Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=24300
{ "count": 38441, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=24400", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=24200", "results": [ { "pk": 39397, "title": "Review: Consumer Culture, Modernity and Identity", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Consumption (economics)" }, { "word": "Consumers" }, { "word": "Group Identity" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1940r4fj", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE", "department": "None" } ], "date_submitted": "2014-09-22T13:13:23Z", "date_accepted": "2014-09-22T13:13:23Z", "date_published": "2014-10-31T13:42:52Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39397/galley/29740/download/" } ] }, { "pk": 39398, "title": "Review: Greening Citizenship: Sustainable Development, the State and Ideology", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "citizenship" }, { "word": "sustainable development" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/33h2820c", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE", "department": "None" } ], "date_submitted": "2014-09-22T13:27:47Z", "date_accepted": "2014-09-22T13:27:47Z", "date_published": "2014-10-31T13:42:29Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39398/galley/29741/download/" } ] }, { "pk": 39399, "title": "Review: Behind the Curve: Science and the Politics of Global Warming", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Global Warming--History" }, { "word": "Science--Political aspects" }, { "word": "Environmental Protection" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9d16k8h6", "frozenauthors": [ { "first_name": "Ryder", "middle_name": "W.", "last_name": "Miller", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-09-22T13:42:36Z", "date_accepted": "2014-09-22T13:42:36Z", "date_published": "2014-10-31T13:42:11Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39399/galley/29742/download/" } ] }, { "pk": 39400, "title": "Review: Oil and Honey: The Education of an Unlikely Activist", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Bill McKibben" }, { "word": "environmentalism" }, { "word": "Environmentalists" }, { "word": "Keystone XL Pipeline" }, { "word": "bees" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5z45w6jt", "frozenauthors": [ { "first_name": "Ryder", "middle_name": "W.", "last_name": "Miller", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-09-22T15:18:25Z", "date_accepted": "2014-09-22T15:18:25Z", "date_published": "2014-10-31T13:41:54Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39400/galley/29743/download/" } ] }, { "pk": 39401, "title": "Review: Le rat des villes. Récits géographiques lardés de souvenirs, de rêveries et de fantasmes (The rats from cites, the: Geographical stabbed stories of memories, dreams and fantasies)", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Geography" }, { "word": "History" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/71p6x4gj", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE", "department": "None" } ], "date_submitted": "2014-09-22T16:49:38Z", "date_accepted": "2014-09-22T16:49:38Z", "date_published": "2014-10-31T13:41:37Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39401/galley/29744/download/" } ] }, { "pk": 39402, "title": "Review: L’île aux Pommes en héritage (Island of Apples)", "subtitle": null, "abstract": "Book review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "L’île aux Pommes" }, { "word": "ecology" }, { "word": "natural history" }, { "word": "wildlife" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2s83n3kq", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE", "department": "None" } ], "date_submitted": "2014-09-22T16:53:58Z", "date_accepted": "2014-09-22T16:53:58Z", "date_published": "2014-10-31T13:41:24Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39402/galley/29745/download/" } ] }, { "pk": 39403, "title": "Review: The Power of Narrative in Environmental Networks", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "environmentalism" }, { "word": "environmental policy" }, { "word": "social networks" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1kj4r3wq", "frozenauthors": [ { "first_name": "Yves", "middle_name": "", "last_name": "Laberge", "name_suffix": "", "institution": "Centre de recherche en éducation et formation relatives à l’environnement et à l’écocitoyenneté – Centr'ERE", "department": "None" } ], "date_submitted": "2014-09-22T16:58:32Z", "date_accepted": "2014-09-22T16:58:32Z", "date_published": "2014-10-31T13:41:10Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39403/galley/29746/download/" } ] }, { "pk": 39393, "title": "Review: Tracks and Shadows, Field Biology as Art", "subtitle": null, "abstract": "Book Review: Tracks and Shadows, Field Biology as Art", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "snakes, ecology" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1tc1s3sg", "frozenauthors": [ { "first_name": "Ryder", "middle_name": "W.", "last_name": "Miller", "name_suffix": "", "institution": "Freelance environmental and science reporter", "department": "None" } ], "date_submitted": "2014-08-29T18:20:16Z", "date_accepted": "2014-08-29T18:20:16Z", "date_published": "2014-10-31T13:40:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39393/galley/29736/download/" } ] }, { "pk": 39390, "title": "Review: Yellowstone's Wildlife in Transition", "subtitle": null, "abstract": "Book Review: Yellowstone's Wildlife in Transition", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Yellowstone" }, { "word": "ecology" }, { "word": "National Park" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4q30t41g", "frozenauthors": [ { "first_name": "Eric", "middle_name": "", "last_name": "Tans", "name_suffix": "", "institution": "Michigan State University", "department": "None" } ], "date_submitted": "2014-07-31T15:28:58Z", "date_accepted": "2014-07-31T15:28:58Z", "date_published": "2014-10-31T13:40:28Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39390/galley/29733/download/" } ] }, { "pk": 39383, "title": "Review: Rachel Carson and Her Sisters: Extraordinary Women Who Have Shaped America's Environment", "subtitle": null, "abstract": "Book review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/45c202hv", "frozenauthors": [ { "first_name": "Byron", "middle_name": "P.", "last_name": "Anderson", "name_suffix": "", "institution": "Retired/Northern Illinois University", "department": "None" } ], "date_submitted": "2014-06-14T14:35:29Z", "date_accepted": "2014-06-14T14:35:29Z", "date_published": "2014-10-31T13:40:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39383/galley/29732/download/" } ] }, { "pk": 39380, "title": "Review: Green Syndicalism: An Alternative Red/Green Vision", "subtitle": null, "abstract": "Book Review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Syndicalism" }, { "word": "Labor Movement" }, { "word": "Class" }, { "word": "Deep Ecology" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4812x42p", "frozenauthors": [ { "first_name": "Amy", "middle_name": "", "last_name": "Harth", "name_suffix": "", "institution": "Union Institute & University", "department": "None" } ], "date_submitted": "2014-04-01T01:44:27Z", "date_accepted": "2014-04-01T01:44:27Z", "date_published": "2014-10-31T13:39:12Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39380/galley/29731/download/" } ] }, { "pk": 39379, "title": "Review: Water, Peace, and War: Confronting the Global Water Crisis", "subtitle": null, "abstract": "Book Review: Water, Peace, and War: Confronting the Global Water Crisis", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Water use" }, { "word": "policy" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4q37b49c", "frozenauthors": [ { "first_name": "Eric", "middle_name": "", "last_name": "Tans", "name_suffix": "", "institution": "Michigan State University", "department": "None" } ], "date_submitted": "2014-03-31T17:21:37Z", "date_accepted": "2014-03-31T17:21:37Z", "date_published": "2014-10-31T13:38:44Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39379/galley/29730/download/" } ] }, { "pk": 39375, "title": "Review: Buzz: Urban Beekeeping and the Power of the Bee", "subtitle": null, "abstract": "Book Reivew", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "honeybee" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8t92r51c", "frozenauthors": [ { "first_name": "Byron", "middle_name": "P.", "last_name": "Anderson", "name_suffix": "", "institution": "Retired/Northern Illinois University", "department": "None" } ], "date_submitted": "2014-03-24T00:03:42Z", "date_accepted": "2014-03-24T00:03:42Z", "date_published": "2014-10-31T13:38:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39375/galley/29729/download/" } ] }, { "pk": 39374, "title": "Review: State of the World 2013: Is Sustainability Still Possible?", "subtitle": null, "abstract": "Book review", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Sustainiability" }, { "word": "WorldWatch Institute" } ], "section": "Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/16t3f3hh", "frozenauthors": [ { "first_name": "Byron", "middle_name": "", "last_name": "Anderson", "name_suffix": "", "institution": "Northern Illinois University Libraries, Retired", "department": "None" } ], "date_submitted": "2014-03-12T14:28:52Z", "date_accepted": "2014-03-12T14:28:52Z", "date_published": "2014-10-31T13:37:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39374/galley/29728/download/" } ] }, { "pk": 4768, "title": "Early–mid 20th dynasty", "subtitle": null, "abstract": "The origins of the 20th Dynasty remain obscure, their only indications being provided by the Elephantine Stela. After several years of political and social unrest, Sethnakhte seized power as first king of the 20th Dynasty. He was succeeded by his son Ramesses III, who is considered to be the last great king of the New Kingdom. His reign is marked by a long list of achievements, including an impressive building program, military successes, and a number of expeditions.", "language": "en", "license": null, "keywords": [ { "word": "Sethnakhte" }, { "word": "Ramesses III" }, { "word": "Medinet Habu" }, { "word": "Libya" }, { "word": "Sea Peoples" }, { "word": "Harem Conspiracy" } ], "section": "Time and History", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0d84248t", "frozenauthors": [ { "first_name": "Pierre", "middle_name": "", "last_name": "Grandet", "name_suffix": "", "institution": "Université catholique de l'Ouest à Angers", "department": "None" } ], "date_submitted": "2009-12-12T00:00:04Z", "date_accepted": "2009-12-12T00:00:04Z", "date_published": "2014-10-30T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/4768/galley/2682/download/" } ] }, { "pk": 8542, "title": "Post Transapical Aortic Valve Replacement (TAVR) Pseudoaneurysm", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "transapical pseudoaneursm" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/16g927dq", "frozenauthors": [ { "first_name": "Michael", "middle_name": "W.", "last_name": "Manning", "name_suffix": "", "institution": "Department of Emergency Medicine, Lehigh Valley Hospital, Allentown, Pennsylvania; Department of Emergency Medicine, University of South Florida College of Medicine, Tampa, Florida", "department": "None" }, { "first_name": "Leonel", "middle_name": "", "last_name": "Diaz, Jr.", "name_suffix": "", "institution": "Department of Emergency Medicine, Lehigh Valley Hospital, Allentown, Pennsylvania; Department of Emergency Medicine, University of South Florida College of Medicine, Tampa, Florida", "department": "None" }, { "first_name": "Michael", "middle_name": "B.", "last_name": "Weigner", "name_suffix": "", "institution": "Department of Emergency Medicine, Lehigh Valley Hospital, Allentown, Pennsylvania; Department of Emergency Medicine, University of South Florida College of Medicine, Tampa, Florida", "department": "None" }, { "first_name": "Colin", "middle_name": "L.", "last_name": "Donnelly", "name_suffix": "", "institution": "Department of Emergency Medicine, Lehigh Valley Hospital, Allentown, Pennsylvania; Department of Emergency Medicine, University of South Florida College of Medicine, Tampa, Florida", "department": "None" }, { "first_name": "Marna", "middle_name": "R.", "last_name": "Greenberg", "name_suffix": "", "institution": "Department of Emergency Medicine, Lehigh Valley Hospital, Allentown, Pennsylvania; Department of Emergency Medicine, University of South Florida College of Medicine, Tampa, Florida", "department": "None" } ], "date_submitted": "2014-09-17T20:39:11Z", "date_accepted": "2014-09-17T20:39:11Z", "date_published": "2014-10-29T20:33:52Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8542/galley/4924/download/" } ] }, { "pk": 8490, "title": "The Flipped Classroom: A Modality for Mixed Asynchronous and Synchronous Learning in a Residency Program", "subtitle": null, "abstract": "Introduction:\n A “flipped classroom” educational model exchanges the traditional format of a classroom lecture and homework problem set. We piloted two flipped classroom sessions in our emergency medicine (EM) residency didactic schedule. We aimed to learn about resident and faculty impressions of the sessions, in order to develop them as a regular component of our residency curriculum.\nMethods:\n We evaluated residents’ impression of the asynchronous video component and synchronous classroom component using four Likert items. We used open-ended questions to inquire about resident and faculty impressions of the advantages and disadvantages of the format.\nResults:\n For the Likert items evaluating the video lectures, 33/35 residents (94%, 95% CI 80%-99%) responded that the video lecture added to their knowledge about the topic, and 33/35 residents felt that watching the video was a valuable use of their time. For items evaluating the flipped classroom format, 36/38 residents (95%, 95% CI 82%-99%) preferred the format to a traditional lecture on the topic, and 38/38 residents (100%, 95% CI 89%-100%) felt that the small group session was effective in helping them learn about the topic. Most residents preferred to see the format monthly in our curriculum and chose an ideal group size of 5.5 (first session) and 7 (second session). Residents cited the interactivity of the sessions and access to experts as advantages of the format. Faculty felt the ability to assess residents’ understanding of concepts and provide feedback were advantages.\nConclusion:\n Our flipped classroom model was positively received by EM residents. Residents preferred a small group size and favored frequent use of the format in our curriculum. The flipped classroom represents one modality that programs may use to incorporate a mixture of asynchronous and interactive synchronous learning and provide additional opportunities to evaluate residents. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Teaching" }, { "word": "educational models" }, { "word": "Graduate Medical Education" }, { "word": "competency-based education" }, { "word": "curriculum" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/01184844", "frozenauthors": [ { "first_name": "Timothy", "middle_name": "P", "last_name": "Young", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Caleb", "middle_name": "J.", "last_name": "Bailey", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Mindi", "middle_name": "", "last_name": "Guptill", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Andrea", "middle_name": "W.", "last_name": "Thorp", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" }, { "first_name": "Tamara", "middle_name": "L.", "last_name": "Thomas", "name_suffix": "", "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California", "department": "None" } ], "date_submitted": "2014-08-14T17:16:52Z", "date_accepted": "2014-08-14T17:16:52Z", "date_published": "2014-10-29T20:15:25Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8490/galley/4899/download/" } ] }, { "pk": 8064, "title": "What Do Patients Want? Survey of Patient Desires for Education in an Urban University Hospital", "subtitle": null, "abstract": "Introduction: \nThis study examines the emergency department (ED) waiting room (WR) population’s knowledge about the ED process and hospital function and explores the types of educational materials that might appeal to patients and their companions in an ED waiting room. Our goal was to identify potential high-impact opportunities for patient education.\nMethods:\n A 32-question survey about demographics, usage of primary care physicians (PCP), understanding of the ED and triage process, desire to know about delays, health education and understanding of teaching hospitals was offered to all qualified individuals.\nResults:\n Five hundred and forty-four surveys were returned. Fifty-five percent reported having a PCP, of which 53% (29% of all WR patients) called a PCP prior to coming to the ED. It was found that 51.2% can define triage; 51% as an acuity assessment and 17% as a vital signs check. Sixty-nine percent knew why patients were seen according to triage priority. Seventy-two percent wanted to know about delays, yet only 25% wanted to know others’ wait times. People wanted updates every 41 minutes and only three percent wanted a physician to do this. Forty-one percent wanted information on how the ED functions, 60% via handouts and 43% via video. Information on updates and common medical emergencies is significantly more important than material on common illnesses, finding a PCP, or ED function (p<0.05). Median estimated time for medical workup ranged from 35 minutes for radiographs, to one hour for lab results, computed tomography, specialist consult, and admission. Sixty-nine percent knew the definition of a teaching hospital and of those, 87% knew they were at a teaching hospital. Subgroup analysis between racial groups showed significantly reduced knowledge of the definitions of triage and teaching hospitals and significantly increased desire for information on ED function in minority groups (p<0.05).\nConclusion:\n The major findings in this study were that many visitors would like handouts about ED function and medical emergencies over other topics. Additionally, the knowledge of functions such as triage and teaching hospitals were 70% and 69%, respectively. This was reduced in non-Caucasian ethnicities, while there was an increased desire for information on ED function relative to Caucasians. This research suggests increasing updates and educational materials in the waiting room could impact the waiting room and overall hospital experience. