Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=21600
{ "count": 39542, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=21700", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=21500", "results": [ { "pk": 58118, "title": "The Philadelphia School Closing Photo Collective: Photography as Documentation, Public Participation, and Community Resistance", "subtitle": null, "abstract": "The Philadelphia School Closing Photo Collective came into existence in response to a wave of public school closures in Philadelphia in 2013. This photo essay examines the birth and photographic work of this group and situates it within a larger framework of democratic participation and civic engagement.", "language": "en", "license": null, "keywords": [ { "word": "Photography, Public School Closures, Civic Engagement" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1th2m58k", "frozenauthors": [ { "first_name": "Amy", "middle_name": "", "last_name": "Bach", "name_suffix": "", "institution": "The University of Texas at El Paso", "department": "" } ], "date_submitted": "2016-01-26T01:17:04-07:00", "date_accepted": "2016-01-26T01:17:04-07:00", "date_published": "2016-10-21T16:53:26-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58118/galley/44278/download/" } ] }, { "pk": 58111, "title": "Enjoying Public Space in Swiss Cities", "subtitle": null, "abstract": "From transforming fire-hydrants, to public snow-sculpting, to growing \"mini-gardens,\" Swiss cities and towns are undertaking initiatives to re-imagine the urban experience, in order to make it more pleasant, memorable, and relevant, for its residents. Here, I share several art projects that I have been involved in first-hand over the past several years, starting in the 1980s in the town of St. Gallen and in the village Braunwald, Switzerland, demonstrating how: a) through the re-painting of fire-hydrants as dwarfs, fairytales come alive in urban places, which re-energizes public places in rather unpredictable ways; b) through public snow-sculpting using scratched ice from a local ice-rink, discarded material is put into new, creative, and decorative use; and c. through guerilla gardening in public places, locals take care for a “mini-garden” set by the council in a wooden frame, creating a shared experience that will culminate in having a meal together, cooked from the vegetables grown in the mini-garden, and shared on the street, where the mini-garden is located.", "language": "en", "license": null, "keywords": [ { "word": "snow sculpting, art, social gardening, fire hydrants, public demonstrations" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/16v3w7d5", "frozenauthors": [ { "first_name": "Beat", "middle_name": "", "last_name": "Brunner", "name_suffix": "", "institution": "Sculptura", "department": "" } ], "date_submitted": "2016-01-19T14:36:34-07:00", "date_accepted": "2016-01-19T14:36:34-07:00", "date_published": "2016-10-21T16:52:53-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58111/galley/44273/download/" } ] }, { "pk": 58110, "title": "Argul Weave: Local Skills Meet Global Design Practices or Activating Turkey’s Hinterland Potential", "subtitle": null, "abstract": "When Argul Weave officially opened in Bursa, Turkey, in the Fall of 2014, it became the first structure of its kind in the region: master- minded by architect Burak Pekoglu, it combines complex geometry with local labor and building materials—Patara beige natural stone for the façade, from Burdur, and dark-red Aegean marble for the plinth, from the Aegean area—to make a bold aesthetic statement in Yildirim, Bursa—the textile industry hub of Turkey—a complex geometry can be scaled down to a buildable design here, by the locals. This article examines some of the forces that helped shape Argul Weave into one coherent, and visionary, composition: from theories of modern architecture to practical knowledge of local customs, and ponders the importance of the structure in summoning the varied resources of Turkey’s Hinterland while also facilitating the creative synergy among the locals (workers, residents, users).", "language": "en", "license": null, "keywords": [ { "word": "architecture, Turkey, Bursa, BINAA, facade, design, global, local, Hinterland" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7p30j74g", "frozenauthors": [ { "first_name": "Blagovesta", "middle_name": "", "last_name": "Momchedjikova", "name_suffix": "", "institution": "New York University", "department": "" } ], "date_submitted": "2016-01-19T14:25:39-07:00", "date_accepted": "2016-01-19T14:25:39-07:00", "date_published": "2016-10-21T16:52:22-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58110/galley/44272/download/" } ] }, { "pk": 58109, "title": "Cultural Heritage and Spectacle: Painted and Digital Panoramic Re-Presentations of Versailles", "subtitle": null, "abstract": "By comparing and contrasting two panoramic projects of Versailles, one being a painted panorama by John Vanderlyn (1775-1852) completed in 1819 and the other, part of Google’s World Wonders Project launched in 2012, this paper will examine the notion of heritage as a tangible entity, experiential consumable, and identity maker, and show how heritage sites and the panorama (both painted and digital) act as a spectacle that seeks to fulfill the needs and desires of its visitors to consume past and present cultural landscapes.", "language": "en", "license": null, "keywords": [ { "word": "Painted Panorama, Google Street View, John Vanderlyn, Cultural Heritage, Versailles" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/339598d3", "frozenauthors": [ { "first_name": "Seth", "middle_name": "", "last_name": "Thompson", "name_suffix": "", "institution": "American University of Sharjah", "department": "" } ], "date_submitted": "2016-01-15T15:09:41-07:00", "date_accepted": "2016-01-15T15:09:41-07:00", "date_published": "2016-10-21T16:52:06-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58109/galley/44271/download/" } ] }, { "pk": 58108, "title": "Dakar 10", "subtitle": null, "abstract": "The idea of representing a city in 10 word descriptions comes from a writing workshop that I led in the Senegalese capital of Dakar in 2015, on the invitation of the Dakar Women’s Group. The pairing of the ideal 10 word descriptions with the ideal 10 images developed as a result of multiple revisions for various occasions, over the course of a year. I hope that the selection here gives a glimpse into but also a feel of a place rich with color, vibrancy, hospitality, and contradiction.", "language": "en", "license": null, "keywords": [ { "word": "Dakar, Senegal, Writing, Image, Dakar Women's Group" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8c18c474", "frozenauthors": [ { "first_name": "Blagovesta", "middle_name": "", "last_name": "Momchedjikova", "name_suffix": "", "institution": "New York University", "department": "" } ], "date_submitted": "2016-01-14T08:21:23-07:00", "date_accepted": "2016-01-14T08:21:23-07:00", "date_published": "2016-10-21T16:51:53-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58108/galley/44270/download/" } ] }, { "pk": 58107, "title": "Our Home(s) and/on Native Land: Spectacular Re-Visions and Refusals at Vancouver’s 2010 Winter Olympic Games", "subtitle": null, "abstract": "In this essay I examine how Indigenous artists and performers leveraged Indigenous inclusion in Vancouver’s 2010 Winter Olympic Games to refuse conditions that spectacularize Indigeneity for the consumptive appetite of settler-spectators. Their refusals, I suggest, called upon settler-spectators to reorient their placement on Indigenous land: to move from understanding themselves as citizens of a postcolonial nation-state celebrated through Olympic (inter)nationalism, to settlers (still) occupying unceded Indigenous territory. I critique how settler subjectivity and settler colonial relations have historically been produced through non-Indigenous people engaging with Indigenous people and political expression as spectators, enjoying the privilege and presumption of consuming and looking at Indigenous people and art. To be called into a different relation by Indigenous art and performance that refuses our spectatorship, we are called upon to relinquish our position as spectators, to identify ourselves as settlers, and to reorient ourselves temporally, spatially, and politically to Indigenous peoples and land. The positioning of Indigenous art and performance as refusals within and against the Olympics, the ultimate spectacle of statehood and inclusion, intensified their potency. Refusing and revising the spectacle, they playfully and powerfully unsettled settler-spectators and settler colonial conditions.", "language": "en", "license": null, "keywords": [ { "word": "settler colonialism, Indigeneity, Olympics" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9t90f18j", "frozenauthors": [ { "first_name": "Natalie", "middle_name": "J.K.", "last_name": "Baloy", "name_suffix": "", "institution": "UC Santa Cruz", "department": "" } ], "date_submitted": "2016-01-09T12:28:23-07:00", "date_accepted": "2016-01-09T12:28:23-07:00", "date_published": "2016-10-21T16:51:38-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58107/galley/44269/download/" } ] }, { "pk": 58106, "title": "A Sense of Place: Understanding the 2013 Stockholm Riots", "subtitle": null, "abstract": "In May 2013, Stockholm was shaken by six days of riots that started in one of its Northern suburbs, Husby, but soon spread to other parts of the city and country. This essay reports on a field trip to Stockholm and sets the riots within the Swedish urban context.", "language": "en", "license": null, "keywords": [ { "word": "Riots" }, { "word": "Place" }, { "word": "Stockholm" }, { "word": "Sweden" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3mx6k2t1", "frozenauthors": [ { "first_name": "Jorg", "middle_name": "", "last_name": "Kustermans", "name_suffix": "", "institution": "University of Antwerp", "department": "" } ], "date_submitted": "2016-01-06T08:43:02-07:00", "date_accepted": "2016-01-06T08:43:02-07:00", "date_published": "2016-10-21T16:51:17-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58106/galley/44268/download/" } ] }, { "pk": 58103, "title": "The Idea of the Common: A Pedagogical Assessment of a Graduate Architecture Seminar in Dublin, Ireland", "subtitle": null, "abstract": "Public space—its history, uses and especially design—lies at the heart of the architectural curriculum. Yet defining this term can be a slippery task: what are we alluding to, specifically, when we speak of public space? Is it an idea, a phenomenon, a distinct place that can be drawn, measured and plotted? In the formal academic discipline of architecture, we freely use and apply this expression and its cognates to a multitude of situations, but we seldom pause to consider, much less scrutinize, its underlying meaning. This essay explores the conundrum of “concretizing” public space through the lens of a graduate seminar. The seminar aims to develop a series of lucid and balanced dialogues pertaining to commonality in the city.", "language": "en", "license": null, "keywords": [ { "word": "public space, urban order, institution, commonality, Dublin" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9n0795gd", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "Leah", "last_name": "Martin-McAuliffe", "name_suffix": "", "institution": "University College Dublin", "department": "" } ], "date_submitted": "2016-01-01T15:51:01-07:00", "date_accepted": "2016-01-01T15:51:01-07:00", "date_published": "2016-10-21T16:51:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58103/galley/44266/download/" } ] }, { "pk": 58102, "title": "From Harlem to Hipster: Public Space, Cultural Capital, and Capitals of Culture", "subtitle": null, "abstract": "This paper looks at modern gentrification from the perspective of art, artists, and artistry, and attempts to connect society's politics with its behaviours.", "language": "en", "license": null, "keywords": [ { "word": "Harlem, hipsters, gentrification, culture, cultural capital, public space" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8480b23h", "frozenauthors": [ { "first_name": "Nishad", "middle_name": "", "last_name": "More", "name_suffix": "", "institution": "New York University", "department": "" } ], "date_submitted": "2016-01-01T08:41:39-07:00", "date_accepted": "2016-01-01T08:41:39-07:00", "date_published": "2016-10-21T16:50:39-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58102/galley/44265/download/" } ] }, { "pk": 58101, "title": "Bryant Park, New York: Strangers in Public Spaces", "subtitle": null, "abstract": "Urban sociologists have studied how people interact in public spaces, but there has been little study of how changing technology has impacted how people relate to one another in these spaces. We conducted an observational study of people in Bryant Park in New York City to find out how electronic devices impact social contact in a small public park that normally would be conducive to interacting with others. We sought to understand how visitors to this urban park have evolved, how they engage with each other and with personal technology in the park, and how they relate to the surrounding urban space. We found that electronic communication devices can either isolate city dwellers or bring them closer together, depending on personal and environmental factors.", "language": "en", "license": null, "keywords": [ { "word": "Bryant Park, public spaces, electronic devices users" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/76m8p91h", "frozenauthors": [ { "first_name": "LinDa", "middle_name": "", "last_name": "Saphan", "name_suffix": "", "institution": "College of Mount Saint Vincent", "department": "" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Salas", "name_suffix": "", "institution": "College of Mount Saint Vincent", "department": "" }, { "first_name": "Cathleen", "middle_name": "", "last_name": "Rozario", "name_suffix": "", "institution": "College of Mount Saint Vincent", "department": "" } ], "date_submitted": "2015-12-31T19:42:20-07:00", "date_accepted": "2015-12-31T19:42:20-07:00", "date_published": "2016-10-21T16:50:21-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58101/galley/44264/download/" } ] }, { "pk": 58100, "title": "Lest We Forget: Observations from Belfast's Twaddell Avenue", "subtitle": null, "abstract": "This paper explores the evolution of parading in civic space in Belfast, Northern Ireland. I draw upon previous ethnographic study of the Twaddell Avenue protest camp as an example of spectacle and resistance in public space. This camp, sometimes referred to as a 'civil rights camp' or 'protest camp', is the product of ethnosectarian division and ongoing contestation around space in Northern Ireland. This camp, and the act of parading around which it revolves, appropriates public space as an expression of identity, territory, and collective memory. It also provides a lens with which to examine broader social, political and economic issues facing post-ceasefire, post-industrial Belfast.", "language": "en", "license": null, "keywords": [ { "word": "Unionism, interface, contested space, Orange Order, public space, Northern Ireland" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0xs2n1x8", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "", "last_name": "DeYoung", "name_suffix": "", "institution": "University of Liverpool", "department": "" } ], "date_submitted": "2015-12-31T17:07:48-07:00", "date_accepted": "2015-12-31T17:07:48-07:00", "date_published": "2016-10-21T16:50:01-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58100/galley/44263/download/" } ] }, { "pk": 58099, "title": "Change and Memory on the Fresno Fulton Mall", "subtitle": null, "abstract": "Revitalization of the Fresno, CA Fulton Mall serves as an anthropological case study centering around a discussion of changing urban forms. The creation and maintenance of community as it pertains to open urban space is central to my argument that context and placemaking matter when confronting urban change at the street level, querying the role public space plays in 21st Century urban areas. I ask what do preservation efforts really seek to save in a rapidly changing region like California's greater Central Valley? What do such preservation efforts say about the role of citizens in their community at the local level and how their participation in the urban revitalization process include hidden transcripts (Scott, 1990) of cultural meaning that reinforce and counter the discourse of a dominant local planning regime? Through ethnographic research and an intimate and empirically-grounded understanding of place, I showcase the different negotiations of space and self that community groups and local government entities develop, even as they seek to both revitalize and preserve the character of the Fulton Mall through political dialogue and community mobilization.", "language": "en", "license": null, "keywords": [ { "word": "Urban Space" }, { "word": "placemaking" }, { "word": "Fresno" }, { "word": "california" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/26g6z7c3", "frozenauthors": [ { "first_name": "Doris", "middle_name": "Dakin", "last_name": "Perez", "name_suffix": "", "institution": "University of California, Merced", "department": "" } ], "date_submitted": "2015-12-30T15:50:25-07:00", "date_accepted": "2015-12-30T15:50:25-07:00", "date_published": "2016-10-21T16:49:39-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/streetnotes/article/58099/galley/44262/download/" } ] }, { "pk": 54940, "title": "Letter from the Editors", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Forematter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7t74d8gh", "frozenauthors": [ { "first_name": "Olivia", "middle_name": "", "last_name": "Graves", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Julia", "middle_name": "", "last_name": "Lyter", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2015-09-24T10:02:50-06:00", "date_accepted": "2015-09-24T10:02:50-06:00", "date_published": "2016-10-20T23:09:32-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54940/galley/41436/download/" } ] }, { "pk": 54962, "title": "Charting the Unknown: Alice Kober, Her Phonetic Chart, and the Decipherment of Linear B", "subtitle": null, "abstract": "This paper analyzes a phonetic chart of Linear B symbols found in the notebook of Dr. Alice E. Kober to understand how accurately she identified phonetic relationships between the signs and how this chart might have influenced Michael Ventris’s later decipherment. Of the 87 signs in Linear B, only twenty signs were plotted on Kober’s chart, and only ten of which were published in her 1948 article, “The Minoan Scripts: Fact and Theory”. The remaining ten signs had been written tentatively in pencil and remained unpublished. The only notes about how Kober created these charts were three assumptions she placed alongside her published chart, but no explanation was given about the remaining ten signs on her chart. By looking at the current, accepted phonetic values of each sign, one can identify possible reasons behind the placement of certain signs relative to others and the accuracy of Kober’s analysis. Then, I will examine some of Ventris’s phonetic charts and various writings to understand how Kober’s work impacted the decipherment of Linear B. Ultimately, I will argue that although Kober’s published chart was fairly accurate in the few signs she plotted, Ventris decided to identify the phonetic values himself. In doing so he would still adopt Kober’s grid layout, her use of alternate spellings, and her theory of how language inflection showed itself in syllabary scripts to create his own phonetic charts until his final decipherment of Linear B in 1952.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Alice Kober" }, { "word": "Michael Ventris" }, { "word": "Linear B" }, { "word": "decipherment" }, { "word": "Languages" }, { "word": "Linguistics" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1n57m2mf", "frozenauthors": [ { "first_name": "Brenna", "middle_name": "", "last_name": "Wheeler", "name_suffix": "", "institution": "University of Texas at Austin", "department": "" } ], "date_submitted": "2016-05-31T21:57:38-06:00", "date_accepted": "2016-05-31T21:57:38-06:00", "date_published": "2016-10-20T22:57:05-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54962/galley/41447/download/" } ] }, { "pk": 54960, "title": "The Advantage of the Stronger: Hercules and Cacus in Vergil's Aeneid", "subtitle": null, "abstract": "The Hercules and Cacus episode in Book VIII highlights the problematic nature of Aeneas’ exploits throughout the \nAeneid\n. Through the violence of Hercules, Vergil makes the reader question whether a story like the founding of Rome and its eventual imperial expansion can be as cut and dry as the story of a rugged hero slaughtering someone whose name literally means “evil one” might superficially seem. Calling into question Aeneas’ morality and his justification for settling in Italy in turn casts doubt on Augustus’ \nown\n means of attaining power.\n \nThe Hercules and Cacus episode is fundamental to our understanding of the \nAeneid \nas a whole inasmuch as it brings up the question of right. The question of the rightful owner of Geryon’s cattle finds its parallel in Aeneas and Turnus’ dispute over betrothal to Lavinia, as well as in Augustus’ contested claim to rule Rome. The Italy of Hercules’ day, in which violence determines right, must be compared with the universal empire Augustus will eventually establish. This paper explores to what extent the Hercules and Cacus episode can influence our understanding of Aeneas and Augustus and how Vergil might be reacting to the political climate of his day through his poetry.\n \nN.B. I give citations in Latin throughout the paper, with my own English translations in the footnotes.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Vergil" }, { "word": "Aeneid" }, { "word": "Hercules" }, { "word": "Cacus" }, { "word": "Aeneas" }, { "word": "Turnus" }, { "word": "Augustus" }, { "word": "empire" }, { "word": "Right" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3s05x142", "frozenauthors": [ { "first_name": "Leo", "middle_name": "", "last_name": "Trotz-Liboff", "name_suffix": "", "institution": "Middlebury College", "department": "" } ], "date_submitted": "2016-05-28T16:26:04-06:00", "date_accepted": "2016-05-28T16:26:04-06:00", "date_published": "2016-10-20T22:56:38-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54960/galley/41446/download/" } ] }, { "pk": 54958, "title": "First in Flight: Etruscan Winged \"Demons\"", "subtitle": null, "abstract": "Etruscan winged Underworld figures (commonly referred to as winged “demons”) represent one of the most fascinating and least understood aspects of funerary iconography in ancient Etruria. Their function, along with their origin, has long been the subject of scholarly debates. However, over the last two decades, scholars have begun to take a closer look at these chthonic figures. Recent scholarship has begun to provide answers to many of the most fundamental questions concerning their role, even if disagreements remain over their murky origins. Expanding on interpretations that have cast new light on how these winged (and non winged) Underworld figures functioned, questions concerning Etruscan religious beliefs and funerary ideology can now be reconsidered.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Etruscan, funerary ideology, religious ideology, archaeology" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4hb1r5wk", "frozenauthors": [ { "first_name": "Marvin", "middle_name": "", "last_name": "Morris", "name_suffix": "", "institution": "UC Berkeley", "department": "" } ], "date_submitted": "2016-05-05T09:17:12-06:00", "date_accepted": "2016-05-05T09:17:12-06:00", "date_published": "2016-10-20T22:55:24-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54958/galley/41445/download/" } ] }, { "pk": 9634, "title": "Application of Circumferential Compression Device (Binder) in Pelvic Injuries: Room for Improvement", "subtitle": null, "abstract": "ABSTRACT\n \nINTRODUCTION\n \nThe use of a noninvasive pelvic circumferential compression device (PCCD) to achieve pelvic stabilization by both decreasing pelvic volume and limiting inter-fragmentary motion, has become commonplace and is a well-established component of ATLS protocol in the treatment of pelvic ring injuries. The Purpose of this study was to evaluate 1) how consistently a PCCD was placed on patients who arrived at our Hospital with unstable pelvic ring injuries 2) if they were placed in a timely manner and 3) if hemodynamic instability influenced their use .\n \n \n \nMETHODS\n \nAn IRB approved retrospective study was preformed on 112 consecutive unstable pelvic ring injuries, managed over a 2 year period at our Level 1 Trauma center. Our Hospital Electronic Medical Record was used to review EMT, Physician , Nurse’s , Operative notes and radiographic images in order to obtain information on the injury and PCCD application. The injuries were classified by an Orthopaedic Trauma Surgeon and a senior Orthopaedic Resident. Proper application of a pelvic binder using a sheet is demonstrated.\n \n \n \nRESULTS\n \nOnly 47% of unstable pelvic fractures received PCCD placement, despite being the standard of care according to ATLS. Lateral Compression mechanism pelvic injuries received PCCDs in 33% of cases, while AP Compression and Vertical sheer injuries had applications in 63% of cases. Most of these PCCD devices were applied after imaging (72%) Hemodynamic instability did not influence PCCD application.\n \n \n \nCONCLUSION\n \nPCCD placement was missed in many (37%) of APC and VS mechanism injuries, where their application can be critical to providing stability. Furthermore, in order to provide rapid stability, Pelvic circumferential compression devices should be applied after secondary examination, rather than after waiting for imaging results. Better education on, exam of the pelvis during the secondary survey, timing and technique of PCCD placement at our institution is required in order to improve treatment of pelvic ring injuries.", "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": "Medicine" }, { "word": "Orthopedics" }, { "word": "Emergency Medicine" }, { "word": "Pelvic Injuries" }, { "word": "Pelvic Circumferential Compression Devices" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/91d6g9wn", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "", "last_name": "Roth", "name_suffix": "", "institution": "Wayne State School of Medicine", "department": "None" }, { "first_name": "Rahul", "middle_name": "", "last_name": "Vaidya", "name_suffix": "", "institution": "Detroit Medical Center", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Swartz", "name_suffix": "", "institution": "Detroit Medical Center", "department": "None" }, { "first_name": "Bradley", "middle_name": "", "last_name": "Zarling", "name_suffix": "", "institution": "Detroit Medical Center", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Zhang", "name_suffix": "", "institution": "Detroit Medical Center", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Walsh", "name_suffix": "", "institution": "Detroit Medical Center", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Macsuga", "name_suffix": "", "institution": "Detroit Medical Center", "department": "None" } ], "date_submitted": "2016-02-14T17:29:18-07:00", "date_accepted": "2016-02-14T17:29:18-07:00", "date_published": "2016-10-20T16:06:30-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9634/galley/5354/download/" } ] }, { "pk": 9696, "title": "First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration", "subtitle": null, "abstract": "Ventricular fibrillation (VF) is a potentially fatal dysrhythmia associated with acute myocardial infarction. The longer a patient waits for definitive care, the greater their chance of mortality. There is a subset of patients, however, who suffered a VF arrest, received appropriate care, and despite standard medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 J of biphasic current), remained in refractory VF (RVF), also known as electrical storm. The mortality for these patients is as high as 97%. We present the case of a patient who, because of a novel approach, survived RVF to discharge and outpatient follow-up.", "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": "resuscitation" }, { "word": "ventricular fibrillations" }, { "word": "Defibrillation" }, { "word": "Dual-axis defibrillation" }, { "word": "Beta-blockade" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1469v72j", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "M", "last_name": "Boehm", "name_suffix": "", "institution": "1. St. Mary Mercy Hospital. Livonia, MI. Departments of Graduate Medical Education and Emergency Medicine.\n2. Michigan State University College of Osteopathic Medicine. Department of Osteopathic Medical Specialties.", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Keyes", "name_suffix": "", "institution": "1. St. Mary Mercy Hospital. Livonia, MI. Departments of Graduate Medical Education and Emergency Medicine.\n2. Michigan State University College of Osteopathic Medicine. Department of Osteopathic Medical Specialties.", "department": "None" }, { "first_name": "Laura", "middle_name": "E", "last_name": "Mader", "name_suffix": "", "institution": "St. Mary Mercy Hospital. Livonia, MI. Departments of Graduate Medical Education and Emergency Medicine.", "department": "None" }, { "first_name": "Joan", "middle_name": "Michelle", "last_name": "Moccia", "name_suffix": "", "institution": "St. Mary Mercy Hospital. Livonia, MI. Departments of Graduate Medical Education and Emergency Medicine.", "department": "None" } ], "date_submitted": "2016-03-14T12:12:31-06:00", "date_accepted": "2016-03-14T12:12:31-06:00", "date_published": "2016-10-20T15:36:29-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9696/galley/5376/download/" } ] }, { "pk": 9942, "title": "E-cigarette Blast Injury: Complex Facial Fractures and Pneumocephalus", "subtitle": null, "abstract": "No abstract (case report)", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "e-cigarette" }, { "word": "vaping" }, { "word": "Explosion" }, { "word": "Pneumocephalus" }, { "word": "e-cig" }, { "word": "electronic cigarette" }, { "word": "Smoking" }, { "word": "lithium-ion battery" }, { "word": "Battery" }, { "word": "vaporizor" }, { "word": "vape" }, { "word": "smoke" }, { "word": "Arrowhead Regional Medical Center" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7ch9m65h", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "", "last_name": "Archambeau", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Colton, CA", "department": "None" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Young", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Colton, CA", "department": "None" }, { "first_name": "Carol", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Colton, CA\n\nCalifornia Emergency Physicians", "department": "None" }, { "first_name": "Troy", "middle_name": "", "last_name": "Pennington", "name_suffix": "", "institution": "Arrowhead Regional Medical Center, Colton, CA\n\nCalifornia Emergency Physicians", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Vanderbeek", "name_suffix": "", "institution": "Loma Linda University", "department": "None" }, { "first_name": "Dan", "middle_name": "", "last_name": "Miulli", "name_suffix": "", "institution": "Arrowhead Regional Medical Center", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Culhane", "name_suffix": "", "institution": "Arrowhead Regional Medical Center", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Neeki", "name_suffix": "", "institution": "Arrowhead Regional Medical Center", "department": "None" } ], "date_submitted": "2016-06-20T19:54:45-06:00", "date_accepted": "2016-06-20T19:54:45-06:00", "date_published": "2016-10-20T15:26:03-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9942/galley/5453/download/" } ] }, { "pk": 44218, "title": "Radiation Recall Syndrome After Administration of Vinorelbine Monotherapy", "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/57s755qz", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "D.", "last_name": "Rosenberg", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mahshid", "middle_name": "", "last_name": "Mosallaei-Benjamin", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-20T14:00:55-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44218/galley/33021/download/" } ] }, { "pk": 10022, "title": "Opioid Dependent Malingerer with Self-Induced Sepsis", "subtitle": null, "abstract": "A 21 year old woman was admitted to the ED with severe sepsis. Her mechanism of infection and organisms were unusual, and were discovered through good detective work.", "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": "Opioid Epidemic" }, { "word": "malingering" }, { "word": "bacteremia" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1t4765wd", "frozenauthors": [ { "first_name": "Kelly", "middle_name": "", "last_name": "Kesler", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Langdorf", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Burns", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2016-07-08T21:48:04-06:00", "date_accepted": "2016-07-08T21:48:04-06:00", "date_published": "2016-10-20T13:03:09-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10022/galley/5472/download/" } ] }, { "pk": 39460, "title": "Creating a Culture of Transformation in Guatemala: One Fruit Tree at a Time", "subtitle": null, "abstract": "Community gardening and \"green\" ecologically-minded service programs have recently become popular areas of research addresing not only the benefits that are directly afforded to the community, but also towards those individuals who are involved in these project (Shan & Walter, 2015). The current qualitative mixed-methods study addressed the impact of nine volunteers who paticpate din a fruit tree planting project in a rural Guatemala community. Participants were interviewed after the project and surveyed regarding their subjective experiences as they relate to key domains in community service work. A significant correlation emerged between perceptions of the importance of community service work (CSW) activities (\nr\n = .948;\n p\n < .01) and perceptions of \"connectedness\" to one's community and likelihood of participation in future CSW activities (\nr\n = 877; \np\n< .01). Suggestions are offered for future research.