Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=24600
{ "count": 38441, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=24700", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=24500", "results": [ { "pk": 62651, "title": "Distribution and Invasion Potential of \nLimonium ramosissimum\n subsp. \nprovinciale\n in San Francisco Estuary Salt Marshes", "subtitle": null, "abstract": "Non-native sea lavenders (\nLimonium \nspp.) are invasive in salt marshes of southern California and were first documented in the San Francisco Estuary (the estuary) in 2007. In this study, we mapped distributions of \nL. ramosissimum\n subsp. \nprovinciale\n (LIRA) and \nL. duriusculum\n within the estuary and investigated how the invasion potential of the more common species, LIRA, varies with elevation and edaphic conditions. We contacted colleagues and conducted field searches to find and then map sea lavender populations. In addition, we measured LIRA’s elevational range at three salt marshes. Across this range we measured (1) soil properties: salinity, moisture, bulk density, and texture; and (2) indicators of invasion potential: LIRA size, seed production, percent cover, spread (over 1 year), recruitment, and competition with native halophytes (over 6 months). We found LIRA in 15,144 m2 of upper salt marsh habitat in central and south San Francisco bays and \nL. duriusculum\n in 511 m2 in Richardson and San Pablo bays. LIRA was distributed from mean high water (MHW) to 0.42 m above mean higher high water (MHHW). In both spring and summer, soil moisture and salinity were lowest at higher elevations within LIRA’s range, which corresponded with greater rosette size, inflorescence and seed production (up to 17,400 seeds per plant), percent cover, and recruitment. LIRA cover increased on average by 11% in 1 year across marshes and elevations. Cover of the native halophytes \nSalicornia pacifica\n, \nJaumea carnosa\n, and \nDistichlis spicata\n declined significantly at all elevations if LIRA were present in plots (over a 6-month, fall–winter period). Results suggest LIRA’s invasion potential is highest above MHHW where salinity and moisture are lower, but that LIRA competes with native plants from MHW to above MHHW. We recommend removal efforts with emphasis on the salt marsh-terrestrial ecotone where LIRA seed output is highest.", "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": "<i>Distichlis</i>, edaphic, invasion,<i>Jaumea, Limonium</i>, moisture, salt marsh-terrestrial ecotone, salinity, <i>Salicornia, Grindelia</i>, Ecology, Restoration Ecology, Invasion Ecology, Salt M.." } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/61v8r7zw", "frozenauthors": [ { "first_name": "Gavin", "middle_name": "", "last_name": "Archbald", "name_suffix": "", "institution": "H. T. Harvey & Associates (current)", "department": "" }, { "first_name": "Katharyn", "middle_name": "E.", "last_name": "Boyer", "name_suffix": "", "institution": "Romberg Tiburon Center and Department of Biology, San Francisco State University", "department": "" } ], "date_submitted": "2013-06-29T23:03:14+05:30", "date_accepted": "2013-06-29T23:03:14+05:30", "date_published": "2014-06-30T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62651/galley/48358/download/" } ] }, { "pk": 62677, "title": "Drought and the California Delta—A Matter of Extremes", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "California Delta" }, { "word": "drought" }, { "word": "policy-science" }, { "word": "megadrought" }, { "word": "pineapple express" }, { "word": "storms" }, { "word": "extreme weather" } ], "section": "Essay", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/88f1j5ht", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Dettinger", "name_suffix": "", "institution": "U.S. Geological Survey and Scripps Institution of Oceanography", "department": "" }, { "first_name": "Daniel", "middle_name": "R.", "last_name": "Cayan", "name_suffix": "", "institution": "U.S. Geological Survey and Scripps Institution of Oceanography", "department": "" } ], "date_submitted": "2014-04-12T00:34:36+05:30", "date_accepted": "2014-04-12T00:34:36+05:30", "date_published": "2014-06-30T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62677/galley/48373/download/" } ] }, { "pk": 62675, "title": "Dry Years: Political and Other Effects on the California Delta", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Delta, drought, policy, endangered species" } ], "section": "Essay", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15x7g1bv", "frozenauthors": [ { "first_name": "Gerald", "middle_name": "", "last_name": "Meral", "name_suffix": "", "institution": "California Water Program, Natural Heritage Institute", "department": "" } ], "date_submitted": "2014-04-03T05:28:53+05:30", "date_accepted": "2014-04-03T05:28:53+05:30", "date_published": "2014-06-30T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62675/galley/48372/download/" } ] }, { "pk": 62683, "title": "Essays on the California Drought", "subtitle": null, "abstract": "Abstracts are not presented with Editorials. --SFEWS Editors", "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": "drought, essay, San Francisco Bay-Delta, water supply, ecosystem restoration" } ], "section": "Editorial", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7g7743h6", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "N.", "last_name": "Luoma", "name_suffix": "", "institution": "John Muir Institute of the Environment,\nUniversity of California, Davis", "department": "" } ], "date_submitted": "2014-05-16T04:54:56+05:30", "date_accepted": "2014-05-16T04:54:56+05:30", "date_published": "2014-06-30T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62683/galley/48375/download/" } ] }, { "pk": 62624, "title": "Examining the Causes and Consequences of Hybridization During Chinook Salmon Reintroductions: Using the San Joaquin River as a Restoration Case Study of Management Options", "subtitle": null, "abstract": "Successful salmonid restoration efforts depend upon an understanding of the evolutionary processes that historically shaped population diversity, as well as the realities of currently available, altered river systems. Habitat alterations over the past century have dramatically changed the ecological forces that shaped salmonid speciation and evolution, bringing formerly separate and distinct populations into contact and in some cases leading to hybridization. Hybridization can threaten the genetic diversity within salmonid species and may affect the outcomes of restoration efforts. Here we use the San Joaquin River Restoration as a case study to discuss some of the genetic challenges of Chinook salmon restoration in a newly reopened habitat. We discuss a range of genetic management strategies—from passive reintroduction to tightly managed, active reintroduction—and the strengths and weaknesses of each approach.", "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": "Chinook" }, { "word": "salmon" }, { "word": "fall-run" }, { "word": "San Joaquin River" }, { "word": "SJRRP" }, { "word": "genetics" }, { "word": "restoration" } ], "section": "Policy and Program Analysis", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7bp9m8t9", "frozenauthors": [ { "first_name": "Katharine", "middle_name": "", "last_name": "Tomalty", "name_suffix": "", "institution": "Animal Science Department, University of California Davis", "department": "" }, { "first_name": "Molly", "middle_name": "", "last_name": "Stephens", "name_suffix": "", "institution": "Animal Science Department, University of California Davis", "department": "" }, { "first_name": "Melinda", "middle_name": "", "last_name": "Baerwald", "name_suffix": "", "institution": "Animal Science Department, University of California Davis", "department": "" }, { "first_name": "Karrigan", "middle_name": "", "last_name": "Börk", "name_suffix": "", "institution": "Animal Science Department, University of California Davis", "department": "" }, { "first_name": "Mariah", "middle_name": "", "last_name": "Meek", "name_suffix": "", "institution": "Animal Science Department, University of California Davis", "department": "" }, { "first_name": "Bernie", "middle_name": "", "last_name": "May", "name_suffix": "", "institution": "Animal Science Department, University of California Davis", "department": "" } ], "date_submitted": "2012-11-09T03:21:19+05:30", "date_accepted": "2012-11-09T03:21:19+05:30", "date_published": "2014-06-30T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62624/galley/48345/download/" } ] }, { "pk": 62616, "title": "Impounded Marshes on Subsided Islands: Simulated Vertical Accretion, Processes, and Effects, Sacramento-San Joaquin Delta, CA USA", "subtitle": null, "abstract": "There is substantial interest in stopping and reversing the effects of subsidence in the Sacramento–San Joaquin Delta (Delta) where organic soils predominate. Also, the passage of California Assembly Bill 32 in 2006 created the potential to trade credits for carbon sequestered in wetlands on subsided Delta islands. The primary purpose of the work described here was to estimate future vertical accretion and understand processes that affect vertical accretion and carbon sequestration in impounded marshes on subsided Delta islands. Using a cohort-accounting model, we simulated vertical accretion from 4,700 calibrated years before present (BP) at a wetland area located within Franks Tract State Recreation Area (lat 38.059, long −121.611, hereafter, “Franks Wetland”)—a small, relatively undisturbed marsh island—and at the Twitchell Island subsidence-reversal demonstration project since 1997. We used physical and chemical data collected during the study as well as literature values for model inputs. Model results compared favorably with measured rates of vertical accretion, mass of carbon sequestered, bulk density and organic matter content.\n \nFrom 4,700 to model-estimated 350 years BP, the simulated rate of vertical accretion at Franks Wetland averaged about 0.12 cm yr-1, which is within the range of rates in tidal wetlands worldwide. Our model results indicate that large sediment inputs during the last 150 to 200 years resulted in a higher accretion rate of 0.3 cm yr -1. On Twitchell Island, greater organic inputs resulted in average vertical accretion rates as high as 9.2 cm yr -1. Future simulations indicate that the managed impounded marsh will accrete highly organic material at rates of about 3 cm yr -1. Model results coupled with GIS analysis indicate that large areas of the periphery of the Delta, if impounded and converted to freshwater marsh, could be restored to tidal elevations within 50 to 100 years. Most of the central Delta would require 50 to 250 years to be restored to projected mean sea level. A large portion of the western Delta could be restored to mean sea level within 50 to 150 years (large areas on Sherman, Jersey, and Bethel islands, and small areas on Bradford, Twitchell, and Brannan islands, and Webb Tract). We estimated that long-term carbon sequestration rates for impounded marshes such as the Twitchell Island demonstration ponds will range from 12 to 15 metric tons carbon ha-1 yr-1. Creation of impounded marshes on Delta islands can substantially benefit levee stability as demonstrated by cumulative force and hydraulic gradient calculations.", "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": "Subsidence" }, { "word": "Wetlands" }, { "word": "Organic Soils" }, { "word": "Carbon Sequestration" }, { "word": "Accretion" }, { "word": "Ecosystem Modeling" }, { "word": "Hydrology" }, { "word": "Soil Science" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0qm0w92c", "frozenauthors": [ { "first_name": "Steven", "middle_name": "J.", "last_name": "Deverel", "name_suffix": "", "institution": "HydroFocus, Inc.", "department": "" }, { "first_name": "Timothy", "middle_name": "", "last_name": "Ingrum", "name_suffix": "", "institution": "HydroFocus, Inc.", "department": "" }, { "first_name": "Christina", "middle_name": "", "last_name": "Lucero", "name_suffix": "", "institution": "HydroFocus, Inc.", "department": "" }, { "first_name": "Judith", "middle_name": "Z.", "last_name": "Drexler", "name_suffix": "", "institution": "California Water Science Center, U.S. Geological Survey", "department": "" } ], "date_submitted": "2012-06-29T04:49:46+05:30", "date_accepted": "2012-06-29T04:49:46+05:30", "date_published": "2014-06-30T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62616/galley/48338/download/" } ] }, { "pk": 62674, "title": "The Current Drought Exposes—Not Creates—Long-Standing Water Problems: Can Policymakers and Scientists Learn From This?", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Sacramento-San Joaquin Delta" }, { "word": "drought" }, { "word": "water supply" }, { "word": "water management" } ], "section": "Essay", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4151n6w3", "frozenauthors": [ { "first_name": "Phil", "middle_name": "", "last_name": "Isenberg", "name_suffix": "", "institution": "Delta Stewardship Council", "department": "" } ], "date_submitted": "2014-04-03T05:19:04+05:30", "date_accepted": "2014-04-03T05:19:04+05:30", "date_published": "2014-06-30T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62674/galley/48371/download/" } ] }, { "pk": 8160, "title": "Reducing Patient Placement Errors in Emergency Department Admissions: Right Patient, Right Bed", "subtitle": null, "abstract": "Introduction: \nBecause lack of inpatient capacity is associated with emergency department (ED) crowding, more efficient bed management could potentially alleviate this problem. Our goal was to assess the impact of involving a patient placement manager (PPM) early in the decision to hospitalize ED patients. The PPMs are clinically experienced registered nurses trained in the institution-specific criteria for correct unit and bed placement.\nMethods: \nWe conducted two pilot studies that included all patients who were admitted to the adult hospital medicine service: 1) 10/24 to 11/22/2010 (30 days); and 2) 5/24 to 7/4/2011 (42 days). Each pilot study consisted of a baseline control period and a subsequent study period of equal duration. In each pilot we measured: 1) the number of “lateral transfers” or assignment errors in patient placement, 2) median length of stay (LOS) for “all” and “admitted” patients and 3) inpatient occupancy. In pilot 2, we added as a measure code 44s, i.e. status change from inpatient to observation after patients are admitted, and also equipped all emergency physicians with portable phones in order to improve the efficiency of the process.\nResults:\n In pilot 1, the number of “lateral transfers” (incorrect patient placement assignments) during the control period was 79 of the 854 admissions (9.3%) versus 27 of 807 admissions (3.3%) during the study period (P<0.001). We found no statistically significant differences in inpatient occupancy or ED LOS for “all” or for “admitted” patients. In pilot 2, the number of “lateral transfers” was 120 of 1,253 (9.6%) admissions in the control period and 42 of 1,229 (3.4%) admissions in the study period (P<0.001). We found a 49-minute (352 vs. 401 minutes) decrease in median LOS for “admitted” ED patients during the study period compared with the control period (P=0.04). The code 44 rates, median LOS for “all” patients and inpatient occupancy did not change.\nConclusion:\n Inclusion of the PPM in a three-way handoff conversation between emergency physicians and hospitalist providers significantly decreased the number of “lateral transfers.” Moreover, adding status determination and portable phones for emergency physicians improved the efficiency of the process and was associated with a 49 (12%) minute decrease in LOS for admitted patients. [West J Emerg Med. 2014;15(6):-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 Department Admissions, Errors, Patient Placement" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/23g2334q", "frozenauthors": [ { "first_name": "Niels", "middle_name": "K", "last_name": "Rathlev", "name_suffix": "", "institution": "Baystate Medical Center, Springfield, Massachusetts", "department": "None" }, { "first_name": "Christine", "middle_name": "", "last_name": "Bryson", "name_suffix": "", "institution": "Baystate Medical Center, Springfield, Massachusetts", "department": "None" }, { "first_name": "Patricia", "middle_name": "", "last_name": "Samra", "name_suffix": "", "institution": "Baystate Medical Center, Springfield, Massachusetts", "department": "None" }, { "first_name": "Lynn", "middle_name": "", "last_name": "Garreffi", "name_suffix": "", "institution": "Baystate Medical Center, Springfield, Massachusetts", "department": "None" }, { "first_name": "Haiping", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "Baystate Medical Center, Springfield, Massachusetts", "department": "None" }, { "first_name": "Bonnie", "middle_name": "", "last_name": "Geld", "name_suffix": "", "institution": "Baystate Medical Center, Springfield, Massachusetts", "department": "None" }, { "first_name": "Roger", "middle_name": "", "last_name": "Wu", "name_suffix": "", "institution": "Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Visintainer", "name_suffix": "", "institution": "Baystate Medical Center, Springfield, Massachusetts", "department": "None" } ], "date_submitted": "2014-03-08T03:43:38+05:30", "date_accepted": "2014-03-08T03:43:38+05:30", "date_published": "2014-06-27T04:04:20+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8160/galley/4698/download/" } ] }, { "pk": 8075, "title": "Blunt Trauma Patient with Esophageal Perforation", "subtitle": null, "abstract": "Traumatic perforation of the esophagus due to blunt trauma is a rare thoracic emergency. The most common causes of esophageal perforation are iatrogenic, and the upper cervical esophageal region is the most often injured. Diagnosis is frequently determined late, and mortality is therefore high. This case report presents a young woman who was admitted to the emergency department (ED) with esophageal perforation after having fallen from a high elevation. Esophageal perforation was diagnosed via thoracoabdominal tomography with ingestion of oral contrast. The present report discusses alternative techniques for diagnosing esophageal perforation in a multitrauma patient. [West J Emerg Med. 2014;15(6):-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": "Esophageal perforations" }, { "word": "blunt trauma" }, { "word": "contrast thoracic computerized tomography" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4s70w2mk", "frozenauthors": [ { "first_name": "Nese", "middle_name": "", "last_name": "Colak Oray", "name_suffix": "", "institution": "Dokuz Eylul University, School of Medicine, Department of Emergency Medicine, Izmir, Turkey", "department": "None" }, { "first_name": "Semra", "middle_name": "", "last_name": "Sivrikaya", "name_suffix": "", "institution": "Dokuz Eylul University, School of Medicine, Department of Emergency Medicine, Izmir, Turkey", "department": "None" }, { "first_name": "Basak", "middle_name": "", "last_name": "Bayram", "name_suffix": "", "institution": "Dokuz Eylul University, School of Medicine, Department of Emergency Medicine, Izmir, Turkey", "department": "None" }, { "first_name": "Tufan", "middle_name": "", "last_name": "Egeli", "name_suffix": "", "institution": "Dokuz Eylul University, School of Medicine, Department of Genergal Surgery, Izmir, Turkey", "department": "None" }, { "first_name": "Oguz", "middle_name": "", "last_name": "Dicle", "name_suffix": "", "institution": "Dokuz Eylul University, School of Medicine, Department of Radiology, Izmir, Turkey", "department": "None" } ], "date_submitted": "2013-12-26T15:35:34+05:30", "date_accepted": "2013-12-26T15:35:34+05:30", "date_published": "2014-06-27T03:42:22+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8075/galley/4664/download/" } ] }, { "pk": 8242, "title": "Quincke’s Disease: Isolated Uvulitis", "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": "Uvulitis" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6g99t9m9", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "R", "last_name": "Shiber", "name_suffix": "", "institution": "University of Florida, Jacksonville, Florida", "department": "None" } ], "date_submitted": "2014-05-05T23:40:53+05:30", "date_accepted": "2014-05-05T23:40:53+05:30", "date_published": "2014-06-27T03:34:02+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8242/galley/4724/download/" } ] }, { "pk": 8252, "title": "Renal Rupture Following Extracorporeal Shockwave Lithotripsy", "subtitle": null, "abstract": "A 41-year-old woman presented to the emergency department with a chief complaint of hematuria three days status post extracorporeal shockwave lithotripsy. The patient described a three-day history of worsening left-sided abdominal pain immediately following the procedure. She denied any fever, chills, changes in bowel habits, hematochezia, increased urinary frequency, urinary urgency, or dysuria.\nPhysical exam revealed tenderness to palpation in the left upper quadrant, left flank and periumbilical region with mild guarding. Laboratory studies revealed an anemic patient with downward trending hematocrit (red blood cell count of 3.41 106/µL, hemoglobin of 10.6 g/dL, and a hematocrit of 31.3% down from 43% a week and a half prior). Urinalysis revealed red and cloudy urine with 3+ leukocytes.\nA chest radiograph was unremarkable. A computed tomography of the chest, abdomen, and pelvis showed a laceration to the lateral aspect of the mid left kidney with a hematoma measuring 3.2 cm in thickness (Figure). The patient was subsequently admitted to the hospital for monitoring and discharged on day nine. [West J Emerg Med. 2014;15(6):-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": "renal rupture" }, { "word": "extracorporeal shockwave lithotripsy" }, { "word": "ESWL complications" } ], "section": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/94v6g4qf", "frozenauthors": [ { "first_name": "Sam", "middle_name": "S.", "last_name": "Torbati", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Michelle", "middle_name": "", "last_name": "Niku", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Elaine", "middle_name": "", "last_name": "Vos", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Shomari", "middle_name": "", "last_name": "Hogan", "name_suffix": "", "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-05-09T00:41:04+05:30", "date_accepted": "2014-05-09T00:41:04+05:30", "date_published": "2014-06-27T03:23:15+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8252/galley/4729/download/" } ] }, { "pk": 8178, "title": "Haff Disease: Rhabdomyolysis After Eating Buffalo Fish", "subtitle": null, "abstract": "Haff disease, rhabdomyolysis after ingesting certain types of fish, was first reported in 1924 in Europe. There have been a limited number of cases reported in the United States. We present the case of a patient who presents with symptoms of rhabdomyolysis after eating cooked buffalo fish purchased at a suburban grocery market. [West J Emerg Med. 2014;15(6):-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": "rhabdomyolysis" }, { "word": "buffalo fish" }, { "word": "chest pain" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0th6910b", "frozenauthors": [ { "first_name": "Linda", "middle_name": "L.", "last_name": "Herman", "name_suffix": "", "institution": "Resurrection Medical Center, Chicago, Illinois \n\nResurrection EM Residency Program", "department": "None" }, { "first_name": "Christine", "middle_name": "", "last_name": "Bies", "name_suffix": "", "institution": "Resurrection Medical Center, Chicago, Illinois \n\nResurrection EM Residency Program", "department": "None" } ], "date_submitted": "2014-03-18T22:39:56+05:30", "date_accepted": "2014-03-18T22:39:56+05:30", "date_published": "2014-06-27T03:04:53+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8178/galley/4704/download/" } ] }, { "pk": 2731, "title": "Editors' Note", "subtitle": null, "abstract": "The Editors' Note for Spring Issue 10:2.", "language": "en", "license": null, "keywords": [], "section": "Editor's Note", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7jg9h85w", "frozenauthors": [ { "first_name": "Amelia", "middle_name": "", "last_name": "Acker", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "Sayil", "middle_name": "", "last_name": "Camacho", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "Melissa", "middle_name": "", "last_name": "Goodnight", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2014-06-25T22:38:36+05:30", "date_accepted": "2014-06-25T22:38:36+05:30", "date_published": "2014-06-26T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2731/galley/1620/download/" } ] }, { "pk": 2730, "title": "Book Review: Consuming Higher Education: Why Learning Can’t Be Bought by Joanna Williams.", "subtitle": null, "abstract": "Book Review", "language": "en", "license": null, "keywords": [ { "word": "higher education finance" }, { "word": "academic capitalism" }, { "word": "consumerism" }, { "word": "consumer culture" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/54v460j3", "frozenauthors": [ { "first_name": "Tiffany", "middle_name": "Lee", "last_name": "Tsang", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2014-06-24T10:40:39+05:30", "date_accepted": "2014-06-24T10:40:39+05:30", "date_published": "2014-06-24T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2730/galley/1619/download/" } ] }, { "pk": 2728, "title": "Book Review: Feminist and Queer Information Studies Reader Edited by Patrick Keilty and Rebecca Dean", "subtitle": null, "abstract": "Book Review of Feminist and Queer Information Studies Reader Edited by Patrick Keilty and Rebecca Dean", "language": "en", "license": null, "keywords": [ { "word": "Feminism, Queer Studies, Information Studies, Gender, Sexuality" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1381d29j", "frozenauthors": [ { "first_name": "Marika", "middle_name": "L", "last_name": "Cifor", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2014-05-27T21:10:43+05:30", "date_accepted": "2014-05-27T21:10:43+05:30", "date_published": "2014-06-24T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2728/galley/1617/download/" } ] }, { "pk": 2727, "title": "Book Review: Oral History and Communities of Color", "subtitle": null, "abstract": "Brief summary and review of Oral Histories and Communities of Color by Teresa Barnett and Chon Noriega.", "language": "en", "license": null, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7jx7221j", "frozenauthors": [ { "first_name": "Dalena", "middle_name": "E", "last_name": "Hunter", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2014-05-20T09:25:51+05:30", "date_accepted": "2014-05-20T09:25:51+05:30", "date_published": "2014-06-23T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2727/galley/1616/download/" } ] }, { "pk": 19616, "title": "Joan Torres-Pou. Asia en la España del siglo XIX. Literatos, viajeros, intelectuales y diplomáticos ante Oriente. Rodopi: Ámsterdam-New York, 2013. 