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Emergency Medicine, Waiting room, throughput" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7b98z0w8", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "", "last_name": "Seibert", "name_suffix": "", "institution": "University of Colorado, School of Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Kathryn", "middle_name": "", "last_name": "Veazey", "name_suffix": "", "institution": "University of Colorado, School of Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Leccese", "name_suffix": "", "institution": "University of Colorado, School of Medicine, Aurora, Coloradone", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "", "last_name": "Druck", "name_suffix": "", "institution": "University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" } ], "date_submitted": "2013-12-10T21:45:55Z", "date_accepted": "2013-12-10T21:45:55Z", "date_published": "2014-10-29T19:55:46Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8064/galley/4658/download/" } ] }, { "pk": 8052, "title": "Pilot Study of Ultrasound-Guided Corticosteroid Hip Injections by Emergency Physicians", "subtitle": null, "abstract": "Introduction: \nOur objective was to assess the efficacy of ultrasound-guided hip injections performed by emergency physicians (EPs) for the treatment of chronic hip pain in an outpatient clinic setting.\nMethods:\n Patients were identified on a referral basis from the orthopedic chronic pain clinic. The patient population was either identified as having osteoarthritis of the hip, osteonecrosis of varying etiologies, post-traumatic osteoarthritis of the hip, or other non-infectious causes of chronic hip pain. Patients had an ultrasound-guided hip injection of 4ml of 0.5% bupivacaine and 1ml of triamcinolone acetate (40mg/1ml). Emergency medicine resident physicians under the supervision of an attending EP performed all injections. Pain scores were collected using a Likert pain scale from patients prior to the procedure, and 10 minutes post procedure and at short-term follow-up of one week and one month. The primary outcome was patient-reported pain score on a Likert pain scale at one week.\nResults:\n We performed a total of 47 ultrasound-guided intra-articular hip injections on 44 subjects who met inclusion criteria. Three subjects received bilateral injections. Follow-up data were available for 42/47 (89.4%) hip injections at one week and 40/47 (85.1%) at one month. The greatest improvement was at 10 minutes after injection with a mean decrease in Likert pain score from pre-injection baseline of 5.57 (95% CI, 4.76-6.39). For the primary outcome at one week, we found a mean decrease in Likert pain score from pre-injection baseline of 3.85 (95% CI, 2.94-4.75). At one month we found a mean decrease in Likert pain score of 1.8 (95% CI, 1.12-2.53). There were no significant adverse outcomes reported.\nConclusion:\n Under the supervision of an attending EP, junior emergency medicine resident physicians can safely and effectively inject hips for chronic pain relief in an outpatient clinical setting using ultrasound guidance. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Ultrasound, Procedures, Orthopedics" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3ct2z76n", "frozenauthors": [ { "first_name": "Erik", "middle_name": "S.", "last_name": "Anderson", "name_suffix": "", "institution": "Alameda County Medical Center, Highland Hospital, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Evan", "middle_name": "", "last_name": "Hodell", "name_suffix": "", "institution": "University of California, San Francisco School of Medicine, San Francisco, California", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Mantuani", "name_suffix": "", "institution": "Alameda County Medical Center, Highland Hospital, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Jahan", "middle_name": "", "last_name": "Fahimi", "name_suffix": "", "institution": "Alameda County Medical Center, Highland Hospital, Department of Emergency Medicine, Oakland, California; University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Ingrid", "middle_name": "", "last_name": "Pampalone", "name_suffix": "", "institution": "Alameda County Medical Center, Highland Hospital, Department of Orthopedics, Oakland, California", "department": "None" }, { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Alameda County Medical Center, Highland Hospital, Department of Emergency Medicine, Oakland, California; University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2013-11-25T20:15:04Z", "date_accepted": "2013-11-25T20:15:04Z", "date_published": "2014-10-29T19:40:26Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8052/galley/4652/download/" } ] }, { "pk": 8512, "title": "Learning Curves for Direct Laryngoscopy and GlideScope® Video Laryngoscopy in an Emergency Medicine Residency", "subtitle": null, "abstract": "Introduction:\n Our objective is to evaluate the resident learning curves for direct laryngoscopy (DL) and GlideScope® video laryngoscopy (GVL) over the course of an emergency medicine (EM) residency training program.\nMethods:\n This was an analysis of intubations performed in the emergency department (ED) by EM residents over a seven-year period from July 1, 2007 to June 30, 2014 at an academic ED with 70,000 annual visits. After EM residents perform an intubation in the ED they complete a continuous quality improvement (CQI) form. Data collected includes patient demographics, operator post- graduate year (PGY), difficult airway characteristics (DACs), method of intubation, device used for intubation and outcome of each attempt. We included in this analysis only adult intubations performed by EM residents using a DL or a standard reusable GVL. The primary outcome was first pass success, defined as a successful intubation with a single laryngoscope insertion. First pass success was evaluated for each PGY of training for DL and GVL. Logistic mixed-effects models were constructed for each device to determine the effect of PGY level on first pass success, after adjusting for important confounders.\nResults:\n Over the seven-year period, the DL was used as the initial device on 1,035 patients and the GVL was used as the initial device on 578 patients by EM residents. When using the DL the first past success of PGY-1 residents was 69.9% (160/229; 95% CI 63.5%-75.7%), of PGY-2 residents was 71.7% (274/382; 95% CI 66.9%-76.2%), and of PGY-3 residents was 72.9% (309/424; 95% CI 68.4%-77.1%). When using the GVL the first pass success of PGY-1 residents was 74.4% (87/117; 95% CI 65.5%-82.0%), of PGY-2 residents was 83.6% (194/232; 95% CI 76.7%-87.7%), and of PGY-3 residents was 90.0% (206/229; 95% CI 85.3%-93.5%). In the mixed-effects model for DL, first pass success for PGY-2 and PGY-3 residents did not improve compared to PGY-1 residents (PGY-2 aOR 1.3, 95% CI 0.9-1.9; p-value 0.236) (PGY-3 aOR 1.5, 95% CI 1.0-2.2, p-value 0.067). However, in the model for GVL, first pass success for PGY-2 and PGY-3 residents improved compared to PGY-1 residents (PGY-2 aOR 2.1, 95% CI 1.1-3.8, p-value 0.021) (PGY-3 aOR 4.1, 95% CI 2.1-8.0, p<0.001).\nConclusion:\n Over the course of residency training there was no significant improvement in EM resident first pass success with the DL, but substantial improvement with the GVL. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Airway Management" }, { "word": "Glidescope" }, { "word": "intubation" }, { "word": "video laryngoscopy" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5xb849kq", "frozenauthors": [ { "first_name": "John", "middle_name": "C.", "last_name": "Sakles", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Jarrod", "middle_name": "M.", "last_name": "Mosier", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Asad", "middle_name": "E.", "last_name": "Patanwala", "name_suffix": "", "institution": "University of Arizona College of Pharmacy, Department of Pharmacy Practice and Science, Tucson, Arizona", "department": "None" }, { "first_name": "John", "middle_name": "M.", "last_name": "Dicken", "name_suffix": "", "institution": "University of Arizona College of Medicine, Tucson, Arizona", "department": "None" } ], "date_submitted": "2014-08-31T03:08:38Z", "date_accepted": "2014-08-31T03:08:38Z", "date_published": "2014-10-29T18:15:05Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8512/galley/4910/download/" } ] }, { "pk": 8534, "title": "Middle Cerebral Artery Arrow Sign", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "MCA aneurysm" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8hq328t0", "frozenauthors": [ { "first_name": "Zachary", "middle_name": "D.", "last_name": "Levy", "name_suffix": "", "institution": "Hofstra North Shore-LIJ School of Medicine, Department of Emergency Medicine, Hempstead, New York", "department": "None" }, { "first_name": "Richard", "middle_name": "E.", "last_name": "Temes", "name_suffix": "", "institution": "Hofstra North Shore-LIJ School of Medicine, Department of Neurology, Hempstead, New York", "department": "None" }, { "first_name": "Amir", "middle_name": "R.", "last_name": "Dehdashti", "name_suffix": "", "institution": "Hofstra North Shore-LIJ School of Medicine, Department of Neurosurgery, Hempstead, New York", "department": "None" } ], "date_submitted": "2014-09-13T14:45:57Z", "date_accepted": "2014-09-13T14:45:57Z", "date_published": "2014-10-29T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8534/galley/4920/download/" } ] }, { "pk": 8460, "title": "Hepatic Portal Venous Gas: Findings on Ultrasound and CT", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Ultrasound, Emergency Medicine" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0vt450cm", "frozenauthors": [ { "first_name": "Kristin", "middle_name": "", "last_name": "Berona", "name_suffix": "", "institution": "Los Angeles County + University of Southern California Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Hardiman", "name_suffix": "", "institution": "Los Angeles County + University of Southern California Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Mailhot", "name_suffix": "", "institution": "Los Angeles County + University of Southern California Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-07-23T23:40:09Z", "date_accepted": "2014-07-23T23:40:09Z", "date_published": "2014-10-28T20:01:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8460/galley/4885/download/" } ] }, { "pk": 8264, "title": "Estimation of Laceration Length by Emergency Department Personnel", "subtitle": null, "abstract": "Introduction:\n Documentation and billing for laceration repair involves a description of wound length. We designed this study to test the hypothesis that emergency department (ED) personnel can accurately estimate wound lengths without the aid of a measuring device.\nMethods: \nThis was a single-center prospective observational study performed in an academic ED. Seven wounds of varying lengths were simulated by creating lacerations on purchased pigs’ ears and feet. We asked healthcare providers, defined as nurses and physicians working in the ED, to estimate the length of each wound by visual inspection. Length estimates were given in centimeters (cm) and inches. Estimated lengths were considered correct if the estimate was within 0.5 cm or 0.2 inches of the actual length. We calculated the differences between estimated and actual laceration lengths for each laceration and compared the accuracy of physicians to nurses using an unpaired t-test.\nResults:\n Thirty-two physicians (nine faculty and 23 residents) and 16 nurses participated. All subjects tended to overestimate in cm and inches. Physicians were able to estimate laceration length within 0.5 cm 36% of the time and within 0.2 inches 29% of the time. Physicians were more accurate at estimating wound lengths than nurses in both cm and inches. Both physicians and nurses were more accurate at estimating shorter lengths (<5.0 cm) than longer (>5.0 cm).\nConclusion:\n ED personnel are often unable to accurately estimate wound length in either cm or inches and tend to overestimate laceration lengths when based solely on visual inspection. Abstract [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "laceration" }, { "word": "Coding" }, { "word": "Billing" }, { "word": "Wound Care" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4gn2x5h1", "frozenauthors": [ { "first_name": "Christina", "middle_name": "L.", "last_name": "Bourne", "name_suffix": "", "institution": "Medical University of South Carolina, Department of Medicine, Division of Emergency Medicine, Charleston, South Carolina", "department": "None" }, { "first_name": "M.", "middle_name": "Adam", "last_name": "Jenkins", "name_suffix": "", "institution": "Northcrest Medical Center, Department of Emergency Medicine, Springfield, Tennessee", "department": "None" }, { "first_name": "Kori", "middle_name": "L.", "last_name": "Brewer", "name_suffix": "", "institution": "Brody School of Medicine at East Carolina University, Department of Emergency Medicine, Greenville, North Carolina", "department": "None" } ], "date_submitted": "2014-05-20T20:06:16Z", "date_accepted": "2014-05-20T20:06:16Z", "date_published": "2014-10-28T19:49:52Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8264/galley/4734/download/" } ] }, { "pk": 8282, "title": "National Trends in the Utilization of Emergency Medical Services for Acute Myocardial Infarction and Stroke", "subtitle": null, "abstract": "Introduction: \nThe emergency medical services (EMS) system plays a crucial role in the chain of survival for acute myocardial infarction (AMI) and stroke. While regional studies have shown underutilization of the 911 system for these time-sensitive conditions, national trends have not been studied. Our objective was to describe the national prevalence of EMS use for AMI and stroke, examine trends over a six-year period, and identify patient factors that may contribute to utilization.\nMethods:\n Using the National Hospital Ambulatory Medical Care Survey-ED (NHAMCS) dataset from 2003-2009, we looked at patients with a discharge diagnosis of AMI or stroke who arrived to the emergency department (ED) by ambulance. We used a survey-weighted χ2 test for trend and logistic regression analysis.\nResults:\n In the study, there were 442 actual AMI patients and 220 (49.8%) presented via EMS. There were 1,324 actual stroke patients and 666 (50.3%) presented via EMS. There was no significant change in EMS usage for AMI or stroke over the six-year period. Factors independently associated with EMS use for AMI and stroke included age (OR 1.21; 95% CI 1.12-1.31), Non-Hispanic black race (OR 1.72; 95% CI 1.16-2.29), and nursing home residence (OR 11.50; 95% CI 6.19-21.36).\nConclusion:\n In a nationally representative sample of ED visits from 20003-2009, there were no trends of increasing EMS use for AMI and stroke. Efforts to improve access to care could focus on patient groups that underutilize the EMS system for such conditions. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Acute myocardial infarction, stroke, emergency medical services, utilization" } ], "section": "Prehospital Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5qj001zd", "frozenauthors": [ { "first_name": "Katie", "middle_name": "", "last_name": "Tataris", "name_suffix": "", "institution": "University of California at San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Sean", "middle_name": "", "last_name": "Kivlehan", "name_suffix": "", "institution": "University of California at San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Prasanthi", "middle_name": "", "last_name": "Govindarajan", "name_suffix": "", "institution": "University of California at San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2014-06-12T18:27:49Z", "date_accepted": "2014-06-12T18:27:49Z", "date_published": "2014-10-28T19:46:10Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8282/galley/4742/download/" } ] }, { "pk": 8033, "title": "Does Pre-hospital Endotracheal Intubation Improve Survival in Adults with Non-traumatic Out-of-hospital Cardiac Arrest? A Systematic Review", "subtitle": null, "abstract": "Introduction: \nEndotracheal intubation (ETI) is currently considered superior to supraglottic airway devices (SGA) for survival and other outcomes among adults with non-traumatic out-of-hospital cardiac arrest (OHCA). We aimed to determine if the research supports this conclusion by conducting a systematic review.\nMethods:\n We searched the MEDLINE, Scopus and CINAHL databases for studies published between January 1, 1980, and 30 April 30, 2013, which compared pre-hospital use of ETI with SGA for outcomes of return of spontaneous circulation (ROSC); survival to hospital admission; survival to hospital discharge; and favorable neurological or functional status. We selected studies using pre-specified criteria. Included studies were independently screened for quality using the Newcastle-Ottawa scale. We did not pool results because of study variability. Study outcomes were extracted and results presented as summed odds ratios with 95% CI.\nResults:\n We identified five eligible studies: one quasi-randomized controlled trial and four cohort studies, involving 303,348 patients in total. Only three of the five studies reported a higher proportion of ROSC with ETI versus SGA with no difference reported in the remaining two. None found significant differences between ETI and SGA for survival to hospital admission or discharge. One study reported better functional status at discharge for ETI versus SGA. Two studies reported no significant difference for favorable neurological status between ETI and SGA.\nConclusion: \nCurrent evidence does not conclusively support the superiority of ETI over SGA for multiple outcomes among adults with OHCA. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "pre-hospital, emergency medical services, out-of-hospital cardiac arrest, endotracheal intubation, supraglottic airway devices" } ], "section": "Prehospital Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8vv362hm", "frozenauthors": [ { "first_name": "Ling", "middle_name": "", "last_name": "Tiah", "name_suffix": "", "institution": "Changi General Hospital, Accident and Emergency Department, Singapore", "department": "None" }, { "first_name": "Kentaro", "middle_name": "", "last_name": "Kajino", "name_suffix": "", "institution": "Ministry of Health, Labour and Welfare, Government of Japan, Department of Acute Medicine & Critical Care Medical Center, Osaka National Hospital, Osaka, Japan", "department": "None" }, { "first_name": "Omer", "middle_name": "", "last_name": "Alsakaf", "name_suffix": "", "institution": "Dubai Corporate for Ambulance Services, Dubai, United Arab Emirates", "department": "None" }, { "first_name": "Dianne Carrol", "middle_name": "", "last_name": "Tan Bautista", "name_suffix": "", "institution": "Duke-NUS Graduate Medical School, Center for Quantitative Medicine, Singapore", "department": "None" }, { "first_name": "Marcus Eng Hock", "middle_name": "", "last_name": "Ong", "name_suffix": "", "institution": "Duke-NUS Graduate Medical School, Health Services and Systems Research, Singapore; Singapore General Hospital, Department of Emergency Medicine, Singapore", "department": "None" }, { "first_name": "Desiree", "middle_name": "", "last_name": "Lie", "name_suffix": "", "institution": "Duke-NUS Graduate Medical School, Office of Clinical Sciences, Singapore", "department": "None" }, { "first_name": "Ghulam Yasin", "middle_name": "", "last_name": "Naroo", "name_suffix": "", "institution": "Rashid Hospital, Department of Health & Medical Services, ED-Trauma centre, Dubai, United Arab Emirates", "department": "None" }, { "first_name": "Nausheen Edwin", "middle_name": "", "last_name": "Doctor", "name_suffix": "", "institution": "Singapore General Hospital, Department of Emergency Medicine, Singapore", "department": "None" }, { "first_name": "Michael", "middle_name": "YC", "last_name": "Chia", "name_suffix": "", "institution": "Emergency Department,Tan Tock Seng Hospital, Singapore", "department": "None" }, { "first_name": "Han Nee", "middle_name": "", "last_name": "Gan", "name_suffix": "", "institution": "Changi General Hospital, Accident and Emergency Department, Singapore", "department": "None" } ], "date_submitted": "2013-11-13T10:20:14Z", "date_accepted": "2013-11-13T10:20:14Z", "date_published": "2014-10-28T19:41:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8033/galley/4644/download/" } ] }, { "pk": 1992, "title": "Revisiting the Foreign Language Classroom Anxiety Scale (FLCAS): The Anxiety of Female English Language Learners in Saudi Arabia", "subtitle": null, "abstract": "With the increase in globalization, the study of English has become common in Saudi Arabia, but students’ experiences of foreign language anxiety (FLA) have been underexamined. Saudi Arabia and other Arab countries are culturally distinct from the Western world, where the most popular assessments of FLA were developed. Through a qualitative and then quantitative study, the current research examined the suitability of the most popular existing FLA questionnaire, the Foreign Language Classroom Anxiety Scale (FLCAS), for use with students of English in Saudi Arabia. In Study 1, Arab women studying in an English preparatory program at an English medium college in Jeddah, Saudi Arabia, responded to a single-item, open-ended questionnaire prompting them to list the situations in which they experience anxiety while trying to learn English. A new questionnaire drawing on the women’s responses and the FLCAS and incorporating new items pertinent to the context was then created. In Study 2, the AFLAQ questionnaire was administered to a new sample of Arab women studying in the English medium college, and their responses were analyzed to determine whether the situations described were actually common causes of anxiety, and to identify the most common causes of anxiety. The new questionnaire, called the Arabic Foreign Language Anxiety Questionnaire (AFLAQ), presents a modified version of the FLCAS that was designed to identify and understand specifically what the female Arab students studying in Saudi Arabia experience. A particular emphasis on concerns about self-presentation and embarrassment is fundamental to the AFLAQ due to the importance of honor and respect in Saudi Arabian culture, a concern that does not play as significant of a role in the FLCAS or in Western culture.", "language": "en", "license": null, "keywords": [ { "word": "foreign language anxiety (FLA), English as a foreign language (EFL), Foreign Language Classroom Anxiety Scale (FLCAS), Arabic Foreign Language Anxiety Questionnaire (AFLAQ), Saudi Arabia" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/62n6x6jm", "frozenauthors": [ { "first_name": "Taghreed", "middle_name": "M.", "last_name": "Al-Saraj", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2014-03-01T22:37:44Z", "date_accepted": "2014-03-01T22:37:44Z", "date_published": "2014-10-28T02:14:18Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/1992/galley/1316/download/" } ] }, { "pk": 43996, "title": "Nephrogenic Diabetes Insipidus due to Incomplete Urinary Tract Obstruction", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7f42h034", "frozenauthors": [ { "first_name": "Carl ", "middle_name": "", "last_name": "Schulze", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Minhtri ", "middle_name": "", "last_name": "Nguyen", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-28T01:00:40Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43996/galley/32800/download/" } ] }, { "pk": 59891, "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/8554r4fg", "frozenauthors": [ { "first_name": "Editors, Journal of Islamic", "middle_name": "", "last_name": "and Near Eastern Law", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2014-10-23T00:23:30Z", "date_accepted": "2014-10-23T00:23:30Z", "date_published": "2014-10-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59891/galley/45856/download/" } ] }, { "pk": 59893, "title": "The Freedom to Believe and the Freedom to Practice: Title VII, Muslim Women, and \nHijab", "subtitle": null, "abstract": "Although Title VII of the Civil Rights Act nominally affirmed employees’ right to wear hijab in the workplace, the courts have taken an increasingly narrow view of the term “religion” and failed to uphold the right to wear hijab in both private and public sector settings on several occasions. This is because Title VII and its attendant protections are grounded in a framework that presumes Christianity as normative, and religiously mandated accoutrements as communicative in function. The manner in which harassment or discriminatory behavior takes place, however, often occurs outside of existing frameworks for employee protection, leaving employees with little opportunity for recourse. This paper will use a mix of critical race theory and gender studies scholarship to provide an overview and analysis of recent decisions regarding protections for wearing hijab in the workplace. It will also discuss how protections on religious freedoms protect the status quo rather than the rights of religio-cultural minorities.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Women, Hijab, Title VII, Religious Accommodations, Belief, Symbol, Religio-cultural, Discrimination, Neutrality, Microaggressions" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5034h9nm", "frozenauthors": [ { "first_name": "Kristina", "middle_name": "", "last_name": "Benson", "name_suffix": "", "institution": "UCLA", "department": "" } ], "date_submitted": "2014-10-23T01:04:47Z", "date_accepted": "2014-10-23T01:04:47Z", "date_published": "2014-10-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59893/galley/45858/download/" } ] }, { "pk": 59892, "title": "Triadic Legal Pluralism in North Sinai: A Case Study of State, \nShari‘a\n, and \n‘Urf\n Courts in Conflict and Cooperation", "subtitle": null, "abstract": "To the extent that legal scholars have addressed the post-authoritarian transitions underway in the Middle East, the scope of their work has been primarily confined to the formal infrastructure of state-manufactured law. Attention has focused on the activities of high courts, parliaments, and the administrative apparatus of official justice systems, while largely neglecting to acknowledge the importance of non-state institutions and systems of normative rules that operate in the shadow of modern bureaucratic governments. The concept of legal pluralism, defined as the coexistence of multiple legal or normative orders within a common geographical area, has been applied extensively in European, South American, and sub-Saharan African contexts, but is underutilized in analysis of revolutionary and transitional change in the Middle East. Nowhere is the presence of legal pluralism more apparent than in Egypt’s geographically remote Sinai Peninsula, where non-state Islamic courts that emerged in the post-revolutionary security vacuum in 2011 claim to have absorbed 75 percent of the caseload once handled by Egypt’s official justice system and aspire to achieve full autonomy from the state. This paper, based on field research conducted in the governorate of North Sinai, argues that the rapid institutionalization of non-state shari‘a courts since the 2011 uprising can be explained in part by two historical trends: (1) the Islamizing effects of state-sponsored development and labor migration policies on Bedouin society in North Sinai; and (2) growing disillusionment with state and tribal judiciaries, which are often viewed as complicit in the disenfranchisement of the Bedouin and expropriation of their lands.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3dk1k686", "frozenauthors": [ { "first_name": "Mara", "middle_name": "R.", "last_name": "Revkin", "name_suffix": "", "institution": "Yale University", "department": "" } ], "date_submitted": "2014-10-23T00:59:54Z", "date_accepted": "2014-10-23T00:59:54Z", "date_published": "2014-10-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jinel/article/59892/galley/45857/download/" } ] }, { "pk": 44008, "title": "Sjögren’s Syndrome-associated Neuropathy and Cirrhosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3h70b5fg", "frozenauthors": [ { "first_name": "Digish ", "middle_name": "", "last_name": "Shah", "name_suffix": " M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Rigved ", "middle_name": "", "last_name": "Tadwalkar", "name_suffix": "M.D, M.S.", "institution": "", "department": "" }, { "first_name": "Johnson ", "middle_name": "", "last_name": "Hua", "name_suffix": " M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-24T01:53:49Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44008/galley/32812/download/" } ] }, { "pk": 8521, "title": "A Woman with Dyspnea and Hemoptysis", "subtitle": null, "abstract": "A 55-year-old female presented to the emergency department at a small community hospital with cough, fever, dyspnea and blood-streaked sputum. A chest radiograph was ordered. She was diagnosed with pneumonia and discharged home with antibiotics. She returned three days later, afebrile, with worsening dyspnea and gross hemoptysis. She was found to have a murmur reported as chronic but had never been evaluated by echocardiography. A computed tomography chest and echocardiography were performed (Figure). She was diagnosed with a left atrial myxoma (Video). She was transferred and underwent tumor excision. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "myxoma, hemoptysis, emergency department, shortness of breath, dyspnea" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6v21z7g2", "frozenauthors": [ { "first_name": "Steven", "middle_name": "G.", "last_name": "Schauer", "name_suffix": "", "institution": "Bayne-Jones Army Community Hospital, Department of Emergency Medicine, Fort Polk, Louisiana", "department": "None" }, { "first_name": "Justin", "middle_name": "C.", "last_name": "Eisenman", "name_suffix": "", "institution": "Blanchfield Army Community Hospital, Fort Campbell, Kentucky", "department": "None" } ], "date_submitted": "2014-09-08T01:44:13Z", "date_accepted": "2014-09-08T01:44:13Z", "date_published": "2014-10-21T20:39:42Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8521/galley/4913/download/" } ] }, { "pk": 8492, "title": "False Positive Appendicitis on Bedside Ultrasound", "subtitle": null, "abstract": "NA (Image report)", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "appendicitis" }, { "word": "ultrasonography" }, { "word": "ultrasound" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2076t0f6", "frozenauthors": [ { "first_name": "Caleb", "middle_name": "P.", "last_name": "Canders", "name_suffix": "", "institution": "University of California at Los Angeles Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Angela", "middle_name": "J.", "last_name": "Brown", "name_suffix": "", "institution": "University of California at Los Angeles Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Alan", "middle_name": "T.", "last_name": "Chiem", "name_suffix": "", "institution": "Olive View - University of California at Los Angeles Medical Center, Department of Emergency Medicine, Sylmar, California", "department": "None" } ], "date_submitted": "2014-08-16T18:31:06Z", "date_accepted": "2014-08-16T18:31:06Z", "date_published": "2014-10-21T20:30:18Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8492/galley/4901/download/" } ] }, { "pk": 8532, "title": "Reply to Comments Regarding “Sensitivity of Emergency Bedside Ultrasound to Detect Hydronephrosis in Patients with Computed Tomography-proven Stones”", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "renal ultrasound, hydronephrosis" } ], "section": "Discourse on Integrating Emergency Care and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/96k8z94j", "frozenauthors": [ { "first_name": "Jeff", "middle_name": "", "last_name": "Riddell", "name_suffix": "", "institution": "University of California, San Francisco-Fresno, Department of Emergency Mediicne, Fresno, California", "department": "None" }, { "first_name": "Stuart", "middle_name": "", "last_name": "Swadron", "name_suffix": "", "institution": "University of Southern California, Keck School of Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-09-12T16:39:54Z", "date_accepted": "2014-09-12T16:39:54Z", "date_published": "2014-10-21T20:21:39Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8532/galley/4919/download/" } ] }, { "pk": 8290, "title": "Comments on “Sensitivity of Emergency Bedside Ultrasound to Detect Hydronephrosis in Patients with Computed Tomography-proven Stones”", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Discourse on Integrating Emergency Care and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4g88420g", "frozenauthors": [ { "first_name": "Özgür", "middle_name": "", "last_name": "Kızılca", "name_suffix": "", "institution": "Akdeniz University, Department of Radiology, Antalya, Turkey", "department": "None" }, { "first_name": "Alp", "middle_name": "", "last_name": "Oztek", "name_suffix": "", "institution": "Akdeniz University, Department of Radiology, Antalya, Turkey", "department": "None" }, { "first_name": "Utku", "middle_name": "", "last_name": "Senol", "name_suffix": "", "institution": "Akdeniz University, Department of Radiology, Antalya, Turkey", "department": "None" } ], "date_submitted": "2014-06-18T12:05:08Z", "date_accepted": "2014-06-18T12:05:08Z", "date_published": "2014-10-21T20:18:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8290/galley/4746/download/" } ] }, { "pk": 8257, "title": "Management of In-Flight Medical Emergencies: Are Senior Medical Students Prepared to Respond to this Community Need?", "subtitle": null, "abstract": "Introduction:\n In-flight medical emergencies on commercial aircraft are common in both domestic and international flights. We hypothesized that fourth-year medical students feel inadequately prepared to lend assistance during in-flight medical emergencies. This multicenter study of two U.S. medical schools obtains a baseline assessment of knowledge and confidence in managing in-flight medical emergencies.\nMethods:\n A 25-question survey was administered to fourth-year medical students at two United States medical schools. Questions included baseline knowledge of in-flight medicine (10 questions) and perceived ability to respond to in-flight medical emergencies.\nResults:\n 229 participants completed the survey (75% response rate). The average score on the fund of knowledge questions was 64%. Responses to the 5-point Likert scale questions indicated that, on average, students did not feel confident or competent responding to an in-flight medical emergency. Participants on average also disagreed with statements that they had adequate understanding of supplies, flight crew training, and ground-based management.\nConclusion:\n This multicenter survey indicates that fourth-year medical students do not feel adequately prepared to respond to in-flight medical emergencies and may have sub-optimal knowledge. This study provides an initial step in identifying a deficiency in current medical education. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "aeromedical, medical education, emergency medical services" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4w6771v6", "frozenauthors": [ { "first_name": "Robert", "middle_name": "J.", "last_name": "Katzer", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Duong", "name_suffix": "", "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Weber", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Memmer", "name_suffix": "", "institution": "University of California, Irvine, School of Medicine, Irvine, California", "department": "None" }, { "first_name": "Ian", "middle_name": "", "last_name": "Buchanan", "name_suffix": "", "institution": "University of California, San Francisco, School of Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2014-05-12T20:03:46Z", "date_accepted": "2014-05-12T20:03:46Z", "date_published": "2014-10-21T20:08:37Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8257/galley/4731/download/" } ] }, { "pk": 8216, "title": "Ultrasound-Guided Small Vessel Cannulation: Long-Axis Approach Is Equivalent to Short-Axis in Novice Sonographers Experienced with Landmark-Based Cannulation", "subtitle": null, "abstract": "Introduction: \nOur primary objective was to describe the time to vessel penetration and difficulty of long-axis and short-axis approaches for ultrasound-guided small vessel penetration in novice sonographers experienced with landmark-based small vessel penetration.\nMethods: \nThis was a prospective, observational study of experienced certified emergency nurses attempting ultrasound-guided small vessel cannulation on a vascular access phantom. We conducted a standardized training, practice, and experiment session for each participant. Five long-axis and five short-axis approaches were attempted in alternating sequence. The primary outcome was time to vessel penetration. Secondary outcomes were number of skin penetrations and number of catheter redirections. We compared long-axis and short-axis approaches using multivariable regression adjusting for repeated measures, vessel depth, and vessel caliber.