Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=25400
{ "count": 39542, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=25500", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=25300", "results": [ { "pk": 43987, "title": "Functional Gallbladder Disorder", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6gz721t3", "frozenauthors": [ { "first_name": "Sandra ", "middle_name": "", "last_name": "Vizireanu", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-16T00:36:35Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43987/galley/32791/download/" } ] }, { "pk": 8480, "title": "Tracheal-Mediastinal Fistula Post-chemoradiation Therapy", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Tracheal-Mediastinal" }, { "word": "fistula" }, { "word": "Chemoradiation" }, { "word": "pneumomediastinum" }, { "word": "non-small cell lunch cancer" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8sq099nn", "frozenauthors": [ { "first_name": "Joseph", "middle_name": "", "last_name": "McCarthy", "name_suffix": "", "institution": "Lakeland Regional Medical Center, Department of Emergency Medicine, St. Joseph, Michigan", "department": "None" }, { "first_name": "Jason", "middle_name": "", "last_name": "Hamel", "name_suffix": "", "institution": "Lakeland Regional Medical Center, Department of Emergency Medicine, St. Joseph, Michigan", "department": "None" } ], "date_submitted": "2014-08-07T02:21:17Z", "date_accepted": "2014-08-07T02:21:17Z", "date_published": "2014-10-14T17:59:23Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8480/galley/4896/download/" } ] }, { "pk": 43964, "title": "A Patient with Multi-Treatment Resistant Hypertension", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4tt9v8s7", "frozenauthors": [ { "first_name": "Yaroslav ", "middle_name": "", "last_name": "Gofnung", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-13T21:26:36Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43964/galley/32768/download/" } ] }, { "pk": 1763, "title": "Using Lexical Analysis Software to Assess Student Writing in Statistics", "subtitle": null, "abstract": "Meaningful assessments that reveal student thinking are vital to the success of addressing the GAISE recommendation: use assessments to improve and evaluate student learning. Constructed-response questions, also known as open-response or short answer questions, in which students must write an answer in their own words, have been shown to better reveal students' understanding than multiple-choice questions, but they are much more time consuming to grade for classroom use or code for research purposes. This paper describes and illustrates the use of two different software packages to analyze open-response data collected from undergraduate students’ writing. The analysis and results produced by the two packages are contrasted with each other and with the results obtained from hand coding of the same data sets. The article concludes with a discussion of the advantages and limitations of the analysis options for statistics education research.", "language": "en", "license": null, "keywords": [ { "word": "Statistics Education, Undergraduate, Constructed Response, Machine Learning, Assessment" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/57r90703", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "J", "last_name": "Kaplan", "name_suffix": "", "institution": "University of Georgia", "department": "None" }, { "first_name": "Kevin", "middle_name": "C.", "last_name": "Haudek", "name_suffix": "", "institution": "Michigan State University", "department": "None" }, { "first_name": "Minsu", "middle_name": "", "last_name": "Ha", "name_suffix": "", "institution": "SUNY Stony Brook", "department": "None" }, { "first_name": "Neal", "middle_name": "", "last_name": "Rogness", "name_suffix": "", "institution": "Grand Valley State University", "department": "None" }, { "first_name": "Diane", "middle_name": "G.", "last_name": "Fisher", "name_suffix": "", "institution": "University of Louisiana-Lafayette", "department": "None" } ], "date_submitted": "2013-11-08T19:54:19Z", "date_accepted": "2013-11-08T19:54:19Z", "date_published": "2014-10-13T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/tise/article/1763/galley/1227/download/" } ] }, { "pk": 44006, "title": "Septic Arthritis after Intra-Articular Steroid Injection", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7pv3h620", "frozenauthors": [ { "first_name": "Alia ", "middle_name": "", "last_name": "Tuqan", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Brandon ", "middle_name": "", "last_name": "Koretz", "name_suffix": "M.D., MBA", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-12T01:17:55Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44006/galley/32810/download/" } ] }, { "pk": 8561, "title": "Emergency Medical Services Public Health Implications and Interim Guidance for the Ebola Virus in the United States", "subtitle": null, "abstract": "The 25th known outbreak of the Ebola Virus Disease (EVD) is now a global public health emergency and the World Health Organization (WHO) has declared the epidemic to be a Public Health Emergency of International Concern (PHEIC). Since the first cases of the West African epidemic were reported in March 2014, there has been an increase in infection rates of over 13,000% over a 6-month period. The Ebola virus has now arrived in the United States and public health professionals, doctors, hospitals, Emergency Medial Services Administrators, Medical Directors, and policy makers have been working with haste to develop strategies to prevent the disease from reaching epidemic proportions. Prehospital care providers (emergency medical technicians and paramedics) and medical first responders (including but not limited to firefighters and law enforcement) are the healthcare systems front lines when it comes to first medical contact with patients outside of the hospital setting. Risk of contracting Ebola can be particularly high in this population of first responders if the appropriate precautions are not implemented. This article provides a brief clinical overview of the Ebola Virus Disease and provides a comprehensive summary of the Center for Disease Control and Prevention’s Interim Guidance for Emergency Medical Services (EMS) Systems and 9-1-1 Public Safety Answering Points (PSAPS) for Management of Patients with Known of Suspected Ebola Virus Disease in the United States. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Ebola Virus, Ebola Virus Disease, Emergency Medical Services, Public Health" } ], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9st8f8wc", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "E.", "last_name": "McCoy", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Shahram", "middle_name": "", "last_name": "Lotfipour", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Bharath", "middle_name": "", "last_name": "Chakravarthy", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Carl", "middle_name": "", "last_name": "Schultz", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Erik", "middle_name": "", "last_name": "Barton", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2014-10-06T07:43:28Z", "date_accepted": "2014-10-06T07:43:28Z", "date_published": "2014-10-10T22:21:32Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8561/galley/4937/download/" } ] }, { "pk": 8506, "title": "Ultrasound Distinguishes Ascites from a Large Ovarian Fluid-Filled Cyst", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "emergency ultrasound" }, { "word": "Mucinous cystadenoma" }, { "word": "Abdominal distention" }, { "word": "Ovarian cysts" }, { "word": "Ovarian tumors" }, { "word": "Ascites" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xb6x27d", "frozenauthors": [ { "first_name": "Marissa", "middle_name": "", "last_name": "Camilon", "name_suffix": "", "institution": "Keck School of Medicine at the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Mikaela", "middle_name": "", "last_name": "Chilstrom", "name_suffix": "", "institution": "Keck School of Medicine at the University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-08-27T00:15:20Z", "date_accepted": "2014-08-27T00:15:20Z", "date_published": "2014-10-10T17:47:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8506/galley/4906/download/" } ] }, { "pk": 8247, "title": "Osteopathic Emergency Medicine Programs Infrequently Publish in High-Impact Emergency Medicine Journals", "subtitle": null, "abstract": "Introduction:\n Both the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA) require core faculty to engage in scholarly work, including publication in peer-reviewed journals. With the ACGME/AOA merger, we sought to evaluate the frequency of publication in high-impact peer-reviewed EM journals from authors affiliated with osteopathic emergency medicine (EM) programs.\nMethods:\n We performed a retrospective literature review using the Journal Citation Report database and identified the top five journals in the category of ‘Emergency Medicine’ by their 2011 Impact Factor. We examined all publications from each journal for 2011. For each article we recorded article type, authors’ names, position of authorship (first, senior or other), the author’s degree and affiliated institution. We present the data in raw numbers and percentages.\nResults:\n The 2011 EM journals with the highest impact factor were the following: Annals of Emergency Medicine, Resuscitation, Journal of Trauma, Injury, and Academic Emergency Medicine. Of the 9,298 authors published in these journals in 2011; 1,309 (15%) claimed affiliation with U.S.-based EM programs, of which 16 (1%) listed their affiliations with eight different osteopathic EM programs. The 16 authors claimed affiliation with 8 of 46 osteopathic EM programs (17%), while 1,301 authors claimed affiliation with 104 of 148 (70%) U.S.-based allopathic programs.\nConclusion:\n Authors from osteopathic EM programs are under-represented in the top EM journals. With the pending ACGME/AOA merger, there is a significant opportunity for improvement in the rate of publication of osteopathic EM programs in top tier EM journals. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Osteopathic, Allopathic, Research, Emergency Medicine, Graduate Medical Education" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31s6991b", "frozenauthors": [ { "first_name": "Sean", "middle_name": "M.", "last_name": "Baskin", "name_suffix": "", "institution": "Department of Medicine, Division of Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania", "department": "None" }, { "first_name": "Christina", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "Department of Emergency Medicine, Allegheny Health Network, Erie, Pennsylvania", "department": "None" }, { "first_name": "Jestin", "middle_name": "N.", "last_name": "Carlson", "name_suffix": "", "institution": "Department of Medicine, Division of Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania; Department of Emergency Medicine, Allegheny Health Network, Erie, Pennsylvania; Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA", "department": "None" } ], "date_submitted": "2014-05-06T09:56:10Z", "date_accepted": "2014-05-06T09:56:10Z", "date_published": "2014-10-10T17:38:23Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8247/galley/4727/download/" } ] }, { "pk": 8329, "title": "Chikungunya Fever: Case Report in Los Angeles, California", "subtitle": null, "abstract": "We report the case of a 33-year-old woman returning from Haiti, presenting to our emergency department (ED) with fever, rash and arthralgia. Following a broad workup that included laboratory testing for dengue and malaria, our patient was diagnosed with Chikungunya virus, which was then reported to the Centers for Disease Control and Prevention for initiation of infection control. This case demonstrates the importance of the ED for infectious disease case identification and initiation of public health measures. This case also addresses public health implications of Chikungunya virus within the United States, and issues related to the potential for local spread and autochthonous cases. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Chikungunya" }, { "word": "dengue" }, { "word": "Emergency Medicine" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6zt7f2fn", "frozenauthors": [ { "first_name": "Katherine", "middle_name": "R.", "last_name": "Harter", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" }, { "first_name": "Sanjay", "middle_name": "", "last_name": "Bhatt", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" }, { "first_name": "Hyung", "middle_name": "T.", "last_name": "Kim", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" }, { "first_name": "William", "middle_name": "K.", "last_name": "Mallon", "name_suffix": "", "institution": "The Department of emergency medicine, Los Angeles County + USC Medical Center, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-07-12T06:20:58Z", "date_accepted": "2014-07-12T06:20:58Z", "date_published": "2014-10-10T17:22:11Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8329/galley/4763/download/" } ] }, { "pk": 8177, "title": "Ultrasound Evaluation of an Inguinal Mass", "subtitle": null, "abstract": "A 33 year-old female presented to the emergency department (ED) with of two weeks of diffuse abdominal pain, right flank pain, and a slowly enlarging right inguinal mass. She had no associated fever, chills, nausea, vomiting, or diarrhea. She was evaluated by her primary care physician, and an inguinal ultrasound was obtained prior to referral to the ED. On arrival in the ED, her vital signs were unremarkable, and she was afebrile. On exam, there was no abdominal tenderness, and a 2cm x 2cm non-reducible, mildly tender right inguinal mass was noted. A bedside ultrasound (Figures 1 and 2) was performed in the ED. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2kk9z681", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "L.", "last_name": "Wiswell", "name_suffix": "", "institution": "University of California Davis, Sacramento, California", "department": "None" }, { "first_name": "Benjamin", "middle_name": "J.", "last_name": "Sandefur", "name_suffix": "", "institution": "Mayo Clinic, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2014-03-18T04:24:51Z", "date_accepted": "2014-03-18T04:24:51Z", "date_published": "2014-10-10T17:08:29Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8177/galley/4703/download/" } ] }, { "pk": 7710, "title": "Old Man with Groin Bruising", "subtitle": null, "abstract": "A 67-year-old man presented to the emergency department with abdominal pain and groin bruising. He had no history of any disease or drug use. In his breaf story he had a heavy cough five days ago and bruises appeared on the abdomen skin and groin in the last two days. Ecchymosis extends in the midline from umblicus to the penis and scrotum in physical examination (Figure 1). Laboratory evaluation revealed normal hemoglobin level, platelet count, prothrombin time, and activated partial thromboplastin time. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "groin bruising, rectus sheath hematoma, cough" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8f61b537", "frozenauthors": [ { "first_name": "Basak", "middle_name": "", "last_name": "Bayram", "name_suffix": "", "institution": "Dokuz Eylül University School of Medicine, Department of Emergency Medicine, İzmir, Turkey", "department": "None" }, { "first_name": "Nese", "middle_name": "C.", "last_name": "Oray", "name_suffix": "", "institution": "Dokuz Eylül University School of Medicine, Department of Emergency Medicine, İzmir, Turkey", "department": "None" }, { "first_name": "Cagdas", "middle_name": "A.", "last_name": "Acara", "name_suffix": "", "institution": "Dokuz Eylül University School of Medicine, Department of Emergency Medicine, İzmir, Turkey", "department": "None" } ], "date_submitted": "2013-02-02T23:39:19Z", "date_accepted": "2013-02-02T23:39:19Z", "date_published": "2014-10-10T17:04:05Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7710/galley/4515/download/" } ] }, { "pk": 8096, "title": "Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n While emergency department (ED) crowding has myriad causes and negative downstream effects, applying systems engineering science and targeting throughput remains a potential solution to increase functional capacity. However, the most effective techniques for broad application in the ED remain unclear. We examined the hypothesis that Lean-based reorganization of Fast Track process flow would improve length of stay (LOS), percent of patients discharged within one hour, and room use, without added expense.\nMethods:\n This study was a prospective, controlled, before-and-after analysis of Fast Track process improvements in a Level 1 tertiary care academic medical center with >95,000 annual patient visits. We included all adult patients seen during the study periods of 6/2010-10/2010 and 6/2011-10/2011, and data were collected from an electronic tracking system. We used concurrent patients seen in another care area used as a control group. The intervention consisted of a simple reorganization of patient flow through existing rooms, based in systems engineering science and modeling, including queuing theory, demand-capacity matching, and Lean methodologies. No modifications to staffing or physical space were made. Primary outcomes included LOS of discharged patients, percent of patients discharged within one hour, and time in exam room. We compared LOS and exam room time using Wilcoxon rank sum tests, and chi-square tests for percent of patients discharged within one hour.\nResults: \nFollowing the intervention, median LOS among discharged patients was reduced by 15 minutes (158 to 143 min, 95%CI 12 to 19 min, p<0.0001). The number of patients discharged in <1 hr increased by 2.8% (from 6.9% to 9.7%, 95%CI 2.1% to 3.5%, p<0.0001), and median exam room time decreased by 34 minutes (90 to 56 min, 95%CI 31 to 38 min, p<0.0001). In comparison, the control group had no change in LOS (265 to 267 min) or proportion of patients discharged in <1 hr (2.9% to 2.9%), and an increase in exam room time (28 to 36 min, p<0.0001).\nConclusion:\n In this single center trial, a focused Lean-based reorganization of patient flow improved Fast Track ED performance measures and capacity, without added expense. Broad multi-centered application of systems engineering science might further improve ED throughput and capacity. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "ED Crowding" }, { "word": "Lean" }, { "word": "Systems Improvement" }, { "word": "Systems Engineering" }, { "word": "ED Performance" }, { "word": "ED LOS" }, { "word": "Fast Track" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7gb2n0nj", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "A.", "last_name": "White", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Yuchiao", "middle_name": "", "last_name": "Chang", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Beth", "middle_name": "G.", "last_name": "Grabowski", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "David", "middle_name": "F.M.", "last_name": "Brown", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2014-01-31T16:12:30Z", "date_accepted": "2014-01-31T16:12:30Z", "date_published": "2014-10-10T16:52:15Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8096/galley/4669/download/" } ] }, { "pk": 8020, "title": "Randomized Trial of a Novel ACLS Teaching Tool: Does it Improve Student Performance?", "subtitle": null, "abstract": "Introduction: \nMounting evidence suggests that high-fidelity mannequin-based (HFMBS) and computer-based simulation are useful adjunctive educational tools for advanced cardiac life support (ACLS) instruction. We sought to determine whether access to a supplemental, online computer-based ACLS simulator would improve students’ performance on a standardized Mega Code using high-fidelity mannequin based simulation (HFMBS).\nMethods:\n Sixty-five third-year medical students were randomized. Intervention group subjects (n = 29) each received a two-week access code to the online ACLS simulator, whereas the control group subjects (n = 36) did not. Primary outcome measures included students’ time to initiate chest compressions, defibrillate ventricular fibrillation, and pace symptomatic bradycardia. Secondary outcome measures included students’ subjective self-assessment of ACLS knowledge and confidence.\nResults:\n Students with access to the online simulator on average defibrillated ventricular fibrillation in 112 seconds, whereas those without defibrillated in 149.9 seconds, an average of 38 seconds faster [p<.05]. Similarly, those with access to the simulator paced symptomatic bradycardia on average in 95.14 seconds whereas those without access paced on average 154.9 seconds a difference of 59.81 seconds [p<.05]. On a subjective 5-point scale, there was no difference in self-assessment of ACLS knowledge between the control (mean 3.3) versus intervention (mean 3.1) [p-value =.21]. Despite having outperformed the control group subjects in the standardized Mega Code test scenario, the intervention group felt less confident on a 5-point scale (mean 2.5) than the control group. (mean 3.2) [p<.05]\nConclusion: \nThe reduction in time to defibrillate ventricular fibrillation and to pace symptomatic bradycardia among the intervention group subjects suggests that the online computer-based ACLS simulator is an effective adjunctive ACLS instructional tool. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "ACLS, Simulation, medical student, education" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4bj76534", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "", "last_name": "Nacca", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Jordan", "middle_name": "", "last_name": "Holliday", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" }, { "first_name": "Paul", "middle_name": "Y.", "last_name": "Ko", "name_suffix": "", "institution": "SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York", "department": "None" } ], "date_submitted": "2013-10-30T18:04:42Z", "date_accepted": "2013-10-30T18:04:42Z", "date_published": "2014-10-09T19:01:16Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8020/galley/4640/download/" } ] }, { "pk": 8251, "title": "Diagnosis of Spinal Epidural Abscess by Abdominal Plain-Film Radiography", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Spinal Epidural Abscess, plain-film radiography" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/32v7586q", "frozenauthors": [ { "first_name": "Brent", "middle_name": "", "last_name": "Felton", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" }, { "first_name": "Tam", "middle_name": "", "last_name": "Dao", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" }, { "first_name": "Brett", "middle_name": "", "last_name": "Gerstner", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" }, { "first_name": "Shawn", "middle_name": "", "last_name": "Letarte", "name_suffix": "", "institution": "Michigan State University, Sparrow Health System, Department of Emergency Medicine, Lansing, Michigan", "department": "None" } ], "date_submitted": "2014-05-08T17:38:06Z", "date_accepted": "2014-05-08T17:38:06Z", "date_published": "2014-10-09T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8251/galley/4728/download/" } ] }, { "pk": 8145, "title": "Diagnosing Appendicitis: Evidence-Based Review of the Diagnostic Approach in 2014", "subtitle": null, "abstract": "Introduction:\n Acute appendicitis is the most common abdominal emergency requiring emergency surgery. However, the diagnosis is often challenging and the decision to operate, observe or further work-up a patient is often unclear. The utility of clinical scoring systems (namely the Alvarado score), laboratory markers, and the development of novel markers in the diagnosis of appendicitis remains controversial. This article presents an update on the diagnostic approach to appendicitis through an evidence-based review.\nMethods:\n We performed a broad Medline search of radiological imaging, the Alvarado score, common laboratory markers, and novel markers in patients with suspected appendicitis.\nResults:\n Computed tomography (CT) is the most accurate mode of imaging for suspected cases of appendicitis, but the associated increase in radiation exposure is problematic. The Alvarado score is a clinical scoring system that is used to predict the likelihood of appendicitis based on signs, symptoms and laboratory data. It can help risk stratify patients with suspected appendicitis and potentially decrease the use of CT imaging in patients with certain Alvarado scores. White blood cell (WBC), C-reactive protein (CRP), granulocyte count and proportion of polymorphonuclear (PMN) cells are frequently elevated in patients with appendicitis, but are insufficient on their own as a diagnostic modality. When multiple markers are used in combination their diagnostic utility is greatly increased. Several novel markers have been proposed to aid in the diagnosis of appendicitis; however, while promising, most are only in the preliminary stages of being studied. \nConclusion: \nWhile CT is the most accurate mode of imaging in suspected appendicitis, the accompanying radiation is a concern. Ultrasound may help in the diagnosis while decreasing the need for CT in certain circumstances. The Alvarado Score has good diagnostic utility at specific cutoff points. Laboratory markers have very limited diagnostic utility on their own but show promise when used in combination. Further studies are warranted for laboratory markers in combination and to validate potential novel markers. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "appendicitis" }, { "word": "Alvarado Score" }, { "word": "Novel Markers" }, { "word": "White Blood Cell (WBC)" }, { "word": "C-Reactive Protein (CRP)" }, { "word": "Polymorphonuclear (PMN) Count" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4nh2q62z", "frozenauthors": [ { "first_name": "Daniel", "middle_name": "J.", "last_name": "Shogilev", "name_suffix": "", "institution": "Duke University, Division of Emergency Medicine, Duke University, Durham, North Carolina", "department": "None" }, { "first_name": "Nicolaj", "middle_name": "", "last_name": "Duus", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Stephen", "middle_name": "R.", "last_name": "Odom", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Surgery, Boston, Massachusetts", "department": "None" }, { "first_name": "Nathan", "middle_name": "I.", "last_name": "Shapiro", "name_suffix": "", "institution": "Beth Israel Deaconess Medical Center, Department of Emergency Medicine and Center for Vascular Biology, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2014-02-19T19:18:08Z", "date_accepted": "2014-02-19T19:18:08Z", "date_published": "2014-10-07T17:47:08Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8145/galley/4690/download/" } ] }, { "pk": 7553, "title": "Osteomyelitis Pubis: A Rare and Elusive Diagnosis", "subtitle": null, "abstract": "Osteomyelitis pubis is an infectious inflammation of the symphysis pubis and accounts for 2% of hematogenous osteomyelitis. This differs from osteitis pubis, a non-infectious inflammation of the pubic symphysis, generally caused by shear forces in young athletes. Both conditions present with similar symptoms and are usually differentiated on the basis of biopsy and/or culture. A case of osteomyelitis pubis is presented with a discussion of symphisis pubis anatomy, clinical and laboratory presentation, etiology and risk factors, and optimal imaging studies. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "pelvic pain" }, { "word": "osteomyeltis" }, { "word": "staphylococcus" }, { "word": "bacteremia" }, { "word": "subacute" }, { "word": "osteitis pubis" }, { "word": "osteomyelitis pubis" }, { "word": "Emergency Medicine" }, { "word": "Infectious Diseases" }, { "word": "Internal Medicine" }, { "word": "Imaging Studies" }, { "word": "radiology" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5qt723b1", "frozenauthors": [ { "first_name": "Justin", "middle_name": "", "last_name": "Yax", "name_suffix": "", "institution": "Case Western Reserve University, University Hospitals/Case Medical Center, Department of Emergency Medicine, Cleveland, Ohio", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Cheng", "name_suffix": "", "institution": "Case Western Reserve University, University Hospitals/Case Medical Center, Department of Emergency Medicine, Cleveland, Ohio", "department": "None" } ], "date_submitted": "2014-07-27T23:11:01Z", "date_accepted": "2014-07-27T23:11:01Z", "date_published": "2014-10-07T15:17:41Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7553/galley/4446/download/" } ] }, { "pk": 44010, "title": "Squamous Cell Carcinoma of the Right Tonsil", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6x00n36f", "frozenauthors": [ { "first_name": "Sandra ", "middle_name": "", "last_name": "Vizireanu", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-10-07T01:57:54Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44010/galley/32814/download/" } ] }, { "pk": 42688, "title": "More than a “Subspecies of American Literature”: Obstacles toward a Transnational Mormon Novel", "subtitle": null, "abstract": "Since the mid-twentieth century, the Church of Jesus Christ of Latter-day Saints (Mormons) has become an increasingly international organization with more than half of its members currently living outside US borders. Still, because of its US origins, strongly centralized Salt Lake City headquarters, and doctrinal traditions that privilege the United States as a Promised Land, Mormonism remains an American church in the eyes of much of the world. This essay explores Mormonism’s struggle to internationalize through the lens of Mormon novels about transnational Mormon experiences. Specifically, it shows how these novels have sometimes embraced and sometimes resisted the hegemonic narrative of US Mormonism in order to understand how these works consider and reconsider long-standing assumptions about the value of the boundaries and central gathering places that have traditionally defined Mormonism’s physical, cultural, and ideological landscapes. Focusing on Margaret Blair Young’s \nSalvador\n (1993), Toni Sorenson Brown’s \nRedemption Road\n (2005), and Ryan McIlvain’s \nElders \n(2012), this essay also looks at ways Mormon novels imagine transnational utopian spaces that seek to conceptualize a future where Mormonism is less tied to bordered concepts like \nnation\n, \nstate\n, and \nAmerica\n, and more open to border crossings. While these utopian spaces are not altogether unproblematic or free of Americentric assumptions, this essay argues that a look at how these novels use these spaces reveals much about the genre’s potential to explore Mormonism’s possibilities as a transnational community and rethink its relationship to its US headquarters.", "language": "en", "license": null, "keywords": [ { "word": "Mormonism" }, { "word": "Mormon Novel" }, { "word": "Transnational literature" }, { "word": "Global Religion" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1xb4t7xr", "frozenauthors": [ { "first_name": "Scott", "middle_name": "", "last_name": "Hales", "name_suffix": "", "institution": "University of Cincinnati", "department": "None" } ], "date_submitted": "2013-11-07T14:05:00Z", "date_accepted": "2013-11-07T14:05:00Z", "date_published": "2014-10-05T19:07:35Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/42688/galley/31857/download/" } ] }, { "pk": 5314, "title": "The frequency and nature of allocare by a group of belugas (Delphinapterus leucas) in human care", "subtitle": null, "abstract": "The care of offspring by non-parental caregivers, or allocare, is common across many taxa. Several functions of allocare have been proposed, including opportunities to rest or forage for the mother, experiences to learn about caring for young animals for naïve females, or additional nourishment and protection for the offspring. Belugas, like many cetaceans, display allocare. However, the frequency and contexts in which allocare occurs have not been studied extensively. The purpose of the current study was to document the frequency of allocare in a group of belugas in human care that steadily increased in its number of offspring over a period of four years. The results suggested that allocare did not occur as frequently as mother-calf swims and occurred when adult females without calves were available in the social grouping. Additionally, certain allocare partners seemed to be preferred by specific mother-calf pairs. The results also indicated that the calf may play a more active role in the selection of an allocare partner than previously acknowledged. This study supports the importance of social composition when young offspring are present.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Beluga" }, { "word": "Delphinapterus leucas" }, { "word": "allocare" }, { "word": "social composition" }, { "word": "Cetacean" }, { "word": "babysitting" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4pr8386p", "frozenauthors": [ { "first_name": "Heather", "middle_name": "M.", "last_name": "Hill", "name_suffix": "", "institution": "St. Mary's University", "department": "None" }, { "first_name": "Carolyn", "middle_name": "", "last_name": "Campbell", "name_suffix": "", "institution": "Texas A&M University", "department": "None" } ], "date_submitted": "2014-06-05T15:41:46Z", "date_accepted": "2014-06-05T15:41:46Z", "date_published": "2014-10-05T00:16:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5314/galley/3181/download/" } ] }, { "pk": 43963, "title": "A Patient with Hypokalemia and Hypertension", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6rx133rn", "frozenauthors": [ { "first_name": "Eve", "middle_name": "", "last_name": "Glazier", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ashley", "middle_name": "", "last_name": "Busuttil", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-30T21:24:51Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43963/galley/32767/download/" } ] }, { "pk": 43978, "title": "Clinical Review: Acute Aortic Regurgitation", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2187c6zp", "frozenauthors": [ { "first_name": "Samuel ", "middle_name": "", "last_name": "Daneshvar", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Janki ", "middle_name": "", "last_name": "Shah", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-29T23:09:01Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43978/galley/32782/download/" } ] }, { "pk": 8524, "title": "A BOLD IDEA: The “Population” Specialist", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Editorial", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3pp502d0", "frozenauthors": [ { "first_name": "Judith", "middle_name": "E.", "last_name": "Tintinalli", "name_suffix": "", "institution": "University of North Carolina at Chapel Hill, Department of Emergency Medicine,\nChapel Hill, North Carolina", "department": "None" } ], "date_submitted": "2014-09-09T20:07:52Z", "date_accepted": "2014-09-09T20:07:52Z", "date_published": "2014-09-26T21:50:28Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8524/galley/4916/download/" } ] }, { "pk": 8544, "title": "Ebola Virus Disease: Essential Public Health Principles for Clinicians", "subtitle": null, "abstract": "Ebola Virus Disease (EVD) has become a public health emergency of international concern. The World Health Organization and Centers for Disease Control and Prevention have developed guidance to educate and inform healthcare workers and travelers worldwide. Symptoms of EVD include abrupt onset of fever, myalgias, and headache in the early phase, followed by vomiting, diarrhea and possible progression to hemorrhagic rash, life-threatening bleeding, and multi-organ failure in the later phase. The disease is not transmitted via airborne spread like influenza, but rather from person-to-person, or animal to person, via direct contact with bodily fluids or blood. It is crucial that emergency physicians be educated on disease presentation and how to generate a timely and accurate differential diagnosis that includes exotic diseases in the appropriate patient population. A patient should be evaluated for EVD when both suggestive symptoms, including unexplained hemorrhage, AND risk factors within 3 weeks prior, such as travel to an endemic area, direct handling of animals from outbreak areas, or ingestion of fruit or other uncooked foods contaminated with bat feces containing the virus are present. There are experimental therapies for treatment of EVD virus; however the mainstay of therapy is supportive care. Emergency department personnel on the frontlines must be prepared to rapidly identify and isolate febrile travelers if indicated. All healthcare workers involved in care of EVD patients should wear personal protective equipment. Despite the intense media focus on EVD rather than other threats, emergency physicians must master and follow essential public health principles for management of all infectious diseases. This includes not only identification and treatment of individuals, but also protection of healthcare workers and prevention of spread, keeping in mind the possibility of other more common disease processes. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1bh1352j", "frozenauthors": [ { "first_name": "Kristi", "middle_name": "L.", "last_name": "Koenig", "name_suffix": "", "institution": "University of California at Irvine, Center for Disaster Medical Sciences and Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Cassondra", "middle_name": "", "last_name": "Majestic", "name_suffix": "", "institution": "University of California at Irvine, Center for Disaster Medical Sciences and Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Burns", "name_suffix": "", "institution": "University of California at Irvine, Department of Emergency Medicine and Department of Medicine, Division of Infectious Diseases, Orange, California", "department": "None" } ], "date_submitted": "2014-09-19T17:00:16Z", "date_accepted": "2014-09-19T17:00:16Z", "date_published": "2014-09-26T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8544/galley/4925/download/" } ] }, { "pk": 8102, "title": "Shock Index and Prediction of Traumatic Hemorrhagic Shock 28-Day Mortality: Data from the DCLHb Resuscitation Clinical Trials", "subtitle": null, "abstract": "Introduction:\n To assess the ability of the shock index (SI) to predict 28-day mortality in traumatic hemorrhagic shock patients treated in the diaspirin cross-linked hemoglobin (DCLHb) resuscitation clinical trials.\nMethods: \nWe used data from two parallel DCLHb traumatic hemorrhagic shock efficacy trials, one in U.S. emergency departments, and one in the European Union prehospital setting to assess the relationship between SI values and 28-day mortality.\nResults:\n In the 219 patients, the mean age was 37 years, 64% sustained a blunt injury, 48% received DCLHb, 36% died, and 88% had an SI>1.0 at study entry. The percentage of patients with an SI>1.0 dropped by 57% (88 to 38%) from the time of study entry to 120 minutes after study resuscitation (p<0.001). Patients with a SI>1.0, 1.4, and 1.8 at any time point were 2.3, 2.7, and 3.1 times, respectively, more likely to die by 28 days than were patients with SI values below these cutoffs (p<0.001). Similarly, after 120 minutes of resuscitation, patients with a SI>1.0 were 3.9x times more likely to die by 28 days (40 vs. 15%, p<0.001). Although the distribution of SI values differed based on treatment group, the receiver operator characeristics data showed no difference in SI predictive ability for 28-day mortality in patients treated with DCLHb.\nConclusion:\n In these traumatic hemorrhagic shock patients, the shock index correlates with 28-day mortality, with higher SI values indicating greater mortality risk. Although DCLHb treatment did alter the distribution of SI values, it did not influence the ability of the SI to predict 28-day mortality. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Diaspirin cross-linked hemoglobin, Shock, hemorrhagic shock, Shock Index, Resuscitation" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82c4t2dd", "frozenauthors": [ { "first_name": "Edward", "middle_name": "P.", "last_name": "Sloan", "name_suffix": "", "institution": "University of Illinois at Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Max", "middle_name": "", "last_name": "Koenigsberg", "name_suffix": "", "institution": "Advocate Illinois Masonic Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "James", "middle_name": "M.", "last_name": "Clark", "name_suffix": "", "institution": "Rush Medical College, Rush University Medical Center, Chicago, Illinois", "department": "None" }, { "first_name": "William", "middle_name": "B.", "last_name": "Weir", "name_suffix": "", "institution": "University of Illinois College of Medicine at Urbana-Champaign, Carle Physician Group, Department of Emergency Medicine, Illinois", "department": "None" }, { "first_name": "Nora", "middle_name": "", "last_name": "Philbin", "name_suffix": "", "institution": "Unity Point Methodist, Department of Pediatrics, Peoria, Illinois", "department": "None" } ], "date_submitted": "2014-01-25T23:14:52Z", "date_accepted": "2014-01-25T23:14:52Z", "date_published": "2014-09-25T20:58:23Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8102/galley/4675/download/" } ] }, { "pk": 8116, "title": "Utility of Vital Signs in Mass Casualty-Disaster Triage", "subtitle": null, "abstract": "n/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Triage, Vital signs, Mass casualty, Disaster" } ], "section": "Disaster Medicine/ Emergency Medical Services", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6xv4x4dt", "frozenauthors": [ { "first_name": "David", "middle_name": "E.", "last_name": "Hogan", "name_suffix": "", "institution": "Oklahoma State University, Department of Emergency Medicine, Oklahoma City, Oklahoma", "department": "None" }, { "first_name": "Travis", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "Duncan Regional Hospital, Department of Emergency Medicine, Duncan, Oklahoma", "department": "None" } ], "date_submitted": "2014-01-26T08:19:18Z", "date_accepted": "2014-01-26T08:19:18Z", "date_published": "2014-09-25T15:50:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8116/galley/4681/download/" } ] }, { "pk": 43985, "title": "Fatal Interstitial Pneumonitis Following Crizotinib Usage in a Case of EML 4-ALK Rearrangement Non-Small Cell Lung Cancer", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/06c827x0", "frozenauthors": [ { "first_name": "Robert ", "middle_name": "S.Y. ", "last_name": "Chang", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "David ", "middle_name": "J.", "last_name": "Scott", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-25T00:33:05Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43985/galley/32789/download/" } ] }, { "pk": 43974, "title": "Case Study: Systemic Lupus Erythematosus and Antiphospholipid Syndrome in Valvular Heart Disease", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3vp33057", "frozenauthors": [ { "first_name": "Roxana ", "middle_name": "", "last_name": "Tabrizi", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Kamran ", "middle_name": "", "last_name": "Shamsa", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-24T23:00:39Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43974/galley/32778/download/" } ] }, { "pk": 39404, "title": "A SWOT Analysis of the Great Lakes Water Quality