218 pp. Print.", "subtitle": null, "abstract": "Joan Torres-Pou. \nAsia en la España del siglo XIX. Literatos, viajeros, intelectuales y diplomáticos ante Oriente\n. \nRodopi: Ámsterdam-New York, 2013. 218 pp. Print.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8mp0q7g7", "frozenauthors": [ { "first_name": "Axel", "middle_name": "", "last_name": "Gasquet", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T21:32:05+05:30", "date_accepted": "2014-06-22T21:32:05+05:30", "date_published": "2014-06-22T21:32:17+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19616/galley/9710/download/" } ] }, { "pk": 19615, "title": "Loss, Jacqueline and Prieto, José Manuel, eds. Caviar with Rum Cuba-USSR and the Post-Soviet Experience. Palgrave/McMillan, 2012. Print. 262 pp.", "subtitle": null, "abstract": "Loss, Jacqueline and Prieto, José Manuel, eds. \nCaviar with Rum Cuba-USSR and the Post-Soviet Experience\n. \nPalgrave/McMillan, 2012. Print. 262 pp.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7n44q256", "frozenauthors": [ { "first_name": "Oxana", "middle_name": "", "last_name": "Álvarez", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T21:29:45+05:30", "date_accepted": "2014-06-22T21:29:45+05:30", "date_published": "2014-06-22T21:29:59+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19615/galley/9709/download/" } ] }, { "pk": 19614, "title": "Hagimoto, Koichi. Between Empires: Martí, Rizal, and the Intercolonial Alliance. New York: Palgrave Macmillan, 2013. 187 pp. Print.", "subtitle": null, "abstract": "Hagimoto, Koichi. \nBetween Empires: Martí, Rizal, and the Intercolonial Alliance\n.\n \nNew York: Palgrave Macmillan, 2013. 187 pp. \nPrint.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/11j6f10j", "frozenauthors": [ { "first_name": "Roberto", "middle_name": "", "last_name": "Fuertes-Manjón", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T21:25:55+05:30", "date_accepted": "2014-06-22T21:25:55+05:30", "date_published": "2014-06-22T21:26:07+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19614/galley/9708/download/" } ] }, { "pk": 19612, "title": "Beyond the Hyphen: Representation of Multicultural Japanese Identity in Maximiliano Matayoshi’s Gaijin and Anna Kazumi Stahl’s Flores de un solo día", "subtitle": null, "abstract": "Beyond the Hyphen: Representation of Multicultural Japanese Identity in Maximiliano Matayoshi’s \nGaijin\n and Anna Kazumi Stahl’s \nFlores de \nun solo día", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0sj2j5gx", "frozenauthors": [ { "first_name": "Koichi", "middle_name": "", "last_name": "Hagimoto", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T21:17:21+05:30", "date_accepted": "2014-06-22T21:17:21+05:30", "date_published": "2014-06-22T21:17:37+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19612/galley/9706/download/" } ] }, { "pk": 19611, "title": "Chasing Your (Josie) Bliss: The Troubling Critical Afterlife of Pablo Neruda’s Burmese Lover", "subtitle": null, "abstract": "Chasing Your (Josie) Bliss: The Troubling Critical Afterlife of Pablo Neruda’s Burmese Lover", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5dv9d4jq", "frozenauthors": [ { "first_name": "Roanne", "middle_name": "L", "last_name": "Kantor", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T21:13:31+05:30", "date_accepted": "2014-06-22T21:13:31+05:30", "date_published": "2014-06-22T21:13:50+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19611/galley/9705/download/" } ] }, { "pk": 19610, "title": "Disembodied and Deportable Labor at the U.S. Mexico-Border: Representations of the Mexican Body in Film", "subtitle": null, "abstract": "Disembodied and Deportable Labor at the U.S. Mexico-Border:\n \nRepresentations of the Mexican Body in Film", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/57f2w8nw", "frozenauthors": [ { "first_name": "Christina", "middle_name": "L", "last_name": "Sisk", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T21:08:26+05:30", "date_accepted": "2014-06-22T21:08:26+05:30", "date_published": "2014-06-22T21:08:40+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19610/galley/9704/download/" } ] }, { "pk": 19609, "title": "Bare Life, Indigenous Viscerality and Cholo Barbarity in Jesús Lara’s Yanakuna", "subtitle": null, "abstract": "Bare Life, Indigenous Viscerality and Cholo Barbarity in Jesús Lara’s \nYanakuna", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/03n6h96p", "frozenauthors": [ { "first_name": "Zoya", "middle_name": "", "last_name": "Kahn", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T21:05:47+05:30", "date_accepted": "2014-06-22T21:05:47+05:30", "date_published": "2014-06-22T21:06:05+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19609/galley/9703/download/" } ] }, { "pk": 19608, "title": "Clase política, compadrazgo y hampa cultural en la formación del canon literario dominicano (1996-2012)", "subtitle": null, "abstract": "Clase política, compadrazgo y hampa cultural en la formación del canon literario dominicano (1996-2012)", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8t37x4cw", "frozenauthors": [ { "first_name": "Fernando", "middle_name": "", "last_name": "Valerio-Holguín", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2014-06-22T20:56:38+05:30", "date_accepted": "2014-06-22T20:56:38+05:30", "date_published": "2014-06-22T21:01:07+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19608/galley/9702/download/" } ] }, { "pk": 8040, "title": "Arm Weakness and Deformity", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):351.]", "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": "Biceps tendon rupture" }, { "word": "biceps brachii" }, { "word": "head of biceps tendon" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/04d7m7wq", "frozenauthors": [ { "first_name": "Meghan", "middle_name": "", "last_name": "Galer", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Heiner", "name_suffix": "", "institution": "University of Washington Medical Center, Division of Emergency Medicine, Seattle, Washington", "department": "None" } ], "date_submitted": "2013-11-18T12:34:13+05:30", "date_accepted": "2013-11-18T12:34:13+05:30", "date_published": "2014-06-21T03:18:51+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8040/galley/4648/download/" } ] }, { "pk": 8079, "title": "Epidemiology Of Nursemaid's Elbow", "subtitle": null, "abstract": "Introduction: To provide an epidemiological description of radial head subluxation, also known asnursemaid’s elbow, from a database of emergency department visits.Methods: We conducted a retrospective medical record review of patients 6 years of age and younger,who presented to the ED between January 1, 2005, and December 31, 2012, and were diagnosed withnursemaid’s elbow. Inclusion criteria consisted of chart information, including date, unique accountnumber, medical record number, weight, age, sex, and arm affected. Exclusion criteria included anycharts with missing or incomplete data.Results: There were 1,228 charts that met inclusion criteria. The majority of patients were female(60%). The mean age was 28.6 months (612.6). The left arm was affected 60% of the time.Most of the included patients were over the 75th percentile for weight and more than one quarter wereover the 95th percentile in each gender.Conclusion: The average age of children presenting with nursemaid’s elbow was 28.6 months.Females were affected more than males, and the left arm was predominately affected. Most patientswere above the 75th percentile for weight and more than one quarter were over the 95th percentile forweight. [West J Emerg Med. 2014;15(4):554–557.]", "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": "Nursemaid's Elbow, Radial Head Subluxation, Radial Head Dislocation, elbow, children, epidemiology, radial head, subluxation, dislocation" } ], "section": "Treatment Protocol Assessment", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7x25w9wm", "frozenauthors": [ { "first_name": "Sarah", "middle_name": "", "last_name": "Vitello", "name_suffix": "", "institution": "Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West\nIslip, New York", "department": "None" }, { "first_name": "Ronald", "middle_name": "", "last_name": "Dvorkin", "name_suffix": "", "institution": "Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West\nIslip, New York", "department": "None" }, { "first_name": "Steven", "middle_name": "", "last_name": "Sattler", "name_suffix": "", "institution": "Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West\nIslip, New York", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West\nIslip, New York", "department": "None" }, { "first_name": "Lyncean", "middle_name": "", "last_name": "Ung", "name_suffix": "", "institution": "Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West\nIslip, New York", "department": "None" } ], "date_submitted": "2013-12-31T23:24:52+05:30", "date_accepted": "2013-12-31T23:24:52+05:30", "date_published": "2014-06-21T03:15:43+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8079/galley/4665/download/" } ] }, { "pk": 295, "title": "Front Matter and Editorial", "subtitle": null, "abstract": "d", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Lisa", "middle_name": "", "last_name": "Kietzer", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2014-06-20T23:17:52+05:30", "date_accepted": "2014-06-20T23:17:52+05:30", "date_published": "2014-06-20T23:18:59+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/clic_crossroads/article/295/galley/87/download/" } ] }, { "pk": 2660, "title": "Ethnic Microaggressions: The Experiences of Zainichi Korean Students in Japan", "subtitle": null, "abstract": "Critical race theory (CRT) and the framework of \nmicroaggressions\n has been used to analyze concepts such as majority power, discrimination, and the marginalization of minority groups. This study focuses on the application of CRT and microaggressions analysis to examine issues of ethnic discrimination in contemporary Japan. Within Japanese society and its ethnic hierarchy the minority group known as “Zainichi” Koreans are struggling with prejudice and challenging their status as a marginalized group. Even the Japanese term Zainichi, meaning “living in Japan,” reflects their separation from mainstream Japanese society. Koreans are the largest ethnic minority in contemporary Japan as a direct result of Japan’s colonization of Korean Peninsula from 1910-1945. Japan tends to be perceived as homogenous country; however looking deeper, a diverse ethnic presence can be seen. There is a strong ethnic hierarchy in Japan and constant underlying ethnic discrimination that targets minority groups. What issues do ethnic minorities face living in Japan, and why? This paper illuminates the Zainichi Korean struggle, how \nethnic microagressions\n occur within Japanese society, and how CRT can be effectively applied to this case and potentially, other circumstances of discrimination based on ethnic difference.", "language": "en", "license": null, "keywords": [ { "word": "Microaggressions, Ethnic Minority, Japan, Critical Race theory" }, { "word": "education" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8620q2sx", "frozenauthors": [ { "first_name": "Aki", "middle_name": "", "last_name": "Yamada", "name_suffix": "", "institution": "UCLA", "department": "None" }, { "first_name": "Taiko", "middle_name": "", "last_name": "Yusa", "name_suffix": "", "institution": "United Nations, World Food Programme (WFP)", "department": "None" } ], "date_submitted": "2013-03-22T11:52:15+05:30", "date_accepted": "2013-03-22T11:52:15+05:30", "date_published": "2014-06-20T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2660/galley/1589/download/" } ] }, { "pk": 294, "title": "Acknowledgments", "subtitle": null, "abstract": "x", "language": "en", "license": null, "keywords": [], "section": "Articles", "is_remote": false, "remote_url": null, "frozenauthors": [ { "first_name": "Lisa", "middle_name": "", "last_name": "Kietzer", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2014-06-20T03:56:37+05:30", "date_accepted": "2014-06-20T03:56:37+05:30", "date_published": "2014-06-20T03:59:08+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/clic_crossroads/article/294/galley/86/download/" } ] }, { "pk": 2729, "title": "Book Review: Academic Profiling: Latinos, Asian Americans, and the Achievement Gap", "subtitle": null, "abstract": "Addressing the “achievement gap” in academic performance has become prominent in educational reform efforts. However, too often, outcomes gathered from accountability measures are used to create hierarchies between students’ performance based on gender and race/ethnicity. In \nAcademic Profiling: Latinos, Asian American, and the Achievement Gap\n, Gilda L. Ochoa examines how a focus on the “achievement gap,” which she argues gives the “illusion” that inequality is being addressed by shifting the focus to high-stakes testing, hinders both Latina/o and Asian American students by ignoring structural and systemic injustices that “perpetuate hierarchical and binary thinking.”", "language": "en", "license": null, "keywords": [ { "word": "Achievement Gap, Tracking, Latino Students, Asian American Students" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/583903rp", "frozenauthors": [ { "first_name": "Marco", "middle_name": "Antonio", "last_name": "Murillo", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2014-05-30T05:13:15+05:30", "date_accepted": "2014-05-30T05:13:15+05:30", "date_published": "2014-06-18T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2729/galley/1618/download/" } ] }, { "pk": 2709, "title": "Green Machines and Constructionism: The Rhetoric and Reality of One Laptop Per Child in Sub-Saharan Africa", "subtitle": null, "abstract": "This article is an analysis and literature review of the One Laptop Per Child (OLPC) program within the education sector, particularly the deployment of X-O laptops in the continent of Africa. While the project was created to address a specific issue - the digital divide - and undoubtedly had a significant impact in the field of technology, it has specific limitations: it reproduces a Western ideology of individualistic technology use and relies on a strict framework which fails to take local needs into consideration. Moreover, research on technology use in education, beyond X-O laptops, has focused mainly on developed countries. The article concludes that technology is not the panacea for education as envisioned by OLPC; moreover, its rigid mission goals and lack of independent studies ultimately hinder its aim of reducing the digital divide.", "language": "en", "license": null, "keywords": [ { "word": "education technology" }, { "word": "developing countries" }, { "word": "sub-Saharan Africa" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8g01s13r", "frozenauthors": [ { "first_name": "Richard", "middle_name": "", "last_name": "Bamattre", "name_suffix": "", "institution": "None currently; alumni of UCLA GSEIS, Social Science and Comparative Education", "department": "None" } ], "date_submitted": "2013-12-05T01:21:06+05:30", "date_accepted": "2013-12-05T01:21:06+05:30", "date_published": "2014-06-18T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2709/galley/1609/download/" } ] }, { "pk": 2683, "title": "“I don’t think the university knows me.”: Institutional culture and lower-income, first-generation college students.", "subtitle": null, "abstract": "Recognizing the complex and diverse factors impacting first-generation and lower-income college student outcomes, this study seeks to explore the under-examined role of institutional culture on the experiences of these students. Using data gathered from interviews with 6 lower-income, first-generation college students participating in a TRIO Student Support Program at a large, public 4-year institution, we examine how institutional culture shapes student sense of self at the university. Results indicate that institutional culture manifests in two main ways: 1) through administrative and faculty perceptions and interactions, and 2) through peer perceptions of and interactions with social class. The results of this exploration highlight the complexity of the lower-income, first-generation college student experience and point to an opportunity to shift the discussion of these populations away from the use of a deficit language that focuses on the shortcomings of the student, and moves toward an acknowledgment of the role of the institution in the barriers that students face.", "language": "en", "license": null, "keywords": [ { "word": "first-generation, lower-income, belonging, institutional culture" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0kj6m6r8", "frozenauthors": [ { "first_name": "Erin", "middle_name": "", "last_name": "DeRosa", "name_suffix": "", "institution": "California State Polytechnic University, Pomona", "department": "None" }, { "first_name": "Nadine", "middle_name": "", "last_name": "Dolby", "name_suffix": "", "institution": "Purdue University", "department": "None" } ], "date_submitted": "2013-08-11T23:54:12+05:30", "date_accepted": "2013-08-11T23:54:12+05:30", "date_published": "2014-06-18T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2683/galley/1600/download/" } ] }, { "pk": 2687, "title": "Rainbow Flags and Donor Tags: Queer Materials at the Pride Library", "subtitle": null, "abstract": "Located at Western University’s D.B. Weldon Library in London, Ontario, Canada, the Pride Library is a grassroots information organization serving the lesbian, gay, bisexual, transgender and queer community (LGBTQ). While the Pride Library is currently housed at Western University and has received some financial support from the institution in the past, the Pride Library remains a primarily autonomous, community-run organization. This paper explores how the Pride Library’s mandate as a grassroots, LGBTQ information organization enables a unique approach to information materials object care and organization, acquisitions policies and donor relationships. Library and Information Science (LIS) literature addresses the information seeking activities of LGBTQ-identified individuals and their needs within mainstream libraries as opposed to considering LGBTQ information activities undertaken in grassroots autonomous settings. Queer theory’s continuing interest in archives provides a framework for understanding LGBTQ information activities within grassroots organizational settings, however, the Pride Library case study provides an opportunity to include distinctly library-based activities within these frameworks. In order to articulate the queer information activities at the Pride Library the author conducted an ethnography from January to April 2011. The findings reveal that the Pride Library not only treats its materials as informational containers, but also as aesthetic, symbolic and affective artifacts.", "language": "en", "license": null, "keywords": [ { "word": "Pride Library, queer theory, LGBT, LGBT grassroots information organization, information ethnography" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0300930c", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "Miriam", "last_name": "Cooper", "name_suffix": "", "institution": "York University", "department": "None" } ], "date_submitted": "2013-09-28T01:26:08+05:30", "date_accepted": "2013-09-28T01:26:08+05:30", "date_published": "2014-06-18T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2687/galley/1602/download/" } ] }, { "pk": 2667, "title": "Teachers’ Reflections on Critical Pedagogy in the Classroom", "subtitle": null, "abstract": "This article presents the results from a qualitative research study that explores the experiences of nine high school teachers with some of the common themes in critical pedagogy. The study considers teachers who may not have explicitly learned about or applied critical pedagogy in their teaching and investigates how feasible and desirable they find the common themes in critical pedagogy to be based on their teaching experiences. These teachers work in a school with a largely upper-middle class student body, so the issue of applying critical pedagogy with affluent students adds a dimension of interest to this study.\n \nThrough the interviews, three themes emerge most strongly: power/authority among students and teachers, the political nature of education, and teaching about social issues in the classroom. Teachers reveal an unwillingness to share authority with students or make space for students to be experts in the classroom in a meaningful way. Some teachers are also opposed to leading the transformation from the status quo toward a more just society. Teachers demonstrate a desire to encourage students to improve society, but they believe the best way to achieve this is by teaching critical thinking skills and discussing social issues, allowing students to develop their own vision for an improved society.\n \nMost teachers reveal they do not think about how the classroom reproduces the power structure in society by reaffirming a certain set of beliefs and reinforcing the power of privileged students. Some teachers note that their students had not yet had a political awakening. The same might be said of the teachers who had not been exposed to many of the ideas in critical pedagogy. A certain level of comfort eliminates the spark that pushes one to seek social change – among both students and teachers. But a critical education must take place among both the oppressed and the oppressor if we hope to achieve a more compassionate and just society.", "language": "en", "license": null, "keywords": [ { "word": "Critical Pedagogy" }, { "word": "Politics" }, { "word": "Action Research" }, { "word": "Social Justice" }, { "word": "education" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2c6968hc", "frozenauthors": [ { "first_name": "Leanna", "middle_name": "", "last_name": "Katz", "name_suffix": "", "institution": "McMaster University", "department": "None" } ], "date_submitted": "2013-04-04T08:58:18+05:30", "date_accepted": "2013-04-04T08:58:18+05:30", "date_published": "2014-06-18T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2667/galley/1593/download/" } ] }, { "pk": 2719, "title": "The Continuing Relevance of Paul Otlet, the International Institute of Bibliography/International Federation for Documentation, and the Documentation Movement for Information Science and Studies", "subtitle": null, "abstract": "This article discusses the historical legacy and present-day impact of Paul Otlet and Henri La Fontaine, two of the earliest pioneers of the documentation movement, and the organization they founded in 1895, known originally as the International Institute for Bibliography (IIB), later as the International Federation for Documentation (FID). Otlet, La Fontaine, and the FID are remembered for their bold, positivist vision of creating a complete, accurate, objective master database of all human knowledge in the pre-computer era—a vision partially expressed in the Mundaneum, a massive collection of hard-copy data assembled in their home country of Belgium in the early twentieth century. Predictably, this ambitious project failed.