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Sustainable programs" }, { "word": "Green Community Activities" }, { "word": "Interdendency" }, { "word": "ecology" }, { "word": "Community Service Work" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3p03s4gk", "frozenauthors": [ { "first_name": "August", "middle_name": "John", "last_name": "Hoffman", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2016-07-05T11:09:47-06:00", "date_accepted": "2016-07-05T11:09:47-06:00", "date_published": "2016-10-19T17:44:03-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39460/galley/29789/download/" } ] }, { "pk": 44217, "title": "Epididymo-orchitis Following a Common Clinical Procedure", "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/1094832z", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "", "last_name": "Bui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Amar", "middle_name": "", "last_name": "Nawathe", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-19T17:23:28-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44217/galley/33020/download/" } ] }, { "pk": 44216, "title": "Cardiac Amyloidosis – A Race Against Time", "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/8sd1s45g", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "", "last_name": "Bui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Amar", "middle_name": "", "last_name": "Nawathe", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-19T17:22:22-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44216/galley/33019/download/" } ] }, { "pk": 44215, "title": "Diffuse Hepatic Masses", "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/2v71s248", "frozenauthors": [ { "first_name": "Mahshid", "middle_name": "", "last_name": "Mosallaei-Benjamin", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Rosenberg", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-18T17:21:12-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44215/galley/33018/download/" } ] }, { "pk": 54956, "title": "The Liminal and Universal: Changing Interpretations of Hekate", "subtitle": null, "abstract": "Hekate is considered one of the most enigmatic figures of Greek religion. In the \nTheogony\n, she is referred to as a universal goddess. Nevertheless, her figure transforms into that of a chthonic figure, associated with witchcraft and the restless dead. This paper examines how Hekate’s role in the Greek pantheon has changed over time, and with what figures she has been syncretized or associated with in order to bring about such changes. In doing so, three images of the same goddess emerge: Hekate the universal life-bringing deity, Hekate the liminal goddess of the crossroads, and Hekate the chthonic overseer of witchcraft and angry spirits.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Classics" }, { "word": "Greek Religion" }, { "word": "Hekate" }, { "word": "Ancient Greek religious syncretism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1071z9t4", "frozenauthors": [ { "first_name": "Adrienne", "middle_name": "", "last_name": "Ou", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "" } ], "date_submitted": "2016-04-19T22:35:15-06:00", "date_accepted": "2016-04-19T22:35:15-06:00", "date_published": "2016-10-17T16:17:07-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54956/galley/41444/download/" } ] }, { "pk": 41645, "title": "A lower jaw of the nautiloid \nAturia angustata\n (Conrad, 1849) from Oligocene cold seep limestone, Washington State, U.S.A.", "subtitle": null, "abstract": "Fossil shells of the extinct nautiloid genus \nAturia\n have been found in Cenozoic strata in many parts of the world, and yet there have only been two previous records of fossils of any part of the jaw apparatus of \nAturia\n. This suggests that the jaws were only preserved by virtue of special, highly localized conditions. A fossilized lower jaw referable to \nAturia\n has been found in western Washington State, USA, associated with two shells of Aturia angustata within a piece of limestone that formed as a result of localized hydrocarbon seepage on the deep-sea floor. This is the first report of a nautiloid jaw from Cenozoic strata of western North America, and the first report of any part of the jaw apparatus for \nA. angustata\n.", "language": "en", "license": null, "keywords": [ { "word": "Oligocene, nautiloid jaw, <i>Aturia</i>, Washington State" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9jd5g1rr", "frozenauthors": [ { "first_name": "James", "middle_name": "L.", "last_name": "Goedert", "name_suffix": "", "institution": "Burke Museum of Natural History and Culture\nUniversity of Washington, Seattle, Washington", "department": "None" }, { "first_name": "Steffen", "middle_name": "", "last_name": "Kiel", "name_suffix": "", "institution": "Swedish Museum of Natural History, Department of Palaeobiology", "department": "None" } ], "date_submitted": "2016-10-17T13:13:55-06:00", "date_accepted": "2016-10-17T13:13:55-06:00", "date_published": "2016-10-17T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41645/galley/31168/download/" } ] }, { "pk": 44214, "title": "A Unique Case of Dysphagia in an Elderly Woman", "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/7nt7f24v", "frozenauthors": [ { "first_name": "Susan", "middle_name": "D.", "last_name": "Leonard", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-16T17:19:16-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44214/galley/33017/download/" } ] }, { "pk": 62729, "title": "California’s Agricultural and Urban Water Supply Reliability and the Sacramento–San Joaquin Delta", "subtitle": null, "abstract": "Much of the water supplied in California for agriculture and cities is taken directly from the Sacramento–San Joaquin Delta (Delta) or indirectly from surface and groundwater diversions upstream. These water supplies have great economic and social value, and considerable ecosystem effects. Long thought of as the major source of water for economic growth in California, the reliability of water supplied from the Delta is threatened by drought, flood, climate change, earthquakes, growing water demands, and deteriorating conditions for endangered species and native ecosystems. Research in recent years has improved understanding of how management of the Delta ties together the quantity and quality of water available statewide. These ties run from the Sierra mountains and coastal streams, through the Central Valley, to the San Francisco Bay Area, and over the Tehachapi Mountains to southern California. For decades, Californians counted on reducing Delta outflows to supply water for growing water demands in its watershed and in water importing areas. With greater competition for water, concern for environmental effects, and a changing climate, the reliability of such supplies is now diminishing. This must lead to tighter accounting and modeling of water supplies in the Delta and throughout its watershed. This paper reviews issues about Delta water supplies, operations, regulations, and reliability; the economic value of supply; costs of unreliability in quantity and quality; and several directions for further scientific and technical work on water supply reliability.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Water supply, reliability, Sacramento–San Joaquin Delta" } ], "section": "Special Issue: The State of Bay–Delta Science 2016, Part 2", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/49x7353k", "frozenauthors": [ { "first_name": "Jay", "middle_name": "R.", "last_name": "Lund", "name_suffix": "", "institution": "University of California, Davis", "department": "" } ], "date_submitted": "2016-10-09T08:23:58-06:00", "date_accepted": "2016-10-09T08:23:58-06:00", "date_published": "2016-10-14T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62729/galley/48410/download/" } ] }, { "pk": 62732, "title": "Climate Change and the Delta", "subtitle": null, "abstract": "Anthropogenic climate change amounts to a rapidly approaching, “new” stressor in the Sacramento–San Joaquin Delta system. In response to California’s extreme natural hydroclimatic variability, complex water-management systems have been developed, even as the Delta’s natural ecosystems have been largely devastated. Climate change is projected to challenge these management and ecological systems in different ways that are characterized by different levels of uncertainty. For example, there is high certainty that climate will warm by about 2°C more (than late-20th-century averages) by mid-century and about 4°C by end of century, if greenhouse-gas emissions continue their current rates of acceleration. Future precipitation changes are much less certain, with as many climate models projecting wetter conditions as drier. However, the same projections agree that precipitation will be more intense when storms do arrive, even as more dry days will separate storms. Warmer temperatures will likely enhance evaporative demands and raise water temperatures. Consequently, climate change is projected to yield both more extreme flood risks and greater drought risks. Sea level rise (SLR) during the 20th century was about 22 cm, and is projected to increase by at least 3-fold this century. SLR together with land subsidence threatens the Delta with greater vulnerabilities to inundation and salinity intrusion. Effects on the Delta ecosystem that are traceable to warming include SLR, reduced snowpack, earlier snowmelt and larger storm-driven streamflows, warmer and longer summers, warmer summer water temperatures, and water-quality changes. These changes and their uncertainties will challenge the operations of water projects and uses throughout the Delta’s watershed and delivery areas. Although the effects of of climate change on Delta ecosystems may be profound, the end results are difficult to predict, except that native species will fare worse than invaders. Successful preparation for the coming changes will require greater integration of monitoring, modeling, and decision making across time, variables, and space than has been historically normal.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Climate change, climate variability, sea level rise, water resources, ecosystems, Sacramento–San Joaquin Delta" } ], "section": "Special Issue: The State of Bay–Delta Science 2016, Part 2", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2r71j15r", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Dettinger", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Jamie", "middle_name": "", "last_name": "Anderson", "name_suffix": "", "institution": "California Department of Water Resources", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Anderson", "name_suffix": "", "institution": "California Department of Water Resources", "department": "" }, { "first_name": "Larry", "middle_name": "R.", "last_name": "Brown", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cayan", "name_suffix": "", "institution": "Scripps Institution of Oceanography", "department": "" }, { "first_name": "Edwin", "middle_name": "", "last_name": "Maurer", "name_suffix": "", "institution": "Santa Clara University", "department": "" } ], "date_submitted": "2016-10-09T09:38:21-06:00", "date_accepted": "2016-10-09T09:38:21-06:00", "date_published": "2016-10-14T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62732/galley/48413/download/" } ] }, { "pk": 62728, "title": "Primary Production in the Delta: Then and Now", "subtitle": null, "abstract": "To evaluate the role of restoration in the recovery of the Delta ecosystem, we need to have clear targets and performance measures that directly assess ecosystem function. Primary production is a crucial ecosystem process, which directly limits the quality and quantity of food available for secondary consumers such as invertebrates and fish. The Delta has a low rate of primary production, but it is unclear whether this was always the case. Recent analyses from the Historical Ecology Team and Delta Landscapes Project provide quantitative comparisons of the areal extent of 14 habitat types in the modern Delta versus the historical Delta (pre-1850). Here we describe an approach for using these metrics of land use change to: (1) produce the first quantitative estimates of how Delta primary production and the relative contributions from five different producer groups have been altered by large-scale drainage and conversion to agriculture; (2) convert these production estimates into a common currency so the contributions of each producer group reflect their food quality and efficiency of transfer to consumers; and (3) use simple models to discover how tidal exchange between marshes and open water influences primary production and its consumption. Application of this approach could inform Delta management in two ways. First, it would provide a quantitative estimate of how large-scale conversion to agriculture has altered the Delta's capacity to produce food for native biota. Second, it would provide restoration practitioners with a new approach—based on ecosystem function—to evaluate the success of restoration projects and gauge the trajectory of ecological recovery in the Delta region.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Sacramento–San Joaquin Delta, ecosystem restoration, primary production, historical ecology, food quality, habitat connectivity, land-use change" } ], "section": "Essay", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8fq0n5gx", "frozenauthors": [ { "first_name": "James", "middle_name": "E.", "last_name": "Cloern", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "April", "middle_name": "", "last_name": "Robinson", "name_suffix": "", "institution": "San Francisco Estuary Institute–Aquatic Science Center", "department": "" }, { "first_name": "Amy", "middle_name": "", "last_name": "Richey", "name_suffix": "", "institution": "San Francisco Estuary Institute–Aquatic Science Center", "department": "" }, { "first_name": "Letitia", "middle_name": "", "last_name": "Grenier", "name_suffix": "", "institution": "San Francisco Estuary Institute–Aquatic Science Center", "department": "" }, { "first_name": "Robin", "middle_name": "", "last_name": "Grossinger", "name_suffix": "", "institution": "San Francisco Estuary Institute–Aquatic Science Center", "department": "" }, { "first_name": "Katharyn", "middle_name": "E.", "last_name": "Boyer", "name_suffix": "", "institution": "San Francisco State University", "department": "" }, { "first_name": "Jon", "middle_name": "", "last_name": "Burau", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Elizabeth", "middle_name": "A.", "last_name": "Canuel", "name_suffix": "", "institution": "Virginia Institute for Marine Science", "department": "" }, { "first_name": "John", "middle_name": "F.", "last_name": "DeGeorge", "name_suffix": "", "institution": "Resource Management Associates, Inc.", "department": "" }, { "first_name": "Judith", "middle_name": "Z.", "last_name": "Drexler", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Chris", "middle_name": "", "last_name": "Enright", "name_suffix": "", "institution": "Delta Science Program", "department": "" }, { "first_name": "Emily", "middle_name": "R.", "last_name": "Howe", "name_suffix": "", "institution": "University of Washington", "department": "" }, { "first_name": "Ronald", "middle_name": "", "last_name": "Kneib", "name_suffix": "", "institution": "University of Georgia", "department": "" }, { "first_name": "Anke", "middle_name": "", "last_name": "Mueller–Solger", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Robert", "middle_name": "J.", "last_name": "Naiman", "name_suffix": "", "institution": "University of Washington", "department": "" }, { "first_name": "James", "middle_name": "L.", "last_name": "Pinckney", "name_suffix": "", "institution": "University of South Carolina", "department": "" }, { "first_name": "Samuel", "middle_name": "M.", "last_name": "Safran", "name_suffix": "", "institution": "San Francisco Estuary Institute–Aquatic Science Center", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Schoellhamer", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Charles", "middle_name": "", "last_name": "Simenstad", "name_suffix": "", "institution": "University of Washington", "department": "" } ], "date_submitted": "2016-10-09T08:19:37-06:00", "date_accepted": "2016-10-09T08:19:37-06:00", "date_published": "2016-10-14T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62728/galley/48409/download/" } ] }, { "pk": 44213, "title": "When Goals of Care Discussions Get Messy", "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/38c5z6mc", "frozenauthors": [ { "first_name": "Manuel", "middle_name": "A.", "last_name": "Eskildsen", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Patricia", "middle_name": "", "last_name": "Harris", "name_suffix": "MD, MS", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-12T17:18:08-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44213/galley/33016/download/" } ] }, { "pk": 44212, "title": "Bilateral Hearing Loss and Goiter in a Young Female with Hashimoto’s 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/4xx8f8b4", "frozenauthors": [ { "first_name": "Dianne", "middle_name": "", "last_name": "Cheung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Yaroslav", "middle_name": "", "last_name": "Gofnung", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-12T17:16:56-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44212/galley/33015/download/" } ] }, { "pk": 41848, "title": "Flexible Indian Labor: Yoga, Information Technology Migration, and U.S. Technoculture", "subtitle": null, "abstract": "In today’s United States, yoga seems to provide a popular antidote to the increasing demands of technology. But, this essay contends, the practice also plays an important part in a larger cultural logic whereby labor from India nourishes a seemingly endless appetite for technological innovation in the United States. This essay shows how imaginative representations of yoga in the autobiography of the Indian guru Paramahansa Yogananda helped to create fantasies that could alleviate U.S. anxieties about technological development. The essay then exposes an inverted mirror of this cultural logic in the representation of information technology migrants from India, whose experiences of grey market exploitation in the United States show the nation’s reliance on a disavowed Indian labor source. This essay contends that both the Indian yogi and the Indian technology migrant can be read as U.S. technology workers. This labor has become important both to the U.S. body politic and to the Indian state, but it can be distinctly debilitating for the Indian diaspora.