Protocol 2012: The Good, the Bad and the Opportunity", "subtitle": null, "abstract": "Since the signing of the Great Lakes Water Quality Protocol by Canada and the United States on September 7, 2012, there has been no review of it in the literature. This paper aims to fill that gap by conducting a Strength, Weakness, Opportunity and Threats (SWOT) analysis that will aid in deducing strategies to maximize the strengths and opportunities and minimize the weaknesses and threats to achieving the purpose of the Protocol. The review found that the Protocol has maintained the basic visionary infrastructure retaining the purpose and main objectives while broadening the scope to include three new Annexes; Aquatic Invasive Species, Habitat and Species and Climate change. Weaknesses include instances of ambiguous language, the separate treatment of groundwater, lack of Annex on Indigenous engagement and discrepancies between the principles and the Annexes. A key threat remains the lack of resources for the implementation of the Protocol.", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Great Lakes, Water Quality Agreement, SWOT" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7h26v4cv", "frozenauthors": [ { "first_name": "Savitri", "middle_name": "", "last_name": "Jetoo", "name_suffix": "", "institution": "McMaster University", "department": "None" }, { "first_name": "Gail", "middle_name": "", "last_name": "Krantzberg", "name_suffix": "", "institution": "McMaster University", "department": "None" } ], "date_submitted": "2014-09-24T14:04:36Z", "date_accepted": "2014-09-24T14:04:36Z", "date_published": "2014-09-24T22:42:46Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/egj/article/39404/galley/29747/download/" } ] }, { "pk": 8225, "title": "Medical Identity Theft in the Emergency Department: Awareness is Crucial", "subtitle": null, "abstract": "Medical Identity theft in the emergency department (ED) can harm numerous individuals, and many frontline healthcare providers are unaware of this growing concern. The two cases described began as typical ED encounters until red flags were discovered upon validating the patient’s identity. Educating all healthcare personnel within and outside the ED regarding the subtle signs of medical identity theft and implementing institutional policies to identify these criminals will discourage further fraudulent behavior. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "medical identity theft" }, { "word": "Federal Trade Commission" }, { "word": "victims" }, { "word": "Red Flag Rules" } ], "section": "Ethical and Legal Issues", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9qw8t7zk", "frozenauthors": [ { "first_name": "Michelino", "middle_name": "", "last_name": "Mancini", "name_suffix": "", "institution": "Lakeland Healthcare, Department of Emergency Medicine, St. Joseph, Michigan", "department": "None" } ], "date_submitted": "2014-04-24T19:28:15Z", "date_accepted": "2014-04-24T19:28:15Z", "date_published": "2014-09-24T18:48:56Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8225/galley/4720/download/" } ] }, { "pk": 8192, "title": "Patellar Sleeve Fracture", "subtitle": null, "abstract": "N/a", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Patellar Sleeve Fracture" }, { "word": "PSF" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3t8292zt", "frozenauthors": [ { "first_name": "Scott", "middle_name": "", "last_name": "Sullivan", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Maskell", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Tristan", "middle_name": "", "last_name": "Knutson", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" } ], "date_submitted": "2014-04-02T00:41:29Z", "date_accepted": "2014-04-02T00:41:29Z", "date_published": "2014-09-24T18:35:58Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8192/galley/4714/download/" } ] }, { "pk": 8497, "title": "Intragastric Balloon Rupture", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "intragastric balloon rupture" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8dn0d7vr", "frozenauthors": [ { "first_name": "George", "middle_name": "", "last_name": "Lim", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Braden", "middle_name": "", "last_name": "Hexom", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" } ], "date_submitted": "2014-08-19T01:14:54Z", "date_accepted": "2014-08-19T01:14:54Z", "date_published": "2014-09-24T18:14:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8497/galley/4903/download/" } ] }, { "pk": 62618, "title": "Alameda Song Sparrow Abundance Related to Salt Marsh Vegetation Patch Size and Shape Metrics Quantified from Remote Sensing Imagery", "subtitle": null, "abstract": "Understanding the characteristics of high-quality avian habitat is critical for guiding salt marsh management and restoration. Existing insights into salt marsh avian habitat are often based on the composition of marsh vegetation, e.g., individual plant species cover. This study investigated whether the spatial configuration of marsh surface cover (e.g., patch number, density, size, shape complexity and compactness, degree of dissection of the landscape, variation and repetition of cover type, and the variance within these metrics) is a useful, additional indicator of avian habitat quality for the Alameda Song Sparrow (\nMelospiza melodia pusillula\n), a non-migratory California Species of Special Concern endemic to southern San Francisco Bay. \nM. m. pusillula\n density during the breeding seasons of 2002 through 2005 was estimated at 82 observation points in 10 marsh sites within the bird’s geographic range. The mean bird density index (overall mean: 5.61 birds detected per hectare of marsh) was not significantly different among marshes of different ages. We mapped the vegetation zones, open water, and upland areas within each marsh site using high resolution aerial photographs and automated classification analysis. We quantified the configuration of surface cover around each bird observation point by 31 metrics. Bird density index was best modeled by a multiple linear regression containing positive relationships with the metrics Mean Core Area Index and Patch Core Area Coefficient of Variation (\nR\n2= 0.210, \np\n < 0.0001). Qualitatively, this model suggested that \nM. m. pusillula\n abundance during the breeding season was greatest in marsh areas with compact patches that spanned a variety of patch sizes from moderate-to-large, uninterrupted by other cover. We conclude that configuration-based vegetation pattern analysis could usefully complement more customary composition-based habitat assessments to aid wetland habitat research, management, and restoration.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "population density, song sparrow, spatial pattern analysis, vegetation configuration, wetland restoration, salt marsh, tidal marsh" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9fn8m37b", "frozenauthors": [ { "first_name": "Kevan", "middle_name": "B.", "last_name": "Moffett", "name_suffix": "", "institution": "University of Texas, Austin", "department": "" }, { "first_name": "Jaslyn", "middle_name": "", "last_name": "Law", "name_suffix": "", "institution": "Stanford University", "department": "" }, { "first_name": "Steven", "middle_name": "M.", "last_name": "Gorelick", "name_suffix": "", "institution": "Stanford University", "department": "" }, { "first_name": "Nadav", "middle_name": "", "last_name": "Nur", "name_suffix": "", "institution": "Point Blue Conservation Science", "department": "" }, { "first_name": "Julian", "middle_name": "K.", "last_name": "Wood", "name_suffix": "", "institution": "Point Blue Conservation Science", "department": "" } ], "date_submitted": "2012-08-02T04:40:55Z", "date_accepted": "2012-08-02T04:40:55Z", "date_published": "2014-09-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62618/galley/48340/download/" } ] }, { "pk": 62662, "title": "Climate Change Vulnerability of Freshwater Fishes of the San Francisco Bay Area", "subtitle": null, "abstract": "Climate change is expected to progressively shift the freshwater environments of the San Francisco Bay Area (SFBA) to states that favor alien fishes over native species. Native species likely will have more limited distributions and some may be extirpated. Stream-dependent species may decline as portions of streams dry or become warmer due to lower flows and increased air temperatures. However, factors other than climate change may pose a more immediate threat to native fishes. Comparison of regional vs. statewide vulnerability (baseline and climate change) scores suggests that a higher proportion (56% vs. 50%) of SFBA native species, as compared to the state’s entire fish fauna, are vulnerable to existing anthropogenic threats that result in habitat degradation. In comparison, a smaller proportion of SFBA native species are vulnerable to predicted climate change effects (67% vs. 82%). In the SFBA, adverse effects from climate change likely come second to estuarine alteration, agriculture, and dams. However, the relative effect of climate change on species likely will grow in an increasingly warmer and drier California. Maintaining representative assemblages of native fishes may require providing flow regimes downstream from dams that reflect more natural hydrographs, extensive riparian, stream, and estuarine habitat restoration, and other management actions, such as modification of hatchery operations.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "vulnerability assessment, native fishes, alien species" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5sr9v96n", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "M.", "last_name": "Quiñones", "name_suffix": "", "institution": "Center for Watershed Sciences, University of California, Davis", "department": "" }, { "first_name": "Peter", "middle_name": "B.", "last_name": "Moyle", "name_suffix": "", "institution": "Center for Watershed Sciences, University of California, Davis", "department": "" } ], "date_submitted": "2013-08-02T00:16:41Z", "date_accepted": "2013-08-02T00:16:41Z", "date_published": "2014-09-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62662/galley/48366/download/" } ] }, { "pk": 62634, "title": "Diet, Prey Selection, and Body Condition of Age-0 Delta Smelt, \nHypomesus transpacificus\n, in the Upper San Francisco Estuary", "subtitle": null, "abstract": "The Delta Smelt, an endangered fish, has suffered a long-term decline in abundance, believed to result from, in part, to changes in the pelagic food web of the upper San Francisco Estuary. To investigate the current role of food as a factor in Delta Smelt well-being, we developed reference criteria for gut fullness and body condition based on allometric growth. We then examined monthly diet, prey selectivity, and gut fullness of larvae and juvenile Delta Smelt collected April through September in 2005 and 2006 for evidence of feeding difficulties leading to reduced body condition. Calanoid copepods Eurytemora affinis and Pseudodiaptomus forbesi remained major food items during spring and from early summer through fall, respectively. Other much larger copepods and macroinvertebrates contributed in lesser numbers to the diet of older juvenile fish from mid-summer through fall. In fall, juvenile Delta Smelt periodically relied heavily on very small prey and prey potentially associated with demersal habitat, suggesting typical pelagic food items were in short supply. We found a strong positive selection for E. affinis and P. forbesi, neutral to negative selection for evasive calanoid Sinocalanus doerrii, and neutral to negative selection for the small cyclopoid copepod Limnoithona tetraspina and copepod nauplii, which were consumed only when extremely numerous in the environment. Feeding incidence was significantly higher in 2006, but among successfully feeding fish we found no between year difference in gut fullness. However, we did detect differences in fullness across months in both years. We found no difference in body condition of Delta Smelt between years yet our sample sizes were low in September when Delta Smelt reverted to feeding on very small organisms and fullness declined, so the longer-term effect remains unknown. Our findings suggest that: Delta Smelt had difficulty obtaining prey in spring 2005 or obtaining proper-sized prey in fall of both years. We detected these difficulties in some regional feeding incidence and fullness indices, but not in body condition indices.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Smelt, zooplankton, diet, selectivity, fullness, length–weight, condition, allometric growth, San Francisco Estuary" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/52k878sb", "frozenauthors": [ { "first_name": "Steven", "middle_name": "B.", "last_name": "Slater", "name_suffix": "", "institution": "California Department of Fish and Wildlife", "department": "" }, { "first_name": "Randall", "middle_name": "D.", "last_name": "Baxter", "name_suffix": "", "institution": "California Department of Fish and Wildlife", "department": "" } ], "date_submitted": "2013-01-08T22:52:49Z", "date_accepted": "2013-01-08T22:52:49Z", "date_published": "2014-09-24T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62634/galley/48349/download/" } ] }, { "pk": 8109, "title": "Noninvasive Hemodynamic Monitoring in Emergency Patients with Suspected Heart Failure, Sepsis and Stroke: The Premium Registry", "subtitle": null, "abstract": "Introduction: \nNoninvasive hemodynamic (HD) assessments in the emergency department (ED) might assist in the diagnosis, therapeutic plan development and risk stratification of acutely ill patients. This multinational observational study was designed to initiate noninvasive HD measurements prior to any ED patient therapeutic interventions and broadly evaluate them for potential diagnostic, therapeutic and predictive value.\nMethods: \nWe enrolled patients with suspected acute heart failure (AHF), sepsis or stroke. Continuous noninvasive HD monitoring was begun using the Nexfin finger cuff device (Edwards LifeSciences, BMEYE, Amsterdam, Netherlands). Beat-to-beat HD measurements were averaged for the initial 15 minutes, prior to therapeutic intervention. We performed suspected disease group comparisons and evaluated HD predictors of 30-day mortality.