\n \n \n \nYet, as this paper explains, Otlet, La Fontaine, and their organization nevertheless had a lasting and significant impact on the evolution of modern information science, identifying both goals and problems for later information theorists that remain relevant even in the digital age. Their prewar documentalist movement, inquiring into the fundamental nature of documents and of information, paved the way for the work of postwar documentalists including Suzanne Briet and S. R. Rangathan, among others; in turn, the work of the postwar documentalists overlaps with and impacted the rise of computer-based information theory and science and the dawn of the digital age from the 1950s onward. The FID itself persisted as an active organization into the 1990s, convening conferences, publishing books, and generally promoting international bibliographic research and standardization as well as international scholarly cooperation—which relates to the wider legacy of Otlet and La Fontaine as early pioneers of international peace, trans-national institutional cooperation, and global pooling of information to confront human problems. Their activities were direct precursors of, for instance, the United Nations Educational, Scientific and Cultural Organization (UNESCO).\n \n \n \nEven as to their positivist presumptions which ultimately led to failure, the example of Otlet and La Fontaine remain relevant—for humans generally, and scientists, social scientists, and other professionals in particular, remain all too prone to positivistic fallacies of perfect and objective knowledge, notwithstanding the warnings against such presumptions from postmodernism.", "language": "en", "license": null, "keywords": [ { "word": "Otlet" }, { "word": "La Fontaine" }, { "word": "International Institute of Bibliography" }, { "word": "International Federation for Documentation" }, { "word": "documentation movement" }, { "word": "documentalists" }, { "word": "information science" }, { "word": "History" }, { "word": "Information Studies" }, { "word": "information" }, { "word": "international cooperation" }, { "word": "positivism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5pq3v1cp", "frozenauthors": [ { "first_name": "Scott", "middle_name": "Hamilton", "last_name": "Dewey", "name_suffix": "", "institution": "UCLA Law Library", "department": "None" } ], "date_submitted": "2014-01-03T01:10:57+05:30", "date_accepted": "2014-01-03T01:10:57+05:30", "date_published": "2014-06-18T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/gseis_interactions/article/2719/galley/1613/download/" } ] }, { "pk": 8202, "title": "Pyocystis and Prostate Abscess in a Hemodialysis Patient in the Emergency Department", "subtitle": null, "abstract": "The urinary tract is an often forgotten and under-appreciated source of infection in anuric hemodialysis patients. Bladder abscess, also called pyocystis, is a severe complication of low urinary flow that can be difficult to detect, leading to delays in treatment and increased morbidity. The emergency physician should maintain a high suspicion for pyocystis, which can be quickly diagnosed by bedside ultrasound. We report a case of a hemodialysis patient with an initially minor presentation who developed sepsis secondary to pyocystis and prostate abscess. [West J Emerg Med. 2014;15(6):-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, Dialysis, Renal Failure, Pyocystis, Urinary Tract Infections, Ultrasonography, Emergency Department, Emergency Ultrasonography" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7pn9m7nq", "frozenauthors": [ { "first_name": "Phillip", "middle_name": "A", "last_name": "Stafford", "name_suffix": "", "institution": "Department of Emergency Medicine, University of Maryland Medical Center, Baltimore, Maryland", "department": "None" }, { "first_name": "Katherine", "middle_name": "M", "last_name": "Prybys", "name_suffix": "", "institution": "University of Maryland School of Medicine, Baltimore, MD\nIn clinical practice at Mercy Medical Center, Baltimore, MD", "department": "None" } ], "date_submitted": "2014-04-09T06:32:47+05:30", "date_accepted": "2014-04-09T06:32:47+05:30", "date_published": "2014-06-16T22:28:55+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8202/galley/4717/download/" } ] }, { "pk": 41611, "title": "Late Cretaceous chimaeroids (Chondrichthyes: Holocephali) from Alabama, USA", "subtitle": null, "abstract": "Tooth plates of three extinct species of callorhynchid holocephalans, \nEdaphodon mirificus\n, \nE. barberi\n, and \nIschyodus bifurcatus\n have been collected from Upper Cretaceous strata of Alabama. Of the two species of \nEdaphodon\n, \nE. mirificus\n is represented by isolated tooth plates as well as associated dentitions. \nEdaphodon barberi\n was based on a small left mandibular tooth plate, but additional mandibular tooth plates in museum collections show that the diagnostic features seen on the \nE. barberi\n holotype are consistently present and therefore useful for species differentiation. \nIschyodus bifurcatus\n is reported for the first time in Alabama and is known from a partial associated dentition and several isolated tooth plates. Most of the fossils are from the upper Santonian to lower Campanian Mooreville Chalk, but two specimens of \nEdaphodon\n from a lower Campanian component of the Tombigbee Sand Member of the Eutaw Formation and one from the lower Maastrichtian Ripley Formation represent the first holocephalan records from these lithostratigraphic units in Alabama.", "language": "en", "license": null, "keywords": [ { "word": "Chondrichthyes" }, { "word": "Holocephali" }, { "word": "Edaphodon" }, { "word": "Ischyodus" }, { "word": "Alabama" }, { "word": "Cretaceous" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9wq3j155", "frozenauthors": [ { "first_name": "David", "middle_name": "J.", "last_name": "Cicimurri", "name_suffix": "", "institution": "South Carolina State Museum, Columbia, South Carolina", "department": "None" }, { "first_name": "Jun", "middle_name": "A.", "last_name": "Ebersole", "name_suffix": "", "institution": "McWane Science Center, Birmingham, Alabama", "department": "None" } ], "date_submitted": "2014-06-16T23:17:09+05:30", "date_accepted": "2014-06-16T23:17:09+05:30", "date_published": "2014-06-16T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41611/galley/31151/download/" } ] }, { "pk": 8005, "title": "Consensus Development of a Pediatric Emergency Medicine Clerkship Curriculum", "subtitle": null, "abstract": "Introduction: \nAs emergency medicine (EM) has become a more prominent feature in the clinical years of medical school training, national EM clerkship curricula have been published to address the need to standardize students’ experiences in the field. However, current national student curricula in EM do not include core pediatric emergency medicine (PEM) concepts.\nMethods:\n A workgroup was formed by the Clerkship Directors in Emergency Medicine and the Pediatric Interest Group of the Society of Academic Emergency Medicine to develop a consensus on the content to be covered in EM and PEM student courses.\nResults:\n The consensus is presented with the goal of outlining principles of pediatric emergency care and prioritizing students’ exposure to the most common and life-threatening illnesses and injuries.\nConclusion:\n This consensus curriculum can serve as a guide to directors of PEM and EM courses to optimize PEM knowledge and skills education. [West J Emerg Med. 2014;15(6):–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": "pediatric emergency medicine" }, { "word": "medical student" }, { "word": "curriculum" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5sb691sk", "frozenauthors": [ { "first_name": "Kim", "middle_name": "", "last_name": "Askew", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Debra", "middle_name": "", "last_name": "Weiner", "name_suffix": "", "institution": "Boston Children’s Hospital, Division of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Charles", "middle_name": "", "last_name": "Murphy", "name_suffix": "", "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Myto", "middle_name": "", "last_name": "Duong", "name_suffix": "", "institution": "Southern Illinois University, Department of Emergency Medicine, Carbondale, Illinois", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Fox", "name_suffix": "", "institution": "Duke University Medical Center, Department of Pediatrics, Durham, North Carolina", "department": "None" }, { "first_name": "Sean", "middle_name": "", "last_name": "Fox", "name_suffix": "", "institution": "Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "O'Neill", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Milan", "middle_name": "", "last_name": "Nadkarni", "name_suffix": "", "institution": "Wake Forest University School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2013-10-14T23:54:21+05:30", "date_accepted": "2013-10-14T23:54:21+05:30", "date_published": "2014-06-12T02:42:08+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8005/galley/4635/download/" } ] }, { "pk": 8060, "title": "Motor Vehicle Crash-Associated Eye Injuries Presenting to U.S. Emergency Departments", "subtitle": null, "abstract": "Introduction: \nMotor vehicle crashes (MVCs) are a leading cause of injury in the United States (U.S.). Detailed knowledge of MVC eye injuries presenting to U.S. emergency departments (ED) will aid clinicians in diagnosis and management. The objective of the study was to describe the incidence, risk factors, and characteristics of non-fatal motor vehicle crash-associated eye injuries presenting to U.S. EDs from 2001 to 2008.\nMethods:\n Retrospective cross-sectional study using the National Electronic Injury Surveillance System All Injury Program (NEISS-AIP) from 2001 to 2008 to assess the risk of presenting to an ED with a MVC-associated eye injury in relation to specific occupant characteristics, including age, gender, race/ethnicity, disposition, and occupant (driver/passenger) status.\nResults: \nFrom 2001 to 2008, an estimated 75,028 MVC-associated eye injuries presented to U.S. EDs. The annual rate of ED-treated eye injuries resulting from MVCs declined during this study period. Males accounted for 59.6% of eye injuries (95% confidence interval [CI] 56.2%-63.0%). Rates of eye injury were highest among 15-19 year olds (5.8/10,000 people; CI 4.3-6.0/10,000) and among African Americans (4.5/10,000 people; CI 2.0-7.1/10,000). Drivers of motor vehicles accounted for 62.2% (CI 58.3%-66.1%) of ED-treated MVC eye injuries when occupant status was known. Contusion/Abrasion was the most common diagnosis (61.5%; CI 56.5%-66.4%). Among licensed U.S. drivers, 16-24 year olds had the highest risk (3.7/10,000 licensed drivers; CI 2.6-4.8/10,000).\nConclusion: \nThis study reports a decline in the annual incidence of ED-treated MVC-associated eye injuries. The risk of MVC eye injury is greatest among males, 15 to 19 year olds and African Americans. [West J Emerg Med. 2014;15(6):-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": "Eye Injury, Motor Vehicle Crash, Emergency Department" } ], "section": "Injury Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2gp2m8h7", "frozenauthors": [ { "first_name": "Grayson", "middle_name": "W", "last_name": "Armstrong", "name_suffix": "", "institution": "Division of Ophthalmology, Warren Alpert Medical School of Brown University, Providence, RI USA; Division of Ophthalmology, Rhode Island Hospital, Providence, RI USA; Department of Health Policy and Management, Harvard School of Public Health, Boston, MA USA", "department": "None" }, { "first_name": "Allison", "middle_name": "J", "last_name": "Chen", "name_suffix": "", "institution": "Division of Ophthalmology, Warren Alpert Medical School of Brown University, Providence, RI USA; Division of Ophthalmology, Rhode Island Hospital, Providence, RI USA; Program in Liberal Medical Education, Brown University, Providence, RI USA", "department": "None" }, { "first_name": "James", "middle_name": "G", "last_name": "Linakis", "name_suffix": "", "institution": "Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI USA; Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI USA", "department": "None" }, { "first_name": "Michael", "middle_name": "J", "last_name": "Mello", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI USA; Department of Health Services, Policy and Practice, Warren Alpert Medical School of Brown University, Providence, RI USA", "department": "None" }, { "first_name": "Paul", "middle_name": "B", "last_name": "Greenberg", "name_suffix": "", "institution": "Division of Ophthalmology, Warren Alpert Medical School of Brown University, Providence, RI USA; Division of Ophthalmology, Rhode Island Hospital, Providence, RI USA; Section of Ophthalmology, Providence VA Medical Center, Providence, RI USA", "department": "None" } ], "date_submitted": "2013-12-22T09:50:18+05:30", "date_accepted": "2013-12-22T09:50:18+05:30", "date_published": "2014-06-12T01:08:10+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8060/galley/4656/download/" } ] }, { "pk": 8169, "title": "Color Doppler Ultrasound-guided Supraclavicular Brachial Plexus Block to Prevent Vascular Injection", "subtitle": null, "abstract": "Ultrasound-guided nerve blocks are quickly becoming integrated into emergency medicine practice for pain control and as an alternative to procedural sedation. Common, but potentially catastophic errors have not been reported outside of the anesthesiology literature. Evaluation of the brachial plexus with color Doppler should be standard for clinicians performing a supraclavicular brachial plexus block to determine ideal block location and prevention of inadvertant intravascular injection. [West J Emerg Med. 2014;15(6):-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": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1gm3f785", "frozenauthors": [ { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Alameda County Medical Center, Highland General Hospital, Oakland, California", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Hahn", "name_suffix": "", "institution": "Alameda County Medical Center, Highland General Hospital, Oakland, California", "department": "None" } ], "date_submitted": "2014-03-14T00:48:38+05:30", "date_accepted": "2014-03-14T00:48:38+05:30", "date_published": "2014-06-07T05:58:45+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8169/galley/4700/download/" } ] }, { "pk": 8089, "title": "Who's Boarding in the Psychiatric Emergency Service?", "subtitle": null, "abstract": "Introduction: \nWhen a psychiatric patient in the emergency department requires inpatient admission, but no bed is available, they may become a “boarder.” The psychiatric emergency service (PES) has been suggested as one means to reduce psychiatric boarding, but the frequency and characteristics of adult PES boarders have not been described.\nMethods: \nWe electronically extracted electronic medical records for adult patients presenting to the PES in an urban county safety-net hospital over 12 months. Correlative analyses included Student’s t-tests and multivariate regression.\nResults:\n 521 of 5363 patient encounters (9.7%) resulted in boarding. Compared to non-boarding encounters, boarding patient encounters were associated with diagnoses of a primary psychotic, anxiety, or personality disorder, or a bipolar manic/mixed episode. Boarders were also more likely to be referred by family, friends or providers than self-referred; arrive in restraints; experience restraint/seclusion in the PES; or be referred for involuntary hospitalization. Boarders were more likely to present to the PES on the weekend. Substance use was common, but only tobacco use was more likely associated with boarding status in multivariate analysis.\nConclusion:\n Boarding is common in the PES, and boarders have substantial psychiatric morbidity requiring treatment during extended PES stays. We question the appropriateness of PES boarding for seriously ill psychiatric patients. [West J Emerg Med. 2014;15(6):-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 Psychiatry" }, { "word": "boarding" }, { "word": "emergency department" }, { "word": "health services" } ], "section": "Emergency Department Access", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/44d8x30t", "frozenauthors": [ { "first_name": "Scott", "middle_name": "Alan", "last_name": "Simpson", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Psychiatry, Denver, Colorado", "department": "None" }, { "first_name": "Jutta", "middle_name": "M.", "last_name": "Joesch", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences, Seattle, Washington", "department": "None" }, { "first_name": "Imara", "middle_name": "I.", "last_name": "West", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences, Seattle, Washington", "department": "None" }, { "first_name": "Jagoda", "middle_name": "", "last_name": "Pasic", "name_suffix": "", "institution": "University of Washington School of Medicine, Department of Psychiatry and Behavioral Sciences, Seattle, Washington", "department": "None" } ], "date_submitted": "2014-01-07T03:50:36+05:30", "date_accepted": "2014-01-07T03:50:36+05:30", "date_published": "2014-06-07T05:55:01+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8089/galley/4668/download/" } ] }, { "pk": 8043, "title": "Application of a Proactive Risk Analysis to Emergency Department Sickle Cell Care", "subtitle": null, "abstract": "Introduction: \nPatients with sickle cell disease (SCD) often seek care in emergency departments (EDs) for severe pain. However, there is evidence that they experience inaccurate assessment, suboptimal care, and inadequate follow-up referrals. The aim of this project was to 1) explore the feasibility of applying a failure modes, effects and criticality analysis (FMECA) in two EDs examining four processes of care (triage, analgesic management, high risk/high users, and referrals made) for patients with SCD, and 2) report the failures of these care processes in each ED.\n Methods:\n A FMECA was conducted of ED SCD patient care at two hospitals. A multidisciplinary group examined each step of four processes. Providers identified failures in each step, and then characterized the frequency, impact, and safeguards, resulting in risk categorization.\nResults:\n Many “high risk” failures existed in both institutions, including a lack of recognition of high-risk or high-user patients and a lack of emphasis on psychosocial referrals. Specific to SCD analgesic management, one setting inconsistently used existing analgesic policies, while the other setting did not have such policies.\nConclusion: \nFMECA facilitated the identification of failures of ED SCD care and has guided quality improvement activities. Interventions can focus on improvements in these specific areas targeting improvements in the delivery and organization of ED SCD care. Improvements should correspond with the forthcoming National Heart, Lung and Blood-sponsored guidelines for treatment of patients with sickle cell disease. [West J Emerg Med. 2014;15(4):446–458.]", "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": "Decision support tool, quality improvement, sickle cell disease, vaso-occlusive crisis, emergency department, pain management, ED-SCANS, patient safety" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2gh264h4", "frozenauthors": [ { "first_name": "Victoria", "middle_name": "Lynne", "last_name": "Thornton", "name_suffix": "", "institution": "Duke University Medical Center, Division of Emergency Medicine Durham, North Carolina", "department": "None" }, { "first_name": "Victoria", "middle_name": "Lynne", "last_name": "Thornton", "name_suffix": "", "institution": "Duke University Medical Center, Division of Emergency Medicine Durham, North Carolina", "department": "None" }, { "first_name": "Jane", "middle_name": "L.", "last_name": "Holl", "name_suffix": "", "institution": "Northwestern University, Feinberg School of Medicine, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois", "department": "None" }, { "first_name": "David", "middle_name": "M", "last_name": "Cline", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Caroline", "middle_name": "E", "last_name": "Freiermuth", "name_suffix": "", "institution": "Duke University Medical Center, Division of Emergency Medicine Durham, North Carolina", "department": "None" }, { "first_name": "Dori", "middle_name": "Taylor", "last_name": "Sullivan", "name_suffix": "", "institution": "Duke University Medical Center, Duke School of Nursing, North Carolina", "department": "None" }, { "first_name": "Paula", "middle_name": "", "last_name": "Tanabe", "name_suffix": "", "institution": "Duke University Medical Center, Division of Emergency Medicine Durham, North Carolina", "department": "None" } ], "date_submitted": "2013-11-19T00:06:41+05:30", "date_accepted": "2013-11-19T00:06:41+05:30", "date_published": "2014-06-07T05:32:12+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8043/galley/4650/download/" } ] }, { "pk": 8028, "title": "Availability of Insurance Linkage Programs in U.S. Emergency Departments", "subtitle": null, "abstract": "Introduction: \nAs millions of uninsured citizens who use emergency department (ED) services are now eligible for health insurance under the Affordable Care Act, the ED is ideally situated to facilitate linkage to insurance. Forty percent of U.S. EDs report having an insurance linkage program. This is the first national study to examine the characteristics of EDs that offer or do not offer these programs.\nMethods: \nThis was a secondary analysis of data from the National Survey for Preventive Health Services in U.S. EDs conducted in 2008-09. We compared EDs with and without insurance programs across demographic and operational factors using univariate analysis. We then tested our hypotheses using multivariable logistic regression. We also further examined program capacity and priority among the sub-group of EDs with no insurance linkage program.\nResults:\n After adjustment, ED-insurance linkage programs were more likely to be located in the West (RR= 2.06, 95% CI = 1.33 – 2.72). The proportion of uninsured patients in an ED, teaching hospital status, and public ownership status were not associated with insurance linkage availability. EDs with linkage programs also offer more preventive services (RR = 1.87, 95% CI = 1.37–2.35) and have greater social worker availability (RR = 1.71, 95% CI = 1.12–2.33) than those who do not. Four of five EDs with a patient mix of ≥25% uninsured and no insurance linkage program reported that they could not offer a program with existing staff and funding.\nConclusion:\n Availability of insurance linkage programs in the ED is not associated with the proportion of uninsured patients served by an ED. Policy or hospital-based interventions to increase insurance linkage should first target the 27% of EDs with high rates of uninsured patients that lack adequate program capacity. Further research on barriers to implementation and cost effectiveness may help to facilitate increased adoption of insurance linkage programs. [West J Emerg Med. 2014;15(4):529–535.]", "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": "Insurance Linkage" }, { "word": "Insurance Screening" }, { "word": "emergency department" }, { "word": "Uninsured" } ], "section": "Societal Impact on Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5zk7480h", "frozenauthors": [ { "first_name": "Mia", "middle_name": "", "last_name": "Kanak", "name_suffix": "", "institution": "Stanford University School of Medicine, Stanford, California", "department": "None" }, { "first_name": "M. Kit", "middle_name": "", "last_name": "Delgado", "name_suffix": "", "institution": "Department of Emergency Medicine and the Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, and the Leonard Davis Institute", "department": "None" }, { "first_name": "Carlos", "middle_name": "A.", "last_name": "Camargo, Jr.", "name_suffix": "", "institution": "Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts", "department": "None" }, { "first_name": "N. Ewen", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "Division of Emergency Medicine, Stanford University School of Medicine, Stanford, California", "department": "None" } ], "date_submitted": "2013-11-06T08:24:06+05:30", "date_accepted": "2013-11-06T08:24:06+05:30", "date_published": "2014-06-07T05:11:05+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8028/galley/4643/download/" } ] }, { "pk": 8196, "title": "Simulation for Professionals Who Care for Bariatric Patients: Some Unanswered Questions", "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/2ct3h98p", "frozenauthors": [ { "first_name": "Kieran", "middle_name": "", "last_name": "Walsh", "name_suffix": "", "institution": "BMJ Learning, London, United Kingdom", "department": "None" } ], "date_submitted": "2014-04-04T16:58:20+05:30", "date_accepted": "2014-04-04T16:58:20+05:30", "date_published": "2014-06-07T05:04:24+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8196/galley/4716/download/" } ] }, { "pk": 42632, "title": "The Aesthetics of Remembering 9/11: Towards a Transnational Typology of Memorials", "subtitle": null, "abstract": "A decade after the terrorist attacks of 9/11, all three sites of violent impact have seen the dedication of national memorials to the victims. Hundreds of memorials have appeared in less likely places in the United States and around the world. This article offers an analysis of international 9/11 memorials along the lines of Michael Rothberg, as “a complementary centrifugal mapping that charts the outward movement of American power.” It traces well-established memorial aesthetics, such as walls and statues, in a selection of 9/11 memorials located in the United States, Ireland, Spain, Germany, Italy, and Israel. Richard Gray’s hypothesis, that no fundamental change occurred in American prose writing, the works rather “assimilate the unfamiliar into familiar structures,” lends itself to examine 9/11 memorial aesthetics. In fact, despite the proclaimed sense of historical rupture, we do not witness great innovations of memorial design but a continuation of known patterns: modernist minimalism augmented by figural representations.", "language": "en", "license": null, "keywords": [ { "word": "9/11" }, { "word": "Daniel Libeskind" }, { "word": "Ground Zero" }, { "word": "World Trade Center" }, { "word": "Memorial" }, { "word": "aesthetics" }, { "word": "Cultural Studies" }, { "word": "Memorial Culture Studies" }, { "word": "Visual Culture Studies" }, { "word": "literary studies" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7pw6k038", "frozenauthors": [ { "first_name": "Ingrid", "middle_name": "", "last_name": "Gessner", "name_suffix": "", "institution": "University of Regensburg", "department": "None" } ], "date_submitted": "2013-04-09T01:50:30+05:30", "date_accepted": "2013-04-09T01:50:30+05:30", "date_published": "2014-06-06T04:54:14+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42632/galley/31827/download/" } ] }, { "pk": 42647, "title": "Techno-Orientalism with Chinese Characteristics: Maureen F. McHugh’s \nChina Mountain Zhang", "subtitle": null, "abstract": "Christopher T. Fan argues that McHugh’s award-winning 1992 science fiction novel perceives the twilight of the American Century by offering a “critical realism,” to use Georg Lukács’s phrase, of postsocialist US–China interdependency. In other words, it offers a form in which we perceive ourselves as subjects and objects of the twenty-first century world-system’s most important bilateral relationship. Moreover, as a novel about US–China \ninterdependency\n, it implicitly critiques the binary Orientalism that structures the rapidly growing body of work on “techno-Orientalist” formations. Fan's analysis thus extends arguments about American Orientalism’s non-Manichean formations (Christina Klein, Melani McAlister, Colleen Lye) into the postsocialist era.