\nResults:\n Each of 10 novice sonographers made 10 attempts for a total of 100 attempts. Median time to vessel penetration in the long-axis and short-axis was 11 (95% confidence interval [CI] 7-12) and 10 (95% CI 6-13) seconds, respectively. Skin penetrations and catheter redirections were equivalent and near optimal between approaches. The median caliber of cannulated vessels in the long-axis and short-axis was 4.6 (95% CI 4.1-5.5) and 5.6 (95% CI 5.1-6.2) millimeters, respectively. Both axes had equal success rates of 100% for all 50 attempts. In multivariable regression analysis, long-axis attempts were 32% (95% CI 11%-48%; p=0.009) faster than short-axis attempts.\nConclusion: \nNovice sonographers, highly proficient with peripheral IV cannulation, can perform after instruction ultrasound-guided small vessel penetration successfully with similar time to vessel penetration in either the long-axis or short-axis approach on phantom models . [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "peripheral intravenous cannulation" }, { "word": "ultrasound guidance" }, { "word": "long axis" }, { "word": "short axis" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1896w7qd", "frozenauthors": [ { "first_name": "Catherine", "middle_name": "S.", "last_name": "Erickson", "name_suffix": "", "institution": "Oregon Health and Science University, Department of Emergency Medicine, Portland, Oregon", "department": "None" }, { "first_name": "Michael", "middle_name": "M.", "last_name": "Liao", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado; University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Jason", "middle_name": "S.", "last_name": "Haukoos", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado; University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado; Colorado School of Public Health, Department of Epidemiology, Aurora, Colorado", "department": "None" }, { "first_name": "Erica", "middle_name": "", "last_name": "Douglass", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado; University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Margaret", "middle_name": "", "last_name": "DiGeromnimo", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado; University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Eric", "middle_name": "", "last_name": "Christensen", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Hopkins", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Brooke", "middle_name": "", "last_name": "Bender", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "John", "middle_name": "L.", "last_name": "Kendall", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado; University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" } ], "date_submitted": "2014-05-08T19:38:23Z", "date_accepted": "2014-05-08T19:38:23Z", "date_published": "2014-10-21T19:56:18Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8216/galley/4719/download/" } ] }, { "pk": 43700, "title": "Warfarin Initiation and Monitoring in the Elderly: A Clinical Vignette", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/10r8k10m", "frozenauthors": [ { "first_name": "Hong-Phuc", "middle_name": "", "last_name": "Tran", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "David", "middle_name": "", "last_name": "Reuben", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-21T18:39:38Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43700/galley/32505/download/" } ] }, { "pk": 8262, "title": "Egg Shell Sign: Rare Finding in Acute Aortic Dissection", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Egg Shell Sign, Aortic Dissection" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2m35z75q", "frozenauthors": [ { "first_name": "John", "middle_name": "", "last_name": "Ashurst", "name_suffix": "", "institution": "Lehigh Valley Health Network, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Weaver", "name_suffix": "", "institution": "Lehigh Valley Health Network, Allentown, Pennsylvania", "department": "None" } ], "date_submitted": "2014-05-17T19:36:53Z", "date_accepted": "2014-05-17T19:36:53Z", "date_published": "2014-10-21T17:31:39Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8262/galley/4732/download/" } ] }, { "pk": 44015, "title": "Two Cases of Adenoid Cystic Carcinoma of the Breast", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/05x3z7qb", "frozenauthors": [ { "first_name": "Merry ", "middle_name": "L.", "last_name": "Tetef", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-20T02:09:17Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44015/galley/32819/download/" } ] }, { "pk": 44013, "title": "The Role of Probiotics in Inflammatory Bowel Disease", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9513r274", "frozenauthors": [ { "first_name": "Jamie ", "middle_name": "", "last_name": "Polito", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-20T02:02:19Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44013/galley/32817/download/" } ] }, { "pk": 8531, "title": "Reply to Comments Regarding \"Deliberate Apprenticeship in the Pediatric Emergency Department Improves Experience for Third Year Medical Students\"", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "deliberate apprenticeship, pediatrics, education, emergency department" } ], "section": "Discourse on Integrating Emergency Care and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2v0986s6", "frozenauthors": [ { "first_name": "Maya", "middle_name": "Subbarao", "last_name": "Iyer", "name_suffix": "", "institution": "Children’s Hospital of Pittsburgh of the University of Pittsburgh Medical Center, Department of Pediatrics, Division of Emergency Medicine, Pittsburgh, Pennsylvania", "department": "None" } ], "date_submitted": "2014-09-12T13:36:15Z", "date_accepted": "2014-09-12T13:36:15Z", "date_published": "2014-10-16T18:39:21Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8531/galley/4918/download/" } ] }, { "pk": 8463, "title": "Comments on \"Deliberate Apprenticeship in the Pediatric Emergency Department Improves Experience for Third-year Students\"", "subtitle": null, "abstract": "None", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Discourse on Integrating Emergency Care and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2fz3s5b7", "frozenauthors": [ { "first_name": "Kieran", "middle_name": "", "last_name": "Walsh", "name_suffix": "", "institution": "BMJ Learning, London, UK", "department": "None" } ], "date_submitted": "2014-07-25T10:53:23Z", "date_accepted": "2014-07-25T10:53:23Z", "date_published": "2014-10-16T18:18:40Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8463/galley/4887/download/" } ] }, { "pk": 54637, "title": "Dreams of My Father, Prison for My Mother: The H-4 Nonimmigrant Visa Dilemma and the Need for an \"Immigration-Status Spousal Support\"", "subtitle": null, "abstract": "[No Abstract]", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7xs7k9fs", "frozenauthors": [ { "first_name": "Stewart", "middle_name": "", "last_name": "Chang", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2014-10-13T22:18:11Z", "date_accepted": "2014-10-13T22:18:11Z", "date_published": "2014-10-16T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_apalj/article/54637/galley/41178/download/" } ] }, { "pk": 54640, "title": "Front Matter", "subtitle": null, "abstract": "[No Abstract]", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4s49w87h", "frozenauthors": [ { "first_name": "APALJ", "middle_name": "", "last_name": "Editors", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2014-10-14T07:27:36Z", "date_accepted": "2014-10-14T07:27:36Z", "date_published": "2014-10-16T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_apalj/article/54640/galley/41180/download/" } ] }, { "pk": 54638, "title": "Land Use and the Chinatown Problem", "subtitle": null, "abstract": "[No Abstract]", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8g7550h8", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "", "last_name": "Chou", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2014-10-13T22:23:35Z", "date_accepted": "2014-10-13T22:23:35Z", "date_published": "2014-10-16T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_apalj/article/54638/galley/41179/download/" } ] }, { "pk": 43987, "title": "Functional Gallbladder Disorder", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6gz721t3", "frozenauthors": [ { "first_name": "Sandra ", "middle_name": "", "last_name": "Vizireanu", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-16T00:36:35Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43987/galley/32791/download/" } ] }, { "pk": 8480, "title": "Tracheal-Mediastinal Fistula Post-chemoradiation Therapy", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Tracheal-Mediastinal" }, { "word": "fistula" }, { "word": "Chemoradiation" }, { "word": "pneumomediastinum" }, { "word": "non-small cell lunch cancer" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8sq099nn", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "McCarthy", "name_suffix": "", "institution": "Lakeland Regional Medical Center, Department of Emergency Medicine, St. Joseph, Michigan", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Hamel", "name_suffix": "", "institution": "Lakeland Regional Medical Center, Department of Emergency Medicine, St. Joseph, Michigan", "department": "None" } ], "date_submitted": "2014-08-07T02:21:17Z", "date_accepted": "2014-08-07T02:21:17Z", "date_published": "2014-10-14T17:59:23Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8480/galley/4896/download/" } ] }, { "pk": 43964, "title": "A Patient with Multi-Treatment Resistant Hypertension", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4tt9v8s7", "frozenauthors": [ { "first_name": "Yaroslav ", "middle_name": "", "last_name": "Gofnung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-13T21:26:36Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43964/galley/32768/download/" } ] }, { "pk": 1763, "title": "Using Lexical Analysis Software to Assess Student Writing in Statistics", "subtitle": null, "abstract": "Meaningful assessments that reveal student thinking are vital to the success of addressing the GAISE recommendation: use assessments to improve and evaluate student learning. Constructed-response questions, also known as open-response or short answer questions, in which students must write an answer in their own words, have been shown to better reveal students' understanding than multiple-choice questions, but they are much more time consuming to grade for classroom use or code for research purposes. This paper describes and illustrates the use of two different software packages to analyze open-response data collected from undergraduate students’ writing. The analysis and results produced by the two packages are contrasted with each other and with the results obtained from hand coding of the same data sets. The article concludes with a discussion of the advantages and limitations of the analysis options for statistics education research.", "language": "en", "license": null, "keywords": [ { "word": "Statistics Education, Undergraduate, Constructed Response, Machine Learning, Assessment" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/57r90703", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "J", "last_name": "Kaplan", "name_suffix": "", "institution": "University of Georgia", "department": "None" }, { "first_name": "Kevin", "middle_name": "C.", "last_name": "Haudek", "name_suffix": "", "institution": "Michigan State University", "department": "None" }, { "first_name": "Minsu", "middle_name": "", "last_name": "Ha", "name_suffix": "", "institution": "SUNY Stony Brook", "department": "None" }, { "first_name": "Neal", "middle_name": "", "last_name": "Rogness", "name_suffix": "", "institution": "Grand Valley State University", "department": "None" }, { "first_name": "Diane", "middle_name": "G.", "last_name": "Fisher", "name_suffix": "", "institution": "University of Louisiana-Lafayette", "department": "None" } ], "date_submitted": "2013-11-08T19:54:19Z", "date_accepted": "2013-11-08T19:54:19Z", "date_published": "2014-10-13T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/tise/article/1763/galley/1227/download/" } ] }, { "pk": 44006, "title": "Septic Arthritis after Intra-Articular Steroid Injection", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7pv3h620", "frozenauthors": [ { "first_name": "Alia ", "middle_name": "", "last_name": "Tuqan", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Brandon ", "middle_name": "", "last_name": "Koretz", "name_suffix": "M.D., MBA", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-12T01:17:55Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44006/galley/32810/download/" } ] }, { "pk": 8561, "title": "Emergency Medical Services Public Health Implications and Interim Guidance for the Ebola Virus in the United States", "subtitle": null, "abstract": "The 25th known outbreak of the Ebola Virus Disease (EVD) is now a global public health emergency and the World Health Organization (WHO) has declared the epidemic to be a Public Health Emergency of International Concern (PHEIC). Since the first cases of the West African epidemic were reported in March 2014, there has been an increase in infection rates of over 13,000% over a 6-month period. The Ebola virus has now arrived in the United States and public health professionals, doctors, hospitals, Emergency Medial Services Administrators, Medical Directors, and policy makers have been working with haste to develop strategies to prevent the disease from reaching epidemic proportions. Prehospital care providers (emergency medical technicians and paramedics) and medical first responders (including but not limited to firefighters and law enforcement) are the healthcare systems front lines when it comes to first medical contact with patients outside of the hospital setting. Risk of contracting Ebola can be particularly high in this population of first responders if the appropriate precautions are not implemented. This article provides a brief clinical overview of the Ebola Virus Disease and provides a comprehensive summary of the Center for Disease Control and Prevention’s Interim Guidance for Emergency Medical Services (EMS) Systems and 9-1-1 Public Safety Answering Points (PSAPS) for Management of Patients with Known of Suspected Ebola Virus Disease in the United States. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Ebola Virus, Ebola Virus Disease, Emergency Medical Services, Public Health" } ], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9st8f8wc", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "E.", "last_name": "McCoy", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Bharath", "middle_name": "", "last_name": "Chakravarthy", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Carl", "middle_name": "", "last_name": "Schultz", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Erik", "middle_name": "", "last_name": "Barton", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2014-10-06T07:43:28Z", "date_accepted": "2014-10-06T07:43:28Z", "date_published": "2014-10-10T22:21:32Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8561/galley/4937/download/" } ] }, { "pk": 8506, "title": "Ultrasound Distinguishes Ascites from a Large Ovarian Fluid-Filled Cyst", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "emergency ultrasound" }, { "word": "Mucinous cystadenoma" }, { "word": "Abdominal distention" }, { "word": "Ovarian cysts" }, { "word": "Ovarian tumors" }, { "word": "Ascites" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xb6x27d", "frozenauthors": [ { "first_name": "Marissa", "middle_name": "", "last_name": "Camilon", "name_suffix": "", "institution": "Keck School of Medicine at the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Mikaela", "middle_name": "", "last_name": "Chilstrom", "name_suffix": "", "institution": "Keck School of Medicine at the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-08-27T00:15:20Z", "date_accepted": "2014-08-27T00:15:20Z", "date_published": "2014-10-10T17:47:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8506/galley/4906/download/" } ] }, { "pk": 8247, "title": "Osteopathic Emergency Medicine Programs Infrequently Publish in High-Impact Emergency Medicine Journals", "subtitle": null, "abstract": "Introduction:\n Both the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA) require core faculty to engage in scholarly work, including publication in peer-reviewed journals. With the ACGME/AOA merger, we sought to evaluate the frequency of publication in high-impact peer-reviewed EM journals from authors affiliated with osteopathic emergency medicine (EM) programs.\nMethods:\n We performed a retrospective literature review using the Journal Citation Report database and identified the top five journals in the category of ‘Emergency Medicine’ by their 2011 Impact Factor. We examined all publications from each journal for 2011. For each article we recorded article type, authors’ names, position of authorship (first, senior or other), the author’s degree and affiliated institution. We present the data in raw numbers and percentages.\nResults:\n The 2011 EM journals with the highest impact factor were the following: Annals of Emergency Medicine, Resuscitation, Journal of Trauma, Injury, and Academic Emergency Medicine. Of the 9,298 authors published in these journals in 2011; 1,309 (15%) claimed affiliation with U.S.-based EM programs, of which 16 (1%) listed their affiliations with eight different osteopathic EM programs. The 16 authors claimed affiliation with 8 of 46 osteopathic EM programs (17%), while 1,301 authors claimed affiliation with 104 of 148 (70%) U.S.-based allopathic programs.\nConclusion:\n Authors from osteopathic EM programs are under-represented in the top EM journals. With the pending ACGME/AOA merger, there is a significant opportunity for improvement in the rate of publication of osteopathic EM programs in top tier EM journals. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Osteopathic, Allopathic, Research, Emergency Medicine, Graduate Medical Education" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31s6991b", "frozenauthors": [ { "first_name": "Sean", "middle_name": "M.", "last_name": "Baskin", "name_suffix": "", "institution": "Department of Medicine, Division of Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania", "department": "None" }, { "first_name": "Christina", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "Department of Emergency Medicine, Allegheny Health Network, Erie, Pennsylvania", "department": "None" }, { "first_name": "Jestin", "middle_name": "N.", "last_name": "Carlson", "name_suffix": "", "institution": "Department of Medicine, Division of Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania; Department of Emergency Medicine, Allegheny Health Network, Erie, Pennsylvania; Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA", "department": "None" } ], "date_submitted": "2014-05-06T09:56:10Z", "date_accepted": "2014-05-06T09:56:10Z", "date_published": "2014-10-10T17:38:23Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8247/galley/4727/download/" } ] }, { "pk": 8329, "title": "Chikungunya Fever: Case Report in Los Angeles, California", "subtitle": null, "abstract": "We report the case of a 33-year-old woman returning from Haiti, presenting to our emergency department (ED) with fever, rash and arthralgia. Following a broad workup that included laboratory testing for dengue and malaria, our patient was diagnosed with Chikungunya virus, which was then reported to the Centers for Disease Control and Prevention for initiation of infection control. This case demonstrates the importance of the ED for infectious disease case identification and initiation of public health measures. This case also addresses public health implications of Chikungunya virus within the United States, and issues related to the potential for local spread and autochthonous cases. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Chikungunya" }, { "word": "dengue" }, { "word": "Emergency Medicine" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6zt7f2fn", "frozenauthors": [ { "first_name": "Katherine", "middle_name": "R.", "last_name": "Harter", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" }, { "first_name": "Sanjay", "middle_name": "", "last_name": "Bhatt", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" }, { "first_name": "Hyung", "middle_name": "T.", "last_name": "Kim", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" }, { "first_name": "William", "middle_name": "K.", "last_name": "Mallon", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-07-12T06:20:58Z", "date_accepted": "2014-07-12T06:20:58Z", "date_published": "2014-10-10T17:22:11Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8329/galley/4763/download/" } ] }, { "pk": 8177, "title": "Ultrasound Evaluation of an Inguinal Mass", "subtitle": null, "abstract": "A 33 year-old female presented to the emergency department (ED) with of two weeks of diffuse abdominal pain, right flank pain, and a slowly enlarging right inguinal mass. She had no associated fever, chills, nausea, vomiting, or diarrhea. She was evaluated by her primary care physician, and an inguinal ultrasound was obtained prior to referral to the ED. On arrival in the ED, her vital signs were unremarkable, and she was afebrile. On exam, there was no abdominal tenderness, and a 2cm x 2cm non-reducible, mildly tender right inguinal mass was noted. A bedside ultrasound (Figures 1 and 2) was performed in the ED. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2kk9z681", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "L.", "last_name": "Wiswell", "name_suffix": "", "institution": "University of California Davis, Sacramento, California", "department": "None" }, { "first_name": "Benjamin", "middle_name": "J.", "last_name": "Sandefur", "name_suffix": "", "institution": "Mayo Clinic, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2014-03-18T04:24:51Z", "date_accepted": "2014-03-18T04:24:51Z", "date_published": "2014-10-10T17:08:29Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8177/galley/4703/download/" } ] }, { "pk": 7710, "title": "Old Man with Groin Bruising", "subtitle": null, "abstract": "A 67-year-old man presented to the emergency department with abdominal pain and groin bruising. He had no history of any disease or drug use. In his breaf story he had a heavy cough five days ago and bruises appeared on the abdomen skin and groin in the last two days. Ecchymosis extends in the midline from umblicus to the penis and scrotum in physical examination (Figure 1). Laboratory evaluation revealed normal hemoglobin level, platelet count, prothrombin time, and activated partial thromboplastin time. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "groin bruising, rectus sheath hematoma, cough" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8f61b537", "frozenauthors": [ { "first_name": "Basak", "middle_name": "", "last_name": "Bayram", "name_suffix": "", "institution": "Dokuz Eylül University School of Medicine, Department of Emergency Medicine, İzmir, Turkey", "department": "None" }, { "first_name": "Nese", "middle_name": "C.", "last_name": "Oray", "name_suffix": "", "institution": "Dokuz Eylül University School of Medicine, Department of Emergency Medicine, İzmir, Turkey", "department": "None" }, { "first_name": "Cagdas", "middle_name": "A.", "last_name": "Acara", "name_suffix": "", "institution": "Dokuz Eylül University School of Medicine, Department of Emergency Medicine, İzmir, Turkey", "department": "None" } ], "date_submitted": "2013-02-02T23:39:19Z", "date_accepted": "2013-02-02T23:39:19Z", "date_published": "2014-10-10T17:04:05Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7710/galley/4515/download/" } ] }, { "pk": 8096, "title": "Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n While emergency department (ED) crowding has myriad causes and negative downstream effects, applying systems engineering science and targeting throughput remains a potential solution to increase functional capacity. However, the most effective techniques for broad application in the ED remain unclear. We examined the hypothesis that Lean-based reorganization of Fast Track process flow would improve length of stay (LOS), percent of patients discharged within one hour, and room use, without added expense.\nMethods:\n This study was a prospective, controlled, before-and-after analysis of Fast Track process improvements in a Level 1 tertiary care academic medical center with >95,000 annual patient visits. We included all adult patients seen during the study periods of 6/2010-10/2010 and 6/2011-10/2011, and data were collected from an electronic tracking system. We used concurrent patients seen in another care area used as a control group. The intervention consisted of a simple reorganization of patient flow through existing rooms, based in systems engineering science and modeling, including queuing theory, demand-capacity matching, and Lean methodologies. No modifications to staffing or physical space were made. Primary outcomes included LOS of discharged patients, percent of patients discharged within one hour, and time in exam room. We compared LOS and exam room time using Wilcoxon rank sum tests, and chi-square tests for percent of patients discharged within one hour.\nResults: \nFollowing the intervention, median LOS among discharged patients was reduced by 15 minutes (158 to 143 min, 95%CI 12 to 19 min, p<0.0001). The number of patients discharged in <1 hr increased by 2.8% (from 6.9% to 9.7%, 95%CI 2.1% to 3.5%, p<0.0001), and median exam room time decreased by 34 minutes (90 to 56 min, 95%CI 31 to 38 min, p<0.0001). In comparison, the control group had no change in LOS (265 to 267 min) or proportion of patients discharged in <1 hr (2.9% to 2.9%), and an increase in exam room time (28 to 36 min, p<0.0001).\nConclusion:\n In this single center trial, a focused Lean-based reorganization of patient flow improved Fast Track ED performance measures and capacity, without added expense. Broad multi-centered application of systems engineering science might further improve ED throughput and capacity. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "ED Crowding" }, { "word": "Lean" }, { "word": "Systems Improvement" }, { "word": "Systems Engineering" }, { "word": "ED Performance" }, { "word": "ED LOS" }, { "word": "Fast Track" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gb2n0nj", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "A.", "last_name": "White", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Yuchiao", "middle_name": "", "last_name": "Chang", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Beth", "middle_name": "G.", "last_name": "Grabowski", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "David", "middle_name": "F.M.", "last_name": "Brown", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2014-01-31T16:12:30Z", "date_accepted": "2014-01-31T16:12:30Z", "date_published": "2014-10-10T16:52:15Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8096/galley/4669/download/" } ] }, { "pk": 8020, "title": "Randomized Trial of a Novel ACLS Teaching Tool: Does it Improve Student Performance?", "subtitle": null, "abstract": "Introduction: \nMounting evidence suggests that high-fidelity mannequin-based (HFMBS) and computer-based simulation are useful adjunctive educational tools for advanced cardiac life support (ACLS) instruction. We sought to determine whether access to a supplemental, online computer-based ACLS simulator would improve students’ performance on a standardized Mega Code using high-fidelity mannequin based simulation (HFMBS).\nMethods:\n Sixty-five third-year medical students were randomized. Intervention group subjects (n = 29) each received a two-week access code to the online ACLS simulator, whereas the control group subjects (n = 36) did not. Primary outcome measures included students’ time to initiate chest compressions, defibrillate ventricular fibrillation, and pace symptomatic bradycardia. Secondary outcome measures included students’ subjective self-assessment of ACLS knowledge and confidence.\nResults:\n Students with access to the online simulator on average defibrillated ventricular fibrillation in 112 seconds, whereas those without defibrillated in 149.9 seconds, an average of 38 seconds faster [p<.05]. Similarly, those with access to the simulator paced symptomatic bradycardia on average in 95.14 seconds whereas those without access paced on average 154.9 seconds a difference of 59.81 seconds [p<.05]. On a subjective 5-point scale, there was no difference in self-assessment of ACLS knowledge between the control (mean 3.3) versus intervention (mean 3.1) [p-value =.21]. Despite having outperformed the control group subjects in the standardized Mega Code test scenario, the intervention group felt less confident on a 5-point scale (mean 2.5) than the control group. (mean 3.2) [p<.05]\nConclusion: \nThe reduction in time to defibrillate ventricular fibrillation and to pace symptomatic bradycardia among the intervention group subjects suggests that the online computer-based ACLS simulator is an effective adjunctive ACLS instructional tool. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "ACLS, Simulation, medical student, education" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4bj76534", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "", "last_name": "Nacca", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Jordan", "middle_name": "", "last_name": "Holliday", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Paul", "middle_name": "Y.", "last_name": "Ko", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" } ], "date_submitted": "2013-10-30T18:04:42Z", "date_accepted": "2013-10-30T18:04:42Z", "date_published": "2014-10-09T19:01:16Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8020/galley/4640/download/" } ] }, { "pk": 8251, "title": "Diagnosis of Spinal Epidural Abscess by Abdominal Plain-Film Radiography", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Spinal Epidural Abscess, plain-film radiography" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/32v7586q", "frozenauthors": [ { "first_name": "Brent", "middle_name": "", "last_name": "Felton", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" }, { "first_name": "Tam", "middle_name": "", "last_name": "Dao", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" }, { "first_name": "Brett", "middle_name": "", "last_name": "Gerstner", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" }, { "first_name": "Shawn", "middle_name": "", "last_name": "Letarte", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" } ], "date_submitted": "2014-05-08T17:38:06Z", "date_accepted": "2014-05-08T17:38:06Z", "date_published": "2014-10-09T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8251/galley/4728/download/" } ] }, { "pk": 8145, "title": "Diagnosing Appendicitis: Evidence-Based Review of the Diagnostic Approach in 2014", "subtitle": null, "abstract": "Introduction:\n Acute appendicitis is the most common abdominal emergency requiring emergency surgery. However, the diagnosis is often challenging and the decision to operate, observe or further work-up a patient is often unclear. The utility of clinical scoring systems (namely the Alvarado score), laboratory markers, and the development of novel markers in the diagnosis of appendicitis remains controversial. This article presents an update on the diagnostic approach to appendicitis through an evidence-based review.\nMethods:\n We performed a broad Medline search of radiological imaging, the Alvarado score, common laboratory markers, and novel markers in patients with suspected appendicitis.\nResults:\n Computed tomography (CT) is the most accurate mode of imaging for suspected cases of appendicitis, but the associated increase in radiation exposure is problematic. The Alvarado score is a clinical scoring system that is used to predict the likelihood of appendicitis based on signs, symptoms and laboratory data. It can help risk stratify patients with suspected appendicitis and potentially decrease the use of CT imaging in patients with certain Alvarado scores. White blood cell (WBC), C-reactive protein (CRP), granulocyte count and proportion of polymorphonuclear (PMN) cells are frequently elevated in patients with appendicitis, but are insufficient on their own as a diagnostic modality. When multiple markers are used in combination their diagnostic utility is greatly increased. Several novel markers have been proposed to aid in the diagnosis of appendicitis; however, while promising, most are only in the preliminary stages of being studied. \nConclusion: \nWhile CT is the most accurate mode of imaging in suspected appendicitis, the accompanying radiation is a concern. Ultrasound may help in the diagnosis while decreasing the need for CT in certain circumstances. The Alvarado Score has good diagnostic utility at specific cutoff points. Laboratory markers have very limited diagnostic utility on their own but show promise when used in combination. Further studies are warranted for laboratory markers in combination and to validate potential novel markers. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "appendicitis" }, { "word": "Alvarado Score" }, { "word": "Novel Markers" }, { "word": "White Blood Cell (WBC)" }, { "word": "C-Reactive Protein (CRP)" }, { "word": "Polymorphonuclear (PMN) Count" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4nh2q62z", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "J.", "last_name": "Shogilev", "name_suffix": "", "institution": "Duke University, Division of Emergency Medicine, Duke University, Durham, North Carolina", "department": "None" }, { "first_name": "Nicolaj", "middle_name": "", "last_name": "Duus", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Stephen", "middle_name": "R.", "last_name": "Odom", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Surgery, Boston, Massachusetts", "department": "None" }, { "first_name": "Nathan", "middle_name": "I.", "last_name": "Shapiro", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine and Center for Vascular Biology, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2014-02-19T19:18:08Z", "date_accepted": "2014-02-19T19:18:08Z", "date_published": "2014-10-07T17:47:08Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8145/galley/4690/download/" } ] }, { "pk": 7553, "title": "Osteomyelitis Pubis: A Rare and Elusive Diagnosis", "subtitle": null, "abstract": "Osteomyelitis pubis is an infectious inflammation of the symphysis pubis and accounts for 2% of hematogenous osteomyelitis. This differs from osteitis pubis, a non-infectious inflammation of the pubic symphysis, generally caused by shear forces in young athletes. Both conditions present with similar symptoms and are usually differentiated on the basis of biopsy and/or culture. A case of osteomyelitis pubis is presented with a discussion of symphisis pubis anatomy, clinical and laboratory presentation, etiology and risk factors, and optimal imaging studies. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "pelvic pain" }, { "word": "osteomyeltis" }, { "word": "staphylococcus" }, { "word": "bacteremia" }, { "word": "subacute" }, { "word": "osteitis pubis" }, { "word": "osteomyelitis pubis" }, { "word": "Emergency Medicine" }, { "word": "Infectious Diseases" }, { "word": "Internal Medicine" }, { "word": "Imaging Studies" }, { "word": "radiology" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5qt723b1", "frozenauthors": [ { "first_name": "Justin", "middle_name": "", "last_name": "Yax", "name_suffix": "", "institution": "Case Western Reserve University, University Hospitals/Case Medical Center, Department of Emergency Medicine, Cleveland, Ohio", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Cheng", "name_suffix": "", "institution": "Case Western Reserve University, University Hospitals/Case Medical Center, Department of Emergency Medicine, Cleveland, Ohio", "department": "None" } ], "date_submitted": "2014-07-27T23:11:01Z", "date_accepted": "2014-07-27T23:11:01Z", "date_published": "2014-10-07T15:17:41Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7553/galley/4446/download/" } ] }, { "pk": 44010, "title": "Squamous Cell Carcinoma of the Right Tonsil", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6x00n36f", "frozenauthors": [ { "first_name": "Sandra ", "middle_name": "", "last_name": "Vizireanu", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-07T01:57:54Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44010/galley/32814/download/" } ] }, { "pk": 42688, "title": "More than a “Subspecies of American Literature”: Obstacles toward a Transnational Mormon Novel", "subtitle": null, "abstract": "Since the mid-twentieth century, the Church of Jesus Christ of Latter-day Saints (Mormons) has become an increasingly international organization with more than half of its members currently living outside US borders. Still, because of its US origins, strongly centralized Salt Lake City headquarters, and doctrinal traditions that privilege the United States as a Promised Land, Mormonism remains an American church in the eyes of much of the world. This essay explores Mormonism’s struggle to internationalize through the lens of Mormon novels about transnational Mormon experiences. Specifically, it shows how these novels have sometimes embraced and sometimes resisted the hegemonic narrative of US Mormonism in order to understand how these works consider and reconsider long-standing assumptions about the value of the boundaries and central gathering places that have traditionally defined Mormonism’s physical, cultural, and ideological landscapes. Focusing on Margaret Blair Young’s \nSalvador\n (1993), Toni Sorenson Brown’s \nRedemption Road\n (2005), and Ryan McIlvain’s \nElders \n(2012), this essay also looks at ways Mormon novels imagine transnational utopian spaces that seek to conceptualize a future where Mormonism is less tied to bordered concepts like \nnation\n, \nstate\n, and \nAmerica\n, and more open to border crossings. While these utopian spaces are not altogether unproblematic or free of Americentric assumptions, this essay argues that a look at how these novels use these spaces reveals much about the genre’s potential to explore Mormonism’s possibilities as a transnational community and rethink its relationship to its US headquarters.", "language": "en", "license": null, "keywords": [ { "word": "Mormonism" }, { "word": "Mormon Novel" }, { "word": "Transnational literature" }, { "word": "Global Religion" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xb4t7xr", "frozenauthors": [ { "first_name": "Scott", "middle_name": "", "last_name": "Hales", "name_suffix": "", "institution": "University of Cincinnati", "department": "None" } ], "date_submitted": "2013-11-07T14:05:00Z", "date_accepted": "2013-11-07T14:05:00Z", "date_published": "2014-10-05T19:07:35Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42688/galley/31857/download/" } ] }, { "pk": 5314, "title": "The frequency and nature of allocare by a group of belugas (Delphinapterus leucas) in human care", "subtitle": null, "abstract": "The care of offspring by non-parental caregivers, or allocare, is common across many taxa. Several functions of allocare have been proposed, including opportunities to rest or forage for the mother, experiences to learn about caring for young animals for naïve females, or additional nourishment and protection for the offspring. Belugas, like many cetaceans, display allocare. However, the frequency and contexts in which allocare occurs have not been studied extensively. The purpose of the current study was to document the frequency of allocare in a group of belugas in human care that steadily increased in its number of offspring over a period of four years. The results suggested that allocare did not occur as frequently as mother-calf swims and occurred when adult females without calves were available in the social grouping. Additionally, certain allocare partners seemed to be preferred by specific mother-calf pairs. The results also indicated that the calf may play a more active role in the selection of an allocare partner than previously acknowledged. This study supports the importance of social composition when young offspring are present.", "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": "Beluga" }, { "word": "Delphinapterus leucas" }, { "word": "allocare" }, { "word": "social composition" }, { "word": "Cetacean" }, { "word": "babysitting" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pr8386p", "frozenauthors": [ { "first_name": "Heather", "middle_name": "M.", "last_name": "Hill", "name_suffix": "", "institution": "St. Mary's University", "department": "None" }, { "first_name": "Carolyn", "middle_name": "", "last_name": "Campbell", "name_suffix": "", "institution": "Texas A&M University", "department": "None" } ], "date_submitted": "2014-06-05T15:41:46Z", "date_accepted": "2014-06-05T15:41:46Z", "date_published": "2014-10-05T00:16:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5314/galley/3181/download/" } ] }, { "pk": 43963, "title": "A Patient with Hypokalemia and Hypertension", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6rx133rn", "frozenauthors": [ { "first_name": "Eve", "middle_name": "", "last_name": "Glazier", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ashley", "middle_name": "", "last_name": "Busuttil", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-30T21:24:51Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43963/galley/32767/download/" } ] }, { "pk": 43978, "title": "Clinical Review: Acute Aortic Regurgitation", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2187c6zp", "frozenauthors": [ { "first_name": "Samuel ", "middle_name": "", "last_name": "Daneshvar", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Janki ", "middle_name": "", "last_name": "Shah", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-29T23:09:01Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43978/galley/32782/download/" } ] }, { "pk": 8524, "title": "A BOLD IDEA: The “Population” Specialist", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Editorial", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3pp502d0", "frozenauthors": [ { "first_name": "Judith", "middle_name": "E.", "last_name": "Tintinalli", "name_suffix": "", "institution": "University of North Carolina at Chapel Hill, Department of Emergency Medicine,\nChapel Hill, North Carolina", "department": "None" } ], "date_submitted": "2014-09-09T20:07:52Z", "date_accepted": "2014-09-09T20:07:52Z", "date_published": "2014-09-26T21:50:28Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8524/galley/4916/download/" } ] }, { "pk": 8544, "title": "Ebola Virus Disease: Essential Public Health Principles for Clinicians", "subtitle": null, "abstract": "Ebola Virus Disease (EVD) has become a public health emergency of international concern. The World Health Organization and Centers for Disease Control and Prevention have developed guidance to educate and inform healthcare workers and travelers worldwide. Symptoms of EVD include abrupt onset of fever, myalgias, and headache in the early phase, followed by vomiting, diarrhea and possible progression to hemorrhagic rash, life-threatening bleeding, and multi-organ failure in the later phase. The disease is not transmitted via airborne spread like influenza, but rather from person-to-person, or animal to person, via direct contact with bodily fluids or blood. It is crucial that emergency physicians be educated on disease presentation and how to generate a timely and accurate differential diagnosis that includes exotic diseases in the appropriate patient population. A patient should be evaluated for EVD when both suggestive symptoms, including unexplained hemorrhage, AND risk factors within 3 weeks prior, such as travel to an endemic area, direct handling of animals from outbreak areas, or ingestion of fruit or other uncooked foods contaminated with bat feces containing the virus are present. There are experimental therapies for treatment of EVD virus; however the mainstay of therapy is supportive care. Emergency department personnel on the frontlines must be prepared to rapidly identify and isolate febrile travelers if indicated. All healthcare workers involved in care of EVD patients should wear personal protective equipment. Despite the intense media focus on EVD rather than other threats, emergency physicians must master and follow essential public health principles for management of all infectious diseases. This includes not only identification and treatment of individuals, but also protection of healthcare workers and prevention of spread, keeping in mind the possibility of other more common disease processes. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1bh1352j", "frozenauthors": [ { "first_name": "Kristi", "middle_name": "L.", "last_name": "Koenig", "name_suffix": "", "institution": "University of California at Irvine, Center for Disaster Medical Sciences and Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Cassondra", "middle_name": "", "last_name": "Majestic", "name_suffix": "", "institution": "University of California at Irvine, Center for Disaster Medical Sciences and Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Burns", "name_suffix": "", "institution": "University of California at Irvine, Department of Emergency Medicine and Department of Medicine, Division of Infectious Diseases, Orange, California", "department": "None" } ], "date_submitted": "2014-09-19T17:00:16Z", "date_accepted": "2014-09-19T17:00:16Z", "date_published": "2014-09-26T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8544/galley/4925/download/" } ] }, { "pk": 8102, "title": "Shock Index and Prediction of Traumatic Hemorrhagic Shock 28-Day Mortality: Data from the DCLHb Resuscitation Clinical Trials", "subtitle": null, "abstract": "Introduction:\n To assess the ability of the shock index (SI) to predict 28-day mortality in traumatic hemorrhagic shock patients treated in the diaspirin cross-linked hemoglobin (DCLHb) resuscitation clinical trials.\nMethods: \nWe used data from two parallel DCLHb traumatic hemorrhagic shock efficacy trials, one in U.S. emergency departments, and one in the European Union prehospital setting to assess the relationship between SI values and 28-day mortality.\nResults:\n In the 219 patients, the mean age was 37 years, 64% sustained a blunt injury, 48% received DCLHb, 36% died, and 88% had an SI>1.0 at study entry. The percentage of patients with an SI>1.0 dropped by 57% (88 to 38%) from the time of study entry to 120 minutes after study resuscitation (p<0.001). Patients with a SI>1.0, 1.4, and 1.8 at any time point were 2.3, 2.7, and 3.1 times, respectively, more likely to die by 28 days than were patients with SI values below these cutoffs (p<0.001). Similarly, after 120 minutes of resuscitation, patients with a SI>1.0 were 3.9x times more likely to die by 28 days (40 vs. 15%, p<0.001). Although the distribution of SI values differed based on treatment group, the receiver operator characeristics data showed no difference in SI predictive ability for 28-day mortality in patients treated with DCLHb.\nConclusion:\n In these traumatic hemorrhagic shock patients, the shock index correlates with 28-day mortality, with higher SI values indicating greater mortality risk. Although DCLHb treatment did alter the distribution of SI values, it did not influence the ability of the SI to predict 28-day mortality. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Diaspirin cross-linked hemoglobin, Shock, hemorrhagic shock, Shock Index, Resuscitation" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82c4t2dd", "frozenauthors": [ { "first_name": "Edward", "middle_name": "P.", "last_name": "Sloan", "name_suffix": "", "institution": "University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Max", "middle_name": "", "last_name": "Koenigsberg", "name_suffix": "", "institution": "Advocate Illinois Masonic Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "James", "middle_name": "M.", "last_name": "Clark", "name_suffix": "", "institution": "Rush Medical College, Rush University Medical Center, Chicago, Illinois", "department": "None" }, { "first_name": "William", "middle_name": "B.", "last_name": "Weir", "name_suffix": "", "institution": "University of Illinois College of Medicine at Urbana-Champaign, Carle Physician Group, Department of Emergency Medicine, Illinois", "department": "None" }, { "first_name": "Nora", "middle_name": "", "last_name": "Philbin", "name_suffix": "", "institution": "Unity Point Methodist, Department of Pediatrics, Peoria, Illinois", "department": "None" } ], "date_submitted": "2014-01-25T23:14:52Z", "date_accepted": "2014-01-25T23:14:52Z", "date_published": "2014-09-25T20:58:23Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8102/galley/4675/download/" } ] }, { "pk": 8116, "title": "Utility of Vital Signs in Mass Casualty-Disaster Triage", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Triage, Vital signs, Mass casualty, Disaster" } ], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6xv4x4dt", "frozenauthors": [ { "first_name": "David", "middle_name": "E.", "last_name": "Hogan", "name_suffix": "", "institution": "Oklahoma State University, Department of Emergency Medicine, Oklahoma City, Oklahoma", "department": "None" }, { "first_name": "Travis", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "Duncan Regional Hospital, Department of Emergency Medicine, Duncan, Oklahoma", "department": "None" } ], "date_submitted": "2014-01-26T08:19:18Z", "date_accepted": "2014-01-26T08:19:18Z", "date_published": "2014-09-25T15:50:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8116/galley/4681/download/" } ] }, { "pk": 43985, "title": "Fatal Interstitial Pneumonitis Following Crizotinib Usage in a Case of EML 4-ALK Rearrangement Non-Small Cell Lung Cancer", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/06c827x0", "frozenauthors": [ { "first_name": "Robert ", "middle_name": "S.Y. ", "last_name": "Chang", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "David ", "middle_name": "J.", "last_name": "Scott", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-25T00:33:05Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43985/galley/32789/download/" } ] }, { "pk": 43974, "title": "Case Study: Systemic Lupus Erythematosus and Antiphospholipid Syndrome in Valvular Heart Disease", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3vp33057", "frozenauthors": [ { "first_name": "Roxana ", "middle_name": "", "last_name": "Tabrizi", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Kamran ", "middle_name": "", "last_name": "Shamsa", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-24T23:00:39Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43974/galley/32778/download/" } ] }, { "pk": 39404, "title": "A SWOT Analysis of the Great Lakes Water Quality Protocol 2012: The Good, the Bad and the Opportunity", "subtitle": null, "abstract": "Since the signing of the Great Lakes Water Quality Protocol by Canada and the United States on September 7, 2012, there has been no review of it in the literature. This paper aims to fill that gap by conducting a Strength, Weakness, Opportunity and Threats (SWOT) analysis that will aid in deducing strategies to maximize the strengths and opportunities and minimize the weaknesses and threats to achieving the purpose of the Protocol. The review found that the Protocol has maintained the basic visionary infrastructure retaining the purpose and main objectives while broadening the scope to include three new Annexes; Aquatic Invasive Species, Habitat and Species and Climate change. Weaknesses include instances of ambiguous language, the separate treatment of groundwater, lack of Annex on Indigenous engagement and discrepancies between the principles and the Annexes. A key threat remains the lack of resources for the implementation of the Protocol.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Great Lakes, Water Quality Agreement, SWOT" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7h26v4cv", "frozenauthors": [ { "first_name": "Savitri", "middle_name": "", "last_name": "Jetoo", "name_suffix": "", "institution": "McMaster University", "department": "None" }, { "first_name": "Gail", "middle_name": "", "last_name": "Krantzberg", "name_suffix": "", "institution": "McMaster University", "department": "None" } ], "date_submitted": "2014-09-24T14:04:36Z", "date_accepted": "2014-09-24T14:04:36Z", "date_published": "2014-09-24T22:42:46Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39404/galley/29747/download/" } ] }, { "pk": 8225, "title": "Medical Identity Theft in the Emergency Department: Awareness is Crucial", "subtitle": null, "abstract": "Medical Identity theft in the emergency department (ED) can harm numerous individuals, and many frontline healthcare providers are unaware of this growing concern. The two cases described began as typical ED encounters until red flags were discovered upon validating the patient’s identity. Educating all healthcare personnel within and outside the ED regarding the subtle signs of medical identity theft and implementing institutional policies to identify these criminals will discourage further fraudulent behavior. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "medical identity theft" }, { "word": "Federal Trade Commission" }, { "word": "victims" }, { "word": "Red Flag Rules" } ], "section": "Ethical and Legal Issues", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9qw8t7zk", "frozenauthors": [ { "first_name": "Michelino", "middle_name": "", "last_name": "Mancini", "name_suffix": "", "institution": "Lakeland Healthcare, Department of Emergency Medicine, St. Joseph, Michigan", "department": "None" } ], "date_submitted": "2014-04-24T19:28:15Z", "date_accepted": "2014-04-24T19:28:15Z", "date_published": "2014-09-24T18:48:56Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8225/galley/4720/download/" } ] }, { "pk": 8192, "title": "Patellar Sleeve Fracture", "subtitle": null, "abstract": "N/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Patellar Sleeve Fracture" }, { "word": "PSF" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3t8292zt", "frozenauthors": [ { "first_name": "Scott", "middle_name": "", "last_name": "Sullivan", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Maskell", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Tristan", "middle_name": "", "last_name": "Knutson", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" } ], "date_submitted": "2014-04-02T00:41:29Z", "date_accepted": "2014-04-02T00:41:29Z", "date_published": "2014-09-24T18:35:58Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8192/galley/4714/download/" } ] }, { "pk": 8497, "title": "Intragastric Balloon Rupture", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "intragastric balloon rupture" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8dn0d7vr", "frozenauthors": [ { "first_name": "George", "middle_name": "", "last_name": "Lim", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Braden", "middle_name": "", "last_name": "Hexom", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" } ], "date_submitted": "2014-08-19T01:14:54Z", "date_accepted": "2014-08-19T01:14:54Z", "date_published": "2014-09-24T18:14:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8497/galley/4903/download/" } ] }, { "pk": 62618, "title": "Alameda Song Sparrow Abundance Related to Salt Marsh Vegetation Patch Size and Shape Metrics Quantified from Remote Sensing Imagery", "subtitle": null, "abstract": "Understanding the characteristics of high-quality avian habitat is critical for guiding salt marsh management and restoration. Existing insights into salt marsh avian habitat are often based on the composition of marsh vegetation, e.g., individual plant species cover. This study investigated whether the spatial configuration of marsh surface cover (e.g., patch number, density, size, shape complexity and compactness, degree of dissection of the landscape, variation and repetition of cover type, and the variance within these metrics) is a useful, additional indicator