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0", "short_name": "CC BY-NC-ND 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc-nd/4.0" }, "keywords": [ { "word": "Yoga" }, { "word": "technology" }, { "word": "Paramahansa Yogananda" }, { "word": "H-1B visa" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5tx2d6d9", "frozenauthors": [ { "first_name": "Shameem", "middle_name": "", "last_name": "Black", "name_suffix": "", "institution": "The Australian National University", "department": "None" } ], "date_submitted": "2015-10-18T18:34:58-06:00", "date_accepted": "2015-10-18T18:34:58-06:00", "date_published": "2016-10-12T13:04:25-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/raceandyoga/article/41848/galley/31278/download/" } ] }, { "pk": 62733, "title": "Fine-Scale Distributions of Zooplankton in the Northern San Francisco Estuary", "subtitle": null, "abstract": "We studied zooplankton distributions in the upper San Francisco Estuary at nested scales of tens to thousands of meters. The purposes of the study were to assess how well the Interagency Ecological Program (IEP) zooplankton monitoring represents abundance, and to investigate the variability of plankton on scales similar to those of foraging by fish. Samples were taken at three sites in the western Sacramento–San Joaquin Delta. We took 18 sets of six samples each with a plankton net along transects from near shore to center channel, and six sets of ten samples in the vicinity of a drifter either in mid-channel or near shore. Sampling took place in June–July 2014 during neap and spring tides, ebb and flood, day and night (transects only). Analysis focused on three common copepod species. Transect samples showed little consistent variation along transects, except that \nPseudodiaptomus forbesi \nwas less abundant nearshore than offshore by day at Big Break, the most landward site. The ratio of adults to adults + copepodites was strongly and positively related to turbidity by day but not by night, indicating demersal behavior. Drifter samples showed a minimum standard deviation of log10 sample counts of about 0.1, indicating that about two-thirds of replicate abundance values were within 80 % to 125% of the mean. A measure of difference between plankton samples at pairs of sample points was unrelated to distance between sample points for drifter samples, weakly related along transects for \nLimnoithona spp. \nstages, and strongly related for \nP. forbesi \nmainly because of the along-transect gradients at Big Break. The IEP sampling program is representative of plankton abundance except for demersal organisms, which can be ten-fold more abundant by night than by day. Small planktivorous fish could forage in patches of up to ~25% higher abundance than the mean.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "copepod, Sacramento–San Joaquin Delta, patchiness, planktivorous fish, demersal behavior, zooplankton monitoring, mixing, turbidity, salinity" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/96x1594c", "frozenauthors": [ { "first_name": "Wim", "middle_name": "", "last_name": "Kimmerer", "name_suffix": "", "institution": "San Francisco State University", "department": "" }, { "first_name": "Anne", "middle_name": "", "last_name": "Slaughter", "name_suffix": "", "institution": "San Francisco State University", "department": "" } ], "date_submitted": "2016-10-12T07:02:37-06:00", "date_accepted": "2016-10-12T07:02:37-06:00", "date_published": "2016-10-12T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62733/galley/48414/download/" } ] }, { "pk": 62734, "title": "Food Webs of the Delta, Suisun Bay, and Suisun Marsh: An Update on Current Understanding and Possibilities for Management", "subtitle": null, "abstract": "This paper reviews and highlights recent research findings on food web processes since an earlier review by Kimmerer et al. (2008). We conduct this review within a conceptual framework of the Delta–Suisun food web, which includes both temporal and spatial components. The temporal component of our framework is based on knowledge that the landscape has changed markedly from historical conditions. The spatial component of our framework acknowledges that the food web is not spatially static; it varies regionally and across habitat types within regions. The review highlights the idea of a changing baseline with respect to food web function. New research also indicates that interactions between habitat-specific food webs vary across the current landscape. For example, based on early work in the south Delta, the food web associated with submerged aquatic vegetation was thought to provide little support to species of concern; however, data from other regions of the estuary suggest that this conceptual model may not apply across the entire region. Habitat restoration has been proposed as a method of re-establishing historic food web processes to support species of concern. Benefits are likely for species that directly access such restored habitats, but are less clear for pelagic species. Several topics require attention to further improve the knowledge of food webs needed to support effective management, including: (1) synthesis of factors responsible for low pelagic biomass; (2) monitoring and research on effects of harmful algal blooms; (3) broadening the scope of long-term monitoring; (4) determining benefits of tidal wetland restoration to species of concern, including evaluations of interactions of habitat-specific food webs; and (5) interdisciplinary analysis and synthesis. The only certainty is that food webs will continue to change in response to the changes in the physical environment and new species invasions.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Food web, invasive species, production, submerged aquatic vegetation, pelagic, zooplankton, microzooplankton, phytoplankton" } ], "section": "Special Issue: The State of Bay–Delta Science 2016, Part 2", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4mk5326r", "frozenauthors": [ { "first_name": "Larry", "middle_name": "R.", "last_name": "Brown", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" }, { "first_name": "Wim", "middle_name": "", "last_name": "Kimmerer", "name_suffix": "", "institution": "San Francisco State University", "department": "" }, { "first_name": "J. Louise", "middle_name": "", "last_name": "Conrad", "name_suffix": "", "institution": "California Department of Water Resources", "department": "" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Lesmeister", "name_suffix": "", "institution": "California Department of Water Resources", "department": "" }, { "first_name": "Anke", "middle_name": "", "last_name": "Mueller–Solger", "name_suffix": "", "institution": "U.S. Geological Survey", "department": "" } ], "date_submitted": "2016-10-12T12:28:40-06:00", "date_accepted": "2016-10-12T12:28:40-06:00", "date_published": "2016-10-12T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62734/galley/48415/download/" } ] }, { "pk": 44211, "title": "New Onset Hypoglycemia in a Patient", "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/2317x08k", "frozenauthors": [ { "first_name": "Yaroslav", "middle_name": "", "last_name": "Gofnung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Dianne", "middle_name": "", "last_name": "Cheung", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-11T17:15:38-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44211/galley/33014/download/" } ] }, { "pk": 44210, "title": "Two Cases of Syphilis", "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/5nm5d630", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Estes", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-11T17:14:32-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44210/galley/33013/download/" } ] }, { "pk": 44208, "title": "“Getting High” From Loperamide Can Cause Cardiac Arrhythmias", "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/1r82p7xv", "frozenauthors": [ { "first_name": "Kwame", "middle_name": "", "last_name": "Donkor", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-11T17:12:14-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44208/galley/33011/download/" } ] }, { "pk": 9729, "title": "Autoinjectors Preferred for Intramuscular Epinephrine in Anaphylaxis and Allergic Reactions", "subtitle": null, "abstract": "Introduction:\n Epinephrine is the treatment of choice for anaphylaxis. We surveyed emergency department (ED) health care providers regarding 2 methods of intramuscular (IM) epinephrine administration (autoinjector and manual injection) for the management of anaphylaxis and allergic reactions and identified provider perceptions and preferred method of medication delivery.\n \nMethods:\n This observational study adhered to survey reporting guidelines. It was performed through a Web-based survey completed by health care providers at an academic ED. The participants consisted of all ED providers, including staff physicians, resident physicians, pharmacists, advanced practice providers, and nurses. The primary outcomes were assessment of provider perceptions and identification of the preferred IM epinephrine administration method by ED health care providers.\n \nResults:\n Of 217 ED health care providers invited to participate, 172 (79%) completed the survey. Overall, 82% of respondents preferred the autoinjector method of epinephrine administration. Providers rated the autoinjector method more favorably with regard to time required for training, ease of use, convenience, satisfaction with weight-based dosing, risk of dosing errors, and speed of administration (\nP\n<.001 for all comparisons). However, manual injection use was rated more favorably with regard to risk of provider self-injury and patient cost (\nP\n<.001 for both comparisons). Three participants (2%) reported a finger stick injury from an epinephrine autoinjector.\n \nConclusion:\n ED health care providers preferred the autoinjector method of IM epinephrine administration for the management of anaphylaxis or allergic reactions. Epinephrine autoinjector use may reduce barriers to epinephrine administration for the management of anaphylaxis 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": "administration" }, { "word": "anaphylaxis" }, { "word": "emergency department" }, { "word": "Epinephrine" }, { "word": "epinephrine autoinjectors" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8227f3f7", "frozenauthors": [ { "first_name": "Ronna", "middle_name": "L.", "last_name": "Campbell", "name_suffix": "", "institution": "Other", "department": "None" }, { "first_name": "M. Fernanda", "middle_name": "", "last_name": "Bellolio", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Megan", "middle_name": "S.", "last_name": "Motosue", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Kharmene", "middle_name": "L.", "last_name": "Sunga", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Christine", "middle_name": "M.", "last_name": "Lohse", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Maria", "middle_name": "I.", "last_name": "Rudis", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-03-31T13:25:19-06:00", "date_accepted": "2016-03-31T13:25:19-06:00", "date_published": "2016-10-07T15:58:57-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9729/galley/5387/download/" } ] }, { "pk": 9738, "title": "Use of Physician Concerns and Patient Complaints as Quality Assurance Markers in Emergency Medicine", "subtitle": null, "abstract": "ABSTRACT\n \n \n \nBackground: \nThe value of systematic evaluation of both patient and physician identified QA issues in emergency medicine remains poorly characterized as a marker for Emergency Department (ED) quality assurance. \n \n \n \nObjective: \nThe objective of this study was to determine whether systematic screening and evaluation of patient and physician concerns is useful for identifying physician errors resulting in either an adverse event or a near miss event.\n \n \n \nMethods:\n Retrospective, observational cohort study of consecutive patients presenting to an urban, tertiary care academic medical center ED with an annual volume of 57,000 patients between January 2008 and December 2014. Our hospital has an electronic system that easily allows physicians to register a concern or self-identify a potential QA issue for subsequent review. In our system, both patient and physician concerns are then assigned for review by physician evaluators not involved with the patients’ care. Patient complaints were initially prescreened by an experienced evaluator and those not pertaining to possible physician error, such as complaints related to billing, creature comfort, communication, nursing related complaints and waiting times were eliminated unless the reviewer identified a possible physician error. If in addition to these other factors, a potential QA issue was present, the case was referred to the QA committee Reviewers are prompted to use a structured 8-point Likert scale to assess for the presence of error and adverse events. If a reviewer assessed that the case involved a possible error or adverse event that resulted in the need for intervention, additional treatment, or caused patient harm, it was referred to a 20-member quality assurance (QA) committee of ED physicians and nurses who made a final determination as to whether or not an error or adverse event occurred. \n \n \n \nResults: \nWe identified 570 concerns within a data-base of 383,419 ED presentations, of which 33 were patient-generated and 537 were physician-generated. In the subset of cases where there was a complaint by either patient or physician, physician errors that led to a preventable adverse event were detected in 2.9% of cases (95%CI 1.52% to 4.28%). Further analysis revealed that 9.1% (95%CI 2-24%) of patient complaints correlated to preventable errors leading to an adverse event. In contrast, 2.6% (2-4%) of QA concerns made by a physician alone were found to be preventable physician errors leading to an adverse event. Near miss events (errors without adverse outcome) were more accurately reported by physicians, with physician error found in 12.1% of reported cases (95%CI 10-15%) and in 9.1% of those reported by patients (95%CI 2-24%). Adverse events in general that were not deemed to be due to preventable physician error were found in 12.1% of patient complaints (95%CI 3-28%) and in 5.8% of physician QA concerns (95%CI 4-8%). \n \n \n \nConclusion:\n Screening and systemized evaluation of emergency department patient and physician complaints may be an underutilized and efficient quality assurance tool. Patient complaints may more accurately identify physician errors that result in preventable adverse events, while physician QA concerns may be more likely to uncover a near miss that did not lead to an adverse event.", "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": "Error" }, { "word": "Emergency Medicine" }, { "word": "Quality Assurance" } ], "section": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1053h4dm", "frozenauthors": [ { "first_name": "Kiersten", "middle_name": "L", "last_name": "Gurley MD", "name_suffix": "", "institution": "Harvard University", "department": "None" }, { "first_name": "Richard", "middle_name": "E", "last_name": "Wolfe MD", "name_suffix": "", "institution": "Harvard University", "department": "None" }, { "first_name": "Johnathan", "middle_name": "L", "last_name": "Burstein MD", "name_suffix": "", "institution": "Harvard University", "department": "None" }, { "first_name": "Jonathan", "middle_name": "A", "last_name": "Edlow MD", "name_suffix": "", "institution": "Harvard University", "department": "None" }, { "first_name": "Jason", "middle_name": "F", "last_name": "Hill MD", "name_suffix": "", "institution": "Harvard University", "department": "None" }, { "first_name": "Shamai", "middle_name": "", "last_name": "Grossman MD MS", "name_suffix": "", "institution": "Harvard University", "department": "None" } ], "date_submitted": "2016-04-09T11:11:09-06:00", "date_accepted": "2016-04-09T11:11:09-06:00", "date_published": "2016-10-07T15:52:42-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9738/galley/5391/download/" } ] }, { "pk": 9833, "title": "Variation of Blunt Traumatic Injury with Age in Older Adults: Statewide Analysis 2011-14", "subtitle": null, "abstract": "Introduction \nTraumatic injury is a leading cause of death and disability in adults ≥ 65 years old, but there are few epidemiological studies addressing this issue. The aim of this epidemiological study was to assess how characteristics of blunt traumatic injuries in adults ≥ 65 vary by age.