\nThe novel’s near-future, China-centric world analogizes McHugh’s personal crises of professional desire as a precarious laborer in New York City, with the massive reorientation of desires from Maoist politics to market-directed individuality that she witnessed among her students when she taught in China from 1987–1988. Chinese racial form plays a crucial mediating role in the novel because it reflects the revival of Confucian humanist discourse in reform-era China as a way to focus a national project of rapidly generating capitalist desire. Finally, by describing US–China interdependency, this article also generates a theory of US–China neoliberalism that corrects for universalist, Euro-American accounts of neoliberal subject formation (Lauren Berlant), as well as insufficiently subject-sensitive accounts (Aihwa Ong).", "language": "en", "license": null, "keywords": [ { "word": "Orientalism" }, { "word": "Maureen McHugh" }, { "word": "China Mountain Zhang" }, { "word": "Racial Form" }, { "word": "racial formation" }, { "word": "neoliberalism" }, { "word": "Critical Realism" }, { "word": "Georg Lukacs" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8n70b1b6", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "T.", "last_name": "Fan", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" } ], "date_submitted": "2013-09-12T21:31:14+05:30", "date_accepted": "2013-09-12T21:31:14+05:30", "date_published": "2014-06-06T04:53:40+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42647/galley/31830/download/" } ] }, { "pk": 42627, "title": "Going to Ground(s): The War Correspondent’s Memoir", "subtitle": null, "abstract": "This essay considers two memoirs by leading American war correspondents: Stephen Crane’s memoir of the Spanish-American War, “War Memories” (1899), and Dexter Filkins’s account of the US occupation of Iraq, \nThe Forever War\n (2003). But it also considers the archive of news dispatches behind both books: the news reports that come to “ground” and authorize the memoir in the first place. By “going to ground,” in addition, this essay examines both the interpretive and discursive networks that often migrate from news writing to retrospective chronicle, and the particular situation of returning to the home front that reframes those accounts. Thanks to the work of William Appleman Williams, Amy Kaplan, Elizabeth Samet, Robert Westbrook, and others, we’ve often tried to think about the reciprocity of the imperial and domestic fronts—to recognize, for instance, that reports of war often work in concert with home front ideas about national sovereignty, “foreign influence,” or citizens’ political obligation and socialization. This essay explores what it is about domestic fronts that contains and often silences the news the correspondent brings home. Moreover, it considers how war correspondents’ memoirs reconfigure these home fronts in transnational and intranational terms.", "language": "en", "license": null, "keywords": [ { "word": "War Correspondence" }, { "word": "Journalism" }, { "word": "Spanish-American War" }, { "word": "Iraq War" }, { "word": "Crane, Stephen" }, { "word": "Filkins, Dexter" }, { "word": "History" }, { "word": "Cultural Studies" }, { "word": "Literature" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/102112tc", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "P.", "last_name": "Wilson", "name_suffix": "", "institution": "Boston College", "department": "None" } ], "date_submitted": "2013-01-14T03:28:33+05:30", "date_accepted": "2013-01-14T03:28:33+05:30", "date_published": "2014-06-06T04:52:32+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42627/galley/31826/download/" } ] }, { "pk": 42680, "title": "Bilingual Humor, Authentic Aunties, and the Transnational Vernacular at Gezi Park", "subtitle": null, "abstract": "Mass-mediated American culture and the English language became raw materials for vernacular protest humor alongside images of headscarf-wearing middle-aged “aunties” during antigovernment protests in Turkey in the summer of 2013. Focusing on posts shared on Facebook and Twitter by Turkish protestors and their supporters in the first two months of the protests, this article studies the complex linguistic and visual humor that developed around Gezi Park and relates it to the identity politics mobilized during the resistance. Exploring how the protestors projected themselves as both cosmopolitan (through the use of American mass culture and the English language) and locally rooted (through the use of auntie humor), the essay delineates how “America” can function in local Middle Eastern politics even in the absence of actual US intervention on the ground. Humor at Gezi demonstrates how closely analyzing transculturated vernacular communication can help us modify Western-derived academic theories about culture and power, making the case for incorporating the study of folklore into transnational American Studies.", "language": "en", "license": null, "keywords": [ { "word": "political humor" }, { "word": "folklore" }, { "word": "transculturation" }, { "word": "English language" }, { "word": "U.S. in the Middle East" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2md6f6fr", "frozenauthors": [ { "first_name": "Perin", "middle_name": "", "last_name": "Gurel", "name_suffix": "", "institution": "University of Notre Dame", "department": "None" } ], "date_submitted": "2013-10-07T22:26:49+05:30", "date_accepted": "2013-10-07T22:26:49+05:30", "date_published": "2014-06-04T00:04:13+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42680/galley/31856/download/" } ] }, { "pk": 8272, "title": "Social Media, Public Scholarship, and Injury Prevention", "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": "injury, violence, social media" } ], "section": "Editorials (Limit 2000 words) (Invitation Only)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3zg256j4", "frozenauthors": [ { "first_name": "Debra", "middle_name": "", "last_name": "Houry", "name_suffix": "", "institution": "Emory University, Atlanta, Georgia", "department": "None" }, { "first_name": "Monica", "middle_name": "H.", "last_name": "Swahn", "name_suffix": "", "institution": "Georgia State University, School of Public Health, Atlanta, Georgia", "department": "None" }, { "first_name": "Abigail", "middle_name": "", "last_name": "Hankin", "name_suffix": "", "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta,\nGeorgia", "department": "None" } ], "date_submitted": "2014-05-30T19:40:21+05:30", "date_accepted": "2014-05-30T19:40:21+05:30", "date_published": "2014-06-03T05:28:09+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8272/galley/4736/download/" } ] }, { "pk": 8100, "title": "Mitigating Concerns and Maximizing Returns: Social Media Strategies for Injury Prevention Non-profits", "subtitle": null, "abstract": "Injury prevention programs can use social media to disseminate information and recruit participants.Non-profit organizations have also used social media for fundraising and donor relationshipmanagement. Non-profit organizations (NPOs) with injury prevention missions often serve vulnerablepopulations. Social media platforms have varied levels of access and control of shared content. Thisvariability can present privacy and outreach challenges that are of particular concern for injuryprevention NPOs. This case report of social media workshops for injury prevention NPOs presentsconcerns and strategies for successfully implementing social media campaigns. [West J Emerg Med.2014;15(5):582–586.]", "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": "social media, health non-profits, NPOs, injury prevention" } ], "section": "Case Report (Limit 1750 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9kk595p2", "frozenauthors": [ { "first_name": "Tressie", "middle_name": "", "last_name": "McMillan-Cottom", "name_suffix": "", "institution": "Emory University, Department of Sociology, Atlanta, Georgia", "department": "None" } ], "date_submitted": "2014-01-18T01:27:05+05:30", "date_accepted": "2014-01-18T01:27:05+05:30", "date_published": "2014-06-03T05:28:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8100/galley/4673/download/" } ] }, { "pk": 8123, "title": "Can Social Networking Be Used to Promote Engagement in Child Maltreatment Prevention Programs? Two Pilot Studies", "subtitle": null, "abstract": "Introduction:\n Child maltreatment is one of the United States’ most significant public health problems.In efforts to prevent maltreatment experts recommend use of Behavioral Parent Training Programs(BPTs), which focus on teaching skills that will replace and prevent maltreating behavior. While there isresearch to support the effectiveness of BPTs in maltreatment prevention, the reach of such programsis still limited by several barriers, including poor retention of families in services. Recently, newtechnologies have emerged that offer innovative opportunities to improve family engagement. Thesetechnologies include smartphones and social networking; however, very little is known about thepotential of these to aid in maltreatment prevention. The primary goal of this study was to conduct 2pilot exploratory projects.\nMethods: \nThe first project administered a survey to parents and providers to gather data about at-riskparents’ use of smartphones and online social networking technologies. The second project tested asocial networking-enhanced brief parenting program with 3 intervention participants and evaluatedparental responses.\nResults: \nSeventy-five percent of parents surveyed reported owning a computer that worked. Eightyninepercent of parents reported that they had reliable Internet access at home, and 67% said theyused the Internet daily. Three parents participated in the intervention with all reporting improvement inparent-child interaction skills and a positive experience participating in the social networking-enhancedSafeCare components.\nConclusion:\n In general, findings suggest that smartphones, social networking, and Facebook, inparticular, are now being used by individuals who show risk factors formaltreatment. Further, themajorityof parents surveyed in this study said that they like Facebook, and all parents surveyed said that they useFacebook and have a Facebook account. As well, all saw it as a potentially beneficial supplement forfuture parents enrolling in parenting programs. [West J Emerg Med. 2014;15(5):575–581.]", "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": "maltreatment, parenting, technology, social networking" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/97s4z7fk", "frozenauthors": [ { "first_name": "Anna", "middle_name": "", "last_name": "Edwards-Gaura", "name_suffix": "", "institution": "Georgia State University, School of Public Health, Atlanta, Georgia", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Whitaker", "name_suffix": "", "institution": "Georgia State University, School of Public Health, Atlanta, Georgia", "department": "None" }, { "first_name": "Shannon", "middle_name": "", "last_name": "Self-Brown", "name_suffix": "", "institution": "Georgia State University, School of Public Health, Atlanta, Georgia", "department": "None" } ], "date_submitted": "2014-01-30T00:24:37+05:30", "date_accepted": "2014-01-30T00:24:37+05:30", "date_published": "2014-06-03T05:27:26+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8123/galley/4682/download/" } ] }, { "pk": 8098, "title": "Use of Social Media During Public Emergencies by People with Disabilities", "subtitle": null, "abstract": "Introduction: \nPeople with disabilities are generally more vulnerable during disasters and publicemergencies than the general population. Physical, sensory and cognitive impairments may result ingreater difficulty in receiving and understanding emergency alert information, and greater difficulty intaking appropriate action. The use of social media in the United States has grown considerably inrecent years. This has generated increasing interest on the part of national, state and localjurisdictions in leveraging these channels to communicate public health and safety information. Howand to what extent people with disabilities use social and other communications media during publicemergencies can help public safety organizations understand the communication needs of thecitizens in their jurisdictions, and plan their social media and other communications strategiesaccordingly.\nMethods: \nThis article presents data from a survey on the use of social media and othercommunications media during public emergencies by people with disabilities conducted fromNovember 1, 2012 through March 30, 2013.\nResults: \nThe data presented here show four key results. First, levels of use of social media ingeneral are high for people with disabilities, as well as for the general population. Second, use ofsocial media during emergencies is still low for both groups. Third, levels of use of social media arenot associated with income levels, but are significantly and strongly associated with age: youngerpeople use social media at higher rates than older people in both groups (p,0.001). Fourth,differences in the use of social media during emergencies across disability types are slight, with theexception of deaf and hard-of-hearing respondents, the former more likely to have used social mediato receive (p¼0.002), verify (p¼0.092) and share (p¼0.007) emergency information.\nConclusion: \nThese last two results suggest that effective emergency communications strategiesneed to rely on multiple media types and channels to reach the entire community. [West J EmergMed. 2014;15(5):567–574.]", "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": "social media disability technology emergencies disaster" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/40k94374", "frozenauthors": [ { "first_name": "John", "middle_name": "T.", "last_name": "Morris", "name_suffix": "", "institution": "Crawford Research Institute, Shepherd Center, Atlanta, Georgia", "department": "None" }, { "first_name": "James", "middle_name": "L.", "last_name": "Mueller", "name_suffix": "", "institution": "Crawford Research Institute, Shepherd Center, Atlanta, Georgia", "department": "None" }, { "first_name": "Michael", "middle_name": "L.", "last_name": "Jones", "name_suffix": "", "institution": "Crawford Research Institute, Shepherd Center, Atlanta, Georgia", "department": "None" } ], "date_submitted": "2014-01-17T22:25:36+05:30", "date_accepted": "2014-01-17T22:25:36+05:30", "date_published": "2014-06-03T05:27:15+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8098/galley/4671/download/" } ] }, { "pk": 8125, "title": "Marginal Cost Analysis of Two Train-the-Trainer Models for Implementing SafeCare", "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": "Cost-analysis" }, { "word": "evidence-based practices" }, { "word": "Marginal cost" }, { "word": "SafeCare" }, { "word": "Child maltreatment" } ], "section": "Brief Research Report (Limit 1500 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0b09b8cm", "frozenauthors": [ { "first_name": "Phaedra", "middle_name": "", "last_name": "Corso", "name_suffix": "", "institution": "University of Georgia", "department": "None" }, { "first_name": "Nathaniel", "middle_name": "", "last_name": "Taylor", "name_suffix": "", "institution": "University of Georgia", "department": "None" }, { "first_name": "Jordan", "middle_name": "", "last_name": "Bennett", "name_suffix": "", "institution": "University of Georgia", "department": "None" }, { "first_name": "Justin", "middle_name": "", "last_name": "Ingels", "name_suffix": "", "institution": "University of Georgia", "department": "None" }, { "first_name": "Shannon", "middle_name": "", "last_name": "Self-Brown", "name_suffix": "", "institution": "Georgia State University", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Whitaker", "name_suffix": "", "institution": "Georgia State University", "department": "None" } ], "date_submitted": "2014-01-31T02:32:49+05:30", "date_accepted": "2014-01-31T02:32:49+05:30", "date_published": "2014-06-03T05:26:51+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8125/galley/4683/download/" } ] }, { "pk": 8112, "title": "Effects of a Web-based Educational Module on Pediatric Emergency Medicine Physicians’ Knowledge, Attitudes, and Behaviors Regarding Youth Violence", "subtitle": null, "abstract": "Introduction\n: Youth seen in the emergency department (ED) with injuries from youth violence (YV) have increased risk for future violent injury and death. Pediatric emergency medicine (PEM) physicians rarely receive training in, or perform, YV screening and intervention. Our objective was to examine effects of a Web-based educational module on PEM physicians’ knowledge, attitudes, and behaviors regarding YV screening and interventions in the ED.\n \nMethods\n: All PEM fellows and attendings at an urban Level I pediatric trauma center were invited to complete an interactive Web-based education module (and 1-month booster) with information on YV’s public health impact and how to screen, counsel and refer YV-involved patients. Consenting subjects completed electronic assessments of YV prevention knowledge and attitudes (using validated measures when possible) before and after the initial module and after the booster. To measure behavior change, chart review identified use of YV-specific discharge instructions in visits by YV-injured PEM patients (age 12-17; identified by E codes) 6 months before and after the intervention. Survey data were analyzed with Fisher’s exact for binary outcomes and Kruskal-Wallis for Likert responses. Proportion of patients given YV discharge instructions before and after the intervention was compared using chi-square.\n \nResults\n: 18 (67%) of 27 PEM physicians participated; 1 was lost at post-module assessment and 5 at 1 month. Module completion time ranged from 15-30 minutes. At baseline, 50% of subjects could identify victims’ re-injury rate; 28% were aware of ED YV discharge instructions. After the initial module and at 1 month, there were significant increases in knowledge (p<0.001) and level of confidence speaking with patients about avoiding YV (p=0.01,df=2). Almost all (94%) said the module would change future management. In pre-intervention visits, 1.6% of patients with YV injuries were discharged with YV instructions, versus 15.7% in the post-intervention period (p=0.006, 95%CI for difference 3.6% - 24.5%).\n \nConclusions\n: A brief Web-based module influenced PEM physicians’ knowledge and attitudes about YV prevention and may have affected behavior changes related to caring for YV victims in the ED. Further research should investigate Web-based educational strategies to improve care of YV victims in a larger population of PEM physicians.", "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": "youth violence, injury prevention, theory of planned behavior" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1ns530mm", "frozenauthors": [ { "first_name": "Tracy", "middle_name": "E.", "last_name": "Madsen", "name_suffix": "", "institution": "Division of Women’s Health in Emergency Care\nThe Alpert Medical School of Brown University \nDepartment of Emergency Medicine\nRhode Island Hospital, Providence, RI", "department": "None" }, { "first_name": "Alison", "middle_name": "", "last_name": "Riese", "name_suffix": "", "institution": "Injury Prevention Center\nThe Alpert Medical School of Brown University\t\nDepartment of Emergency Medicine\nRhode Island Hospital, Providence, RI", "department": "None" }, { "first_name": "Esther", "middle_name": "K", "last_name": "Choo", "name_suffix": "", "institution": "Injury Prevention Center/\nDivision of Women's Health in Emergency Care\nThe Alpert Medical School of Brown University\t\nDepartment of Emergency Medicine\nRhode Island Hospital, Providence, RI", "department": "None" }, { "first_name": "Megan", "middle_name": "L", "last_name": "Ranney", "name_suffix": "", "institution": "Injury Prevention Center\nThe Alpert Medical School of Brown University\t\nDepartment of Emergency Medicine\nRhode Island Hospital, Providence, RI", "department": "None" } ], "date_submitted": "2014-01-25T00:23:32+05:30", "date_accepted": "2014-01-25T00:23:32+05:30", "date_published": "2014-06-03T05:26:37+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8112/galley/4680/download/" } ] }, { "pk": 8099, "title": "Screening for violence risk factors identifies young adults at risk for return emergency department visit for injury", "subtitle": null, "abstract": "Introduction\n: Homicide is the second leading cause of death among youth aged 15–24. Prior crosssectionalstudies, in non-healthcare settings, have reported exposure to community violence, peerbehavior, and delinquency as risk factors for violent injury. However, longitudinal cohort studies havenot been performed to evaluate the temporal or predictive relationship between these risk factors andemergency department (ED) visits for injuries among at-risk youth. The objective was to assesswhether self-reported exposure to violence risk factors in young adults can be used to predict future ED visits for injuries over a 1-year period.\nMethods\n: This prospective cohort study was performed in the ED of a Southeastern US Level I traumacenter. Eligible participants were patients aged 18–24, presenting for any chief complaint. We excludedpatients if they were critically ill, incarcerated, or could not read English. Initial recruitment occurredover a 6-month period, by a research assistant in the ED for 3–5 days per week, with shifts scheduledsuch that they included weekends and weekdays, over the hours from 8AM-8PM. At the time of initialcontact in the ED, patients were asked to complete a written questionnaire, consisting of previouslyvalidated instruments measuring the following risk factors: a) aggression, b) perceived likelihood ofviolence, c) recent violent behavior, d) peer behavior, e) community exposure to violence, and f)positive future outlook. At 12 months following the initial ED visit, the participants’ medical records werereviewed to identify any subsequent ED visits for injury-related complaints. We analyzed data with chisquareand logistic regression analyses.\nResults\n: Three hundred thirty-two patients were approached, of whom 300 patients consented.Participants’ average age was 21.1 years, with 60.1% female, 86.0% African American. Aftercontrolling for participant gender, ethnicity, or injury complaint at time of first visit, return visits forinjuries were significantly associated with: hostile/aggressive feelings (Odds ratio (OR) 3.5, 95%Confidence interval (CI): 1.3, 9.8), self-reported perceived likelihood of violence (OR 10.1, 95% CI: 2.5,40.6), and peer group violence (OR 6.7, 95% CI: 2.0, 22.3).