of avian habitat quality for the Alameda Song Sparrow (\nMelospiza melodia pusillula\n), a non-migratory California Species of Special Concern endemic to southern San Francisco Bay. \nM. m. pusillula\n density during the breeding seasons of 2002 through 2005 was estimated at 82 observation points in 10 marsh sites within the bird’s geographic range. The mean bird density index (overall mean: 5.61 birds detected per hectare of marsh) was not significantly different among marshes of different ages. We mapped the vegetation zones, open water, and upland areas within each marsh site using high resolution aerial photographs and automated classification analysis. We quantified the configuration of surface cover around each bird observation point by 31 metrics. Bird density index was best modeled by a multiple linear regression containing positive relationships with the metrics Mean Core Area Index and Patch Core Area Coefficient of Variation (\nR\n2= 0.210, \np\n < 0.0001). Qualitatively, this model suggested that \nM. m. pusillula\n abundance during the breeding season was greatest in marsh areas with compact patches that spanned a variety of patch sizes from moderate-to-large, uninterrupted by other cover. We conclude that configuration-based vegetation pattern analysis could usefully complement more customary composition-based habitat assessments to aid wetland habitat research, management, and restoration.", "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": "population density, song sparrow, spatial pattern analysis, vegetation configuration, wetland restoration, salt marsh, tidal marsh" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9fn8m37b", "frozenauthors": [ { "first_name": "Kevan", "middle_name": "B.", "last_name": "Moffett", "name_suffix": "", "institution": "University of Texas, Austin", "department": "" }, { "first_name": "Jaslyn", "middle_name": "", "last_name": "Law", "name_suffix": "", "institution": "Stanford University", "department": "" }, { "first_name": "Steven", "middle_name": "M.", "last_name": "Gorelick", "name_suffix": "", "institution": "Stanford University", "department": "" }, { "first_name": "Nadav", "middle_name": "", "last_name": "Nur", "name_suffix": "", "institution": "Point Blue Conservation Science", "department": "" }, { "first_name": "Julian", "middle_name": "K.", "last_name": "Wood", "name_suffix": "", "institution": "Point Blue Conservation Science", "department": "" } ], "date_submitted": "2012-08-02T04:40:55Z", "date_accepted": "2012-08-02T04:40:55Z", "date_published": "2014-09-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62618/galley/48340/download/" } ] }, { "pk": 62662, "title": "Climate Change Vulnerability of Freshwater Fishes of the San Francisco Bay Area", "subtitle": null, "abstract": "Climate change is expected to progressively shift the freshwater environments of the San Francisco Bay Area (SFBA) to states that favor alien fishes over native species. Native species likely will have more limited distributions and some may be extirpated. Stream-dependent species may decline as portions of streams dry or become warmer due to lower flows and increased air temperatures. However, factors other than climate change may pose a more immediate threat to native fishes. Comparison of regional vs. statewide vulnerability (baseline and climate change) scores suggests that a higher proportion (56% vs. 50%) of SFBA native species, as compared to the state’s entire fish fauna, are vulnerable to existing anthropogenic threats that result in habitat degradation. In comparison, a smaller proportion of SFBA native species are vulnerable to predicted climate change effects (67% vs. 82%). In the SFBA, adverse effects from climate change likely come second to estuarine alteration, agriculture, and dams. However, the relative effect of climate change on species likely will grow in an increasingly warmer and drier California. Maintaining representative assemblages of native fishes may require providing flow regimes downstream from dams that reflect more natural hydrographs, extensive riparian, stream, and estuarine habitat restoration, and other management actions, such as modification of hatchery operations.", "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": "vulnerability assessment, native fishes, alien species" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5sr9v96n", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "M.", "last_name": "Quiñones", "name_suffix": "", "institution": "Center for Watershed Sciences, University of California, Davis", "department": "" }, { "first_name": "Peter", "middle_name": "B.", "last_name": "Moyle", "name_suffix": "", "institution": "Center for Watershed Sciences, University of California, Davis", "department": "" } ], "date_submitted": "2013-08-02T00:16:41Z", "date_accepted": "2013-08-02T00:16:41Z", "date_published": "2014-09-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62662/galley/48366/download/" } ] }, { "pk": 62634, "title": "Diet, Prey Selection, and Body Condition of Age-0 Delta Smelt, \nHypomesus transpacificus\n, in the Upper San Francisco Estuary", "subtitle": null, "abstract": "The Delta Smelt, an endangered fish, has suffered a long-term decline in abundance, believed to result from, in part, to changes in the pelagic food web of the upper San Francisco Estuary. To investigate the current role of food as a factor in Delta Smelt well-being, we developed reference criteria for gut fullness and body condition based on allometric growth. We then examined monthly diet, prey selectivity, and gut fullness of larvae and juvenile Delta Smelt collected April through September in 2005 and 2006 for evidence of feeding difficulties leading to reduced body condition. Calanoid copepods Eurytemora affinis and Pseudodiaptomus forbesi remained major food items during spring and from early summer through fall, respectively. Other much larger copepods and macroinvertebrates contributed in lesser numbers to the diet of older juvenile fish from mid-summer through fall. In fall, juvenile Delta Smelt periodically relied heavily on very small prey and prey potentially associated with demersal habitat, suggesting typical pelagic food items were in short supply. We found a strong positive selection for E. affinis and P. forbesi, neutral to negative selection for evasive calanoid Sinocalanus doerrii, and neutral to negative selection for the small cyclopoid copepod Limnoithona tetraspina and copepod nauplii, which were consumed only when extremely numerous in the environment. Feeding incidence was significantly higher in 2006, but among successfully feeding fish we found no between year difference in gut fullness. However, we did detect differences in fullness across months in both years. We found no difference in body condition of Delta Smelt between years yet our sample sizes were low in September when Delta Smelt reverted to feeding on very small organisms and fullness declined, so the longer-term effect remains unknown. Our findings suggest that: Delta Smelt had difficulty obtaining prey in spring 2005 or obtaining proper-sized prey in fall of both years. We detected these difficulties in some regional feeding incidence and fullness indices, but not in body condition indices.", "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": "Smelt, zooplankton, diet, selectivity, fullness, length–weight, condition, allometric growth, San Francisco Estuary" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/52k878sb", "frozenauthors": [ { "first_name": "Steven", "middle_name": "B.", "last_name": "Slater", "name_suffix": "", "institution": "California Department of Fish and Wildlife", "department": "" }, { "first_name": "Randall", "middle_name": "D.", "last_name": "Baxter", "name_suffix": "", "institution": "California Department of Fish and Wildlife", "department": "" } ], "date_submitted": "2013-01-08T22:52:49Z", "date_accepted": "2013-01-08T22:52:49Z", "date_published": "2014-09-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62634/galley/48349/download/" } ] }, { "pk": 8109, "title": "Noninvasive Hemodynamic Monitoring in Emergency Patients with Suspected Heart Failure, Sepsis and Stroke: The Premium Registry", "subtitle": null, "abstract": "Introduction: \nNoninvasive hemodynamic (HD) assessments in the emergency department (ED) might assist in the diagnosis, therapeutic plan development and risk stratification of acutely ill patients. This multinational observational study was designed to initiate noninvasive HD measurements prior to any ED patient therapeutic interventions and broadly evaluate them for potential diagnostic, therapeutic and predictive value.\nMethods: \nWe enrolled patients with suspected acute heart failure (AHF), sepsis or stroke. Continuous noninvasive HD monitoring was begun using the Nexfin finger cuff device (Edwards LifeSciences, BMEYE, Amsterdam, Netherlands). Beat-to-beat HD measurements were averaged for the initial 15 minutes, prior to therapeutic intervention. We performed suspected disease group comparisons and evaluated HD predictors of 30-day mortality.\nResults: \nOf 510 patients enrolled: 185 (36%) AHF, 194 (38%) sepsis and 131 (26%) stroke. HD variables were significantly different (p<0.05) amongst the groups. Cardiac output and index and stroke volume index (SVI) were highest in sepsis (6.5, 3.5, 36), followed by stroke (5.5, 2.7, 35.8), and lowest in AHF (5.4, 2.7, 33.6). The in-group HD standard deviations and ranges measurements were large, indicating heterogeneous underlying HD profiles. Presenting SVI predicted 30-day mortality for all groups.\nConclusion:\n Presenting ED noninvasive HD data has not been previously reported in any large patient population. Our data suggest a potential role for early noninvasive HD assessments aiding in diagnosing of patients, individualizing therapy based on each person’s unique HD values and predicting 30-day mortality. Further studies and analyses are needed to determine how HD assessments should be best used in the ED. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "noninvasive continuous hemodynamic monitoring, Emergency Medicine, acutely ill patients" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6j4174gk", "frozenauthors": [ { "first_name": "Richard", "middle_name": "M.", "last_name": "Nowak", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Prabath", "middle_name": "", "last_name": "Nanayakkara", "name_suffix": "", "institution": "VU University Medical Center, Department of Emergency Medicine, Amsterdam, Netherlands", "department": "None" }, { "first_name": "Salvatore", "middle_name": "", "last_name": "DiSomma", "name_suffix": "", "institution": "Sant’ Andrea Hospital, Department of Emergency Medicine, Rome, Italy", "department": "None" }, { "first_name": "Phil", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine and Cardiovascular", "department": "None" }, { "first_name": "Edmée", "middle_name": "", "last_name": "Schrijver", "name_suffix": "", "institution": "VU University Medical Center, Department of Emergency Medicine, Amsterdam, Netherlands", "department": "None" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Huyghe", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Alessandro", "middle_name": "", "last_name": "Autunno", "name_suffix": "", "institution": "Sant’ Andrea Hospital, Department of Emergency Medicine, Rome, Italy", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Sherwin", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine and Cardiovascular Research Institute, Detroit, Michigan", "department": "None" }, { "first_name": "George", "middle_name": "", "last_name": "Divine", "name_suffix": "", "institution": "Henry Ford Health System, Department of Biostatistics, Detroit, Michigan", "department": "None" }, { "first_name": "Michele", "middle_name": "", "last_name": "Moyer", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Detroit, Michigan", "department": "None" } ], "date_submitted": "2014-01-23T01:34:06Z", "date_accepted": "2014-01-23T01:34:06Z", "date_published": "2014-09-23T23:28:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8109/galley/4678/download/" } ] }, { "pk": 62470, "title": "Strategies for Restoring Native Riparian Understory Plants Along the Sacramento River: Timing, Shade, Non-Native Control, and Planting Method", "subtitle": null, "abstract": "Restorationists commonly plant overstory and understory species simultaneously at the outset of restoration, but a mature forest canopy may be necessary to facilitate survival of light-intolerant understory species. We conducted two experiments in riparian forest restoration sites along the Sacramento River to determine whether: (1) introducing understory species is more successful at the beginning of restoration or after the canopy has developed; (2) canopy cover directly (via reduced light) or indirectly (by reducing non-native competition) facilitates survival of native understory species; and (3) seeding or planting seedlings of understory species is most effective. Seven native understory species were introduced as both seeds and seedlings into an experiment that manipulated canopy cover (open or canopy) and non-native grass competition (control or grass-specific herbicide). We conducted another experiment using shade cloth to directly test the effect of different light levels on seedling survival and growth of three species. Both experiments showed that four species (Aristolochia californica, Carex barbarae, Clematis ligusticifolia, and Vitis californica) had higher survival under low-light conditions (canopy or shade cloth). In contrast, three species (Artemisia douglasiana, Euthamia occidentalis and Rubus californica) had similar survival across open and canopy conditions. Cover of unplanted understory vegetation (mostly non-native) was much lower under the canopy than in open plots treated with grass-specific herbicide. Establishment from seed was generally low and highly variable. Our results suggest that to restore understory species in riparian forests in north–central California: light-intolerant understory species should be planted after canopy closure; canopy cover is more effective than grass-specific herbicide at reducing non-native understory cover; and planting seedlings is more successful than direct seeding.", "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": "Competition" }, { "word": "direct seeding" }, { "word": "facilitation" }, { "word": "riparian understory" }, { "word": "Sacramento River" }, { "word": "seedling survival and growth" }, { "word": "Ecology, Evolution, Systematics, and Population Biology" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7555d3b4", "frozenauthors": [ { "first_name": "Prairie", "middle_name": "L.", "last_name": "Moore", "name_suffix": "", "institution": "California State University Chico", "department": "" }, { "first_name": "Karen", "middle_name": "D.", "last_name": "Holl", "name_suffix": "", "institution": "University of California, Santa Cruz", "department": "" }, { "first_name": "David", "middle_name": "M.", "last_name": "Wood", "name_suffix": "", "institution": "California State University Chico", "department": "" } ], "date_submitted": "2010-06-08T07:00:00Z", "date_accepted": "2010-06-08T07:00:00Z", "date_published": "2014-09-22T20:42:07Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62470/galley/48298/download/" } ] }, { "pk": 43983, "title": "Diagnosis of Disseminated Mycobacterium Chelonae in a Renal Transplant Patient Presenting with Skin Rash and Arthralgias", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93n063t6", "frozenauthors": [ { "first_name": "Jayon ", "middle_name": "", "last_name": "Kim", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Christopher ", "middle_name": "", "last_name": "Tymchuk", "name_suffix": "M.D.", "institution": "", "department": "" }, { "first_name": "Erik ", "middle_name": "", "last_name": "Lum", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-20T23:23:22Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43983/galley/32787/download/" } ] }, { "pk": 8322, "title": "A Gut Feeling: An Extremely Rare Case of Missed Appendicitis", "subtitle": null, "abstract": "This case outlines the emergency department and surgical course of a 63-year-old male presenting with acute onset abdominal pain. Appendicitis was high on the differential for the treating physician, but after the computed tomography and laboratory evaluation were unremarkable, the patient was discharged only to return the next day. What ensued was one of the rarest cases of missed appendicitis documented in the medical literature. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "umbilical hernia, appendicitis" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jj8p19s", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "", "last_name": "Pilgrim", "name_suffix": "", "institution": "UC Davis", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Russo", "name_suffix": "", "institution": "University of California Davis, Department of Surgery, Sacramento, California", "department": "None" }, { "first_name": "Aimee", "middle_name": "", "last_name": "Moulin", "name_suffix": "", "institution": "University of California Davis, Department of Emergency Medicine, Sacramento, California", "department": "None" } ], "date_submitted": "2014-07-09T16:49:30Z", "date_accepted": "2014-07-09T16:49:30Z", "date_published": "2014-09-19T22:06:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8322/galley/4757/download/" } ] }, { "pk": 8476, "title": "Diphenhydramine Overdose with Intraventricular Conduction Delay Treated with Hypertonic Sodium Bicarbonate and IV Lipid Emulsion", "subtitle": null, "abstract": "Diphenhydramine toxicity commonly manifests with antimuscarinic features, including dry mucous membranes, tachycardia, urinary retention, mydriasis, tachycardia, and encephalopathy. Severe toxicity can include seizures and intraventricular conduction delay. We present here a case of a 23-year-old male presenting with recurrent seizures, hypotension and wide complex tachycardia who had worsening toxicity despite treatment with sodium bicarbonate. The patient was ultimately treated with intravenous lipid emulsion therapy that was temporally associated with improvement in the QRS duration. We also review the current literature that supports lipid use in refractory diphenhydramine toxicity. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Diphenhydramine, lipid, overdose, intraventricular conduction delay, intralipid" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9rt5529p", "frozenauthors": [ { "first_name": "Amin", "middle_name": "", "last_name": "Abdi", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Rose", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California; Department of Pediatrics. University of Southern California. Los Angeles, CA", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Levine", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-08-05T00:47:12Z", "date_accepted": "2014-08-05T00:47:12Z", "date_published": "2014-09-19T20:14:44Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8476/galley/4894/download/" } ] }, { "pk": 8359, "title": "Hip Pain Secondary to Small Bowel Fistula to Pelvis", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15b0602n", "frozenauthors": [ { "first_name": "Chris", "middle_name": "", "last_name": "Cruz", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Liang", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Heltzel", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "Kimberly", "middle_name": "", "last_name": "Liang", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" } ], "date_submitted": "2014-07-15T14:44:46Z", "date_accepted": "2014-07-15T14:44:46Z", "date_published": "2014-09-19T19:56:51Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8359/galley/4790/download/" } ] }, { "pk": 8302, "title": "Sydenham Chorea: Rare Consequence of Rheumatic Fever", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Sydenham Chorea" }, { "word": "choreiform movements" }, { "word": "motor tic" }, { "word": "rheumatic fever" }, { "word": "pediatric symptoms" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1sw094wk", "frozenauthors": [ { "first_name": "Paul", "middle_name": "J.", "last_name": "Myers, DO", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Department of Emergency Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Kathleen", "middle_name": "E.", "last_name": "Kane, MD", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Department of Emergency Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Bernadette", "middle_name": "G.", "last_name": "Porter", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Department of Emergency Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Richard", "middle_name": "J.", "last_name": "Mazzaccaro, MD, PhD", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Pediatrics, Allentown, Pennsylvania", "department": "None" } ], "date_submitted": "2014-07-09T15:37:58Z", "date_accepted": "2014-07-09T15:37:58Z", "date_published": "2014-09-19T19:53:57Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8302/galley/4750/download/" } ] }, { "pk": 8186, "title": "Availability and Utilization of Cardiac Resuscitation Centers", "subtitle": null, "abstract": "Introduction: \nThe American Heart Association (AHA) recommends regionalized care following out-of-hospital cardiac arrest (OHCA) at cardiac resuscitation centers (CRCs). Key level 1 CRC criteria include 24/7 percutaneous coronary intervention (PCI) capability, therapeutic hypothermia capability, and annual volume of ≥40 patients resuscitated from OHCA. Our objective was to characterize the availability and utilization of resources relevant to post-cardiac arrest care, including level 1 CRCs in California.\nMethods:\n We combined data from the AHA, the California Office of Statewide Health Planning and Development (OSHPD), and surveys to identify CRCs. We surveyed emergency department directors and nurse managers at all 24/7 PCI centers identified by the AHA to determine their post-OHCA care capabilities. The survey included questions regarding therapeutic hypothermia use and specialist availability and was pilot-tested prior to distribution. Cases of OHCA were identified in the 2011 OSHPD Patient Discharge Database using a “present on admission” diagnosis of cardiac arrest (ICD-9-CM code 427.5). We defined key level 1 CRC criteria as 24/7 PCI capability, therapeutic hypothermia, and annual volume ≥40 patients admitted with a “present on admission” diagnosis of cardiac arrest. Our primary outcome was the proportion of hospitals meeting these criteria. Descriptive statistics and 95% CI are presented.\nResults:\n Of the 333 acute care hospitals in California, 31 (9.3%, 95% CI 6.4-13%) met level 1 CRC criteria. These hospitals treated 25% (1937/7780; 95% CI 24-26%) of all admitted OHCA patients in California in 2011. Of the 125 hospitals identified as 24/7 PCI centers by the AHA, 54 (43%, 95% CI 34-52%) admitted ≥40 patients following OHCA in 2011. Seventy (56%, 95% CI 47-65%) responded to the survey; 69/70 (99%, 95% CI 92-100%) reported having a therapeutic hypothermia protocol in effect by 2011. Five percent of admitted OHCA patients (402/7780; 95% CI 4.7-5.7%) received therapeutic hypothermia and 18% (1372/7780; 95% CI 17-19%) underwent cardiac catheterization.\nConclusion: \nApproximately 10% of hospitals met key criteria for AHA level 1 CRCs. These hospitals treated one-quarter of patients resuscitated from OHCA in 2011. The feasibility of regionalized care for OHCA requires detailed evaluation prior to widespread implementation. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Out-of-hospital Cardiac Arrest" }, { "word": "Utilization" }, { "word": "Cardiac Catheterization" } ], "section": "Prehospital Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/119940f6", "frozenauthors": [ { "first_name": "Bryn", "middle_name": "E.", "last_name": "Mumma", "name_suffix": "", "institution": "Department of Emergency Medicine, University of California Davis", "department": "None" }, { "first_name": "Deborah", "middle_name": "B.", "last_name": "Diercks", "name_suffix": "", "institution": "Department of Emergency Medicine, University of California Davis", "department": "None" }, { "first_name": "James", "middle_name": "F.", "last_name": "Holmes", "name_suffix": "", "institution": "Department of Emergency Medicine, University of California Davis", "department": "None" } ], "date_submitted": "2014-03-27T20:28:40Z", "date_accepted": "2014-03-27T20:28:40Z", "date_published": "2014-09-19T19:00:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8186/galley/4710/download/" } ] }, { "pk": 8104, "title": "Impact of a Health Information Exchange on Resource Use and Medicare-Allowable Reimbursements at 11 Emergency Departments in a Midsized City", "subtitle": null, "abstract": "Introduction: \nUse clinician perceptions to estimate the impact of a health information exchange (HIE) on emergency department (ED) care at four major hospital systems (HS) within a region. Use survey data provided by ED clinicians to estimate reduction in Medicare-allowable reimbursements (MARs) resulting from use of an HIE.\nMethods: \nWe conducted the study during a one-year period beginning in February 2012. Study sites included eleven EDs operated by four major HS in the region of a mid-sized Southeastern city, including one academic ED, five community hospital EDs, four free-standing EDs and 1 ED/Chest Pain Center (CPC) all of which participated in an HIE. The study design was observational, prospective using a voluntary, anonymous, online survey. Eligible participants included attending emergency physicians, residents, and mid-level providers (PA & NP). Survey items asked clinicians whether information obtained from the HIE changed resource use while caring for patients at the study sites and used branching logic to ascertain specific types of services avoided including laboratory/microbiology, radiology, consultations, and hospital admissions. Additional items asked how use of the HIE affected quality of care and length of stay. The survey was automated using a survey construction tool (REDCap Survey Software © 2010 Vanderbilt University). We calculated avoided MARs by multiplying the numbers and types of services reported to have been avoided. Average cost of an admission from the ED was based on direct cost trends for ED admissions within the region.\nResults:\n During the 12-month study period we had 325,740 patient encounters and 7,525 logons to the HIE (utilization rate of 2.3%) by 231 ED clinicians practicing at the study sites. We collected 621 surveys representing 8.25% of logons of which 532 (85.7% of surveys) reported on patients who had information available in the HIE. Within this group the following services and MARs were reported to have been avoided [type of service: number of services; MARs]: Laboratory/Microbiology:187; $2,073, Radiology: 298; $475,840, Consultations: 61; $6,461, Hospital Admissions: 56; $551,282. Grand total of MARs avoided: $1,035,654; average $1,947 per patient who had information available in the HIE (Range: $1,491 - $2,395 between HS). Changes in management other than avoidance of a service were reported by 32.2% of participants. Participants stated that quality of care was improved for 89% of patients with information in the HIE. Eighty-two percent of participants reported that valuable time was saved with a mean time saved of 105 minutes.\nConclusion:\n Observational data provided by ED clinicians practicing at eleven EDs in a mid-sized Southeastern city showed an average reduction in MARs of $1,947 per patient who had information available in an HIE. The majority of reduced MARs were due to avoided radiology studies and hospital admissions. Over 80% of participants reported that quality of care was improved and valuable time was saved. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "HIE" }, { "word": "Medicare" }, { "word": "Health Information Exchange" }, { "word": "Electronic medical record" }, { "word": "Sharing" }, { "word": "emergency department" }, { "word": "Emergency Medicine" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1z6953x9", "frozenauthors": [ { "first_name": "Steven", "middle_name": "H.", "last_name": "Saef", "name_suffix": "", "institution": "Medical University of South Carolina, Department of Medicine, Division of Emergency Medicine, Charleston, South Carolina", "department": "None" }, { "first_name": "Cathy", "middle_name": "L.", "last_name": "Melvin", "name_suffix": "", "institution": "Medical University of South Carolina, Department of Public Health Sciences, Charleston, South Carolina", "department": "None" }, { "first_name": "Christine", "middle_name": "M.", "last_name": "Carr", "name_suffix": "", "institution": "Medical University of South Carolina, Department of Medicine, Division of Emergency Medicine, Charleston, South Carolina", "department": "None" } ], "date_submitted": "2014-01-19T15:00:28Z", "date_accepted": "2014-01-19T15:00:28Z", "date_published": "2014-09-19T18:45:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8104/galley/4676/download/" } ] }, { "pk": 8284, "title": "Impact of a Physician-in-Triage Process on Resident Education", "subtitle": null, "abstract": "Introduction:\n Emergency department (ED) crowding negatively impacts patient care quality and efficiency. To reduce crowding many EDs use a physician-in-triage (PIT) process. However, few studies have evaluated the effect of a PIT processes on resident education. Our objective was to determine the impact of a PIT process implementation on resident education within the ED of an academic medical center.\nMethods: \nWe performed a prospective cross-sectional study for a 10-week period from March to June 2011, during operationally historic trended peak patient volume and arrival periods. Emergency medicine residents (three-year program) and faculty, blinded to the research objectives, were asked to evaluate the educational quality of each shift using a 5-point Likert scale. Residents and faculty also completed a questionnaire at the end of the study period assessing the perceived impact of the PIT process on resident education, patient care, satisfaction, and throughput. We compared resident and attending data using Mann-Whitney U tests.\nResults:\n During the study period, 54 residents and attendings worked clinically during the PIT process with 78% completing questionnaires related to the study. Attendings and residents indicated “no impact” of the PIT process on resident education [median Likert score of 3.0, inter-quartile range (IQR): 2-4]. There was no difference in attending and resident perceptions (p-value =0.18). Both groups perceived patient satisfaction to be “positively impacted” [4.0, IQR:2-4 for attendings vs 4.0,IQR:1-5 for residents, p-value =0.75]. Residents perceived more improvement in patient throughput to than attendings [3.5, IQR:3-4 for attendings vs 4.0, IQR:3-5 for residents, p-value =0.006]. Perceived impact on differential diagnosis generation was negative in both groups [2.0, IQR:1-3 vs 2.5, IQR:1-5, p-value = 0.42]. The impact of PIT on selection of diagnostic studies and medical decision making was negative for attendings and neutral for residents: [(2.0, IQR:1-3 vs 3.0,IQR:1-4, p-value =0.10) and (2.0, IQR:1-4 vs 3.0, IQR:1-5, p-value =0.14 respectively].\nConclusion: \nImplementation of a PIT process at an academic medical center was not associated with a negative (or positive) perceived impact on resident education. However, attendings and residents felt that differential diagnosis development was negatively impacted. Attendings also felt diagnostic test selection and medical decision-making learning were negatively impacted by the PIT process. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Resident Education" }, { "word": "PIT" }, { "word": "Physician-in-triage" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/33v3r4vx", "frozenauthors": [ { "first_name": "Bret", "middle_name": "A.", "last_name": "Nicks", "name_suffix": "", "institution": "Wake Forest University Health Sciences, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Simon", "middle_name": "", "last_name": "Mahler", "name_suffix": "", "institution": "Wake Forest University Health Sciences, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Manthey", "name_suffix": "", "institution": "Wake Forest University Health Sciences, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2014-06-13T11:10:57Z", "date_accepted": "2014-06-13T11:10:57Z", "date_published": "2014-09-18T18:47:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8284/galley/4744/download/" } ] }, { "pk": 8136, "title": "Bedside Ultrasonography as an Adjunct to Routine Evaluation of Acute Appendicitis in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nAppendicitis is a common condition presenting to the emergency department (ED). Increasingly emergency physicians (EP) are using bedside ultrasound (BUS) as an adjunct diagnostic tool. Our objective is to investigate the test characteristics of BUS for the diagnosis of appendicitis and identify components of routine ED workup and BUS associated with the presence of appendicitis.\nMethods: \nPatients four years of age and older presenting to the ED with suspected appendicitis were eligible for enrollment. After informed consent was obtained, BUS was performed on the subjects by trained EPs who had undergone a minimum of one-hour didactic training on the use of BUS to diagnose appendicitis.They then recorded elements of clinical history, physical examination, white blood cell count (WBC) with polymophonuclear percentage (PMN), and BUS findings on a data form. We ascertained subject outcomes by a combination of medical record review and telephone follow-up.\nResults:\n A total of 125 subjects consented for the study, and 116 had adequate image data for final analysis. Prevalence of appendicitis was 40%. Mean age of the subjects was 20.2 years, and 51% were male. BUS was 100% sensitive (95% CI 87-100%) and 32% specific (95% CI 14-57%) for detection of appendicitis, with a positive predictive value of 72% (95% CI 56-84%), and a negative predictive value of 100% (95% CI 52-100%). Assuming all non-diagnostic studies were negative would yield a sensitivity of 72% and specificity of 81%. Subjects with appendicitis had a significantly higher occurrence of anorexia, nausea, vomiting, and a higher WBC and PMN count when compared to those without appendicitis. Their BUS studies were significantly more likely to result in visualization of the appendix, appendix diameter >6mm, appendix wall thickness >2mm, periappendiceal fluid, visualization of the appendix tip, and sonographic Mcburney’s sign (p<0.05). In subjects with diagnostic BUS studies, WBC, PMN, visualization of appendix, appendix diameter >6mm, appendix wall thickness >2mm, periappendiceal fluid were found to be predictors of appendicitis on logistic regression.\nConclusion:\n BUS is moderately useful for appendicitis diagnosis. We also identified several components in routine ED workup and BUS that are associated with appendicitis generating hypothesis for future studies. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "emergency medicine, ultrasonography, appendicitis" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93d7h8fm", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "H.F.", "last_name": "Lam", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Anthony", "middle_name": "", "last_name": "Grippo", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Kerwin", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "P. John", "middle_name": "", "last_name": "Konicki", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Lambert", "name_suffix": "", "institution": "Advocate Christ Medical Center", "department": "None" }, { "first_name": "Diana", "middle_name": "", "last_name": "Goodwine", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" } ], "date_submitted": "2014-02-10T07:06:58Z", "date_accepted": "2014-02-10T07:06:58Z", "date_published": "2014-09-18T18:44:05Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8136/galley/4685/download/" } ] }, { "pk": 43999, "title": "PNEUMOTHORAX: An Unusual Presentation of Aspergillosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0g25s0fb", "frozenauthors": [ { "first_name": "Brian ", "middle_name": "K.", "last_name": "Wong", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "DAavid", "middle_name": "J.", "last_name": "Scott", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-18T01:06:33Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43999/galley/32803/download/" } ] }, { "pk": 43956, "title": "A Case of Cryptococcal Pneumonia in an Immunocompetent Patient", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15t6z2k5", "frozenauthors": [ { "first_name": "Pei-Fen", "middle_name": "", "last_name": "Lin", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-17T21:06:50Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43956/galley/32760/download/" } ] }, { "pk": 43970, "title": "An Unusual Presentation of Scrotal Calcinosis: Painful on Exercise and Originating from a Hybrid Cyst", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z52z4bb", "frozenauthors": [ { "first_name": "Nima ", "middle_name": "M. 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