\nMethods \nUsing data from the a single-state trauma registry, this retrospective cohort study examined injured patients ≥ 65 admitted to all level I and level II trauma centers in Pennsylvania between 2011 and 2014 (n=38,562). Patients were stratified by age into three subgroups (age 65-74; 75-84; ≥85). Demographics, injury, and system-level variables were compared across groups using the Kruskal-Wallis test for continuous variables and the Cochran–Armitage test for categorical variables.\nResults \nFemale sex (48.6% vs. 58.7% vs. 67.7%), white race (89.1% vs. 92.6% vs. 94.6%), and non-Hispanic ethnicity (97.5% vs. 98.6% vs. 99.4%) increased significantly with age across age groups. As age increased, the proportion of falls (69.9% vs. 82.1% vs. 90.3%), in-hospital mortality (4.6% vs. 6.2% vs. 6.8%), and proportion of patients arriving to the hospital via ambulance also increased (73.6% vs. 75.8% vs. 81.1%), while mean injury severity (10.3 vs. 10.1 vs. 9.6) and the proportion of level one trauma alerts (10.6% vs. 8.2% vs. 6.7%) decreased. No trend was seen between age and patient transfer status. The five most common diagnoses were vertebral fracture, rib fracture, head contusion, open head wound, and intracranial hemorrhage.\nConclusions \n This study highlights several new areas for further exploration such as the decrease in trauma alert level with age, the increase in mortality with age, and the decrease in demographic diversity with age among older adults receiving care at a trauma center. This descriptive study provides a framework for future research on the relationship between age and blunt traumatic injury in older adults.", "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": "Trauma" }, { "word": "Mortality" }, { "word": "Epidemiology" }, { "word": "older adult" }, { "word": "cohort" }, { "word": "Injury" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pt4p2dp", "frozenauthors": [ { "first_name": "Emily", "middle_name": "", "last_name": "Earl-Royal", "name_suffix": "", "institution": "Stanford University Department of Emergency Medicine", "department": "None" }, { "first_name": "Frances", "middle_name": "", "last_name": "Shofer", "name_suffix": "", "institution": "Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nCenter for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA", "department": "None" }, { "first_name": "Dominique", "middle_name": "", "last_name": "Ruggieri", "name_suffix": "", "institution": "Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nCenter for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA", "department": "None" }, { "first_name": "Rosemary", "middle_name": "", "last_name": "Frasso", "name_suffix": "", "institution": "Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nCenter for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA\n\nSchool of Nursing, University of Pennsylvania, Philadelphia, PA", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Holena", "name_suffix": "", "institution": "Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nThe Penn Injury Science Center at the University of Pennsylvania, Philadelphia PA\n\nDivision of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA", "department": "None" } ], "date_submitted": "2016-05-23T13:08:15-06:00", "date_accepted": "2016-05-23T13:08:15-06:00", "date_published": "2016-10-07T15:41:20-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9833/galley/5415/download/" } ] }, { "pk": 10274, "title": "Characterization of Chemical Suicides in the United States and its Adverse Impact on Responders and Bystanders", "subtitle": null, "abstract": "ABSTRACT Introduction: A suicide trend that involves mixing household chemicals to produce hydrogen sulfide or hydrogen cyanide, commonly referred to as a detergent, hydrogen sulfide, or chemical suicide is a continuing problem in the United States (US). Because there is not one database responsible for tracking chemical suicides, the actual number of incidents in the US is unknown. To prevent morbidity and mortality associated with chemical suicides, it is important to characterize the incidents that have occurred in the United States. Methods: Data from 2011-2013 from state health departments participating in the Agency for Toxic Substances and Disease Registry’s National Toxic Substance Incidents Program (NTSIP) were analyzed. NTSIP is a web-based chemical incident surveillance system that tracks the public health consequences (e.g., morbidity, mortality) from acute chemical releases. Reporting sources for NTSIP incidents typically include first responders, hospitals, state environmental agencies, and media outlets. To find chemical suicide incidents in NTSIP’s database, open text fields were queried in the comment, synopsis, and contributing factors variables for potential incidents. Results: Five of the nine states participating in NTSIP reported a total of 22 chemical suicide incidents or attempted suicides during 2011-2013. These states reported a total of 43 victims: 15 suicide victims who died, 7 people who attempted suicide but survived, 8 responders, and 4 employees working at a coroner’s office; the remainder were members of the general public. None of the injured responders reported receiving HazMat technician level training, and none had documented appropriate personal protective equipment (PPE). Conclusion: Chemical suicides produce lethal gases that can pose a threat to responders and bystanders. Describing the characteristics of these incidents can help raise awareness among responders and the public about the dangers of chemical suicides. Along with increased awareness education is also needed on how to protect themselves.", "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": "Chemical suicides, responders" } ], "section": "Toxicology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5wh2h7kq", "frozenauthors": [ { "first_name": "Ayana", "middle_name": "", "last_name": "Anderson", "name_suffix": "", "institution": "Agency for Toxic Substances and Disease Registry", "department": "None" } ], "date_submitted": "2016-08-30T09:37:54-06:00", "date_accepted": "2016-08-30T09:37:54-06:00", "date_published": "2016-10-07T15:36:50-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10274/galley/5653/download/" } ] }, { "pk": 9711, "title": "Hours and Miles: Patient and Health System Implications of Transfer for Psychiatric Bed Capacity", "subtitle": null, "abstract": "Introduction:\n An increasing number of behavioral health (BH) patients are presenting to the emergency department (ED) while BH resources continue to decline. This situation may lead to more external transfers to find care.\n \nMethods:\n This is a retrospective cohort study of consecutive patients presenting to a tertiary care academic ED from February 1, 2013, through January 31, 2014. Patients were identified through electronic health record documentation of psychiatric consultation during ED evaluation. Electronic health records were reviewed for demographic characteristics, diagnoses, payer source, ED length of stay, ED disposition, arrival method, and distance traveled to an external facility for inpatient admission. Univariable and multivariable associations with transfer to an external facility in comparison with patients admitted internally were evaluated with logistic regression models and summarized with odds ratios (ORs). \n \nResults:\n We identified 2,585 BH visits, of which 1,083 (41.9%) resulted in discharge. A total of 1,502 patient visits required inpatient psychiatric admission, and of these cases, 177 patients (11.8%; 95% CI, 10.2%-13.5%) required transfer to an external facility. The median ED length of stay for transferred patients was 13.9 hours (interquartile range [IQR], 9.3-20.2 hours; range, 3.0-243.0 hours). The median distance for transport was 83 miles (IQR, 42-111 miles; range, 42-237 miles). In multivariable analysis, patients with suicidal or homicidal ideation had increased risk of transfer (odds ratio [OR] [95% CI], 1.93 [1.22-3.06]; \nP\n=.005). Children younger than 18 years (OR [95% CI], 2.34 [1.60-3.40]; \nP\n<.001) and adults older than 65 years (OR [95% CI], 3.46 [1.93-6.19]; \nP\n<.001) were more likely to require transfer and travel farther to access care.\n \nConclusions:\n Patients requiring external transfer for inpatient psychiatric care were found to have prolonged ED lengths of stay. Patients with suicidal and homicidal ideation as well as children and adults older than 65 years are more likely to require transfer.", "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": "bed capacity" }, { "word": "Emergency Medicine" }, { "word": "overcrowding" }, { "word": "patient transfer" }, { "word": "psychiatric acute care" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8s75v7xj", "frozenauthors": [ { "first_name": "Amy", "middle_name": "M", "last_name": "O’Neil", "name_suffix": "", "institution": "Mayo Clinic\nRochester MN", "department": "None" }, { "first_name": "Annie", "middle_name": "T", "last_name": "Sadosty", "name_suffix": "", "institution": "Mayo Clinic\nRochester MN", "department": "None" }, { "first_name": "Kalyan", "middle_name": "S", "last_name": "Pasupathy", "name_suffix": "", "institution": "Mayo Clinic\nRochester MN", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Russi", "name_suffix": "", "institution": "Mayo Clinic\nRochester MN", "department": "None" }, { "first_name": "Christine", "middle_name": "M", "last_name": "Lohse", "name_suffix": "", "institution": "Mayo Clinic\nRochester MN", "department": "None" }, { "first_name": "Ronna", "middle_name": "L", "last_name": "Campbell", "name_suffix": "", "institution": "Mayo Clinic\nRochester MN", "department": "None" } ], "date_submitted": "2016-03-22T14:02:25-06:00", "date_accepted": "2016-03-22T14:02:25-06:00", "date_published": "2016-10-07T15:33:17-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9711/galley/5380/download/" } ] }, { "pk": 44228, "title": "Uncontrolled Asthma in a Patient with Primary Ciliary Dyskinesia Treated Successfully with Omalizumab", "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/2s71q0bt", "frozenauthors": [ { "first_name": "Kellie", "middle_name": "", "last_name": "Lim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Joyce", "middle_name": "", "last_name": "Lee", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-06T13:36:03-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44228/galley/33031/download/" } ] }, { "pk": 44207, "title": "Massive Hemoptysis with Tuberculosis-Remember Rasmussen's Aneurysm", "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/4r97q7t3", "frozenauthors": [ { "first_name": "Deren", "middle_name": "", "last_name": "Sinkowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "John", "middle_name": "", "last_name": "Abe", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-10-05T17:11:12-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44207/galley/33010/download/" } ] }, { "pk": 9736, "title": "Adapting the I-PASS Handoff Program for Emergency Department Inter-Shift Handoffs", "subtitle": null, "abstract": "ABSTRACT\n \nIntroduction\n \nAcademic Emergency Department (ED) handoffs are high-risk transfer of care events. Emergency medicine residents are inadequately trained to handle these vital transitions.\n \nWe aimed to explore what modifications the I-PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency plans, and Synthesis by receiver) handoff system requires to be effectively modified for use in ED inter-shift handoffs.\n \nMethods \n \nThis mixed-method needs assessment conducted at an academic ED explored the suitability of the I-PASS system for ED handoffs. We conducted a literature review, focus groups, and then a survey. We sought to identify the distinctive elements of ED handoffs and discern how these could be incorporated into the I-PASS system.\n \nResults\n \nFocus group participants agreed the Patient summary should be adapted to include anticipated disposition of patient. Participants generally endorsed the order and content of the other elements of the I-PASS tool. The survey yielded several wording changes to reflect contextual differences. Themes from all qualitative sources converged to suggest changes for brevity and clarity (Figure 1). Most participants agreed that the I-PASS tool would be well suited to the emergency department setting.\n \nConclusion\n \nWith modifications for context, brevity, and clarity, the I-PASS system may be well suited for application to the ED setting. This study provides qualitative data in support of utilizing the I-PASS tool and concrete suggestions for how to modify the I-PASS tool for the ED. Implementation and outcome research is needed to investigate if the I-PASS tool is feasible and improves patient outcomes in the ED environment.", "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": "Handoff, Transitions of Care, Sign-out, Patient Safety, Resident Communication" } ], "section": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2qp5g96n", "frozenauthors": [ { "first_name": "James", "middle_name": "A", "last_name": "Heilman", "name_suffix": "", "institution": "Oregon Health and Science University (OHSU)", "department": "None" }, { "first_name": "Moira", "middle_name": "", "last_name": "Flanigan", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Anna", "middle_name": "", "last_name": "Nelson", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Tom", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Lalena", "middle_name": "M", "last_name": "Yarris", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-04-08T12:49:57-06:00", "date_accepted": "2016-04-08T12:49:57-06:00", "date_published": "2016-10-04T18:20:37-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9736/galley/5390/download/" } ] }, { "pk": 9952, "title": "Alternative Destination Transport? The Role of Paramedics in Optimal Use of the Emergency Department", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "alternative destination, patient acuity level, ED physician, paramedics" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1895d1d1", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Neeki", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Fanglong", "middle_name": "", "last_name": "Dong", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Leigh", "middle_name": "", "last_name": "Avera", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Tan", "middle_name": "", "last_name": "Than", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Rodney", "middle_name": "", "last_name": "Borger", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Joe", "middle_name": "", "last_name": "Powell", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Reza", "middle_name": "", "last_name": "Vaezazizi", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Pitts", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-06-24T18:00:23-06:00", "date_accepted": "2016-06-24T18:00:23-06:00", "date_published": "2016-10-04T17:53:59-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9952/galley/5455/download/" } ] }, { "pk": 