\nConclusion\n: A brief survey of risk factors for violence is predictive of increased probability of a returnvisit to the ED for injury. These findings identify a potentially important tool for primary prevention ofviolent injuries among at-risk youth seen in the ED for trauma-related and non-traumatic complaints.", "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": "Injury" }, { "word": "Violence" }, { "word": "Emergency Medicine" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6b40z16b", "frozenauthors": [ { "first_name": "Abigail", "middle_name": "", "last_name": "Hankin", "name_suffix": "", "institution": "Emory University Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Stanley", "middle_name": "", "last_name": "Wei", "name_suffix": "", "institution": "Mercy Care Services", "department": "None" }, { "first_name": "Juron", "middle_name": "", "last_name": "Foreman", "name_suffix": "", "institution": "Emory University Department of Emergency Medicine", "department": "None" }, { "first_name": "Debra", "middle_name": "", "last_name": "Houry", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine", "department": "None" } ], "date_submitted": "2014-01-18T01:09:22+05:30", "date_accepted": "2014-01-18T01:09:22+05:30", "date_published": "2014-06-03T05:26:21+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8099/galley/4672/download/" } ] }, { "pk": 8128, "title": "Impact of Gender on Patient Preferences for Technology-Based Behavioral Interventions", "subtitle": null, "abstract": "Introduction: \nTechnology-based interventions offer an opportunity to address high-risk behaviors inthe emergency department (ED). Prior studies suggest behavioral health strategies are more effectivewhen gender differences are considered. However, the role of gender in ED patient preferences fortechnology-based interventions has not been examined. The objective was to assess whether patientpreferences for technology-based interventions varies by gender.\nMethods: \nThis was a secondary analysis of data from a systematic survey of adult (18 years of age),English-speaking patients in a large urban academic ED. Subjects were randomly selected during apurposive sample of shifts. The iPad survey included questions on access to technology, preferencesfor receiving health information, and demographics. We defined ‘‘technology-based’’ as web, textmessage, e-mail, social networking, or DVD; ‘‘non-technology-based’’ was defined as in-person,written materials, or landline. We calculated descriptive statistics and used univariate tests to comparemen and women. Gender-stratified multivariable logistic regression models were used to examineassociations between other demographic factors (age, race, ethnicity, income) and technology-basedpreferences for information on specific risky behaviors.\nResults:\n Of 417 participants, 45.1% were male. There were no significant demographic differencesbetween men and women. Women were more likely to use computers (90.8% versus 81.9%; p¼0.03),Internet (66.8% versus 59.0%; p¼0.03), and social networks (53.3% versus 42.6%; p¼0.01). 89% ofmen and 90% of women preferred technology-based formats for at least type of health information;interest in technology-based for individual health topics did not vary by gender. Concern aboutconfidentiality was the most common barrier to technology-based use for both genders. Multivariateanalysis showed that for smoking, depression, drug/alcohol use, and injury prevention, gendermodified the relationship between other demographic factors and preference for technology-basedhealth information; e.g., older age decreases interest in technology-based information for smokingcessation in women but not in men (aOR 0.96, 95% CI 0.93-0.99 versus aOR 1.00, 95% CI 0.97-1.03).\nConclusion:\n Our findings suggest ED patients’ gender may affect technology preferences. Receptivityto technology-based interventions may be a complex interaction between gender and otherdemographic factors. Considering gender may help target ED patient populations most likely to bereceptive to technology-based interventions. [West J Emerg Med. 2014;15(5):593–599.]", "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": "Gender Differences, Behavioral Health, Technology Based Interventions, Emergency Medicine" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43z5n12b", "frozenauthors": [ { "first_name": "David", "middle_name": "J.", "last_name": "Kim", "name_suffix": "", "institution": "The Warren Alpert Medical School of Brown University, Department of Emergency\nMedicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Esther", "middle_name": "K.", "last_name": "Choo", "name_suffix": "", "institution": "The Warren Alpert Medical School of Brown University, Department of Emergency\nMedicine, Providence, Rhode Island", "department": "None" }, { "first_name": "Megan", "middle_name": "L.", "last_name": "Ranney", "name_suffix": "", "institution": "The Warren Alpert Medical School of Brown University, Department of Emergency\nMedicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2014-02-03T09:03:09+05:30", "date_accepted": "2014-02-03T09:03:09+05:30", "date_published": "2014-06-03T05:26:10+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8128/galley/4684/download/" } ] }, { "pk": 8097, "title": "Texting While Driving: Does the New Law Work Among Healthcare Providers?", "subtitle": null, "abstract": "Objectives: \nThis study assessed whether Georgia Senate Bill 360, a statewide law passed in August, 2010, that prohibits text messaging while driving, resulted in a decrease in this behavior among emergency medicine (EM) and general surgery (GS) healthcare providers.\n \n \n \nMethods: \nSurveyMonkey was used to create a web-based survey containing up to 28 multiple choice and free-text questions about driving behaviors. EM and GS healthcare providers at a southeastern medical school and its affiliate county hospital received an email inviting them to complete this survey in February, 2011. All analyses were conducted in SPSS (version 19.0, Chicago, IL, 2010), using chi-squared tests and logistic regression models. The primary outcome of interest was a change in participant texting or emailing while driving after passage of the texting ban in Georgia.\n \nResults: \nTwo hundred and twenty-six providers completed the entire survey (response rate 46.8%). Participants ranged in age from 23 to 71 years, with an average age of 38 (SD=10.2; median=35).\n \nOnly three-quarters of providers (n=173, 76.6%) were aware of a texting ban in the state. Out of these, 60 providers (36.6%) reported never or rarely sending texts while driving (0 to 2 times per year), and 30 engaged in this behavior almost daily (18.9%). Almost two-thirds of this group reported no change in texting while driving following passage of the texting ban (n=110, 68%), while 53 respondents texted less (31.8%).\n \nRespondents younger than 40 were more than twice as likely to report no change in texting post-ban compared to older participants (OR=2.31, p=0.014). Providers who had been pulled over for speeding in the previous five years were about 2.5 times as likely to not change their texting while driving behavior following legislation passage compared to those without a history of police stops for speeding (OR=2.55, p=0.011). Each additional ticket received in the past 5 years for a moving violation lessened the odds of reporting a decrease in texting by 45%. (OR=0.553, p=0.007).\n \n \n \nConclusion: \nEM and GS providers, particularly those who are younger, have received more tickets for moving violations, and with a history of police stops for speeding, exhibit limited compliance with distracted driving laws, despite first-hand exposure to the motor vehicle crashes caused by distracted driving.", "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": "distracted driving, injury control" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7739j1fb", "frozenauthors": [ { "first_name": "Anitha", "middle_name": "Elizabeth", "last_name": "Mathew", "name_suffix": "", "institution": "Emory University", "department": "None" }, { "first_name": "Debra", "middle_name": "", "last_name": "Houry", "name_suffix": "", "institution": "Emory University", "department": "None" }, { "first_name": "Christopher", "middle_name": "J", "last_name": "Dente", "name_suffix": "", "institution": "Emory University School of Medicine", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "P", "last_name": "Salomone", "name_suffix": "", "institution": "Maricopa Medical Center", "department": "None" } ], "date_submitted": "2014-01-17T20:11:02+05:30", "date_accepted": "2014-01-17T20:11:02+05:30", "date_published": "2014-06-03T05:25:37+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8097/galley/4670/download/" } ] }, { "pk": 8084, "title": "Demographic and Psychosocial Correlates of Mobile Phone Ownership and Usage among Youth Living in the Slums of Kampala, Uganda", "subtitle": null, "abstract": "Introduction: \nThe use of mobile phones and other technology for improving health through research and practice is growing quickly, in particular in areas with difficult to reach population or where the research infrastructure is less developed. In Sub-Saharan Africa, there appears to be a dramatic increase in mobile phone ownership and new initiatives that capitalize on this technology to support health promotion campaigns to change behavior and to increase health literacy. However, the extent to which difficult to reach youth in the slums of Kampala may own and use mobile phones has not been reported despite the burden of injuries, substance use, and HIV that they face. The purpose of this study is to determine the prevalence and correlates of mobile phone ownership and use in this high-risk population. \n \n \nMethods: \nThis study of youth was conducted in May and June of 2011 to quantify and describe high-risk behaviors and exposures in a convenience sample of urban youth (N=457) living on the streets or in the slums, 14-24 years of age, who were participating in a Uganda Youth Development Link drop-in center for disadvantaged street youth. Chi-square analyses were computed to determine associations between mobile phone ownership and usage and demographic and psychosocial correlates.\n \nResults: \nOverall, 46.9% of youth reported owning a mobile phone and ownership did not vary by sex, but was more common among youth older than 18 years of age. Mobile phone ownership was also more common among those who reported taking care of themselves at night, who reported current drug use and who reported trading sex for money, food or other things.\n \n \n \nConclusion: \nThe findings indicate that research using mobile phones may be both feasible and desirable with hard to reach population living in the slums and who use drugs or who are engaged in commercial sex. Moreover, this technology may also be suitable for injury specific research given that there were few differences with respect to injury-related variables in mobile phone ownership and usage.", "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": "Youth, mobile phone, mhealth, disparity, prevention" } ], "section": "Brief Research Report (Limit 1500 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2tw1f37b", "frozenauthors": [ { "first_name": "Monica", "middle_name": "H", "last_name": "Swahn", "name_suffix": "", "institution": "Georgia State University, Atlanta, Georgia", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Braunstein", "name_suffix": "", "institution": "Georgia State University", "department": "None" }, { "first_name": "Rogers", "middle_name": "", "last_name": "Kasirye", "name_suffix": "", "institution": "Uganda Youth Development Link", "department": "None" } ], "date_submitted": "2014-01-05T22:56:25+05:30", "date_accepted": "2014-01-05T22:56:25+05:30", "date_published": "2014-06-03T05:25:26+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8084/galley/4666/download/" } ] }, { "pk": 8071, "title": "‘‘The Internet is a Mask’’: High School Students’ Suggestions for Preventing Cyberbullying", "subtitle": null, "abstract": "Introduction: \nInteractions through technology have an important impact on today’s youth. While someof these interactions are positive, there are concerns regarding students engaging in negativeinteractions like cyberbullying behaviors and the negative impact these behaviors have on others. Thepurpose of the current study was to explore participant suggestions for both students and adults forpreventing cyberbullying incidents.\nMethods: \nForty high school students participated in individual, semi-structured interviews. Participantexperiences and perceptions were coded using constant comparative methods to illustrate ways inwhich students and adults may prevent cyberbullying from occurring within their school and community.\nResults: \nStudents reported that peers would benefit from increasing online security, as well asbecoming more aware of their cyber-surroundings. Regarding adult-provided prevention services,participants often discussed that there is little adults can do to reduce cyberbullying. Reasons includedthe difficulties in restricting online behaviors or providing effective consequences. However, somestudents did discuss the use of in-school curricula while suggesting that adults blame people ratherthan technology as potential ways to prevent cyberbullying.\nConclusion: \nFindings from the current study indicate some potential ways to improve adult efforts toprevent cyberbullying. These strategies include parent/teacher training in technology andcyberbullying, interventions focused more on student behavior than technology restriction, and helpingstudents increase their online safety and awareness. [West J Emerg Med. 2014;15(5):587–592.]", "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": "cyberbullying, prevention, qualitative" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4vb009q5", "frozenauthors": [ { "first_name": "Leandra", "middle_name": "N.", "last_name": "Parris", "name_suffix": "", "institution": "Illinois State University, Department of Psychology, Normal, Illinois", "department": "None" }, { "first_name": "Kris", "middle_name": "", "last_name": "Varjas", "name_suffix": "", "institution": "Georgia State University, Department of Counseling and Psychological Services,\nAtlanta, Georgia", "department": "None" }, { "first_name": "Joel", "middle_name": "", "last_name": "Meyers", "name_suffix": "", "institution": "Georgia State University, Department of Counseling and Psychological Services,\nAtlanta, Georgia", "department": "None" } ], "date_submitted": "2013-12-17T10:15:19+05:30", "date_accepted": "2013-12-17T10:15:19+05:30", "date_published": "2014-06-03T05:25:07+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8071/galley/4661/download/" } ] }, { "pk": 44066, "title": "Tendinopathy and Fluoroquinolones", "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/3d3291gn", "frozenauthors": [ { "first_name": "Brian ", "middle_name": "S.", "last_name": "Morris", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-06-01T12:32:30+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44066/galley/32869/download/" } ] }, { "pk": 44054, "title": "Metformin and Vitamin B12 Deficiency", "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/8k59f80q", "frozenauthors": [ { "first_name": "Brian ", "middle_name": "S.", "last_name": "Morris", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-06-01T11:52:32+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44054/galley/32857/download/" } ] }, { "pk": 44053, "title": "Meniere’s Disease: A Common Disorder In Outpatient Clinic", "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/1wh1r19h", "frozenauthors": [ { "first_name": "Brian ", "middle_name": "S.", "last_name": "Morris", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-06-01T11:49:09+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44053/galley/32856/download/" } ] }, { "pk": 44043, "title": "Crohn’s Disease: A Late Presentation of A Common 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/4k09d5bf", "frozenauthors": [ { "first_name": "Brian ", "middle_name": "S.", "last_name": "Morris", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-06-01T11:17:57+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44043/galley/32846/download/" } ] }, { "pk": 44046, "title": "Estimation of the return of investment on implication of electronic medical records systems in the United States", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Commentary" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/28k002kq", "frozenauthors": [ { "first_name": "Nadia ", "middle_name": "", "last_name": "Sellami", "name_suffix": "PhD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Roy ", "middle_name": "", "last_name": "Doumani", "name_suffix": "JD", "institution": "", "department": "" }, { "first_name": "Michael ", "middle_name": "A.", "last_name": "Pfeffer", "name_suffix": "MD, FACP", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-05-31T11:24:02+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44046/galley/32849/download/" } ] }, { "pk": 31022, "title": "Volume 1", "subtitle": null, "abstract": "<p>Highlights of Insights and Excellence in Undergraduate Research</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3dx87248", "frozenauthors": [ { "first_name": "", "middle_name": "", "last_name": "", "name_suffix": "", "institution": "Undergraduate Research Journal of Psychology at UCLA", "department": "" } ], "date_submitted": "2024-07-17T22:45:52.164000+05:30", "date_accepted": "2024-07-17T22:50:28.162000+05:30", "date_published": "2014-05-30T22:58:00+05:30", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/urjpucla/article/31022/galley/22106/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/urjpucla/article/31022/galley/22106/download/" } ] }, { "pk": 8158, "title": "Evaluation of Karl Storz CMAC TipTM Device Versus Traditional Airway Suction in a Cadaver Model", "subtitle": null, "abstract": "Introduction: We compared the efficacy of Karl Storz CMAC TipTM with inline suction to CMAC with traditional suction device in cadaveric models simulating difficult airways, using media mimicking pulmonary edema and vomit.\nMethods: This was a prospective, cohort study in which we invited emergency medicine faculty and residents to participate. Each participant intubated 2 cadavers (one with simulated pulmonary edema and one with simulated vomit), using CMAC with inline suction and CMAC with traditional suction. Thirty emergency medicine providers performed 4 total intubations each in a crossover trial comparing the CMAC with inline suction and CMAC with traditional suction. Two intubations were performed with simulated vomit and two with simulated pulmonary edema. The primary outcome was time to successful intubation; and the secondary outcome was proportion of successful intubation.\nResults: The median time to successful intubation using the CMAC with inline suction versus traditional suction in the pulmonary edema group was 29s and 30s respectively (p=0.54). In the vomit simulation, the median time to successful intubation was 40s using the CMAC with inline suction and 41s using the CMAC with traditional suction (p=0.70). There were no significant differences in time to successful intubation between the 2 devices. Similarly, the proportions of successful intubation were also not statistically significant between the 2 devices. The proportions of successful intubations using the inline suction were 96.7% and 73.3%, for the pulmonary edema and vomit groups, respectively. Additionally using the handheld suction device, the proportions for the pulmonary edema and vomit group were 100% and 66.7%, respectively.\nConclusion: CMAC with inline suction was no different than CMAC with traditional suction and was associated with no statistically significant differences in median time to intubation or proportion of successful intubations. [West J Emerg Med. 2014;15(4):548-553.]", "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": "CMAC Karl Storz" }, { "word": "in-line suction" }, { "word": "Difficult Airway" }, { "word": "intubation" }, { "word": "emergency room intubation" }, { "word": "CMAC in-line suction" }, { "word": "cadaveric model" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6dz5v14d", "frozenauthors": [ { "first_name": "Demis", "middle_name": "Nemury", "last_name": "Lipe", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" }, { "first_name": "Randi", "middle_name": "", "last_name": "Lindstrom", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" }, { "first_name": "Dustin", "middle_name": "", "last_name": "Tauferner", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Mitchell", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" }, { "first_name": "Peter", "middle_name": "", "last_name": "Moffett", "name_suffix": "", "institution": "Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas", "department": "None" } ], "date_submitted": "2014-03-01T00:00:32+05:30", "date_accepted": "2014-03-01T00:00:32+05:30", "date_published": "2014-05-30T00:56:20+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8158/galley/4697/download/" } ] }, { "pk": 8069, "title": "Implementation of a Team-based Physician Staffing Model at an Academic Emergency Department", "subtitle": null, "abstract": "Introduction: \nThere is scant literature regarding the optimal resident physician staffing model of academic emergency departments (ED) that maximizes learning opportunities. A department of emergency medicine at a large inner-city academic hospital initiated a team-based staffing model. Its pre-interventional staffing model consisted of residents and attending physicians being separately assigned patients, resulting in residents working with two different faculty providers in the same shift. This study aimed to determine if the post-interventional team-based system, in which residents were paired with a single attending on each shift, would result in improved residents’ learning and clinical experiences as manifested by resident evaluations and the number of patients seen.\nMethods: \nThis retrospective before-and-after study at an academic ED with an annual volume of 52,000 patients examined the mean differences in five-point Likert-scale evaluations completed by residents assessing their ED rotation experiences in both the original and team-based staffing models. The residents were queried on their perceptions of feeling part of the team, decision-making autonomy, clinical experience, amount of supervision, quality of teaching, and overall rotational experience. We also analyzed the number of patients seen per hour by residents. Paired sample t-tests were performed. Residents who were in the program in the year preceding and proceeding the intervention were eligible for inclusion.\nResults: \n34 of 38 eligible residents were included (4 excluded for lack of evaluations in either the pre- or post-intervention period). There was a statistically significant improvement in resident perception of the quality and amount of teaching, 4.03 to 4.27 (mean difference=0.24, p=0.03). There were non-statistically significant trends toward improved mean scores for all other queries. Residents also saw more patients following the initiation of the team-based model, 1.24 to 1.56 patients per hour (mean difference=0.32, p=0.0005).\nConclusion: \nAdopting a team-based physician staffing model is associated with improved resident perceptions of quality and amount of teaching. Residents also experience a greater number of patient evaluations in a team-based model. [West J Emerg Med. 2014;15(6):-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, emergency department staffing, rotation evaluations" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4qg5v0ck", "frozenauthors": [ { "first_name": "Jose", "middle_name": "V", "last_name": "Nable", "name_suffix": "", "institution": "University of Maryland Baltimore County, Department of Emergency Health Services, Baltimore, Maryland\n\nUniversity of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "John", "middle_name": "C", "last_name": "Greenwood", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Michael", "middle_name": "K", "last_name": "Abraham", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Michael", "middle_name": "C", "last_name": "Bond", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Michael", "middle_name": "E", "last_name": "Winters", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2013-12-14T23:58:19+05:30", "date_accepted": "2013-12-14T23:58:19+05:30", "date_published": "2014-05-30T00:52:16+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8069/galley/4660/download/" } ] }, { "pk": 8153, "title": "Compassion Fatigue is Similar in Emergency Medicine Residents Compared to other Medical and Surgical Specialties", "subtitle": null, "abstract": "Introduction: \nCompassion fatigue (CF) is the emotional and physical burden felt by those helping others in distress, leading to a reduced capacity and interest in being empathetic towards future suffering. Emergency care providers are at an increased risk of CF secondary to their first responder roles and exposure to traumatic events. We aimed to investigate the current state of compassion fatigue among emergency medicine (EM) resident physicians, including an assessment of contributing factors.\nMethods: \nWe distributed a validated electronic questionnaire consisting of the Professional Quality of Life Scale with subscales for the three components of CF (compassion satisfaction, burnout and secondary traumatic stress), with each category scored independently. We collected data pertaining to day- versus night-shift distribution, hourly workload and child dependents. We included residents in EM, neurology, orthopedics, family medicine, pediatrics, obstetrics, and general surgery.