliberalism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/84b798kq", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Stern", "name_suffix": "", "institution": "Department of Educational Studies\nColgate University", "department": "" } ], "date_submitted": "2014-07-16T21:46:40Z", "date_accepted": "2014-07-16T21:46:40Z", "date_published": "2016-01-05T01:03:37Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/bre/article/63216/galley/48786/download/" } ] }, { "pk": 63205, "title": "Inter-District School Choice: Transfer Policy and Practice in a Fragmented Metropolitan Region", "subtitle": null, "abstract": "Detrimental side effects of the politics of localism include socioeconomic and racial inequalities across fragmented contiguous school districts. Inequality follows patterns of neighborhood segregation and suburban expansion. Some regions approach these issues through collaborative models of cross-district school choice that focus shared resources toward reducing disparities. In Calderon County, California2, however, districts have elected to use a non- collaborative, voluntary, and colorblind inter-district transfer plan, in which district administrators evaluate requests on a case-by-case basis. Interviews with these administrators and local citizens reveal a process plagued by a history of racial and socioeconomic division that may be exacerbating stratification. This study demonstrates that administrators, who often interact directly with families, wield extraordinary policy and decision-making power, significantly controlling inter-district mobility in the region. While exploratory in nature, this research reveals meaningful findings on fragmentation, community perceptions, and administrative decision-making within the context of school choice in one Northern California region.", "language": "en", "license": null, "keywords": [ { "word": "School Choice" }, { "word": "Open Enrollment" }, { "word": "Inter-district Transfers" }, { "word": "Educational Disparity" }, { "word": "Street-level Bureaucracy" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15r116r9", "frozenauthors": [ { "first_name": "Helen", "middle_name": "", "last_name": "Ganski", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2013-12-09T02:09:53Z", "date_accepted": "2013-12-09T02:09:53Z", "date_published": "2016-01-05T01:03:08Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/bre/article/63205/galley/48784/download/" } ] }, { "pk": 63223, "title": "Exploring the Educational Implications of the Third Space Framework for Transnational Asian Adoptees", "subtitle": null, "abstract": "Transnational Asian adoptees are a unique and understudied population that potentially faces oppression and confusion. Educational institutions are often unresponsive to the needs of immigrant groups, particularly ones with unique circumstances like transnational Asian adoptees. Not only is there a gap generally in the critical and empirical literature across fields when it comes to this population, but it is almost entirely missing from the educational literature. This conceptual paper contributes a better understanding of transnational adoptees through a third space framework. We seek to critically analyze and synthesize the literature on transnational Asian adoptees. The outcome of the investigation bridges the adoption and education literature, situating it within the educational context. In doing so, we present educational implications of transnational Asian adoption that lay the groundwork for much needed empirical analyses.", "language": "en", "license": null, "keywords": [ { "word": "Transnational Asian Adoptees" }, { "word": "Third Spaces" }, { "word": "Immigrant Education" }, { "word": "Immigrant Studies" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/70t7n0h5", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "A", "last_name": "Witenstein", "name_suffix": "", "institution": "University of San Diego", "department": "" }, { "first_name": "L. Erika", "middle_name": "", "last_name": "Saito", "name_suffix": "", "institution": "Claremont Graduate University", "department": "" } ], "date_submitted": "2014-11-25T03:41:29Z", "date_accepted": "2014-11-25T03:41:29Z", "date_published": "2016-01-05T01:02:25Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/bre/article/63223/galley/48790/download/" } ] }, { "pk": 44095, "title": "Evaluation of a Hepatic Lesion in a Previously Healthy Adult Male", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/83p3k1bz", "frozenauthors": [ { "first_name": "Clement", "middle_name": "", "last_name": "Lee", "name_suffix": "MS", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Antonio", "middle_name": "M.", "last_name": "Pessegueiro", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-01-04T21:51:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44095/galley/32898/download/" } ] }, { "pk": 39446, "title": "Review: Tracking the Great Bear: How Environmentalists Recreated British Columbia's Coastal Rainforest", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Environmental Protection" }, { "word": "British Columbia--Great Bear Rain Forest" }, { "word": "sustainable development" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3vp253vt", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE, Québec, Canada", "department": "None" } ], "date_submitted": "2016-01-04T15:34:13Z", "date_accepted": "2016-01-04T15:34:13Z", "date_published": "2016-01-04T15:35:40Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39446/galley/29778/download/" } ] } ] }