10028, "title": "Point-of-Care Sonographic Findings in Acute Upper Airway Edema", "subtitle": null, "abstract": "We describe a case where a patient presented with acute ACE-I induced angioedema without signs or symptoms of upper airway edema beyond lip swelling. Point-of-care ultrasound (POCUS) was used as an initial diagnostic test and identified left sided subglottic upper airway edema that was immediately confirmed with indirect fiberoptic laryngoscopy. ACE-I induced angioedema and the historical use of ultrasound in evaluation of the upper airway is briefly discussed. To our knowledge, POCUS has not been used to identify acute upper airway edema in the emergency setting. Further investigation is needed to determine if POCUS is a sensitive and specific tool for the identification and evaluation of acute upper airway edema.", "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": "angioedema" }, { "word": "POCUS" }, { "word": "point-of-care-ultrasound" }, { "word": "airway edema" }, { "word": "Emergency Medicine" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0z66n0v7", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Schick", "name_suffix": "", "institution": "UC Davis", "department": "None" }, { "first_name": "Kendra", "middle_name": "", "last_name": "Grether-Jones", "name_suffix": "", "institution": "UC Davis", "department": "None" } ], "date_submitted": "2016-07-11T12:20:05-06:00", "date_accepted": "2016-07-11T12:20:05-06:00", "date_published": "2016-10-04T15:36:26-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/10028/galley/5474/download/" } ] }, { "pk": 9877, "title": "A Call for Better Opioid Prescribing Training and Education", "subtitle": null, "abstract": "With national attention on the current opioid epidemic, a growing focus has been placed on provider prescribing practices. Medical students and residents experience significant variation in the quality of education they receive on substance use detection and intervention in the Emergency Department. To achieve a better standard of education, clinical educators will need to (A) develop a clearer understanding of the impact of provider prescribing patterns on the opioid epidemic, (B) promote uptake of evidence-based opioid prescribing guidelines in their emergency departments, and (C) introduce and integrate opioid management and addiction medicine training formally into their medical school curricula.", "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": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7wj9h3zq", "frozenauthors": [ { "first_name": "Hazar", "middle_name": "", "last_name": "Khidir", "name_suffix": "", "institution": "Harvard Medical School", "department": "None" }, { "first_name": "Scott", "middle_name": "", "last_name": "Weiner", "name_suffix": "", "institution": "Brigham and Women's Hospital and Harvard Medical School", "department": "None" } ], "date_submitted": "2016-06-10T13:52:00-06:00", "date_accepted": "2016-06-10T13:52:00-06:00", "date_published": "2016-10-03T16:00:14-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9877/galley/5432/download/" } ] }, { "pk": 44206, "title": "Unusual Presentation of Abdominal Adhesions after Removal of a Rare Intestinal Tumor", "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/80v1z6bj", "frozenauthors": [ { "first_name": "Sahar", "middle_name": "", "last_name": "Lashin", "name_suffix": "MD, PhD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-30T17:10:00-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44206/galley/33009/download/" } ] }, { "pk": 44205, "title": "Integrative East-West Approach to Acute Treatment of Bell’s Palsy", "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/17v726gg", "frozenauthors": [ { "first_name": "Katie", "middle_name": "", "last_name": "Hu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lawrence", "middle_name": "B.", "last_name": "Taw", "name_suffix": "MD, FACP", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-30T17:08:49-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44205/galley/33008/download/" } ] }, { "pk": 9715, "title": "Large Posterior Communicating Artery Aneurysm: Initial Presentation with Reproducible Facial Pain Without Cranial Nerve Deficit", "subtitle": null, "abstract": "Abstract\nUnruptured posterior communicating artery (PCOM) aneurysms can be difficult to diagnose, and when large (≥ 7mm), represent a substantial risk to the patient. While most unruptured PCOM aneurysms are asymptomatic, when symptoms do occur, clinical manifestations typically include severe headache (HA), visual acuity loss, and cranial nerve deficit. This case report describes an atypical initial presentation of a large unruptured PCOM aneurysm with symptoms mimicking trigeminal neuralgia, without other associated cranial nerve palsies or neurologic deficits. The patient returned to the Emergency Department (ED) four days later with a HA and a cranial nerve VIII palsy. After appropriate imaging, she was found to have a large PCOM aneurysm which was treated with surgical clipping with significant improvement in patient’s symptoms.", "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": "Posterior communicating aneurysm, trigeminal neuralgia, PCOM, facial pain" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/92t13044", "frozenauthors": [ { "first_name": "Stacie", "middle_name": "", "last_name": "Zelman", "name_suffix": "", "institution": "Wake Forest University Baptist Health", "department": "None" }, { "first_name": "Michael", "middle_name": "C", "last_name": "Goebel", "name_suffix": "", "institution": "Wake Forest University Baptist health", "department": "None" }, { "first_name": "Seth", "middle_name": "C", "last_name": "Hawkins", "name_suffix": "", "institution": "Wake Forest University Baptist Health", "department": "None" } ], "date_submitted": "2016-03-24T09:25:28-06:00", "date_accepted": "2016-03-24T09:25:28-06:00", "date_published": "2016-09-29T16:59:53-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9715/galley/5382/download/" } ] }, { "pk": 9813, "title": "Dengue, Zika and Chikungunya: Emerging Arboviruses in the New World", "subtitle": null, "abstract": "The arboviruses that cause dengue, chikungunya, and zika illnesses have rapidly expanded across the globe in recent years, with large-scale outbreaks occurring in Western Hemisphere territories in close proximity to the United States (US). In March 2016, the Centers for Disease Control and Protection (CDC) expanded its vector surveillance maps for \nA. aegypti\n and \nA. albopictus\n, the mosquito vectors for these arboviruses. They have now been shown to inhabit a larger portion of the United States, including the heavily populated northeast corridor. Emergency physicians need to further familiarize themselves with these diseases, which have classically been considered only in returning travelers but may soon be encountered in the US even in the absence of travel. In this paper, we discuss the presentation and treatment of dengue, zika, and chikungunya, as well as special challenges presented to the emergency physician in evaluating a patient with a suspected arbovirus infection.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "arbovirus" }, { "word": "dengue" }, { "word": "Zika" }, { "word": "Chikungunya" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1sb3t094", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "", "last_name": "Patterson", "name_suffix": "", "institution": "Temple University School of Medicine", "department": "None" }, { "first_name": "Maura", "middle_name": "", "last_name": "Sammon", "name_suffix": "", "institution": "Temple University School of Medicine", "department": "None" }, { "first_name": "Manish", "middle_name": "", "last_name": "Garg", "name_suffix": "", "institution": "Temple University School of Medicine", "department": "None" } ], "date_submitted": "2016-05-18T07:55:21-06:00", "date_accepted": "2016-05-18T07:55:21-06:00", "date_published": "2016-09-29T16:26:52-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9813/galley/5411/download/" } ] }, { "pk": 9827, "title": "Role of Ultrasound in the Identification of Longitudinal Axis in Soft-Tissue Foreign Body Extraction", "subtitle": null, "abstract": "Identification and retrieval of soft tissue foreign bodies (STFBs) poses significant challenges in the emergency department. Prior studies have demonstrated the utility of ultrasound in identification and retrieval of STFBs, including radiolucent objects such as wood. We present a case of STFB extraction that utilizes ultrasound to identify the longitudinal axis of the object. With the longitudinal axis identified, the foreign body can be excised by making an incision where the foreign body is closest to the skin. The importance of this technique as it pertains to minimizing surrounding tissue destruction and discomfort for patients has not been previously reported.", "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": "Emergency Medicine" }, { "word": "Foreign Bodies" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2132r56r", "frozenauthors": [ { "first_name": "Al", "middle_name": "", "last_name": "Lulla", "name_suffix": "", "institution": "Olive View-UCLA Medical Center", "department": "None" }, { "first_name": "Taryn", "middle_name": "", "last_name": "Whitman", "name_suffix": "", "institution": "California State University, Los Angeles", "department": "None" }, { "first_name": "Ricky", "middle_name": "", "last_name": "Amii", "name_suffix": "", "institution": "Olive View-UCLA Medical Center", "department": "None" }, { "first_name": "Alan", "middle_name": "", "last_name": "Chiem", "name_suffix": "", "institution": "Olive View-UCLA Medical Center", "department": "None" } ], "date_submitted": "2016-05-21T00:07:34-06:00", "date_accepted": "2016-05-21T00:07:34-06:00", "date_published": "2016-09-29T15:29:09-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9827/galley/5413/download/" } ] }, { "pk": 9860, "title": "Somnabulism: Emergency Department Admissions Due to Sleepwalking-Related Trauma", "subtitle": null, "abstract": "INTRODUCTION\n \n \n \nSomnambulism is a state of dissociated consciousness, in which the affected person is partially asleep and partially awake. There is a pervasive public opinion that sleepwalkers are protected from hurting themselves. There have been few scientific reports of trauma associated with somnambulism and there are no published investigations on the epidemiology or trauma patterns associated with somnambulism.\n \n \n \nMETHODS\n \n \n \nAll emergency department admissions to Inselspital, Bern, Switzerland, from January 1, 2000 until August 11, 2015 were included when the patient had suffered a trauma associated with somnambulism. Demographic data (age, gender, nationality) and medical data (mechanism of injury, final diagnosis, hospital admission, mortality and medication on admission) were included.\n \n \n \nRESULTS\n \n \n \nOf a total of 650,000 screened emergency department admissions, 11 were associated with trauma and sleepwalking. Two patients (18.2%) had a history of known NREM parasomnias. The leading cause of admission was falls. Four patients required hospital admission for orthopaedic injuries needing further diagnostic testing and treatment (36.4%). These included two patients with multiple injuries (18.2%). None of the admitted patients died.\n \n \n \nCONCLUSION\n \n \n Although sleepwalking is benign in the majority of cases and most of the few injured patients did not require hospitalisation, major injuries are possible. When patients present with falls of unknown origin, the possibility should be evaluated that they were caused by somnambulism.", "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": "Somnambulism" }, { "word": "sleepwalking" }, { "word": "Trauma" }, { "word": "emergency" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7h20q1mx", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "C", "last_name": "Sauter", "name_suffix": "", "institution": "Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland", "department": "None" }, { "first_name": "S", "middle_name": "", "last_name": "Veerakatty", "name_suffix": "", "institution": "Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland", "department": "None" }, { "first_name": "Dominik", "middle_name": "G", "last_name": "Haider", "name_suffix": "", "institution": "Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland", "department": "None" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Geiser", "name_suffix": "", "institution": "Department of Pulmonary Medicine, Inselspital, University Hospital Berne, Switzerland", "department": "None" }, { "first_name": "Meret", "middle_name": "E", "last_name": "Ricklin", "name_suffix": "", "institution": "Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland", "department": "None" }, { "first_name": "Aristomenis", "middle_name": "K", "last_name": "Exadakytlos", "name_suffix": "", "institution": "Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland", "department": "None" } ], "date_submitted": "2016-06-06T06:39:46-06:00", "date_accepted": "2016-06-06T06:39:46-06:00", "date_published": "2016-09-29T15:22:02-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9860/galley/5427/download/" } ] }, { "pk": 9844, "title": "Ultrasound Detection of Patellar Fracture and Evaluation of the Knee Extensor Mechanism in the Emergency Department", "subtitle": null, "abstract": "Traumatic injuries to the knee are common in Emeregncy Medicine.\nBedside ultrasound has benefits in the rapid initial detection of injuries to the patella. In addition, ultrasound can quickly detect injuries to the entire knee extensor mechanism, including the quadriceps tenson and inferior patellar ligament in addition to the patella, that can be difficult to diagnose with plain radiographs. While MRI remains the gold standard for diagnostic evaluation of the knee extensor mechanism, this can be difficult to obtain from the Emergency Department. Clinicans caring for patients with orthopedic injuries of the knee will benefit from incorporating of musculoskeletal bedside ultrasound into their clinical skills set.", "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, point of care ultrasound, knee injury, patellar fracture, quadriceps tendon injury, inferior patellar ligament injury, injury of knee extensor mechanism" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1tk8t7jx", "frozenauthors": [ { "first_name": "Kiersten", "middle_name": "", "last_name": "Carter", "name_suffix": "", "institution": "Stanford University Medical Center", "department": "None" }, { "first_name": "Arica", "middle_name": "", "last_name": "Nesper", "name_suffix": "", "institution": "Stanford University Medical Center", "department": "None" }, { "first_name": "Laleh", "middle_name": "", "last_name": "Gharahbaghian", "name_suffix": "", "institution": "Stanford University Medical Center", "department": "None" }, { "first_name": "Philips", "middle_name": "", "last_name": "Perera", "name_suffix": "", "institution": "Stanford University Medical Center", "department": "None" } ], "date_submitted": "2016-05-29T18:22:36-06:00", "date_accepted": "2016-05-29T18:22:36-06:00", "date_published": "2016-09-29T15:03:30-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9844/galley/5421/download/" } ] }, { "pk": 9823, "title": "Impact of Prior Therapeutic Opioid Use by Emergency Department Providers on Opioid Prescribing Decisions", "subtitle": null, "abstract": "Introduction\n \nOur study sought to examine the opioid analgesic (OA) prescribing decisions of emergency department (ED) providers who have themselves used OA therapeutically and those who have not. A second objective was to determine if OA prescribing decisions would differ based on the patient’s relationship to the provider.\n \nMethods\n \nAn electronic survey was distributed to a random sample of ED providers at participating centers in a nationwide research consortium. Question topics included provider attitudes about OA prescribing, prior personal therapeutic use of OAs (indications, dosing, and disposal of leftover medication), and hypothetical analgesic prescribing decisions for their patients, family members, and themselves for different painful conditions.\n \n \n \n \nResults\n \nThe total survey population was 957 individuals; 515 responded to the survey, a 54% response rate. Prior personal therapeutic OA use was reported in 63% [95% CI, 58-68]. A majority of these providers (82%; 95% CI [77-87]) took fewer than half the number of pills prescribed. Regarding provider attitudes towards OA prescribing: 66% [95% CI, 61-71] agreed that OA could lead to addiction even with short-term use. When providers were asked if they would prescribe OA to a patient with 10/10 pain from an ankle sprain: 21% [95% CI, 17-25] would for an adult patient, 13% [95% CI, 10-16] would for an adult family member, and 6% [95% CI, 4-8] indicated they themselves would take an opioid for the same pain. When the scenario involved an ankle fracture: 86% [95% CI, 83-89] would prescribe OA for an adult patient, 75% [95% CI, 71-79] for an adult family member, and 52% [95% CI, 47-57] would themselves take OA. Providers who have personally used OA to treat their pain were consistently more likely to prescribe OA in different patient scenarios than those who had not.