\nResults:\n We surveyed 255 residents, with a response rate of 75%. Of the 188 resident respondents, 18% worked a majority of their clinical shifts overnight, and 32% had child dependents. Burnout scores for residents who worked greater than 80 hours per week, or primarily worked overnight shifts, were higher than residents who worked less than 80 hours (mean score 25.0 vs 21.5; p=0.013), or did not work overnight (mean score 23.5 vs 21.3; p=0.022). EM residents had similar scores in all three components of CF when compared to other specialties. Secondary traumatic stress scores for residents who worked greater than 80 hours were higher than residents who worked less than 80 hours (mean score 22.2 vs 19.5; p=0.048), and those with child dependents had higher secondary traumatic stress than those without children (mean score 21.0 vs 19.1; p=0.012).\nConclusion: \nCF scores in EM residents are similar to residents in other surgical and medical specialties. Residents working primarily night shifts and those working more than 80 hours per week appear to be at high risk of developing compassion fatigue. Residents with children are more likely to experience secondary traumatic stress. [West J Emerg Med. 2014;15(6):–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": "compassion" }, { "word": "compassion fatigue" }, { "word": "Empathy" }, { "word": "Resident wellness" }, { "word": "physician burnout" }, { "word": "Graduate Medical Education" }, { "word": "resident wellbeing" }, { "word": "stress disorder." } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pn5d48k", "frozenauthors": [ { "first_name": "M. Fernanda", "middle_name": "", "last_name": "Bellolio", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Cabrera", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Annie", "middle_name": "T", "last_name": "Sadosty", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Erik", "middle_name": "P", "last_name": "Hess", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Ronna", "middle_name": "L", "last_name": "Campbell", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Christine", "middle_name": "M", "last_name": "Lohse", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Kharmene", "middle_name": "L", "last_name": "Sunga", "name_suffix": "", "institution": "Mayo Clinic College of Medicine, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2014-02-25T02:42:46+05:30", "date_accepted": "2014-02-25T02:42:46+05:30", "date_published": "2014-05-30T00:49:01+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8153/galley/4695/download/" } ] }, { "pk": 7980, "title": "Deliberate Apprenticeship in the Pediatric Emergency Department Improves Experience for Third-year Medical Students", "subtitle": null, "abstract": "INTRODUCTION: \nThe Pediatric Emergency Department (PED) provides medical students with learning in a high-volume, fast-paced environment; characteristics that can be stressful for new students. Shadowing can improve transitioning, yet this alone does not facilitate students’ development of independent medical care competencies. This study evaluates if third-year medical students’ deliberate apprenticeship with senior residents increases students’ comfort and patient exposure in the PED.\nMETHODS:\n This study took place over the 2011-2012 academic year, and study participants were all third-year medical students during their pediatric clerkship rotation. This was a prospective educational intervention assigning students to randomized control blocks of deliberate apprenticeship (DA) intervention or control. DA students were paired with a senior resident who oriented and worked with the student, while control students were unpaired. All students completed a 20-question structured survey at shift end, which included questions about their perception of the learning environment, comfort with, and number of patient care responsibilities performed. We used independent Mann-Whitney and t-tests to compare experiences between the groups. Statistical significance was defined as p<0.05. We used the constant comparative method to qualitatively analyze students’ comments.\nRESULTS:\n Response rate was 85% (145/169). Students also rated on 5-point Likert-scale their level of comfort with defined aspects of working in the PED. DA students (n=76) were significantly more comfortable obtaining histories (4.2 versus 3.8) and formulating differential diagnoses (3.9 versus 3.4). DA students also performed more physical exams (2.9 versus 2.4). We categorized themes from the qualitative analysis of the students’ comments about their PED experience. The titles for these themes are as follows: PED provides a good learning experience; uncertainty about the medical student’s role in the PED; third-year medical students compete with other learners for teaching attention; opportunities provided to medical students for inclusion in patient care; personal knowledge deficits limit the ability to participate in the PED; PED pace affects learning opportunities.\nCONCLUSION: \nDA constitutes a feasible approach to the clinical learning environment that increases students’ patient care experiences and may ease transitioning for undergraduate medical students to new clinical environments. [West J Emerg Med.–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 education, pediatrics, emergency medicine, deliberate apprenticeship" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7v46d8m5", "frozenauthors": [ { "first_name": "Maya", "middle_name": "Subbarao", "last_name": "Iyer", "name_suffix": "", "institution": "Children's Hospital of Pittsburgh of UPMC", "department": "None" }, { "first_name": "Patricia", "middle_name": "Bridget", "last_name": "Mullan", "name_suffix": "", "institution": "University of Michigan, Department of Medical Education", "department": "None" }, { "first_name": "Sally", "middle_name": "", "last_name": "Santen", "name_suffix": "", "institution": "University of Michigan, Department of Medical Education and Department of Emergency Medicine", "department": "None" }, { "first_name": "Athina", "middle_name": "", "last_name": "Sikavitsas", "name_suffix": "", "institution": "University of Michigan, Department of Emergency Medicine", "department": "None" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Christner", "name_suffix": "", "institution": "State University of New York at Syracuse, Department of Pediatrics and Department of Medical Education", "department": "None" } ], "date_submitted": "2013-10-10T23:29:34+05:30", "date_accepted": "2013-10-10T23:29:34+05:30", "date_published": "2014-05-30T00:44:43+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7980/galley/4625/download/" } ] }, { "pk": 7716, "title": "Continuous Hemodynamic Monitoring in Acute Stroke: An Exploratory Analysis", "subtitle": null, "abstract": "Introduction: Non-invasive, continuous hemodynamic monitoring is entering the clinical arena. The primary objective of this study was to test the feasibility of such monitoring in a pilot sample of Emergency Department (ED) stroke patients. Secondary objectives included analysis of hemodynamic variability and correlation of continuous blood pressure measurements with standard measurements.\nMethods: This study was a secondary analysis of 7 stroke patients from a prospectively collected data set of patients that received 2 hours of hemodynamic monitoring in the ED. Stroke patients were included if hemorrhagic or ischemic stroke was confirmed by neuroimaging, and symptom onset was within 24 hours. They were excluded for the presence of a stroke mimic or transient ischemic attack. Monitoring was performed using the Nexfin device (Edwards Lifesciences, Irvine CA).\nResults: The mean age of the cohort was 71 ± 17 years, 43% were male, and the mean National Institute of Health Stroke Scale (NIHSS) was 6.9 ± 5.5. Two patients had hemorrhagic stroke. We obtained 42,456 hemodynamic data points, including beat-to-beat blood pressure measurements with variability of 18 mmHg and cardiac indices ranging from 1.8 to 3.6 l/min/m2. The correlation coefficient between continuous blood pressure measurements with the Nexfin device and standard ED readings was 0.83.\nConclusion: This exploratory investigation revealed that continuous, noninvasive monitoring in the ED is feasible in acute stroke. Further research is currently underway to determine how such monitoring may impact outcomes in stroke or replace the need for invasive monitoring. [West J Emerg Med. 2014;15(4):345-350.]", "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": "monitoring" }, { "word": "Hemodynamics" }, { "word": "stroke" }, { "word": "Emergency Medicine" }, { "word": "Critical care" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8j00g8xz", "frozenauthors": [ { "first_name": "Ayan", "middle_name": "", "last_name": "Sen", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Miller", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Heidi", "middle_name": "", "last_name": "Wilkie", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Michele", "middle_name": "", "last_name": "Moyer", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Lewandowski", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Nowak", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" } ], "date_submitted": "2013-02-08T22:25:43+05:30", "date_accepted": "2013-02-08T22:25:43+05:30", "date_published": "2014-05-30T00:40:51+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7716/galley/4517/download/" } ] }, { "pk": 8111, "title": "Acute Mesenteric Venous Thrombosis with a Vaginal Contraceptive Ring", "subtitle": null, "abstract": "Mesenteric venous thrombosis is a rare cause of abdominal pain, which if left untreated may result in bowel infarction, peritonitis and death. The majority of patients with this illness have a recognizable, predisposing prothrombotic condition. Oral contraceptives have been identified as a predisposing factor for mesenteric venous thrombosis in reproductive-aged women. In the last fifteen years new methods of hormonal birth control have been introduced, including a transdermal patch and an intravaginal ring. In this report, we describe a case of mesenteric venous thrombosis in a young woman caused by a vaginal contraceptive ring. [West J Emerg Med.]", "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": "Mesenteric venous thrombosis" }, { "word": "vaginal contraceptive ring" }, { "word": "nuvaring" }, { "word": "Thrombosis" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/89q33087", "frozenauthors": [ { "first_name": "Wesley", "middle_name": "", "last_name": "Eilbert", "name_suffix": "", "institution": "University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Hecht", "name_suffix": "", "institution": "University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Loren", "middle_name": "", "last_name": "Zuiderveld", "name_suffix": "", "institution": "Advocate Illinois Masonic Medical Center, Chicago, Illinois", "department": "None" } ], "date_submitted": "2014-01-24T07:44:46+05:30", "date_accepted": "2014-01-24T07:44:46+05:30", "date_published": "2014-05-28T03:44:35+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8111/galley/4679/download/" } ] }, { "pk": 8206, "title": "Intestinal Obstruction Caused by Phytobezoars", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):385–386.]", "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/2jz7c78s", "frozenauthors": [ { "first_name": "Maryam", "middle_name": "", "last_name": "Kia", "name_suffix": "", "institution": "Tehran University of Medical Sciences, Ziaeian Hospital, Department of Internal\nMedicine, Tehran, Iran", "department": "None" }, { "first_name": "Seyed", "middle_name": "M", "last_name": "Aghili", "name_suffix": "", "institution": "Tehran University of Medical Sciences, Imam Khomeini Hospital, Department of\nEmergency Medicine, Tehran, Iran", "department": "None" }, { "first_name": "Rokhsareh", "middle_name": "", "last_name": "Aghili", "name_suffix": "", "institution": "Iran University of Medical Sciences, Institute of Endocrine and Metabolism, Institute\nof Endocrine and Metabolism, Endocrine Research Center, Tehran, Iran", "department": "None" } ], "date_submitted": "2014-04-12T01:27:30+05:30", "date_accepted": "2014-04-12T01:27:30+05:30", "date_published": "2014-05-28T03:42:05+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8206/galley/4718/download/" } ] }, { "pk": 8189, "title": "Ocular Ultrasound Identifies Early Orbital Cellulitis", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):394.]", "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, ocular, orbital" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6qz0r9b4", "frozenauthors": [ { "first_name": "Tarina", "middle_name": "L", "last_name": "Kang", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Dina", "middle_name": "", "last_name": "Seif", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Mikaela", "middle_name": "", "last_name": "Chilstrom", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Tom", "middle_name": "", "last_name": "Mailhot", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-03-29T06:49:31+05:30", "date_accepted": "2014-03-29T06:49:31+05:30", "date_published": "2014-05-28T03:40:25+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8189/galley/4711/download/" } ] }, { "pk": 8063, "title": "Yield and Clinical Predictors of Thoracic Spine Injury from Chest Computed Tomography for Blunt Trauma", "subtitle": null, "abstract": "Introduction:\n Cost and radiation risk have prompted intense examination of trauma patient imaging. A proposed decision instrument (DI) for the use of chest computed tomography (CT), (CCT) in blunt trauma patients includes thoracic spine (TS) tenderness, altered mental status (AMS) and distracting painful injury (DPI) as potential predictor variables. TS CT is a separate, costly study whose value is currently ill-defined. The objective of this study is to determine test characteristics of these predictor variables alone, and in combination, to derive a TS injury DI.\nMethods:\n Prospective cohort study of blunt trauma patients age > 14 in a Level I Trauma Center who had either CCT or TS CT.\nResults:\n Of 1,798 blunt trauma patients, 1,174 (65.3%) had CCT, and 46 (2.6%) had a TS CT at physician discretion. CCT identified 58 TS injuries in 1,220 patients (4.8%). For 1,032 patients without AMS, 18/35 had TS tenderness, for sensitivity of 51.4%, specificity 84.7%, positive (PPV) and negative predictive values (NPV) of 10.5% and 98.0%. Positive likelihood ratio (+LR) was 3.35, with negative (-LR) 0.57. Among the 58 TS injuries, 23 had AMS for sensitivity of 39.7%, with other test characteristics of 85.8%, 12.2%, 96.6%, with +LR 2.79 and -LR 0.70. Thirty-eight of 58 had DPI, for sensitivity 65.5%, with other test characteristics 65.7%, 8.7%, and 97.4%, with +LR 1.91 and -LR 0.52. Combining 3 predictor variables into a proposed DI found 56/58 injuries for test characteristics of 96.6% (95% CI 88.1-99.6%), 49.1% (46.1-52.0%), 8.6% (6.6-11.1%) and 99.7% (CI 98.7-100%), with +LR 1.90 (1.76-2.04) and -LR 0.07 (0.02-0.28). If validated, the DI would exclude 572/1,220 CCT patients from separate TS CT (46.9%, CI 44.1-49.7%), and 141/511 (27.6%, CI 23.8-31.7%) patients who actually had TS CT in our cohort. Medicare payment at our center for sagittal reconstructions of TS CT is $280 for professional plus technical charges ($3,312 per study). The DI, if validated, would save $39,000 –$160,000 in TS imaging payments.\nConclusion:\n TS CT is low yield and costly. Patients who are alert, have no TS tenderness and no DPI have a very low likelihood of TS injury (NPV 99.7% 95% CI lower limit 98.7%) with –LR=0.07, 95% CI upper limit 0.28). Avoiding TS CT may save considerable charges and payments. [West J Emerg Med. 2014;15(4):465–470.]", "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, spine, computed tomography, CT, blunt trauma" } ], "section": "Injury Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/08q5w191", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Langdorf", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Nadia", "middle_name": "", "last_name": "Zuabi", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Nooreen", "middle_name": "A", "last_name": "Khan", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Chelsey", "middle_name": "", "last_name": "Bithell", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Armaan", "middle_name": "A", "last_name": "Rowther", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Karin", "middle_name": "", "last_name": "Reed", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Craig", "middle_name": "L", "last_name": "Anderson", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Rodriguez", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2013-12-10T23:55:28+05:30", "date_accepted": "2013-12-10T23:55:28+05:30", "date_published": "2014-05-28T03:19:12+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8063/galley/4657/download/" } ] }, { "pk": 8190, "title": "Handlebar Trauma Causing Small Bowel Hernia with Jejunal Perforation", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):367–368.]", "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": "abdominal wall hernia" }, { "word": "handlebar" }, { "word": "perforation" }, { "word": "computed tomography" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5jm0k9qc", "frozenauthors": [ { "first_name": "Serpil", "middle_name": "", "last_name": "Yaylacı", "name_suffix": "", "institution": "Acibadem University School of Medicine, Department of Emergency Medicine, Turkey", "department": "None" }, { "first_name": "Hasan", "middle_name": "", "last_name": "Ercelik", "name_suffix": "", "institution": "Dumlupinar University, Department of Emergency Medicine, Turkey", "department": "None" }, { "first_name": "Murat", "middle_name": "", "last_name": "Seyit", "name_suffix": "", "institution": "Dumlupinar University, Department of Emergency Medicine, Turkey", "department": "None" }, { "first_name": "Ali", "middle_name": "", "last_name": "Kocyigit", "name_suffix": "", "institution": "Pamukkale University, Department of Radiology, Denizli, Turkey", "department": "None" }, { "first_name": "Mustafa", "middle_name": "", "last_name": "Serinken", "name_suffix": "", "institution": "Pamukkale University, Department of Emergency Medicine, Turkey", "department": "None" } ], "date_submitted": "2014-03-29T12:09:53+05:30", "date_accepted": "2014-03-29T12:09:53+05:30", "date_published": "2014-05-28T03:14:02+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8190/galley/4712/download/" } ] }, { "pk": 41610, "title": "Paleogene chelonians from Maryland and Virginia", "subtitle": null, "abstract": "Fossil remains of 22 kinds of Paleogene turtles have been recovered in Maryland and Virginia from the early Paleocene Brightseat Formation (four taxa), late Paleocene Aquia Formation (nine taxa), early Eocene Nanjemoy Formation (five taxa), middle Eocene Piney Point Formation (one taxon), and mid-Oligocene Old Church Formation (three taxa). Twelve taxa are clearly marine forms, of which ten are pancheloniids (\nAshleychelys palmeri\n, \nCarolinochelys wilsoni\n, \nCatapleura coatesi\n, \nCatapleura\n sp., \nEuclastes roundsi\n, \nE. wielandi\n, ?\nLophochelys\n sp., \nProcolpochelys charlestonensis\n, \nPuppigerus camperi\n, and \nTasbacka ruhoffi\n), and two are dermochelyids (\nEosphargis insularis\n and cf. \nEosphargis gigas\n). Eight taxa represent fluvial or terrestrial forms (\nAdocus\n sp., \nJudithemys kranzi\n n. sp., \nPlanetochelys savoiei\n, cf. \n“Trionyx” halophilus\n, \n“Trionyx” pennatus\n, “Kinosternoid B,” Bothremydinae gen. et sp. indet., and Bothremydidae gen. et sp. indet.), and two taxa (\nAspideretoides virginianus\n and \nAllaeochelys\n sp.) are trionychian turtles that probably frequented estuarine and nearshore marine environments. In Maryland and Virginia, turtle diversity superficially appears to decline throughout the Paleogene, but this probably is due to an upward bias in the local stratigraphic column toward more open marine environments that have preserved very few remains of riverine or terrestrial turtles.", "language": "en", "license": null, "keywords": [ { "word": "Bothremydidae" }, { "word": "“Macrobaenidae”" }, { "word": "Kinosternoidea" }, { "word": "Trionychia" }, { "word": "Dermochelyidae" }, { "word": "Pancheloniidae" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7253p3tf", "frozenauthors": [ { "first_name": "Robert", "middle_name": "E.", "last_name": "Weems", "name_suffix": "", "institution": "Paleo Quest, Gainesville, Virginia", "department": "None" } ], "date_submitted": "2014-05-28T02:13:46+05:30", "date_accepted": "2014-05-28T02:13:46+05:30", "date_published": "2014-05-27T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41610/galley/31150/download/" } ] }, { "pk": 35351, "title": "Elements of Food Infrastructure", "subtitle": null, "abstract": "As food has industrialized, it has changed, along with our bodies and our economies. Matthew Hockenberry charts conceptual connections in this issue with a timeline.", "language": null, "license": { "name": "Creative Commons Attribution-ShareAlike 4.0", "short_name": "CC BY-SA 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-sa/4.0" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/51p4c398", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "", "last_name": "Hockenberry", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-05-26T00:30:00+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/limn/article/35351/galley/26278/download/" } ] }, { "pk": 44049, "title": "Iatrogenic Cushing’s Masquerading as Lipodystrophy and Adrenal Insufficiency", "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/4250m434", "frozenauthors": [ { "first_name": "Janet", "middle_name": "", "last_name": "Winikoff", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-05-25T11:33:39+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44049/galley/32852/download/" } ] }, { "pk": 43982, "title": "Diagnosis of Autosomal Dominant Polycystic Kidney Disease in a Patient Presenting with Acute Stroke", "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/413326bq", "frozenauthors": [ { "first_name": "Jorge ", "middle_name": "A. ", "last_name": "Uribe", "name_suffix": "M.D. ", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mina ", "middle_name": "R. ", "last_name": "Kang", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-05-24T04:51:47+05:30", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43982/galley/32786/download/" } ] }, { "pk": 8101, "title": "Incidental Finding in a Headache Patient: Intracranial Lipoma", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):361-362.]", "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": "Central Nervous System" }, { "word": "Cranial Tomography" }, { "word": "headache" }, { "word": "Intracranial Lipoma" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/418807k3", "frozenauthors": [ { "first_name": "Ozlem", "middle_name": "", "last_name": "Bilir", "name_suffix": "", "institution": "Recep Tayyip Erdogan University, Department of Emergency Medicine, Rize, Turkey", "department": "None" }, { "first_name": "Ozcan", "middle_name": "", "last_name": "Yavasi", "name_suffix": "", "institution": "Recep Tayyip Erdogan University, Department of Emergency Medicine, Rize, Turkey", "department": "None" }, { "first_name": "Gokhan", "middle_name": "", "last_name": "Ersunan", "name_suffix": "", "institution": "Recep Tayyip Erdogan University, Department of Emergency Medicine, Rize, Turkey", "department": "None" }, { "first_name": "Kamil", "middle_name": "", "last_name": "Kayayurt", "name_suffix": "", "institution": "Recep Tayyip Erdogan University, Department of Emergency Medicine, Rize, Turkey", "department": "None" }, { "first_name": "Tugba", "middle_name": "", "last_name": "Durakoglugil", "name_suffix": "", "institution": "Recep Tayyip Erdogan University, Department of Radiology, Rize, Turkey", "department": "None" } ], "date_submitted": "2014-01-18T22:44:09+05:30", "date_accepted": "2014-01-18T22:44:09+05:30", "date_published": "2014-05-24T01:45:32+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8101/galley/4674/download/" } ] }, { "pk": 8140, "title": "Thoracic Outlet Syndrome with Secondary Paget Schröetter Syndrome: A Rare Case of Effort-Induced Thrombosis of the Upper Extremity", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):364-365.]", "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/9rj9v4mm", "frozenauthors": [ { "first_name": "Jesse", "middle_name": "", "last_name": "Kellar", "name_suffix": "", "institution": "Lakeland Regional Medical Center, Department of Emergency Medicine, Saint\nJoseph, Michigan", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Trigger", "name_suffix": "", "institution": "Lakeland Regional Medical Center, Department of Emergency Medicine, Saint\nJoseph, Michigan", "department": "None" } ], "date_submitted": "2014-02-14T11:41:52+05:30", "date_accepted": "2014-02-14T11:41:52+05:30", "date_published": "2014-05-23T23:14:46+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8140/galley/4686/download/" } ] }, { "pk": 8142, "title": "A Purple Ulcer", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):366.]", "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": "antiseptic, gentian violet, hexamethylrosaniline, ulcer, skin infection" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8xn7j1c9", "frozenauthors": [ { "first_name": "Caleb", "middle_name": "Patrick", "last_name": "Canders", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Jennifer", "middle_name": "J", "last_name": "Weinberg", "name_suffix": "", "institution": "David Geffen School of Medicine at UCLA, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-02-14T21:53:03+05:30", "date_accepted": "2014-02-14T21:53:03+05:30", "date_published": "2014-05-23T23:09:39+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8142/galley/4687/download/" } ] }, { "pk": 8051, "title": "Bilateral Hydronephrosis and Cystitis Resulting from Chronic Ketamine Abuse", "subtitle": null, "abstract": "Ketamine associated urinary dysfunction has become increasingly more common worldwide. Point-of-care ultrasound (POCUS) is an established modality for diagnosing hydronephrosis in the emergency department. We describe a case of a young male ketamine abuser with severe urinary urgency and frequency in which POCUS performed by the emergency physician demonstrated bilateral hydronephrosis and a focally thickened irregular shaped bladder. Emergency physicians should consider using POCUS evaluate for hydronephrosis and bladder changes in ketamine abusers with lower urinary tract symptoms. The mainstay of treatment is discontinuing ketamine abuse. [West J Emerg Med. 2014;15(4):382–384.]", "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": "ketamine" }, { "word": "ultrasound" }, { "word": "point-of-care" }, { "word": "emergency" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9r73g9zv", "frozenauthors": [ { "first_name": "Vu Huy", "middle_name": "", "last_name": "Tran", "name_suffix": "", "institution": "Albert Einstein College of Medicine, Jack D. Weiler Hospital, Bronx, New York", "department": "None" }, { "first_name": "Mathew", "middle_name": "", "last_name": "Nelson", "name_suffix": "", "institution": "Hofstra North Shore-LIJ School of Medicine, Department of Emergency Medicine, Hempstead, New York", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Nogar", "name_suffix": "", "institution": "Hofstra North Shore-LIJ School of Medicine, Department of Emergency Medicine, Hempstead, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "M", "last_name": "Bramante", "name_suffix": "", "institution": "Hofstra North Shore-LIJ School of Medicine, Department of Emergency Medicine, Hempstead, New York", "department": "None" } ], "date_submitted": "2013-11-25T10:00:10+05:30", "date_accepted": "2013-11-25T10:00:10+05:30", "date_published": "2014-05-23T23:05:55+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8051/galley/4651/download/" } ] }, { "pk": 7749, "title": "Paralytic Shellfish Poisoning: A Case Series", "subtitle": null, "abstract": "We describe a case series of seven patients presenting to an emergency department with symptoms of paralytic shellfish poisoning. They developed varying degrees of nausea, vomiting, diarrhea, weakness, ataxia and paresthesias after eating mussels harvested from a beach near their resort. Four patients were admitted to the hospital, one due to increasing respiratory failure requiring endotracheal intubation and the remainder for respiratory monitoring. All patients made a full recovery, most within 24 hours. The ability to recognize and identify paralytic shellfish poisoning and manage its complications are important to providers of emergency medicine. [West J Emerg Med. 2014;15(4):378-381.]", "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": "Paralytic shellfish poisoning, marine toxin" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43r6v4tk", "frozenauthors": [ { "first_name": "William", "middle_name": "", "last_name": "Hurley", "name_suffix": "", "institution": "Washington Poison Control Center, Seattle, Washington", "department": "None" }, { "first_name": "Cameron", "middle_name": "", "last_name": "Wolterstorff", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma,\nWashington", "department": "None" }, { "first_name": "Ryan", "middle_name": "", "last_name": "MacDonald", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma,\nWashington", "department": "None" }, { "first_name": "Debora", "middle_name": "", "last_name": "Shultz", "name_suffix": "", "institution": "Washington Poison Control Center, Seattle, Washington", "department": "None" } ], "date_submitted": "2014-01-25T09:08:55+05:30", "date_accepted": "2014-01-25T09:08:55+05:30", "date_published": "2014-05-23T23:02:23+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7749/galley/4533/download/" } ] }, { "pk": 8055, "title": "Clinical Management of Skin and Soft Tissue Infections in the U.S. Emergency Departments", "subtitle": null, "abstract": "Introduction: Community-associated methicillin resistant Staphylococcus aureus (CA-MRSA) has emerged as the most common cause of skin and soft-tissue infections (SSTI) in the United States. A nearly three-fold increase in SSTI visit rates had been documented in the nation’s emergency departments (ED). The objective of this study was to determine characteristics associated with ED performance of incision and drainage (I+D) and use of adjuvant antibiotics in the management of skin and soft tissue infections (SSTI). Methods: Cross-sectional study of the National Hospital Ambulatory Medical Care Survey, a nationally representative database of ED visits from 2007-09. Demographics, rates of I+D, and adjuvant antibiotic therapy were described. We used multivariable regression to identify factors independently associated with use of I+D and adjuvant antibiotics.Results: An estimated 6.8 million (95% CI: 5.9-7.8) ED visits for SSTI were derived from 1,806 sampled visits; 17% were for children <18 years of age and most visits were in the South (49%). I+D was performed in 27% (95% CI 24-31) of visits, and was less common in subjects <18 years compared to adults 19-49 years (p<0.001), and more common in the South. Antibiotics were prescribed for 85% of SSTI; there was no relationship to performance of I+D (p=0.72). MRSA-active agents were more frequently prescribed after I+D compared to non-drained lesions (70% versus 56%, p<0.001). After multivariable adjustment, I+D was associated with presentation in the South (OR 2.36; 95% CI 1.52-3.65 compared with Northeast), followed by West (OR 2.13; 1.31-3.45), and Midwest (OR 1.96; 1.96-3.22).Conclusion:Clinical management of most SSTIs in the U.S. involves adjuvant antibiotics, regardless of I+D. Although not necessarily indicated, CA-MRSA effective therapy is being used for drained SSTI. [West J Emerg Med. 2014;15(4):491–498.]", "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": "Skin infections, emergency department, epidemiology" } ], "section": "Practice Variability", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6h32h66t", "frozenauthors": [ { "first_name": "Rakesh", "middle_name": "D.", "last_name": "Mistry", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado", "department": "None" }, { "first_name": "Daniel", "middle_name": "J", "last_name": "Shapiro", "name_suffix": "", "institution": "University of California, San Francisco Medical Center, Department of Pediatrics, San Francisco, California", "department": "None" }, { "first_name": "Monika", "middle_name": "K", "last_name": "Goyal", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington, District of Columbia", "department": "None" }, { "first_name": "Theoklis", "middle_name": "E", "last_name": "Zaoutis", "name_suffix": "", "institution": "Perelman School of Medicine at the University of Pennsylvania, Division of Infectious Diseases, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "S", "last_name": "Gerber", "name_suffix": "", "institution": "Perelman School of Medicine at the University of Pennsylvania, Division of Infectious Diseases, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Catherine", "middle_name": "", "last_name": "Liu", "name_suffix": "", "institution": "University of California, San Francisco School of Medicine, Division of Infectious Diseases, San Francisco, California", "department": "None" }, { "first_name": "Adam", "middle_name": "L", "last_name": "Hersh", "name_suffix": "", "institution": "University of Utah School of Medicine, Division of Infectious Diseases, Salt Lake City, Utah", "department": "None" } ], "date_submitted": "2013-11-27T11:38:43+05:30", "date_accepted": "2013-11-27T11:38:43+05:30", "date_published": "2014-05-23T22:56:19+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8055/galley/4654/download/" } ] }, { "pk": 4794, "title": "Egyptian History in the Classical Historiographers", "subtitle": null, "abstract": "Egyptian history was discussed by a number of classical historians. Two extensive accounts havesurvived intact (those of Herodotus and Diodorus Siculus) along with the fragmentary remains ofnumerous other texts. Though classical historians are not usually reliable as independent sources forthe history of Egypt before the Saïte Period, they often provide useful information on Egyptian historyin the periods contemporary with classical Greek and Roman civilization, as well as evidence of howearlier phases of Egyptian history were remembered and represented by Greek and Roman authors,and by Egyptians themselves.", "language": "en", "license": null, "keywords": [ { "word": "Arts and Humanities" }, { "word": "History" }, { "word": "Historiography" }, { "word": "Herodotus" } ], "section": "Time and History", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2sx6s9fn", "frozenauthors": [ { "first_name": "Ian", "middle_name": "", "last_name": "Moyer", "name_suffix": "", "institution": "University of Michigan", "department": "None" } ], "date_submitted": "2010-06-15T01:55:08+05:30", "date_accepted": "2010-06-15T01:55:08+05:30", "date_published": "2014-05-22T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/4794/galley/2694/download/" } ] }, { "pk": 8107, "title": "Ear Drainage After Trauma", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):363.]", "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": "trauma, Halo Sign," } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2kz1g88b", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "D", "last_name": "Campagne", "name_suffix": "", "institution": "University of California, San Francisco-Fresno, Department of Emergency Medicine, Fresno, California", "department": "None" }, { "first_name": "Saleen", "middle_name": "", "last_name": "Manternach", "name_suffix": "", "institution": "University of California, San Francisco-Fresno, Department of Emergency Medicine, Fresno, California", "department": "None" } ], "date_submitted": "2014-01-22T04:36:06+05:30", "date_accepted": "2014-01-22T04:36:06+05:30", "date_published": "2014-05-22T03:01:12+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8107/galley/4677/download/" } ] }, { "pk": 7984, "title": "Typed versus Voice Recognition for Data Entry in an Electronic Health Record: Emergency Department Physician Time Utilization and Interruptions", "subtitle": null, "abstract": "Introduction: Use of electronic health record (EHR) systems can place a considerable data entry burden upon the emergency department (ED) physician. Voice recognition data entry has been proposed as one mechanism to mitigate some of this burden; however, no reports are available specifically comparing emergency physician (EP) time use or number of interruptions between typed and voice recognition data entry-based EHRs. We designed this study to compare physician time use and interruptions between an EHR system using typed data entry versus an EHR with voice recognition.\nMethods: We collected prospective observational data at 2 academic teaching hospital EDs, one using an EHR with typed data entry and the other with voice recognition capabilities. Independent raters observed EP activities during regular shifts. Tasks each physician performed were noted and logged in 30 second intervals. We compared time allocated to charting, direct patient care, and change in tasks leading to interruptions between sites.\nResults: We logged 4,140 minutes of observation for this study. We detected no statistically significant differences in the time spent by EPs charting (29.4% typed; 27.5% voice) or the time allocated to direct patient care (30.7%; 30.8%). Significantly more interruptions per hour were seen with typed data entry versus voice recognition data entry (5.33 vs. 3.47; p=0.0165).\nConclusion: The use of a voice recognition data entry system versus typed data entry did not appear to alter the amount of time physicians spend charting or performing direct patient care in an ED setting. However, we did observe a lower number of workflow interruptions with the voice recognition data entry EHR. Additional research is needed to further evaluate the data entry burden in the ED and examine alternative mechanisms for chart entry as EHR systems continue to evolve. [West J Emerg Med. 2014;15(4):541-547.]", "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": "Voice Recognition" }, { "word": "Data Entry" }, { "word": "Electronic Health Record" }, { "word": "Charting" }, { "word": "Physician Utilization" }, { "word": "Interruptions" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6tw3t0s9", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "E", "last_name": "dela Cruz", "name_suffix": "", "institution": "Southern Illinois University School of Medicine, Department of Surgery, Division of Emergency Medicine, Springfield, Illinois", "department": "None" }, { "first_name": "John", "middle_name": "C", "last_name": "Shabosky", "name_suffix": "", "institution": "Southern Illinois University School of Medicine, Department of Surgery, Division of Emergency Medicine, Springfield, Illinois", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Albrecht", "name_suffix": "", "institution": "Southern Illinois University School of Medicine, Department of Surgery, Division of Emergency Medicine, Springfield, Illinois", "department": "None" }, { "first_name": "Ted", "middle_name": "R", "last_name": "Clark", "name_suffix": "", "institution": "Southern Illinois University School of Medicine, Department of Surgery, Division of Emergency Medicine, Springfield, Illinois", "department": "None" }, { "first_name": "Joseph", "middle_name": "C", "last_name": "Milbrandt", "name_suffix": "", "institution": "Southern Illinois University School of Medicine, Department of Surgery and Center for Clinical Research, Springfield, Illinois", "department": "None" }, { "first_name": "Steven", "middle_name": "J", "last_name": "Markwell", "name_suffix": "", "institution": "Southern Illinois University School of Medicine, Department of Surgery, Division of Emergency Medicine, Springfield, Illinois", "department": "None" }, { "first_name": "Jason", "middle_name": "A", "last_name": "Kegg", "name_suffix": "", "institution": "Southern Illinois University School of Medicine, Department of Surgery, Division of Emergency Medicine, Springfield, Illinois", "department": "None" } ], "date_submitted": "2013-09-17T22:20:43+05:30", "date_accepted": "2013-09-17T22:20:43+05:30", "date_published": "2014-05-22T02:53:17+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7984/galley/4626/download/" } ] }, { "pk": 7974, "title": "Successful Conviction of Intoxicated Drivers at a Level I Trauma Center", "subtitle": null, "abstract": "Introduction: Conviction rates for drivers driving under the influence (DUI) and in motor vehicle collisions (MVC) presenting to trauma centers are based primarily on data from the 1990s. Our goal was to identify DUI conviction rates of intoxicated drivers in MVCs presenting to a trauma center and to identify factors associated with the failure to obtain a DUI conviction.\nMethods: Retrospective study of adults (>18 years) presenting to a trauma center emergency department (ED) in 2007. Eligible subjects were drivers involved in a MVC with an ED blood alcohol level (BAL) ≥ 80mg/dL. Subjects were matched to their Department of Motor Vehicle (DMV) records to identify DUI convictions from the collision, the legal blood alcohol concentration (BAC), and arresting officer’s impression of the driver’s sobriety. We entered potential variables predictive of failure to obtain a DUI conviction into a regression model.\nResults: The 241 included subjects had a mean age of 34.1 ± 12.8 years, and 185 (77%) were male. Successful DUI convictions occurred in 142/241 (58.9%, 95% CI 52.4, 65.2%) subjects. In a regression model, Injury Severity Score > 15 (odds ratio = 2.70 (95% CI 1.06, 6.85)) and a lower ED BAL from 80 to 200mg/dL (odds ratio = 5.03 (95% CI 1.69, 14.9) were independently associated with a failure to obtain a DUI conviction.\nConclusion: Slightly more than half of drivers who present to an ED after a MVC receive a DUI conviction. The most severely injured subjects and those with lower BALs are least likely to be convicted of a DUI. [West J Emerg Med. 2014;15(4):480-485.]", "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": "driving under the influence, motor vehicle collision" } ], "section": "Injury Prevention and Population Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/12m2g07d", "frozenauthors": [ { "first_name": "James", "middle_name": "F.", "last_name": "Holmes", "name_suffix": "", "institution": "University of California, Davis, Department of Emergency Medicine, Sacramento, California", "department": "None" }, { "first_name": "Christy", "middle_name": "", "last_name": "Adams", "name_suffix": "", "institution": "University of California, Davis Medical Center Trauma Prevention and Outreach Program, Sacramento, California", "department": "None" }, { "first_name": "Patrice", "middle_name": "", "last_name": "Rogers", "name_suffix": "", "institution": "California Department of Motor Vehicles", "department": "None" }, { "first_name": "Phuoc", "middle_name": "", "last_name": "Vu", "name_suffix": "", "institution": "University of California, Davis, Department of Emergency Medicine, Sacramento, California", "department": "None" } ], "date_submitted": "2013-09-10T05:14:52+05:30", "date_accepted": "2013-09-10T05:14:52+05:30", "date_published": "2014-05-22T02:45:39+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7974/galley/4622/download/" } ] }, { "pk": 7890, "title": "Emergency Physician Awareness of Prehospital Procedures and Medications", "subtitle": null, "abstract": "Introduction: Maintaining patient safety during transition from prehospital to emergency department (ED) care depends on effective handoff communication between providers. We sought to determine emergency physicians’ (EP) knowledge of the care provided by paramedics in terms of both procedures and medications, and whether the use of a verbal report improved physician accuracy.\nMethods: We conducted a 2-phase observational survey of a convenience sample of EPs in an urban, academic ED. In this large ED paramedics have no direct contact with physicians for non-critical patients, giving their report instead to the triage nurse. In Phase 1, paramedics gave verbal report to the triage nurse only. In Phase 2, a research assistant (RA) stationed in triage listened to this report and then repeated it back verbatim to the EPs caring for the patient. The RA then queried the EPs 90 minutes later regarding their patients’ prehospital procedures and medications. We compared the accuracy of these 2 reporting methods.\nResults: There were 163 surveys completed in Phase 1 and 116 in Phase 2. The oral report had no effect on EP awareness that the patient had been brought in by ambulance (86% in Phase 1 and 85% in Phase 2.) The oral report did improve EP awareness of prehospital procedures, from 16% in Phase 1 to 45% in Phase 2, OR=4.28 (2.5-7.5). EPs were able to correctly identify all oral medications in 18% of Phase 1 cases and 47% of Phase 2 cases, and all IV medications in 42% of Phase 1 cases and 50% of Phase 2 cases. The verbal report led to a mild improvement in physician awareness of oral medications given, OR=4.0 (1.09-14.5), and no improvement in physician awareness of IV medications given, OR=1.33 (0.15-11.35). Using a composite score of procedures plus oral plus IV medications, physicians had all three categories correct in 15% of Phase 1 and 39% of Phase 2 cases (p<0.0001).\nConclusion: EPs in our ED were unaware of many prehospital procedures and medications regardless of the method used to provide this information. The addition of a verbal hand-off report resulted in a modest improvement in overall accuracy. [West J Emerg Med. 2014;15(4):504-510.]", "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": "ambulance, handover process, patient safety, error, triage" }, { "word": "clinical practice" }, { "word": "Emergency Medicine" } ], "section": "Prehospital Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5q45n08c", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "", "last_name": "Waldron", "name_suffix": "", "institution": "New York Hospital Queens, Department of Emergency Medicine, Flushing, New York", "department": "None" }, { "first_name": "Diane", "middle_name": "", "last_name": "Sixsmith", "name_suffix": "", "institution": "New York Hospital Queens, Department of Emergency Medicine, Flushing, New York", "department": "None" } ], "date_submitted": "2013-06-25T23:46:42+05:30", "date_accepted": "2013-06-25T23:46:42+05:30", "date_published": "2014-05-22T02:29:23+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7890/galley/4584/download/" } ] }, { "pk": 7957, "title": "Improving Understanding of Medical Research: Audience Response Technology for Community Consultation for Exception to Informed Consent", "subtitle": null, "abstract": "Introduction: The Department of Health and Human Services and Food and Drug Administration described guidelines for exception from informed consent (EFIC) research. These guidelines require community consultation (CC) events, which allow members of the community to understand the study, provide feedback and give advice. A real-time gauge of audience understanding would allow the speaker to modify the discussion. The objective of the study is to describe the use of audience response survey (ARS) technology in EFIC CCs.\nMethods: As part of the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART), 13 CC events were conducted. We prepared a PowerPoint™ presentation with 4 embedded ARS questions,according to specific IRB guidelines to ensure that the pertinent information would reach our targeted audience. During 6 CCs, an ARS was used to gauge audience comprehension. Participants completed paper surveys regarding their opinion of the study following each CC. Results: The ARS was used with minimal explanation and only one ARS was lost. Greater than 80% of the participants correctly answered 3 of the 4 ARS questions with 61% correctly answering the question regarding EFIC. A total of 105 participants answered the paper survey; 80-90% of the responses to the paper survey were either strongly agree or agree. The average scores on the paper survey in the ARS sites compared to the non-ARS sites were significantly more positive.\nConclusion: The use of an audience response system during the community consultation aspects of EFIC is feasible and provides a real-time assessment of audience comprehension of the study and EFIC process. It may improve the community’s opinion and support of the study. [West J Emerg Med. 2014;15(4):414-418.]", "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": "Audience Response, EFIC, Community Consultation, RAMPART" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9qq7s3xq", "frozenauthors": [ { "first_name": "Taher", "middle_name": "", "last_name": "Vohra", "name_suffix": "", "institution": "Henry Ford Health System, Wayne State University, Department of Emergency\nMedicine, Detroit, Michigan", "department": "None" }, { "first_name": "Ralphe", "middle_name": "", "last_name": "Bou Chebl", "name_suffix": "", "institution": "Henry Ford Health System, Wayne State University, Department of Emergency\nMedicine, Detroit, Michigan", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Miller", "name_suffix": "", "institution": "Henry Ford Health System, Wayne State University, Department of Emergency\nMedicine, Detroit, Michigan", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Russman", "name_suffix": "", "institution": "Henry Ford Health System, Wayne State University, Department of Neurology,\nDetroit, Michigan", "department": "None" }, { "first_name": "Anna", "middle_name": "", "last_name": "Baker", "name_suffix": "", "institution": "Henry Ford West Bloomfield Hospital, Department of Neurology, Oakland County,\nMichigan", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Lewandowski", "name_suffix": "", "institution": "Henry Ford Health System, Wayne State University, Department of Emergency\nMedicine, Detroit, Michigan", "department": "None" } ], "date_submitted": "2013-08-29T08:39:01+05:30", "date_accepted": "2013-08-29T08:39:01+05:30", "date_published": "2014-05-20T06:23:19+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7957/galley/4613/download/" } ] }, { "pk": 7939, "title": "Comparison of Three Prehospital Cervical Spine Protocols to Missed Injuries", "subtitle": null, "abstract": "Introduction: We wanted to compare 3 existing emergency medical services (EMS) immobilization protocols: the Prehospital Trauma Life Support (PHTLS, mechanism-based); the Domeier protocol (parallels the National Emergency X-Radiography Utilization Study [NEXUS] criteria); and the Hankins’ criteria (immobilization for patients <12 or >65 years, those with altered consciousness, focal neurologic deficit, distracting injury, or midline or paraspinal tenderness).To determine the proportion of patients who would require cervical immobilization per protocol and the number of missed cervical spine injuries, had each protocol been followed with 100% compliance.