\n \nConclusion\n \nED providers who had themselves used OA therapeutically to treat their own pain tended to be more likely to prescribe OA than those who had not. When making OA prescribing decisions, ED providers report that they are less likely to prescribe opioids to their family members, or themselves, than to an ED patient with the same painful condition.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Opioids" }, { "word": "Prescription drug abuse" }, { "word": "pain management" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2wn0x8g1", "frozenauthors": [ { "first_name": "Adam", "middle_name": "C", "last_name": "Pomerleau", "name_suffix": "", "institution": "Emory University School of Medicine", "department": "None" }, { "first_name": "Jeanmarie", "middle_name": "", "last_name": "Perrone", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Hoppe", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Salzman", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Weiss", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Lewis", "middle_name": "", "last_name": "Nelson", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2016-05-19T12:36:01-06:00", "date_accepted": "2016-05-19T12:36:01-06:00", "date_published": "2016-09-29T14:23:57-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9823/galley/5412/download/" } ] }, { "pk": 44072, "title": "Radiation-Induced Coronary Artery and Combined Valvular Disease", "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/1tj0v0b9", "frozenauthors": [ { "first_name": "Mihir", "middle_name": "", "last_name": "Bikhchandani", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Roxana", "middle_name": "", "last_name": "Tabrizi", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Kamran", "middle_name": "", "last_name": "Shamsa", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-28T16:10:00-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44072/galley/32875/download/" } ] }, { "pk": 2093, "title": "Creating a Social Context Through Film: Teaching L2 Pragmatics as a Locally Situated Process", "subtitle": null, "abstract": "Pragmatics is an underrepresented area in L2 instruction, in spite of disciplinary emphasis on communicative skills (de Pablos-Ortega, 2011; Eisenchlas, 2011). Films have been shown to be capable of mitigating this lack of pedagogically prepared materials (Abrams, 2014; Kambara, 2011; Fernández-Guerra, 2008; Grant & Starks, 2001; Washburn, 2001), and may provide scaffolding for teaching pragmatics as a dynamic, context-dependent phenomenon. In line with current research in pragmatics, wherein participants’ motivations, communicative purpose, and social context play significant roles in communication (Boxer, 2002; Kecskés, 2006, 2012; LoCastro, 2011; Scollon & Wong-Scollon, 2003), the present study compares how authentic filmic materials—in contrast with textbook models—help participants develop pragmatic skills that reflect a locally contextualized, emergent view of interaction. Collaborative dialogues of thirty first-year learners of German at a U.S. university were analyzed using interactional sociolinguistics (Piazza, Bednarek, & Rossi, 2011; Tannen, 2005, 2006). Results indicate that film-based dialogues prompted more pragmatically nuanced interactions than did textbook tasks.", "language": "en", "license": null, "keywords": [ { "word": "L2 pragmatics" }, { "word": "locally situated interaction" }, { "word": "film" }, { "word": "social context in L2 learning" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4j89k6k7", "frozenauthors": [ { "first_name": "Zsuzsanna", "middle_name": "", "last_name": "Abrams", "name_suffix": "", "institution": "UC Santa Cruz", "department": "None" } ], "date_submitted": "2016-04-27T22:22:57-06:00", "date_accepted": "2016-04-27T22:22:57-06:00", "date_published": "2016-09-26T18:06:12-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2093/galley/1376/download/" } ] }, { "pk": 2083, "title": "Symbolic Competence in Interaction: Mutuality, Memory, and Resistance in a Peer Tutoring Context", "subtitle": null, "abstract": "Symbolic competence (Kramsch, 2009, 2011) has been proposed as a crucial addition to world language learning, as it enables a language learner to negotiate the complex symbolism of words, expressions, and discursive events from the target culture in order to reference them effectively and in the appropriate contexts. However, fostering symbolic competence is still a challenge within the day to day reality of the world language classroom. Moreover, there is still little research on what symbolic competence looks like in interaction. In this article I examine a peer tutoring context as one possibility for examining symbolic competence in interaction. Using a close discourse analysis of one peer tutoring session, I explore the intersections between interactional resources and the performance of symbolic competence. I show how the peer tutor’s enthusiastic and lengthy descriptions of a Mexican television program from the 70s constituted what I term a \nsymbolic performance\n of her knowledge of this cultural artifact. At the same time, the peer learner’s reactions to these explanations, particularly her increasing lack of alignment, revealed resistance and interactional asynchrony between the two individuals. I examine reasons for this asynchrony, focusing on the difficulties of fostering symbolic competence in traditionally communicative-based language learning environments despite the potential richness that a peer tutoring environment could provide for transformative language learning. I suggest ways in which symbolic competence could be cultivated in peer tutoring and other additional language learning contexts.", "language": "en", "license": null, "keywords": [ { "word": "symbolic competence" }, { "word": "peer tutoring" }, { "word": "Spanish" }, { "word": "interaction" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8pf7781b", "frozenauthors": [ { "first_name": "Michele", "middle_name": "", "last_name": "Back", "name_suffix": "", "institution": "University of Connecticut", "department": "None" } ], "date_submitted": "2016-02-10T08:42:44-07:00", "date_accepted": "2016-02-10T08:42:44-07:00", "date_published": "2016-09-26T18:06:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2083/galley/1370/download/" } ] }, { "pk": 61249, "title": "1981: Embryonic but Inchoate Designs for a Constitutional Committee", "subtitle": null, "abstract": "Translator: Keith J. Hand", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Translation", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0885g6cp", "frozenauthors": [ { "first_name": "Liu", "middle_name": "", "last_name": "Songshan", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2016-09-26T10:20:11-06:00", "date_accepted": "2016-09-26T10:20:11-06:00", "date_published": "2016-09-26T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_pblj/article/61249/galley/47285/download/" } ] }, { "pk": 61247, "title": "ASEAN: Harmonizing Labor Standards for Global Integration", "subtitle": null, "abstract": "[no abstract]", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/30m250db", "frozenauthors": [ { "first_name": "Ron", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2016-09-26T10:11:06-06:00", "date_accepted": "2016-09-26T10:11:06-06:00", "date_published": "2016-09-26T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_pblj/article/61247/galley/47283/download/" } ] }, { "pk": 61250, "title": "[Front Matter]", "subtitle": null, "abstract": "[no abstract]", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7902m0c4", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "PBLJ", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2016-09-26T10:22:34-06:00", "date_accepted": "2016-09-26T10:22:34-06:00", "date_published": "2016-09-26T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_pblj/article/61250/galley/47286/download/" } ] }, { "pk": 61246, "title": "Perceptions and Reality: The Enforcement of Foreign Arbitral Awards in China", "subtitle": null, "abstract": "[no abstract]", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6s1632q5", "frozenauthors": [ { "first_name": "Roger", "middle_name": "P.", "last_name": "Alford", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Julian", "middle_name": "G.", "last_name": "Ku", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Bei", "middle_name": "", "last_name": "Xiao", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2016-09-26T10:08:14-06:00", "date_accepted": "2016-09-26T10:08:14-06:00", "date_published": "2016-09-26T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_pblj/article/61246/galley/47282/download/" } ] }, { "pk": 61251, "title": "[Table of Contents]", "subtitle": null, "abstract": "[no abstract]", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2ps0607b", "frozenauthors": [ { "first_name": "Editors", "middle_name": "", "last_name": "PBLJ", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2016-09-26T10:25:56-06:00", "date_accepted": "2016-09-26T10:25:56-06:00", "date_published": "2016-09-26T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_pblj/article/61251/galley/47287/download/" } ] }, { "pk": 61248, "title": "Translator’s Introduction to Liu Songshan, \n1981: Embryonic but Inchoate Designs for a Constitutional Committee", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Translation", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jf0q1kn", "frozenauthors": [ { "first_name": "Keith", "middle_name": "J.", "last_name": "Hand", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2016-09-26T10:15:21-06:00", "date_accepted": "2016-09-26T10:15:21-06:00", "date_published": "2016-09-26T01:00:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_pblj/article/61248/galley/47284/download/" } ] }, { "pk": 44209, "title": "Laughing Gas (Nitrous Oxide) Is No Laughing Matter", "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/39w268nz", "frozenauthors": [ { "first_name": "Kwame", "middle_name": "", "last_name": "Donkor", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-21T17:13:34-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44209/galley/33012/download/" } ] }, { "pk": 44196, "title": "Empowering Medical Students to Practice Value-based Care: A Prospective Cohort Study of an Educational Intervention", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6wq1r43s", "frozenauthors": [ { "first_name": "Sara-Megumi", "middle_name": "L.", "last_name": "Naylor", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Erin", "middle_name": "L.", "last_name": "Duffy", "name_suffix": "MPH", "institution": "", "department": "" }, { "first_name": "Neveen", "middle_name": "S.", "last_name": "El-Farra", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Allison", "middle_name": "L.", "last_name": "Diamant", "name_suffix": "MD, MSHS", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-20T18:31:57-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44196/galley/32999/download/" } ] }, { "pk": 44202, "title": "Blastocystis hominis: Two presentations of a Potential Parasitic Pathogen", "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/9m37f6jr", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Estes", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-15T17:04:45-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44202/galley/33005/download/" } ] }, { "pk": 44203, "title": "Fever in a Returning Traveler: A Classic Case of Typhoid Fever", "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/15w6s48m", "frozenauthors": [ { "first_name": "Spencer", "middle_name": "R.", "last_name": "Adams", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-15T15:05:56-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44203/galley/33006/download/" } ] }, { "pk": 44201, "title": "Orthostatic Hypotension in a Patient with Oropharyngeal Cancer", "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/7zb02584", "frozenauthors": [ { "first_name": "Samantha", "middle_name": "", "last_name": "Gardner", "name_suffix": "BS", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Rodriguez", "name_suffix": "MD, PharmD", "institution": "", "department": "" }, { "first_name": "Gladys", "middle_name": "", "last_name": "Martin", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-14T17:03:39-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44201/galley/33004/download/" } ] }, { "pk": 44200, "title": "Portal and Mesenteric Vein Thrombosis in a Patient with JAK2 V617F Mutation", "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/6c8753sn", "frozenauthors": [ { "first_name": "Darren", "middle_name": "", "last_name": "Pan", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Rena", "middle_name": "", "last_name": "Callahan", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-14T17:02:16-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44200/galley/33003/download/" } ] }, { "pk": 9755, "title": "Endotracheal Tube Cuff Pressures in Patients Intubated Prior to Helicopter EMS Transport", "subtitle": null, "abstract": "Study Objectives\n \nEndotracheal intubation is a common intervention in critical care patients undergoing Helicopter Emergency Medical Services (HEMS) transportation. Measurement of endotracheal tube (ETT) cuff pressures is not common practice in patients referred to our service. Animal studies have demonstrated an association between the pressure of the ETT cuff on the tracheal mucosa and decreased blood flow leading to mucosal ischemia and scarring. Cuff pressures greater than 30 cmH2O impede mucosal capillary blood flow. Multiple prior studies have recommended 30 cmH2O as the maximum safe cuff inflation pressure. This study sought to evaluate the inflation pressures in ETT cuffs of patients presenting to HEMS.\n \nMethods\n \nWe enrolled a convenience sample of patients presenting to UMass Memorial LifeFlight who were intubated by the sending facility or Emergency Medical Services (EMS) agency. Flight crews measured the ETT cuff pressures using a commercially available device. Those patients intubated by the flight crew were excluded from this analysis as the cuff was inflated with the manometer to a standardized pressure. Crews logged the results on a research form and the data were analyzed using Microsoft Excel and an online statistical analysis tool.\n \nResults\n \nWe analyzed data for 55 patients. There was a mean age of 57 years (range 18-90). The mean ETT cuff pressure was 70 (95% CI, 61-80) cmH2O. The mean lies 40 cmH2O above the maximum accepted value of 30 cmH2O (p<0.0001). Eighty-four percent (84%) of patients encountered had pressures above the recommended maximum. The most frequently recorded pressure was >120 cmH2O, the maximum pressure on the analog gauge.\n \nConclusion\n \nPatients presenting to HEMS after intubation by the referral agency (EMS or hospital) have ETT cuffs inflated to pressures that are, on average, more than double the recommended maximum. These patients are at risk for tracheal mucosal injury and scarring from decreased mucosal capillary blood flow. Hospital and EMS providers should use ETT cuff manometry to ensure that they inflate ETT cuffs to safe pressures.", "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": "Endotracheal Tube" }, { "word": "EMS" }, { "word": "prehospital" }, { "word": "Airway Management" } ], "section": "Prehospital Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/72p7845j", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "Tennyson", "name_suffix": "", "institution": "University of Massachusetts", "department": "None" }, { "first_name": "Tucker", "middle_name": "", "last_name": "Ford-Webb", "name_suffix": "", "institution": "Lahey Hospital & Medical Center", "department": "None" }, { "first_name": "Stacy", "middle_name": "", "last_name": "Weisberg", "name_suffix": "", "institution": "University of Massachusetts", "department": "None" }, { "first_name": "Donald", "middle_name": "", "last_name": "LeBlanc", "name_suffix": "", "institution": "UMass Memorial LifeFlight", "department": "None" } ], "date_submitted": "2016-04-17T17:19:07-06:00", "date_accepted": "2016-04-17T17:19:07-06:00", "date_published": "2016-09-13T12:41:56-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9755/galley/5393/download/" } ] }, { "pk": 9839, "title": "Spermatic Cord Anesthesia Block: An Old Technique Re-imaged", "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": "Emergency Anesthesia" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7g15v92h", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "", "last_name": "Gordon MD", "name_suffix": "", "institution": "Presence Resurrection Medical Center", "department": "None" }, { "first_name": "Robert", "middle_name": "P", "last_name": "Rifenburg DO", "name_suffix": "", "institution": "Presence Resurrection Medical Center", "department": "None" } ], "date_submitted": "2016-05-25T12:06:15-06:00", "date_accepted": "2016-05-25T12:06:15-06:00", "date_published": "2016-09-13T11:47:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9839/galley/5420/download/" } ] }, { "pk": 44199, "title": "Cardiovascular Manifestations of Systemic Lupus Erythematosus (SLE)", "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/5jk6790j", "frozenauthors": [ { "first_name": "Farheen", "middle_name": "", "last_name": "Shirazi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-12T17:01:06-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44199/galley/33002/download/" } ] }, { "pk": 9874, "title": "U.S. Food and Drug Administration: Review for the Emergency Physician of Approval Process and Limitations", "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": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3gd751gp", "frozenauthors": [ { "first_name": "Nadia", "middle_name": "", "last_name": "Zuabi", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Bhavesh", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Mark", "middle_name": "I", "last_name": "Langdorf", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2016-06-09T16:59:58-06:00", "date_accepted": "2016-06-09T16:59:58-06:00", "date_published": "2016-09-12T15:45:21-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9874/galley/5431/download/" } ] }, { "pk": 9853, "title": "Point-of-Care Ultrasound to Locate a Retained Intravenous Drug Needle in the Femoral Artery", "subtitle": null, "abstract": "We describe the use of Point-of-Care Ultrasound to localize a retained intravenous drug needle, and subsequent surgical removal without computed tomography.", "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": "point-of-care" }, { "word": "foreign body" }, { "word": "intravenous" } ], "section": "Technology in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7v79x8pg", "frozenauthors": [ { "first_name": "Blake", "middle_name": "", "last_name": "Primi", "name_suffix": "", "institution": "University of Colorado School of Medicine", "department": "None" }, { "first_name": "Molly", "middle_name": "E.W.", "last_name": "Thiessen", "name_suffix": "", "institution": "Denver Health Medical Center; University of Colorado at Denver and Health Sciences Center", "department": "None" } ], "date_submitted": "2016-06-01T19:34:03-06:00", "date_accepted": "2016-06-01T19:34:03-06:00", "date_published": "2016-09-12T15:23:11-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9853/galley/5425/download/" } ] }, { "pk": 9955, "title": "Pilot Point-of-Care Ultrasound Curriculum at Harvard Medical School: Early Experience", "subtitle": null, "abstract": "ABSTRACT\n \n \n \nIntroduction:\n Point-of-care ultrasound (POCUS) is expanding across all medical specialties. As the benefits of US technology are becoming apparent, efforts to integrate US into pre-clinical medical education are growing. We report our efforts of integrating POCUS into the medical curriculum through a multi-disciplinary effort. Our objective is to describe our process of integrating POCUS as an educational tool into the medical school curriculum and how such efforts are perceived by students.\n \n \n \nMethods: \n \nThis was a pilot study to introduce ultrasonography into the “blinded for peer review” curriculum to first and second year medical students. Didactic and hands-on sessions were introduced to first year students during gross anatomy and to second year students in the physical exam course. Student-perceived attitudes, understanding, and knowledge of US, and its applications to learning the physical exam were measured by a post-assessment survey.\n \n \n \nRESULTS:\n All 1st year anatomy students (n=176) participated in small group hands-on US sessions. In the 2nd year physical diagnosis course, 38 students participated in 4 sessions. All students (91%) agreed or strongly agreed that additional US teaching should be incorporated throughout the 4 year medical school curriculum.\n \n \n \nCONCLUSIONS AND RELEVANCE: \nPOCUS can effectively be integrated into the existing medical school curriculum by utilizing didactic and small group hands-on sessions. Medical students perceived US training as valuable in understanding human anatomy and in learning physical exam skills. This innovative program demonstrates US as an additional learning modality. Future goals include expanding on this work to incorporate US education into all 4 years of medical school.", "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, medical education, educational advances" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/10g8r0r6", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "", "last_name": "Rempell", "name_suffix": "", "institution": "Brigham and Women's Hospital \nHarvard Medical School", "department": "None" } ], "date_submitted": "2016-06-25T05:26:29-06:00", "date_accepted": "2016-06-25T05:26:29-06:00", "date_published": "2016-09-12T14:57:13-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9955/galley/5457/download/" } ] }, { "pk": 44198, "title": "Von Willebrand Disease", "subtitle": null, "abstract": null, "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Review" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2p693804", "frozenauthors": [ { "first_name": "Spencer", "middle_name": "R.", "last_name": "Adams", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Roger", "middle_name": "M.", "last_name": "Lee", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-10T16:59:55-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44198/galley/33001/download/" } ] }, { "pk": 39457, "title": "Review: Toms River: a Story of Science and Salvation", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Toms River, NJ" }, { "word": "Groundwater pollution" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1nw6b8vc", "frozenauthors": [ { "first_name": "Byron", "middle_name": "P.", "last_name": "Anderson", "name_suffix": "", "institution": "Retired/Northern Illinois University", "department": "None" } ], "date_submitted": "2016-04-02T13:12:01-06:00", "date_accepted": "2016-04-02T13:12:01-06:00", "date_published": "2016-09-10T10:57:00-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39457/galley/29787/download/" } ] }, { "pk": 39459, "title": "Review: How Climate Change Comes to Matter: The Communal Life of Facts", "subtitle": null, "abstract": "Book Review How Climate Change Comes to Matter: The Communal Life of Facts", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "climate change" }, { "word": "Science Communication" }, { "word": "Climatic change--social aspects" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9fn9n1pr", "frozenauthors": [ { "first_name": "Kenneth", "middle_name": "", "last_name": "Rankins", "name_suffix": "", "institution": "Drexel University", "department": "None" } ], "date_submitted": "2016-06-06T14:46:21-06:00", "date_accepted": "2016-06-06T14:46:21-06:00", "date_published": "2016-09-10T10:30:20-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39459/galley/29788/download/" } ] }, { "pk": 5379, "title": "Ring-tailed coatis anointing with soap: a new variation of self-medication culture?", "subtitle": null, "abstract": "When following a free-living ring-tailed coati \nNasua nasua \ngroup behind a tourist complex on Ilha do Campeche (an island in the State of Santa Catarina, Brazil), we observed them rubbing laundry and cleaning substances onto their bodies. In order to describe this anointing behavior, spontaneous and induced anointing sessions were studied over two visits to the island. The induced events were prompted by offering bar soap in five experimental sessions. In all experimental sessions, one to three animals of both sexes performed soap-anointing behavior. It was most commonly self-directed (self-anointing), but also sometimes applied onto others (allo-anointing), or sometimes performed collectively and in close proximity to other group members. The genital area was the most often rubbed location, followed by the tail. We suggest that ring-tailed coatis may be deterring ectoparasites when applying soap to their integument. Ring-tailed coatis are known for anointing their fur with resin or arthropods, but this is the first description of the use of soap. Close contact with humans and easy access to soap inadvertently left outside may have been responsible for this arbitrary innovation. Because this behavior has persisted for more than 10 years and is practiced by different age groups, we suggest that this behavior is being socially transmitted across generations within the group from older to younger individuals.", "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": "Anointing" }, { "word": "social learning" }, { "word": "Zoopharmacognosy" }, { "word": "Nasua nasua" }, { "word": "Rubbing Behavior, Animal Cognition" }, { "word": "Animal Culture" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1dq4s4p5", "frozenauthors": [ { "first_name": "Aline", "middle_name": "D. C.", "last_name": "Gasco", "name_suffix": "", "institution": "Universidade de São Paulo", "department": "None" }, { "first_name": "Andrés", "middle_name": "M.", "last_name": "Pérez-Acosta", "name_suffix": "", "institution": "Universidad del Rosario", "department": "None" }, { "first_name": "Patrícia", "middle_name": "Ferreira", "last_name": "Monticelli", "name_suffix": "", "institution": "Universidade de São Paulo", "department": "None" } ], "date_submitted": "2016-02-17T12:49:55-07:00", "date_accepted": "2016-02-17T12:49:55-07:00", "date_published": "2016-09-09T17:04:33-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5379/galley/3233/download/" } ] }, { "pk": 44197, "title": "Bloating, Malaise and Weight-loss in a Healthcare Provider An Unexpected Case of Giardiasis", "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/4pv4h7nz", "frozenauthors": [ { "first_name": "Spencer", "middle_name": "R.", "last_name": "Adams", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-09T16:58:02-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44197/galley/33000/download/" } ] }, { "pk": 41401, "title": "The past and present status of Citrus tristeza virus in Florida", "subtitle": null, "abstract": "The \nCitrus tristeza virus\n (CTV) strains present in an area can determine the type and severity of disease produced. Using real time RT-qPCR, we screened a series of representative samples collected throughout Florida from 1964 to 2002 for CTV strain presence. We found that contrary to previous reports, the historical samples were infected with both the T30 and T36 strains, the latter often at low titer. The VT strain was rare, with a scattered distribution. We compared this to samples collected in 2014 and 2015, and found that T30 and T36 are prevalent in nearly all commercial groves; VT strain incidence has increased markedly. With changing cultural practices, such as an increase in sour orange rootstock use, tristeza disease continues to be a significant threat to the Florida citrus industry.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Citrus tristeza virus, strain, Florida" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9q22m433", "frozenauthors": [ { "first_name": "S", "middle_name": "J", "last_name": "Harper", "name_suffix": "", "institution": "Department of Plant Pathology, Citrus Research and Education Center, University of Florida, Lake Alfred, Florida 33850, USA", "department": "None" }, { "first_name": "S", "middle_name": "J", "last_name": "Cowell", "name_suffix": "", "institution": "Department of Plant Pathology, Citrus Research and Education Center, University of Florida, Lake Alfred, Florida 33850, USA", "department": "None" } ], "date_submitted": "2016-09-08T12:16:34-06:00", "date_accepted": "2016-09-08T12:16:34-06:00", "date_published": "2016-09-09T12:27:32-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41401/galley/30999/download/" } ] }, { "pk": 44195, "title": "Acute Myeloid Leukemia (AML) Developing in a Patient with Chronic Myeloid Leukemia (CML) in Remission", "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/9rw579ns", "frozenauthors": [ { "first_name": "Alexander", "middle_name": "", "last_name": "Black", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-08T18:29:28-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44195/galley/32998/download/" } ] }, { "pk": 9757, "title": "Telehealth-Enabled Emergency Medical Services Program Reduces Ambulance Transport to Urban Emergency Departments", "subtitle": null, "abstract": "Background. Emergency medical services (EMS) agencies transport a significant majority of patients with low acuity and non-emergent conditions to local emergency departments (ED), affecting the entire emergency care system’s capacity and performance. Opportunities exist for alternative models that integrate technology, telehealth, and more appropriately aligned patient navigation. While a limited number of programs have evolved recently, no empirical evidence exists for their efficacy. This research describes the development and comparative effectiveness of one large urban program. Methods. “Blinded for Peer Review” EMS initiated the Emergency Telehealth and Navigation (ETHAN) program in 2014. ETHAN combines telehealth, social services, and alternative transportation to navigate primary care related patients away from the ED where possible. Using a case-control study design with multiple outcome variables, we describe the program and compare differences in effectiveness measures relative to the control group. Results. During the first 12 months, 5,570 patients received the intervention. We found a 76% decrease in ambulance transports to the ED with the intervention (18% vs. 74%, P<.001). EMS productivity (median time from EMS notification to unit back in service) was 44 minutes faster for the ETHAN group (39 vs. 83 minutes, median). There were no statistically significant differences in mortality or patient satisfaction. Conclusions. We found that mobile technology-driven delivery models are effective at reducing unnecessary ED ambulance transports and increasing EMS unit productivity. This provides support for broader EMS mobile integrated health programs in other regions.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medical Services, Telehealth, Comparative Effectiveness" } ], "section": "Prehospital Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gf7h9b6", "frozenauthors": [ { "first_name": "James", "middle_name": "Robert", "last_name": "Langabeer", "name_suffix": "", "institution": "University of Texas Health Science Center, Houston, TX", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Gonzalez", "name_suffix": "", "institution": "Baylor College of Medicine, Section of Emergency Medicine; Houston Fire Department, Emergency Medical Services", "department": "None" }, { "first_name": "Diaa", "middle_name": "", "last_name": "Alqusairi", "name_suffix": "", "institution": "Houston Fire Department", "department": "None" }, { "first_name": "Tiffany", "middle_name": "", "last_name": "Champagne-Langabeer", "name_suffix": "", "institution": "University of Texas School of Biomedical Informatics", "department": "None" }, { "first_name": "Adria", "middle_name": "", "last_name": "Jackson", "name_suffix": "", "institution": "Houston Health and Human Services", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Mikhail", "name_suffix": "", "institution": "University of Texas School of Biomedical Informatics", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Persse", "name_suffix": "", "institution": "Houston Fire Department", "department": "None" } ], "date_submitted": "2016-04-19T08:59:09-06:00", "date_accepted": "2016-04-19T08:59:09-06:00", "date_published": "2016-09-06T13:57:33-06:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/9757/galley/5394/download/" } ] }, { "pk": 44194, "title": "Idiopathic Subglottic Tracheal Stenosis, an Unusual Cause of Dyspnea during Pregnancy", "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/9rx422fj", "frozenauthors": [ { "first_name": "Brian", "middle_name": "K.", "last_name": "Wong", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-04T18:26:43-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44194/galley/32997/download/" } ] }, { "pk": 44186, "title": "Zzzzz....Doctor, Why is Your Patient So Sleepy?", "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/280857tz", "frozenauthors": [ { "first_name": "Albert", "middle_name": "", "last_name": "Bui", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Susan", "middle_name": "D.", "last_name": "Leonard", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2016-09-03T18:23:49-06:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": 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