\nMethods: This was a cross-sectional study of patients ≥18 years transported by EMS post-traumatic mechanism to an inner city emergency department. Demographic and clinical/historical data obtained by physicians were recorded prior to radiologic imaging. Medical record review ascertained cervical spine injuries. Both physicians and EMS were blinded to the objective of the study.\nResults: Of 498 participants, 58% were male and mean age was 48 years. The following participants would have required cervical spine immobilization based on the respective protocol: PHTLS, 95.4% (95% CI: 93.1-96.9%); Domeier, 68.7% (95% CI: 64.5-72.6%); Hankins, 81.5% (95% CI: 77.9-84.7%). There were 18 cervical spine injuries: 12 vertebral fractures, 2 subluxations/dislocations and 4 spinal cord injuries. Compliance with each of the 3 protocols would have led to appropriate cervical spine immobilization of all injured patients. In practice, 2 injuries were missed when the PHTLS criteria were mis-applied.\nConclusion: Although physician-determined presence of cervical spine immobilization criteria cannot be generalized to the findings obtained by EMS personnel, our findings suggest that the mechanism-based PHTLS criteria may result in unnecessary cervical spine immobilization without apparent benefit to injured patients. PHTLS criteria may also be more difficult to implement due to the subjective interpretation of the severity of the mechanism, leading to non-compliance and missed injury. [West J Emerg Med. 2014;15(4):471-479.]", "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 medical services" }, { "word": "Immobilization" }, { "word": "spinal injuries" } ], "section": "Injury Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6497n33w", "frozenauthors": [ { "first_name": "Rick", "middle_name": "", "last_name": "Hong", "name_suffix": "", "institution": "Cooper University Hospital, Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Molly", "middle_name": "", "last_name": "Meenan", "name_suffix": "", "institution": "Cooper University Hospital, Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Erin", "middle_name": "", "last_name": "Prince", "name_suffix": "", "institution": "Cooper University Hospital, Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Ronald", "middle_name": "", "last_name": "Murphy", "name_suffix": "", "institution": "Cooper University Hospital, Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Caitlin", "middle_name": "", "last_name": "Tambussi", "name_suffix": "", "institution": "Cooper University Hospital, Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Rick", "middle_name": "", "last_name": "Rohrbach", "name_suffix": "", "institution": "Cooper University Hospital, Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" }, { "first_name": "Brigitte", "middle_name": "M", "last_name": "Baumann", "name_suffix": "", "institution": "Cooper University Hospital, Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey", "department": "None" } ], "date_submitted": "2013-08-13T23:09:37+05:30", "date_accepted": "2013-08-13T23:09:37+05:30", "date_published": "2014-05-20T06:10:17+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7939/galley/4607/download/" } ] }, { "pk": 7798, "title": "Analysis of Medication Errors in Simulated Pediatric Resuscitation by Residents", "subtitle": null, "abstract": "Introduction: The objective of our study was to estimate the incidence of prescribing medication errors specifically made by a trainee and identify factors associated with these errors during the simulated resuscitation of a critically ill child.\nMethods: The results of the simulated resuscitation are described. We analyzed data from the simulated resuscitation for the occurrence of a prescribing medication error. We compared univariate analysis of each variable to medication error rate and performed a separate multiple logistic regression analysis on the significant univariate variables to assess the association between the selected variables.\nResults: We reviewed 49 simulated resuscitations . The final medication error rate for the simulation was 26.5% (95% CI 13.7% - 39.3%). On univariate analysis, statistically significant findings for decreased prescribing medication error rates included senior residents in charge, presence of a pharmacist, sleeping greater than 8 hours prior to the simulation, and a visual analog scale score showing more confidence in caring for critically ill children. Multiple logistic regression analysis using the above significant variables showed only the presence of a pharmacist to remain significantly associated with decreased medication error, odds raio of 0.09 (95% CI 0.01 - 0.64).\nConclusion: Our results indicate that the presence of a clinical pharmacist during the resuscitation of a critically ill child reduces the medication errors made by resident physician trainees.[West J Emerg Med. 2014;15(4):486-490.]", "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": "medication error" }, { "word": "pediatric" }, { "word": "emergency" }, { "word": "Simulation" }, { "word": "Patient Safety" } ], "section": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/50g528cc", "frozenauthors": [ { "first_name": "Evelyn", "middle_name": "", "last_name": "Porter", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Besh", "middle_name": "", "last_name": "Barcega", "name_suffix": "", "institution": "Loma Linda University Medical Center and Children’s Hospital, Departments of Emergency Medicine and Pediatrics, Loma Linda, California", "department": "None" }, { "first_name": "Tommy", "middle_name": "Y", "last_name": "Kim", "name_suffix": "", "institution": "Loma Linda University Medical Center and Children’s Hospital, Departments of Emergency Medicine and Pediatrics, Loma Linda, California", "department": "None" } ], "date_submitted": "2013-04-11T09:55:41+05:30", "date_accepted": "2013-04-11T09:55:41+05:30", "date_published": "2014-05-20T04:16:42+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7798/galley/4550/download/" } ] }, { "pk": 7904, "title": "Assessing Knowledge Based on the Geriatric Competencies for Emergency Medicine Residents", "subtitle": null, "abstract": "Introduction: Emergency care of older adults requires specialized knowledge of their unique physiology, atypical presentations, and care transitions. Older adults often require distinctive assessment, treatment and disposition. Emergency medicine (EM) residents should develop expertise and efficiency in geriatric care. Older adults represent over 25% of most emergency department (ED) volumes. Yet many EM residencies lack curricula or assessment tools for competent geriatric care. Fully educating residents in emergency geriatric care can demand large amounts of limited conference time. The Geriatric Emergency Medicine Competencies (GEMC) are high-impact geriatric topics developed to help residencies efficiently and effectively meet this training demand. This study examines if a 2-hour didactic intervention can significantly improve resident knowledge in 7 key domains as identified by the GEMC across multiple programs.\nMethods: A validated 29-question didactic test was administered at six EM residencies before and after a GEMC-focused lecture delivered in summer and fall of 2009. We analyzed scores as individual questions and in defined topic domains using a paired student t test.\nResults: A total of 301 exams were administered; 86 to PGY1, 88 to PGY2, 86 to PGY3, and 41 to PGY4 residents. The testing of didactic knowledge before and after the GEMC educational intervention had high internal reliability (87.9%). The intervention significantly improved scores in all 7 GEMC domains (improvement 13.5% to 34.6%; p<0.001). For all questions, the improvement was 23% (37.8% pre, 60.8% post; P<0.001) Graded increase in geriatric knowledge occurred by PGY year with the greatest improvement post intervention seen at the PGY 3 level (PGY1 19.1% versus PGY3 27.1%).\nConclusion: A brief GEMC intervention had a significant impact on EM resident knowledge of critical geriatric topics. Lectures based on the GEMC can be a high-yield tool to enhance resident knowledge of geriatric emergency care. Formal GEMC curriculum should be considered in training EM residents for the demands of an aging population. [West J Emerg Med. 2014;15(4):409-413.]", "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": "Geriatric, Emergency Medicine, Residency training, Didactic testing" }, { "word": "Graduate MedicalEducation, Competencies, Geriatrics" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7qh10336", "frozenauthors": [ { "first_name": "Teresita", "middle_name": "M", "last_name": "Hogan", "name_suffix": "", "institution": "University of Chicago, Section of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Bhakti", "middle_name": "", "last_name": "Hansoti", "name_suffix": "", "institution": "University of Chicago, Section of Emergency Medicine, Chicago, Illinois; Johns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Shu", "middle_name": "B.", "last_name": "Chan", "name_suffix": "", "institution": "Presence Resurrection Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2013-07-10T05:48:38+05:30", "date_accepted": "2013-07-10T05:48:38+05:30", "date_published": "2014-05-20T04:14:04+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7904/galley/4590/download/" } ] }, { "pk": 7925, "title": "Unrecognized Hypoxia and Respiratory Depression in Emergency Department Patients Sedated for Psychomotor Agitation: A Pilot Study", "subtitle": null, "abstract": "Introduction: The incidence of respiratory depression in patients who are chemically sedated in the emergency department (ED) is not well understood. As the drugs used for chemical restraint are respiratory depressants, improving respiratory monitoring practice in the ED may be warranted. The objective of this study is to describe the incidence of respiratory depression in patients chemically sedated for violent behavior and psychomotor agitation in the ED.\nMethods: Adult patients who met eligibility criteria with psychomotor agitation and violent behavior who were chemically sedated were eligible. SpO2 and ETCO2 (end-tidal CO2) was recorded and saved every 5 seconds. Demographic data, history of drug or alcohol abuse, medical and psychiatric history, HR and BP every 5 minutes, any physician intervention for hypoxia or respiratory depression, or adverse events were also recorded. We defined respiratory depression as an ETCO2 of >50 mmHg, a change of 10% above or below baseline, or a loss of waveform for >15 seconds. Hypoxia was defined as a SpO2 of <93% for >15 seconds.\nResults: We enrolled 59 patients, and excluded 9 because of >35% data loss. Twenty-eight (28/50) patients developed respiratory depression at least once during their chemical restraint (56%, 95% CI 42-69%); the median number of events was 2 (range 1-6). Twenty-one (21/50) patients had at least one hypoxic event during their chemical restraint (42%, 95% CI 29-55%); the median number of events was 2 (range 1-5). Nineteen (19/21) (90%, 95% CI 71-97%) of the patients that developed hypoxia had a corresponding ETCO2 change. Fifteen (15/19) (79%, 95% CI 56-91%) patients who became hypoxic met criteria for respiratory depression before the onset of hypoxia. The sensitivity of ETCO2 to predict the onset of a hypoxic event was 90.48% (95% CI: 68-98%) and specificity 69% (95% CI: 49-84%). Five patients received respiratory interventions from the healthcare team to improve respiration [Airway repositioning: (2), Verbal stimulation: (3)]. Thirty-seven patients had a history of concurrent drug or alcohol abuse and 24 had a concurrent psychiatric history. None of these patients had a major adverse event.\nConclusion: About half of the patients in this study exhibited respiratory depression. Many of these patients went on to have a hypoxic event, and most of the incidences of hypoxia were preceded by respiratory depression. Few of these events were recognized by their treating physicians. [West J Emerg Med. 2014;15(4):430-437.]", "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": "sedation, chemical restraint, respiratory depression, hypoxia" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7ts1m5j3", "frozenauthors": [ { "first_name": "Kenneth", "middle_name": "", "last_name": "Deitch", "name_suffix": "", "institution": "Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Adam", "middle_name": "", "last_name": "Rowden", "name_suffix": "", "institution": "Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Kathia", "middle_name": "", "last_name": "Damiron", "name_suffix": "", "institution": "Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Claudia", "middle_name": "", "last_name": "Lares", "name_suffix": "", "institution": "Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Nino", "middle_name": "", "last_name": "Oqroshidze", "name_suffix": "", "institution": "Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Aguilera", "name_suffix": "", "institution": "Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "None" } ], "date_submitted": "2013-07-31T01:22:58+05:30", "date_accepted": "2013-07-31T01:22:58+05:30", "date_published": "2014-05-16T05:38:45+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7925/galley/4601/download/" } ] }, { "pk": 7955, "title": "Impact of the Balance Billing Ban on California Emergency Providers", "subtitle": null, "abstract": "Introduction: The objective of this study was to examine reimbursement trends for emergency provider professional services following the balance billing ban in California.Methods: We conducted a blinded web-based survey to collect claims data from emergency providers and billing companies. Members of the California Chapter of the American College of Emergency Physicians (California ACEP) reimbursement committee were invited to participate in the survey. We used a convenience sample of claims to determine payment rates before and after the balance billing ban.Results: We examined a total of 55,243 claims to determine the percentage of charges paid before and after the balance billing ban took effect on October 15, 2008. The overall reduction in percentage of charges paid was 13% in the first year and 19% in the second year following the balance billing ban. The average percentage of charges paid by health plans decreased from 91% to 86% from 2008 to 2010. Payments by risk-bearing organizations decreased from 72% to 46% of charges during the same time frame. Conclusion: Payment rates by subcontracted risk-bearing organizations for non-contracted emergency department professional services declined significantly following the balanced billing ban whereas payment rates by health plans remained relatively stable. [West J Emerg Med. 2014;15(4):518-522.]", "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": "HMO, Health Policy, PPO, Insurance, Medical Insurance" } ], "section": "Societal Impact on Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7h22p5xt", "frozenauthors": [ { "first_name": "Bing", "middle_name": "", "last_name": "Pao", "name_suffix": "", "institution": "University of California, San Diego, California", "department": "None" }, { "first_name": "Myles", "middle_name": "", "last_name": "Riner", "name_suffix": "", "institution": "MedAmerica, Inc., Emeryville, California", "department": "None" }, { "first_name": "Theodore", "middle_name": "C", "last_name": "Chan", "name_suffix": "", "institution": "University of California, San Diego, California", "department": "None" } ], "date_submitted": "2013-08-28T03:35:04+05:30", "date_accepted": "2013-08-28T03:35:04+05:30", "date_published": "2014-05-16T03:22:55+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7955/galley/4612/download/" } ] }, { "pk": 7930, "title": "Analysis of the Evaluative Components on the Standard Letter of Recommendation (SLOR) in Emergency Medicine", "subtitle": null, "abstract": "Introduction: The standard letter of recommendation in emergency medicine (SLOR) was developed to standardize the evaluation of applicants, improve inter-rater reliability, and discourage grade inflation. The primary objective of this study was to describe the distribution of categorical variables on the SLOR in order to characterize scoring tendencies of writers.\nMethods: We performed a retrospective review of all SLORs written on behalf of applicants to the three Emergency Medicine residency programs in the University of Arizona Health Network (i.e. the University Campus program, the South Campus program and the Emergency Medicine/Pediatrics combined program) in 2012. All “Qualifications for Emergency Medicine” and “Global Assessment” variables were analyzed.\nResults: 1457 SLORs were reviewed, representing 26.7% of the total number of Electronic Residency Application Service applicants for the academic year. Letter writers were most likely to use the highest/most desirable category on “Qualifications for EM” variables (50.7%) and to use the second highest category on “Global Assessments” (43.8%). For 4-point scale variables, 91% of all responses were in one of the top two ratings. For 3-point scale variables, 94.6% were in one of the top two ratings. Overall, the lowest/least desirable ratings were used less than 2% of the time.\nConclusions: SLOR letter writers do not use the full spectrum of categories for each variable proportionately. Despite the attempt to discourage grade inflation, nearly all variable responses on the SLOR are in the top two categories. Writers use the lowest categories less than 2% of the time. Program Directors should consider tendencies of SLOR writers when reviewing SLORs of potential applicants to their programs. [West J Emerg Med. 2014;15(4):419-423.]", "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": "SLOR, standardized letter of recommendation in emergency medicine, medical student, letter of recommendation, emergency medicine" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65z1t92w", "frozenauthors": [ { "first_name": "Kristi", "middle_name": "", "last_name": "Grall", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Katherine", "middle_name": "", "last_name": "Hiller", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Lisa", "middle_name": "", "last_name": "Stoneking", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona", "department": "None" } ], "date_submitted": "2013-08-03T00:22:07+05:30", "date_accepted": "2013-08-03T00:22:07+05:30", "date_published": "2014-05-16T03:22:04+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7930/galley/4605/download/" } ] }, { "pk": 8002, "title": "Multidimensional Attitudes of Emergency Medicine Residents Toward Older Adults", "subtitle": null, "abstract": "Introduction: The demands of our rapidly expanding older population strain many emergency departments (EDs), and older patients experience disproportionately high adverse health outcomes. Trainee attitude is key in improving care for older adults. There is negligible knowledge of baseline emergency medicine (EM) resident attitudes regarding elder patients. Awareness of baseline attitudes can serve to better structure training for improved care of older adults. The objective of the study is to identify baseline EM resident attitudes toward older adults using a validated attitude scale and multidimensional analysis.\nMethods: Six EM residencies participated in a voluntary anonymous survey delivered in summer and fall 2009. We used factor analysis using the principal components method and Varimax rotation, to analyze attitude interdependence, translating the 21 survey questions into 6 independent dimensions. We adapted this survey from a validated instrument by the addition of 7 EM-specific questions to measures attitudes relevant to emergency care of elders and the training of EM residents in the geriatric competencies. Scoring was performed on a 5-point Likert scale. We compared factor scores using student t and ANOVA.Results: 173 EM residents participated showing an overall positive attitude toward older adults, with a factor score of 3.79 (3.0 being a neutral score). Attitudes trended to more negative in successive post-graduate year (PGY) levels.\nConclusion: EM residents demonstrate an overall positive attitude towards the care of older adults. We noted a longitudinal hardening of attitude in social values, which are more negative in successive PGY-year levels. [West J Emerg Med. 2014;15(4):511-517.]", "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": "attitudes, emergency medicine, residents, older adults" } ], "section": "Societal Impact on Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7fv2k981", "frozenauthors": [ { "first_name": "Teresita", "middle_name": "M", "last_name": "Hogan", "name_suffix": "", "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Shu", "middle_name": "B", "last_name": "Chan", "name_suffix": "", "institution": "Presence Resurrection Medical Center, Chicago, Illinois", "department": "None" }, { "first_name": "Bhakti", "middle_name": "", "last_name": "Hansoti", "name_suffix": "", "institution": "Johns Hopkins School of Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2013-10-08T23:23:38+05:30", "date_accepted": "2013-10-08T23:23:38+05:30", "date_published": "2014-05-16T03:20:44+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8002/galley/4634/download/" } ] }, { "pk": 41609, "title": "A lithornithid (Aves: Palaeognathae) from the Paleocene (Tiffanian) of southern California", "subtitle": null, "abstract": "The proximal end of a bird humerus recovered from the Paleocene Goler Formation of southern California is the oldest Cenozoic record of this clade from the west coast of North America. The fossil is characterized by a relatively large, dorsally-positioned head of the humerus and a subcircular opening to the pneumotricipital fossa, consistent with the Lithornithidae among known North American Paleocene birds, and is similar in size to \nLithornis celetius\n. This specimen from the Tiffanian NALMA extends the known geographic range of lithornithids outside of the Rocky Mountains region in the United States. The inferred coastal depositional environment of the Goler Formation is consistent with a broad ecological niche of lithornithids. The age and geographic distribution of lithornithids in North America and Europe suggests these birds dispersed from North America to Europe in the Paleocene or by the early Eocene. During the Paleogene the intercontinental dispersal of lithornithids likely occurred alongside other known bird and mammalian movements that were facilitated by climatic and sea level changes.", "language": "en", "license": null, "keywords": [ { "word": "bird humerus" }, { "word": "Fossil" }, { "word": "Lithornithidae" }, { "word": "Goler Formation" }, { "word": "Tiffanian" }, { "word": "california" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6cm4v7h4", "frozenauthors": [ { "first_name": "Thomas", "middle_name": "A.", "last_name": "Stidham", "name_suffix": "", "institution": "Chinese Academy of Sciences, Beijing", "department": "None" }, { "first_name": "Don", "middle_name": "", "last_name": "Lofgren", "name_suffix": "", "institution": "Raymond M. Alf Museum of Paleontology, Claremont, CA", "department": "None" }, { "first_name": "Andrew", "middle_name": "A.", "last_name": "Farke", "name_suffix": "", "institution": "Raymond M. Alf Museum of Paleontology, Claremont, CA", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Paik", "name_suffix": "", "institution": "The Webb Schools, Claremont, CA", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Choi", "name_suffix": "", "institution": "The Webb Schools, Claremont, CA", "department": "None" } ], "date_submitted": "2014-05-14T03:55:29+05:30", "date_accepted": "2014-05-14T03:55:29+05:30", "date_published": "2014-05-13T12:30:00+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41609/galley/31149/download/" } ] }, { "pk": 8143, "title": "Chemosis from Trauma", "subtitle": null, "abstract": "[West J Emerg Med. 2014;15(4):357–358.]", "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": "chemosis" }, { "word": "Trauma" }, { "word": "eye swelling" }, { "word": "scleral rupture" }, { "word": "tarrsoraphy" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5c78r08h", "frozenauthors": [ { "first_name": "Michael", "middle_name": "Robert", "last_name": "Minckler", "name_suffix": "", "institution": "University of Arizona at South Campus, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Cameron", "middle_name": "", "last_name": "Newell", "name_suffix": "", "institution": "University of Arizona at South Campus, Department of Emergency Medicine, Tucson, Arizona", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Drummond", "name_suffix": "", "institution": "University of Arizona at South Campus, Department of Emergency Medicine, Tucson, Arizona", "department": "None" } ], "date_submitted": "2014-02-15T04:43:48+05:30", "date_accepted": "2014-02-15T04:43:48+05:30", "date_published": "2014-05-13T06:36:59+05:30", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8143/galley/4688/download/" } ] } ] }