\nResults: \nOf 510 patients enrolled: 185 (36%) AHF, 194 (38%) sepsis and 131 (26%) stroke. HD variables were significantly different (p<0.05) amongst the groups. Cardiac output and index and stroke volume index (SVI) were highest in sepsis (6.5, 3.5, 36), followed by stroke (5.5, 2.7, 35.8), and lowest in AHF (5.4, 2.7, 33.6). The in-group HD standard deviations and ranges measurements were large, indicating heterogeneous underlying HD profiles. Presenting SVI predicted 30-day mortality for all groups.\nConclusion:\n Presenting ED noninvasive HD data has not been previously reported in any large patient population. Our data suggest a potential role for early noninvasive HD assessments aiding in diagnosing of patients, individualizing therapy based on each person’s unique HD values and predicting 30-day mortality. Further studies and analyses are needed to determine how HD assessments should be best used in the ED. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "noninvasive continuous hemodynamic monitoring, Emergency Medicine, acutely ill patients" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6j4174gk", "frozenauthors": [ { "first_name": "Richard", "middle_name": "M.", "last_name": "Nowak", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Prabath", "middle_name": "", "last_name": "Nanayakkara", "name_suffix": "", "institution": "VU University Medical Center, Department of Emergency Medicine, Amsterdam, Netherlands", "department": "None" }, { "first_name": "Salvatore", "middle_name": "", "last_name": "DiSomma", "name_suffix": "", "institution": "Sant’ Andrea Hospital, Department of Emergency Medicine, Rome, Italy", "department": "None" }, { "first_name": "Phil", "middle_name": "", "last_name": "Levy", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine and Cardiovascular", "department": "None" }, { "first_name": "Edmée", "middle_name": "", "last_name": "Schrijver", "name_suffix": "", "institution": "VU University Medical Center, Department of Emergency Medicine, Amsterdam, Netherlands", "department": "None" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Huyghe", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Alessandro", "middle_name": "", "last_name": "Autunno", "name_suffix": "", "institution": "Sant’ Andrea Hospital, Department of Emergency Medicine, Rome, Italy", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Sherwin", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine and Cardiovascular Research Institute, Detroit, Michigan", "department": "None" }, { "first_name": "George", "middle_name": "", "last_name": "Divine", "name_suffix": "", "institution": "Henry Ford Health System, Department of Biostatistics, Detroit, Michigan", "department": "None" }, { "first_name": "Michele", "middle_name": "", "last_name": "Moyer", "name_suffix": "", "institution": "Henry Ford Health System, Department of Emergency Medicine, Detroit, Michigan", "department": "None" } ], "date_submitted": "2014-01-23T01:34:06Z", "date_accepted": "2014-01-23T01:34:06Z", "date_published": "2014-09-23T23:28:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8109/galley/4678/download/" } ] }, { "pk": 62470, "title": "Strategies for Restoring Native Riparian Understory Plants Along the Sacramento River: Timing, Shade, Non-Native Control, and Planting Method", "subtitle": null, "abstract": "Restorationists commonly plant overstory and understory species simultaneously at the outset of restoration, but a mature forest canopy may be necessary to facilitate survival of light-intolerant understory species. We conducted two experiments in riparian forest restoration sites along the Sacramento River to determine whether: (1) introducing understory species is more successful at the beginning of restoration or after the canopy has developed; (2) canopy cover directly (via reduced light) or indirectly (by reducing non-native competition) facilitates survival of native understory species; and (3) seeding or planting seedlings of understory species is most effective. Seven native understory species were introduced as both seeds and seedlings into an experiment that manipulated canopy cover (open or canopy) and non-native grass competition (control or grass-specific herbicide). We conducted another experiment using shade cloth to directly test the effect of different light levels on seedling survival and growth of three species. Both experiments showed that four species (Aristolochia californica, Carex barbarae, Clematis ligusticifolia, and Vitis californica) had higher survival under low-light conditions (canopy or shade cloth). In contrast, three species (Artemisia douglasiana, Euthamia occidentalis and Rubus californica) had similar survival across open and canopy conditions. Cover of unplanted understory vegetation (mostly non-native) was much lower under the canopy than in open plots treated with grass-specific herbicide. Establishment from seed was generally low and highly variable. Our results suggest that to restore understory species in riparian forests in north–central California: light-intolerant understory species should be planted after canopy closure; canopy cover is more effective than grass-specific herbicide at reducing non-native understory cover; and planting seedlings is more successful than direct seeding.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Competition" }, { "word": "direct seeding" }, { "word": "facilitation" }, { "word": "riparian understory" }, { "word": "Sacramento River" }, { "word": "seedling survival and growth" }, { "word": "Ecology, Evolution, Systematics, and Population Biology" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7555d3b4", "frozenauthors": [ { "first_name": "Prairie", "middle_name": "L.", "last_name": "Moore", "name_suffix": "", "institution": "California State University Chico", "department": "" }, { "first_name": "Karen", "middle_name": "D.", "last_name": "Holl", "name_suffix": "", "institution": "University of California, Santa Cruz", "department": "" }, { "first_name": "David", "middle_name": "M.", "last_name": "Wood", "name_suffix": "", "institution": "California State University Chico", "department": "" } ], "date_submitted": "2010-06-08T07:00:00Z", "date_accepted": "2010-06-08T07:00:00Z", "date_published": "2014-09-22T20:42:07Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62470/galley/48298/download/" } ] }, { "pk": 43983, "title": "Diagnosis of Disseminated Mycobacterium Chelonae in a Renal Transplant Patient Presenting with Skin Rash and Arthralgias", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93n063t6", "frozenauthors": [ { "first_name": "Jayon ", "middle_name": "", "last_name": "Kim", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Christopher ", "middle_name": "", "last_name": "Tymchuk", "name_suffix": "M.D.", "institution": "", "department": "" }, { "first_name": "Erik ", "middle_name": "", "last_name": "Lum", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-20T23:23:22Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43983/galley/32787/download/" } ] }, { "pk": 8322, "title": "A Gut Feeling: An Extremely Rare Case of Missed Appendicitis", "subtitle": null, "abstract": "This case outlines the emergency department and surgical course of a 63-year-old male presenting with acute onset abdominal pain. Appendicitis was high on the differential for the treating physician, but after the computed tomography and laboratory evaluation were unremarkable, the patient was discharged only to return the next day. What ensued was one of the rarest cases of missed appendicitis documented in the medical literature. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "umbilical hernia, appendicitis" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jj8p19s", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "", "last_name": "Pilgrim", "name_suffix": "", "institution": "UC Davis", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Russo", "name_suffix": "", "institution": "University of California Davis, Department of Surgery, Sacramento, California", "department": "None" }, { "first_name": "Aimee", "middle_name": "", "last_name": "Moulin", "name_suffix": "", "institution": "University of California Davis, Department of Emergency Medicine, Sacramento, California", "department": "None" } ], "date_submitted": "2014-07-09T16:49:30Z", "date_accepted": "2014-07-09T16:49:30Z", "date_published": "2014-09-19T22:06:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8322/galley/4757/download/" } ] }, { "pk": 8476, "title": "Diphenhydramine Overdose with Intraventricular Conduction Delay Treated with Hypertonic Sodium Bicarbonate and IV Lipid Emulsion", "subtitle": null, "abstract": "Diphenhydramine toxicity commonly manifests with antimuscarinic features, including dry mucous membranes, tachycardia, urinary retention, mydriasis, tachycardia, and encephalopathy. Severe toxicity can include seizures and intraventricular conduction delay. We present here a case of a 23-year-old male presenting with recurrent seizures, hypotension and wide complex tachycardia who had worsening toxicity despite treatment with sodium bicarbonate. The patient was ultimately treated with intravenous lipid emulsion therapy that was temporally associated with improvement in the QRS duration. We also review the current literature that supports lipid use in refractory diphenhydramine toxicity. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Diphenhydramine, lipid, overdose, intraventricular conduction delay, intralipid" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9rt5529p", "frozenauthors": [ { "first_name": "Amin", "middle_name": "", "last_name": "Abdi", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Rose", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California; Department of Pediatrics. University of Southern California. Los Angeles, CA", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Levine", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-08-05T00:47:12Z", "date_accepted": "2014-08-05T00:47:12Z", "date_published": "2014-09-19T20:14:44Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8476/galley/4894/download/" } ] }, { "pk": 8359, "title": "Hip Pain Secondary to Small Bowel Fistula to Pelvis", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15b0602n", "frozenauthors": [ { "first_name": "Chris", "middle_name": "", "last_name": "Cruz", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Liang", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Heltzel", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" }, { "first_name": "Kimberly", "middle_name": "", "last_name": "Liang", "name_suffix": "", "institution": "US Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan", "department": "None" } ], "date_submitted": "2014-07-15T14:44:46Z", "date_accepted": "2014-07-15T14:44:46Z", "date_published": "2014-09-19T19:56:51Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8359/galley/4790/download/" } ] }, { "pk": 8302, "title": "Sydenham Chorea: Rare Consequence of Rheumatic Fever", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Sydenham Chorea" }, { "word": "choreiform movements" }, { "word": "motor tic" }, { "word": "rheumatic fever" }, { "word": "pediatric symptoms" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1sw094wk", "frozenauthors": [ { "first_name": "Paul", "middle_name": "J.", "last_name": "Myers, DO", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Department of Emergency Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Kathleen", "middle_name": "E.", "last_name": "Kane, MD", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Department of Emergency Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Bernadette", "middle_name": "G.", "last_name": "Porter", "name_suffix": "", "institution": "Lehigh Valley Health Network/USF MCOM, Department of Emergency Medicine, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Richard", "middle_name": "J.", "last_name": "Mazzaccaro, MD, PhD", "name_suffix": "", "institution": "Lehigh Valley Health Network, Department of Pediatrics, Allentown, Pennsylvania", "department": "None" } ], "date_submitted": "2014-07-09T15:37:58Z", "date_accepted": "2014-07-09T15:37:58Z", "date_published": "2014-09-19T19:53:57Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8302/galley/4750/download/" } ] }, { "pk": 8186, "title": "Availability and Utilization of Cardiac Resuscitation Centers", "subtitle": null, "abstract": "Introduction: \nThe American Heart Association (AHA) recommends regionalized care following out-of-hospital cardiac arrest (OHCA) at cardiac resuscitation centers (CRCs). Key level 1 CRC criteria include 24/7 percutaneous coronary intervention (PCI) capability, therapeutic hypothermia capability, and annual volume of ≥40 patients resuscitated from OHCA. Our objective was to characterize the availability and utilization of resources relevant to post-cardiac arrest care, including level 1 CRCs in California.\nMethods:\n We combined data from the AHA, the California Office of Statewide Health Planning and Development (OSHPD), and surveys to identify CRCs. We surveyed emergency department directors and nurse managers at all 24/7 PCI centers identified by the AHA to determine their post-OHCA care capabilities. The survey included questions regarding therapeutic hypothermia use and specialist availability and was pilot-tested prior to distribution. Cases of OHCA were identified in the 2011 OSHPD Patient Discharge Database using a “present on admission” diagnosis of cardiac arrest (ICD-9-CM code 427.5). We defined key level 1 CRC criteria as 24/7 PCI capability, therapeutic hypothermia, and annual volume ≥40 patients admitted with a “present on admission” diagnosis of cardiac arrest. Our primary outcome was the proportion of hospitals meeting these criteria. Descriptive statistics and 95% CI are presented.\nResults:\n Of the 333 acute care hospitals in California, 31 (9.3%, 95% CI 6.4-13%) met level 1 CRC criteria. These hospitals treated 25% (1937/7780; 95% CI 24-26%) of all admitted OHCA patients in California in 2011. Of the 125 hospitals identified as 24/7 PCI centers by the AHA, 54 (43%, 95% CI 34-52%) admitted ≥40 patients following OHCA in 2011. Seventy (56%, 95% CI 47-65%) responded to the survey; 69/70 (99%, 95% CI 92-100%) reported having a therapeutic hypothermia protocol in effect by 2011. Five percent of admitted OHCA patients (402/7780; 95% CI 4.7-5.7%) received therapeutic hypothermia and 18% (1372/7780; 95% CI 17-19%) underwent cardiac catheterization.\nConclusion: \nApproximately 10% of hospitals met key criteria for AHA level 1 CRCs. These hospitals treated one-quarter of patients resuscitated from OHCA in 2011. The feasibility of regionalized care for OHCA requires detailed evaluation prior to widespread implementation. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Out-of-hospital Cardiac Arrest" }, { "word": "Utilization" }, { "word": "Cardiac Catheterization" } ], "section": "Prehospital Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/119940f6", "frozenauthors": [ { "first_name": "Bryn", "middle_name": "E.", "last_name": "Mumma", "name_suffix": "", "institution": "Department of Emergency Medicine, University of California Davis", "department": "None" }, { "first_name": "Deborah", "middle_name": "B.", "last_name": "Diercks", "name_suffix": "", "institution": "Department of Emergency Medicine, University of California Davis", "department": "None" }, { "first_name": "James", "middle_name": "F.", "last_name": "Holmes", "name_suffix": "", "institution": "Department of Emergency Medicine, University of California Davis", "department": "None" } ], "date_submitted": "2014-03-27T20:28:40Z", "date_accepted": "2014-03-27T20:28:40Z", "date_published": "2014-09-19T19:00:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8186/galley/4710/download/" } ] }, { "pk": 8104, "title": "Impact of a Health Information Exchange on Resource Use and Medicare-Allowable Reimbursements at 11 Emergency Departments in a Midsized City", "subtitle": null, "abstract": "Introduction: \nUse clinician perceptions to estimate the impact of a health information exchange (HIE) on emergency department (ED) care at four major hospital systems (HS) within a region. Use survey data provided by ED clinicians to estimate reduction in Medicare-allowable reimbursements (MARs) resulting from use of an HIE.\nMethods: \nWe conducted the study during a one-year period beginning in February 2012. Study sites included eleven EDs operated by four major HS in the region of a mid-sized Southeastern city, including one academic ED, five community hospital EDs, four free-standing EDs and 1 ED/Chest Pain Center (CPC) all of which participated in an HIE. The study design was observational, prospective using a voluntary, anonymous, online survey. Eligible participants included attending emergency physicians, residents, and mid-level providers (PA & NP). Survey items asked clinicians whether information obtained from the HIE changed resource use while caring for patients at the study sites and used branching logic to ascertain specific types of services avoided including laboratory/microbiology, radiology, consultations, and hospital admissions. Additional items asked how use of the HIE affected quality of care and length of stay. The survey was automated using a survey construction tool (REDCap Survey Software © 2010 Vanderbilt University). We calculated avoided MARs by multiplying the numbers and types of services reported to have been avoided. Average cost of an admission from the ED was based on direct cost trends for ED admissions within the region.\nResults:\n During the 12-month study period we had 325,740 patient encounters and 7,525 logons to the HIE (utilization rate of 2.3%) by 231 ED clinicians practicing at the study sites. We collected 621 surveys representing 8.25% of logons of which 532 (85.7% of surveys) reported on patients who had information available in the HIE. Within this group the following services and MARs were reported to have been avoided [type of service: number of services; MARs]: Laboratory/Microbiology:187; $2,073, Radiology: 298; $475,840, Consultations: 61; $6,461, Hospital Admissions: 56; $551,282. Grand total of MARs avoided: $1,035,654; average $1,947 per patient who had information available in the HIE (Range: $1,491 - $2,395 between HS). Changes in management other than avoidance of a service were reported by 32.2% of participants. Participants stated that quality of care was improved for 89% of patients with information in the HIE. Eighty-two percent of participants reported that valuable time was saved with a mean time saved of 105 minutes.\nConclusion:\n Observational data provided by ED clinicians practicing at eleven EDs in a mid-sized Southeastern city showed an average reduction in MARs of $1,947 per patient who had information available in an HIE. The majority of reduced MARs were due to avoided radiology studies and hospital admissions. Over 80% of participants reported that quality of care was improved and valuable time was saved. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "HIE" }, { "word": "Medicare" }, { "word": "Health Information Exchange" }, { "word": "Electronic medical record" }, { "word": "Sharing" }, { "word": "emergency department" }, { "word": "Emergency Medicine" } ], "section": "Healthcare Utilization", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1z6953x9", "frozenauthors": [ { "first_name": "Steven", "middle_name": "H.", "last_name": "Saef", "name_suffix": "", "institution": "Medical University of South Carolina, Department of Medicine, Division of Emergency Medicine, Charleston, South Carolina", "department": "None" }, { "first_name": "Cathy", "middle_name": "L.", "last_name": "Melvin", "name_suffix": "", "institution": "Medical University of South Carolina, Department of Public Health Sciences, Charleston, South Carolina", "department": "None" }, { "first_name": "Christine", "middle_name": "M.", "last_name": "Carr", "name_suffix": "", "institution": "Medical University of South Carolina, Department of Medicine, Division of Emergency Medicine, Charleston, South Carolina", "department": "None" } ], "date_submitted": "2014-01-19T15:00:28Z", "date_accepted": "2014-01-19T15:00:28Z", "date_published": "2014-09-19T18:45:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8104/galley/4676/download/" } ] }, { "pk": 8284, "title": "Impact of a Physician-in-Triage Process on Resident Education", "subtitle": null, "abstract": "Introduction:\n Emergency department (ED) crowding negatively impacts patient care quality and efficiency. To reduce crowding many EDs use a physician-in-triage (PIT) process. However, few studies have evaluated the effect of a PIT processes on resident education. Our objective was to determine the impact of a PIT process implementation on resident education within the ED of an academic medical center.\nMethods: \nWe performed a prospective cross-sectional study for a 10-week period from March to June 2011, during operationally historic trended peak patient volume and arrival periods. Emergency medicine residents (three-year program) and faculty, blinded to the research objectives, were asked to evaluate the educational quality of each shift using a 5-point Likert scale. Residents and faculty also completed a questionnaire at the end of the study period assessing the perceived impact of the PIT process on resident education, patient care, satisfaction, and throughput. We compared resident and attending data using Mann-Whitney U tests.\nResults:\n During the study period, 54 residents and attendings worked clinically during the PIT process with 78% completing questionnaires related to the study. Attendings and residents indicated “no impact” of the PIT process on resident education [median Likert score of 3.0, inter-quartile range (IQR): 2-4]. There was no difference in attending and resident perceptions (p-value =0.18). Both groups perceived patient satisfaction to be “positively impacted” [4.0, IQR:2-4 for attendings vs 4.0,IQR:1-5 for residents, p-value =0.75]. Residents perceived more improvement in patient throughput to than attendings [3.5, IQR:3-4 for attendings vs 4.0, IQR:3-5 for residents, p-value =0.006]. Perceived impact on differential diagnosis generation was negative in both groups [2.0, IQR:1-3 vs 2.5, IQR:1-5, p-value = 0.42]. The impact of PIT on selection of diagnostic studies and medical decision making was negative for attendings and neutral for residents: [(2.0, IQR:1-3 vs 3.0,IQR:1-4, p-value =0.10) and (2.0, IQR:1-4 vs 3.0, IQR:1-5, p-value =0.14 respectively].\nConclusion: \nImplementation of a PIT process at an academic medical center was not associated with a negative (or positive) perceived impact on resident education. However, attendings and residents felt that differential diagnosis development was negatively impacted. Attendings also felt diagnostic test selection and medical decision-making learning were negatively impacted by the PIT process. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Resident Education" }, { "word": "PIT" }, { "word": "Physician-in-triage" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/33v3r4vx", "frozenauthors": [ { "first_name": "Bret", "middle_name": "A.", "last_name": "Nicks", "name_suffix": "", "institution": "Wake Forest University Health Sciences, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "Simon", "middle_name": "", "last_name": "Mahler", "name_suffix": "", "institution": "Wake Forest University Health Sciences, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Manthey", "name_suffix": "", "institution": "Wake Forest University Health Sciences, Department of Emergency Medicine, Winston-Salem, North Carolina", "department": "None" } ], "date_submitted": "2014-06-13T11:10:57Z", "date_accepted": "2014-06-13T11:10:57Z", "date_published": "2014-09-18T18:47:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8284/galley/4744/download/" } ] }, { "pk": 8136, "title": "Bedside Ultrasonography as an Adjunct to Routine Evaluation of Acute Appendicitis in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nAppendicitis is a common condition presenting to the emergency department (ED). Increasingly emergency physicians (EP) are using bedside ultrasound (BUS) as an adjunct diagnostic tool. Our objective is to investigate the test characteristics of BUS for the diagnosis of appendicitis and identify components of routine ED workup and BUS associated with the presence of appendicitis.\nMethods: \nPatients four years of age and older presenting to the ED with suspected appendicitis were eligible for enrollment. After informed consent was obtained, BUS was performed on the subjects by trained EPs who had undergone a minimum of one-hour didactic training on the use of BUS to diagnose appendicitis.They then recorded elements of clinical history, physical examination, white blood cell count (WBC) with polymophonuclear percentage (PMN), and BUS findings on a data form. We ascertained subject outcomes by a combination of medical record review and telephone follow-up.\nResults:\n A total of 125 subjects consented for the study, and 116 had adequate image data for final analysis. Prevalence of appendicitis was 40%. Mean age of the subjects was 20.2 years, and 51% were male. BUS was 100% sensitive (95% CI 87-100%) and 32% specific (95% CI 14-57%) for detection of appendicitis, with a positive predictive value of 72% (95% CI 56-84%), and a negative predictive value of 100% (95% CI 52-100%). Assuming all non-diagnostic studies were negative would yield a sensitivity of 72% and specificity of 81%. Subjects with appendicitis had a significantly higher occurrence of anorexia, nausea, vomiting, and a higher WBC and PMN count when compared to those without appendicitis. Their BUS studies were significantly more likely to result in visualization of the appendix, appendix diameter >6mm, appendix wall thickness >2mm, periappendiceal fluid, visualization of the appendix tip, and sonographic Mcburney’s sign (p<0.05). In subjects with diagnostic BUS studies, WBC, PMN, visualization of appendix, appendix diameter >6mm, appendix wall thickness >2mm, periappendiceal fluid were found to be predictors of appendicitis on logistic regression.\nConclusion:\n BUS is moderately useful for appendicitis diagnosis. We also identified several components in routine ED workup and BUS that are associated with appendicitis generating hypothesis for future studies. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "emergency medicine, ultrasonography, appendicitis" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/93d7h8fm", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "H.F.", "last_name": "Lam", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Anthony", "middle_name": "", "last_name": "Grippo", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Kerwin", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "P. John", "middle_name": "", "last_name": "Konicki", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" }, { "first_name": "Michael", "middle_name": "J.", "last_name": "Lambert", "name_suffix": "", "institution": "Advocate Christ Medical Center", "department": "None" }, { "first_name": "Diana", "middle_name": "", "last_name": "Goodwine", "name_suffix": "", "institution": "Advocate Christ Medical Center, Department of Emergency Medicine, Oak Lawn, Illinois", "department": "None" } ], "date_submitted": "2014-02-10T07:06:58Z", "date_accepted": "2014-02-10T07:06:58Z", "date_published": "2014-09-18T18:44:05Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8136/galley/4685/download/" } ] }, { "pk": 43999, "title": "PNEUMOTHORAX: An Unusual Presentation of Aspergillosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0g25s0fb", "frozenauthors": [ { "first_name": "Brian ", "middle_name": "K.", "last_name": "Wong", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "DAavid", "middle_name": "J.", "last_name": "Scott", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-18T01:06:33Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43999/galley/32803/download/" } ] }, { "pk": 43956, "title": "A Case of Cryptococcal Pneumonia in an Immunocompetent Patient", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/15t6z2k5", "frozenauthors": [ { "first_name": "Pei-Fen", "middle_name": "", "last_name": "Lin", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-17T21:06:50Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43956/galley/32760/download/" } ] }, { "pk": 43970, "title": "An Unusual Presentation of Scrotal Calcinosis: Painful on Exercise and Originating from a Hybrid Cyst", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2z52z4bb", "frozenauthors": [ { "first_name": "Nima ", "middle_name": "M. ", "last_name": "Gharavi", "name_suffix": "MD, PhD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Jennifer ", "middle_name": "T. ", "last_name": "Hau", "name_suffix": "MD ", "institution": "", "department": "" }, { "first_name": "David ", "middle_name": "P.", "last_name": "Beynet", "name_suffix": "MD ", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-15T22:52:30Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43970/galley/32774/download/" } ] }, { "pk": 43966, "title": "Acquired Hemophilia", "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/7c03r2g6", "frozenauthors": [ { "first_name": "Anita", "middle_name": "", "last_name": "Kaul", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Martin", "middle_name": "", "last_name": "Palmer", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-15T21:29:47Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43966/galley/32770/download/" } ] }, { "pk": 44014, "title": "Twist and Snout: A Novel Cartilage Graft Alteration for Repairing a Nasal Alar Defect", "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/0j8774c9", "frozenauthors": [ { "first_name": "Nima ", "middle_name": "M.", "last_name": "Gharavi", "name_suffix": "MD, PhD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ashley ", "middle_name": "G.", "last_name": "Rubin", "name_suffix": "MD ", "institution": "", "department": "" }, { "first_name": "Jennifer ", "middle_name": "T.", "last_name": "Hau", "name_suffix": "MD ", "institution": "", "department": "" }, { "first_name": "Patrick ", "middle_name": "K.", "last_name": "Lee", "name_suffix": "MD ", "institution": "", "department": "" }, { "first_name": "David ", "middle_name": "P.", "last_name": "Beynet", "name_suffix": "MD ", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-15T02:03:40Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44014/galley/32818/download/" } ] }, { "pk": 44005, "title": "Rhabdomyolysis after Low-Intensity Exercise", "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/5tf9v0tp", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Logan", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-15T01:16:26Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44005/galley/32809/download/" } ] }, { "pk": 44002, "title": "Pseudomyogenic Hemangioendothelioma: Not so Malignant but not a Benign Disorder", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4v95d2vq", "frozenauthors": [ { "first_name": "Anita ", "middle_name": "", "last_name": "Kaul", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Shahryar ", "middle_name": "", "last_name": "Ashouri", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-15T01:10:44Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44002/galley/32806/download/" } ] }, { "pk": 43961, "title": "A Case Report: Idiopathic Peripheral Neuropathy Preceding Frank Diabetes by Seven Years", "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/0bf351t8", "frozenauthors": [ { "first_name": "Mindy", "middle_name": "", "last_name": "Cheng", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Eric", "middle_name": "T.", "last_name": "Cheng", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-10T21:20:20Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43961/galley/32765/download/" } ] }, { "pk": 43973, "title": "Brief Review of Hypertension Management Based on the 2014 Joint Natural Committee (JNC8) Guideline", "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/2hd0r12z", "frozenauthors": [ { "first_name": "Niloofar ", "middle_name": "", "last_name": "Nobakht", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sharad ", "middle_name": "", "last_name": "Patel", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-08T22:58:53Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43973/galley/32777/download/" } ] }, { "pk": 44017, "title": "Update on Mechanical Venous Thromboembolism Prophylaxis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Brief Clinical Update" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7109824x", "frozenauthors": [ { "first_name": "Elaine ", "middle_name": "", "last_name": "Parker", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-08T02:20:09Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44017/galley/32821/download/" } ] }, { "pk": 44004, "title": "Recruitment and Retention of Primary Care Clinician Educator Faculty UCLA Department of Medicine", "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/14h1055v", "frozenauthors": [ { "first_name": "Matteo ", "middle_name": "", "last_name": "Dinolfo", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-05T01:15:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44004/galley/32808/download/" } ] }, { "pk": 43998, "title": "Pheochromocytoma", "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/47s791f4", "frozenauthors": [ { "first_name": "Matteo ", "middle_name": "", "last_name": "Dinolfo", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-05T01:04:44Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43998/galley/32802/download/" } ] }, { "pk": 54910, "title": "Cicero’s Self-Fashioning of Control in Att.14-13B1-2", "subtitle": null, "abstract": "The summer of 44 B.C. that followed the death of Julius Caesar was a time of political tension for Marcus Tullius Cicero. The future of his beloved Republic was unsure, and Cicero was confronted with the ambition and power of Mark Antony. The correspondences of Cicero’s Att. 14.13 (composed the month after Caesar’s death) illuminate Cicero’s thoughts leading to the openly, invective first \nPhillipic\n in the fall of that same year. This inquiry carefully examines Cicero’s complex self-fashioning in an essential passage of the correspondence (14.13B.1-2) to show how Cicero resists compromising his authority and \ndignitas\n from a seemingly disadvantageous position.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8qk493cv", "frozenauthors": [ { "first_name": "Maxwell", "middle_name": "", "last_name": "Fabiszewski", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2014-05-18T03:08:04Z", "date_accepted": "2014-05-18T03:08:04Z", "date_published": "2014-09-04T07:30:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54910/galley/41420/download/" } ] }, { "pk": 54906, "title": "The Laudatio Turiae: A Source for Roman Political and Social History", "subtitle": null, "abstract": "This paper aims to provide an in-depth study of the late first century BC epigraphic source, the \nLaudatio Turiae\n, otherwise known as the Eulogy of Turia. This oddly under-studied document and artefact, this paper argues, can give us great insight into the social and political environment of the turbulent triumviral period, and also into that of the newly-formed Principate. The \nLaudatio Turiae\n is also valuable to modern scholarship as an example of the genre of \nlaudatio funebris\n, providing us with one of only three surviving examples of this genre dedicated to women. As such, it can also be argued to be a significant source for our understanding of Roman women, both in terms of their role within the specific and pivotal period in which this source was created, and also in terms of more universal and enduring attitudes towards women and their place in society throughout the Roman world. This article looks to address the historical value of the \nLaudatio Turiae\n, and also to consider the ways in which its genre alters or limits this value.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Ancient Rome" }, { "word": "The Late Republic" }, { "word": "The Principate" }, { "word": "Social History" }, { "word": "Laudatio Funebris" }, { "word": "Women and Marriage" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2123r4bs", "frozenauthors": [ { "first_name": "Thea", "middle_name": "", "last_name": "Lawrence", "name_suffix": "", "institution": "the University of Nottingham", "department": "" } ], "date_submitted": "2014-03-30T14:37:33Z", "date_accepted": "2014-03-30T14:37:33Z", "date_published": "2014-09-04T07:30:47Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54906/galley/41419/download/" } ] }, { "pk": 54900, "title": "Callimachean Poetics", "subtitle": null, "abstract": "A lively and eloquent piece exploring Hellenistic poet Callimachus' key aesthetic tenets and uncovering the profound legacy he left for the literary world we know today.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Hellenistic Poetry" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3x96r415", "frozenauthors": [ { "first_name": "Margaret", "middle_name": "", "last_name": "Cheesman", "name_suffix": "", "institution": "King's College, University of London", "department": "" } ], "date_submitted": "2014-03-26T13:16:59Z", "date_accepted": "2014-03-26T13:16:59Z", "date_published": "2014-09-04T07:30:34Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54900/galley/41418/download/" } ] }, { "pk": 54895, "title": "Carmina Tria", "subtitle": null, "abstract": "‘The wedding of Nisus and Euryalus’ is a hymnic ode after Catullus 61 which plays with the ideas of the shared tragic death of the youth joined in love. The sensory and visual language of death overlays with the images of wedding attendants and celebrations. ‘Our Lord on the Cross’ is from a set of reflections on the 14 Stations of the Cross, for which this was written for the twelfth station, ‘Jesus dies on the cross’. The lamentation includes sections translated from the Biblical book of Lamentations, while also voicing Our Lord’s own strained words on the cross as he watches passersby take little heed of his fate. ‘The pleasures of reading’ is a light parody on all of the places that literature can take us - if only we have sufficient room in our personal libraries to store all of these books!", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Carmina Tria, Classical Poetry, Latin Poetry, Greek Poetry, Elegiac, Ode, Nisus and Euryalus, Stations of the Cross, Literature" } ], "section": "Translations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43n1s3f8", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Loy", "name_suffix": "", "institution": "Queens' College, University of Cambridge", "department": "" } ], "date_submitted": "2014-03-11T07:41:27Z", "date_accepted": "2014-03-11T07:41:27Z", "date_published": "2014-09-04T07:30:21Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54895/galley/41417/download/" } ] }, { "pk": 54874, "title": "Evidence for Cultural Influence and Trade in the Coinage of the Western Kshatrapas", "subtitle": null, "abstract": "Occupying a pivotal spot on thenorth-west coast of India in the first centuries CE, the Kingdom of the WesternKshatrapas remains one of the most neglected parts of India’s ancient past. Asa key regional power, and part of the major ocean trade with Rome, this isunfortunate and deserves to be rectified. This piece, by Guy Bud, anUndergraduate at Oxford University, deals with the coins of the region and askswhat their stylistic aspects can tell us about the cultures which mixed in theregion at the time. Looking at the Roman, Hellenistic and local coinagetraditions, the article engaged with the idea of cultural transition andinfluence in this very singular context.", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Gujarat" }, { "word": "Western Kshatrapas" }, { "word": "Numismatics" }, { "word": "Ancient India" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4hf6h077", "frozenauthors": [ { "first_name": "Guy", "middle_name": "", "last_name": "Bud", "name_suffix": "", "institution": "Faculty of History, University of Oxford", "department": "" } ], "date_submitted": "2013-11-15T16:51:08Z", "date_accepted": "2013-11-15T16:51:08Z", "date_published": "2014-09-04T07:29:58Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucbclassics_bujc/article/54874/galley/41403/download/" } ] }, { "pk": 44000, "title": "Postural Tachycardia Syndrome: A Case Review", "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/2pz5v7b4", "frozenauthors": [ { "first_name": "Suruchi ", "middle_name": "", "last_name": "Kelly", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-02T01:08:08Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44000/galley/32804/download/" } ] }, { "pk": 43991, "title": "Idiopathic Intracranial Hypertension: A Case Review", "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/758394hq", "frozenauthors": [ { "first_name": "Suruchi ", "middle_name": "", "last_name": "Kelly", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-09-02T00:43:08Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43991/galley/32795/download/" } ] }, { "pk": 5995, "title": "The Building Environment: A Brief Study of Architecture's Influences on Human Survival", "subtitle": null, "abstract": "If we view the progression of human history through the lens of technology, certain institutions immediately emerge: fire, language, agriculture, the wheel, the internet, and so on. The ability of humans to define and divide physical and ritual space through architectural intervention, however, has been a critical yet under recognized element of nearly all of our species’ developments and engagements, including the creation and utilization of its major other technologies. Architecture, and the built environment at large, can be viewed as a developmental cocoon, within, and through which social, political, and cultural identities are expressed. Through an exploration of architectural activity within an historical and scientific framework, this paper examines the social, political, and cultural motivations which have defined the influence of environmental design, supporting the argument that the built environment has been not just a result of, but also a critical agent in the development and preservation of our species.", "language": "en", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [ { "word": "architecture" }, { "word": "environmental design" }, { "word": "History" }, { "word": "survival" }, { "word": "social" }, { "word": "cultural" }, { "word": "political" }, { "word": "Biology" }, { "word": "art" }, { "word": "technology" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2nr412nq", "frozenauthors": [ { "first_name": "James", "middle_name": "", "last_name": "Piacentini", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2014-02-24T09:24:40Z", "date_accepted": "2014-02-24T09:24:40Z", "date_published": "2014-08-31T19:47:32Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/our_buj/article/5995/galley/3648/download/" } ] }, { "pk": 5986, "title": "Moral Theories and Cloning in Kazuo Ishiguro’s Never Let Me Go", "subtitle": null, "abstract": "In this paper I will consider the ethics of cloning as it occurs in Kazuo Ishiguro’s dystopian novel \nNever Let Me Go\n from the standpoint of a number of moral theories – consequentialism, natural law theory, Kantian moral theory, rights based theory, and virtue ethics. In light of the moral theories, I will develop an analysis for why cloning-for-biomedical-research as outlined in the 2002 document \nHuman Cloning and Human Dignity \nby the President’s Council on Bioethics is morally permissible, while the cloning-based donation program in the novel is morally impermissible.", "language": "en", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [ { "word": "Literature" }, { "word": "Kazuo Ishiguro" }, { "word": "cloning" }, { "word": "Ethics" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8vh3v7bd", "frozenauthors": [ { "first_name": "Stephanie", "middle_name": "", "last_name": "Petrillo", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2014-02-21T06:51:00Z", "date_accepted": "2014-02-21T06:51:00Z", "date_published": "2014-08-31T19:46:28Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/our_buj/article/5986/galley/3646/download/" } ] }, { "pk": 5987, "title": "The Owners of Humanitarianism: The Role of Nongovernmental Organizations in Haitian Underdevelopment", "subtitle": null, "abstract": "Haiti is still recovering from the effects of the massive 2010 earthquake that destroyed much of its infrastructure. While a large international humanitarian response was mounted to save lives and rebuild the country, international nongovernmental organizations have failed to meet many of their most important and relevant objectives in the last four years. Nongovernmental organizations operate within a precise set of legal, economic and political restrictions that have variously been described as too lenient and too obstructive. This paper seeks to examine the governing aid framework in order to describe how a specific combination of limitations and liberties have resulted in organizational imperatives that obfuscate the economic origins of humanitarian financiers, limit aid transparency, reduces NGO accountability to both donors and recipients and lead to poor overall development outcomes. To demonstrate these outcomes this paper uses detailed case studies of three large nonprofit organizations operating in Haiti: Partners in Health, Save the Children and CARE. The objective is not to assume that these are perfectly representative outcomes of aid, but rather to show a variety of development outcomes that the aid apparatus either allowed for or failed to prevent.", "language": "en", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [ { "word": "political economy" }, { "word": "Development Studies" }, { "word": "Global Inequality" }, { "word": "Humanitarianism" }, { "word": "Humanitarian Aid" }, { "word": "Haiti" }, { "word": "NGO" }, { "word": "Nongovernmental Organizations" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/83q3168w", "frozenauthors": [ { "first_name": "Sean", "middle_name": "M", "last_name": "McMahon", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2014-02-21T08:53:49Z", "date_accepted": "2014-02-21T08:53:49Z", "date_published": "2014-08-31T19:45:26Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/our_buj/article/5987/galley/3647/download/" } ] }, { "pk": 4787, "title": "History-Writing in Ancient Egypt", "subtitle": null, "abstract": "The problematic search for ancient Egyptian historiography is tied to the debated extent and form of historical consciousness. The ancient Egyptians did have a sense of “historical” events or achievements that could be described to a future audience. Though they did not produce a historiography comparable to other ancient, or later Western, models, which attempt to analyze and critically reconstruct the distant past, they left texts that display historiographic features, such as an awareness of the singularity of events, or references to “reality.” The annals and the “\nking’s novel\n” are the most discussed examples of this kind of text. The non-mythical distant past is a featured subject of king-lists, and it became the object of historiography in Manetho’s \nAegyptiaca\n.", "language": "en", "license": null, "keywords": [], "section": "Time and History", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/73v96940", "frozenauthors": [ { "first_name": "Lutz", "middle_name": "", "last_name": "Popko", "name_suffix": "", "institution": "Universität Leipzig", "department": "None" } ], "date_submitted": "2010-06-09T16:54:58Z", "date_accepted": "2010-06-09T16:54:58Z", "date_published": "2014-08-29T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/4787/galley/2693/download/" } ] }, { "pk": 8508, "title": "Table of Contents September 2014", "subtitle": null, "abstract": "", "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": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8zm3m1bk", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "Pham", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2014-08-28T00:37:58Z", "date_accepted": "2014-08-28T00:37:58Z", "date_published": "2014-08-28T00:40:38Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8508/galley/4908/download/" } ] }, { "pk": 8507, "title": "Masthead September 2014", "subtitle": null, "abstract": "", "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": "Masthead", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2b6072c5", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "Pham", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2014-08-28T00:32:25Z", "date_accepted": "2014-08-28T00:32:25Z", "date_published": "2014-08-28T00:34:41Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8507/galley/4907/download/" } ] }, { "pk": 5315, "title": "Conditioned Aversion for a Cocaine-paired Cue Predicts Cocaine Seeking and Taking in Rats", "subtitle": null, "abstract": "Rats emit aversive taste reactivity (TR) behavior (i.e., gapes) following intraoral delivery of a cocaine-paired taste cue, and greater conditioned aversive TR in well-trained rats predicts greater drug-taking. Here, we used a between-groups design and tracked the development of this conditioned aversive TR behavior on a trial by trial basis in an effort to determine when the change in behavior occurs and at what point individual differences in cue reactivity become predictive of cocaine-seeking and cocaine-taking. The results demonstrate that conditioned aversive TR to a cocaine-predictive flavor cue appears very early in training (i.e., following as few as 1 – 2 taste-drug pairings), stabilizes quickly, and becomes predictive of “terminal” self-administration within 3 – 4 trials. Indeed, rats exhibiting high conditioned aversive TR to the cocaine-paired cue also exhibited greater goal-directed behavior, were faster to take drug, self-administered more cocaine, and exhibited greater seeking during periods of drug non-availability. High conditioned aversive TR, then, develops quickly and is indicative of a greater motivation for drug.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "conditioned aversion" }, { "word": "Cocaine" }, { "word": "reward comparison" }, { "word": "anticipatory contrast" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1dc097vq", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "M.", "last_name": "Colechio", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Patricia", "middle_name": "Sue", "last_name": "Grigson", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2014-06-17T04:12:18Z", "date_accepted": "2014-06-17T04:12:18Z", "date_published": "2014-08-24T23:07:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5315/galley/3182/download/" } ] }, { "pk": 5322, "title": "Introduction to Special Issue on Incentive Relativity", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Incentive relativity" }, { "word": "contrast effect" }, { "word": "reward schedule" }, { "word": "omission effect" }, { "word": "Frustration" }, { "word": "animal behavior" }, { "word": "decision making" }, { "word": "Emotion" }, { "word": "mood" }, { "word": "Relativity" }, { "word": "Special Issue" } ], "section": "Special Issue Introduction", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6m76g2kp", "frozenauthors": [ { "first_name": "Carmen", "middle_name": "", "last_name": "Torres", "name_suffix": "", "institution": "Departamento of Psychology\nUniversity of Jaén", "department": "None" } ], "date_submitted": "2014-08-15T16:34:31Z", "date_accepted": "2014-08-15T16:34:31Z", "date_published": "2014-08-24T23:00:35Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5322/galley/3185/download/" } ] }, { "pk": 5316, "title": "Early Experience and Incentive Relativity in Adulthood", "subtitle": null, "abstract": "Human and animal studies have shown the long-lasting impact of early life experiences on the development of individual differences in stress responsiveness in later life. Despite the numerous works that evaluate the effect of early experiences on different behavioral paradigms, which for the most part are related to aversive situations, there are few studies that assess the effects on the unexpected downshift or omission of positive rewards. The purpose of this article is to present several independent lines of research into how frustration responses during adulthood may be influenced by early experiences. Very few works have been found on the subject, and in most cases the results were negative or controversial. However, more recent investigations suggest that the responses in adults to frustration or euphoria may be modulated by early experiences.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Frustration" }, { "word": "positive contrast" }, { "word": "early experiences" }, { "word": "Downshift" }, { "word": "Reward" }, { "word": "omission" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/53f731wg", "frozenauthors": [ { "first_name": "Lucas", "middle_name": "", "last_name": "Cuenya", "name_suffix": "", "institution": "Laboratorio de Psicología Experimental y Aplicada- Instituto de Investigaciones Médicas IDIM – CONICET – Universidad de Buenos Aires.", "department": "None" }, { "first_name": "Giselle", "middle_name": "", "last_name": "Kamenetzky", "name_suffix": "", "institution": "Laboratorio de Psicología Experimental y Aplicada- Instituto de Investigaciones Médicas IDIM – CONICET – Universidad de Buenos Aires.\n†Centro del Altos Estudios en Ciencias Humanas y de la Salud (CAECIHS)- Universidad Abierta Interamericana (UAI)", "department": "None" }, { "first_name": "Alba", "middle_name": "Elisabeth", "last_name": "Mustaca", "name_suffix": "", "institution": "Laboratorio de Psicología Experimental y Aplicada- Instituto de Investigaciones Médicas IDIM – CONICET – Universidad de Buenos Aires.\n†Centro del Altos Estudios en Ciencias Humanas y de la Salud (CAECIHS)- Universidad Abierta Interamericana (UAI)", "department": "None" } ], "date_submitted": "2014-06-28T12:57:29Z", "date_accepted": "2014-06-28T12:57:29Z", "date_published": "2014-08-24T21:57:43Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5316/galley/3183/download/" } ] }, { "pk": 5313, "title": "Diversity of Adjustments to Reward Downshifts in Vertebrates", "subtitle": null, "abstract": "This review focuses on reward-schedule effects, a family of learning phenomena involving surprising devaluations in reward quality or quantity (as in incentive contrast), and reward omissions (as in appetitive extinction), as studied in three taxonomic groups of vertebrates: mammals, birds, and amphibians. The largest database of dependable data comes from research with mammals in general, and with rats in particular. These experiments show a variety of behavioral adjustments to situations involving reward downshifts. For example, rats show disruption of instrumental and consummatory behavior directed at a small reward after receiving a substantially larger reward (called successive negative contrast, SNC)—a \nreward-schedule effect\n. However, instrumental SNC does not seem to occur when animals work for sucrose solutions—a \nreversed\n reward-schedule effect. Similar modes of adjustment have been reported in analogous experiments with avian and amphibian species. A review of the evidence suggests that carry-over signals across successive trials can acquire control over behavior under massed practice, but emotional memory is required to account for reward-schedule effects observed under widely spaced practice. There is evidence for an emotional component to reward-schedule effects in mammals, but similar evidence for other vertebrates is scanty and inconsistent. Progress in the comparative analysis of reward-schedule effects will require the intense study of a set of selected species, in selected reward-downshift situations, and aiming at identifying underlying neural mechanisms.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Reward Devaluation" }, { "word": "Reward Omission" }, { "word": "Incentive contrast" }, { "word": "successive negative contrast" }, { "word": "Partial Reinforcement Extinction Effect" }, { "word": "Magnitude of Reinforcement Extinction Effect" }, { "word": "Frustration" }, { "word": "Emotional Memory, Carry-over Signals" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4db381nz", "frozenauthors": [ { "first_name": "Mauricio", "middle_name": "R.", "last_name": "Papini", "name_suffix": "", "institution": "Texas Christian University", "department": "None" } ], "date_submitted": "2014-06-05T12:03:04Z", "date_accepted": "2014-06-05T12:03:04Z", "date_published": "2014-08-24T21:43:08Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5313/galley/3180/download/" } ] }, { "pk": 5304, "title": "The Reinforcement Magnitude of Flavored Stimulus Interferes With Omission Effects in Rats", "subtitle": null, "abstract": "Reinforcement omission effects (ROEs) have beeninterpreted as behavioral transient facilitation after nonreinforcement inducedby primary frustration, and/or behavioral transient inhibition afterreinforcement induced by demotivation or temporal control. According to frustrationtheory, the size of the ROEs should depend directly on the reinforcementmagnitude: the behavioral facilitation after thereinforcement omission of larger magnitude should be greater than that observedafter the reinforcement omission of smaller magnitude. However, studiesinvolving operant paradigms have presenteddifficulty to demonstrate this relationship. Thus, the present study aimed toclarify the relationship between reinforcement magnitude and ROEsmanipulating the magnitude linked to discriminative stimuli in a partialreinforcement fixed interval schedule. Rats were trained on a fixed-interval 12 s with limitedhold 6 s signaled schedule in which correct responses were always followed byone of two reinforcement magnitudes (0.5 and 0.05 ml of a 0.15% saccharinsolution). After acquisition of stable performance, the training was changedfrom 100% to 50% reinforcement schedules. The results showed that responserates were higher after omission than after reinforcement delivery. Besides,results showed that response rates were highest after the reinforcementomission of larger magnitude than of smaller magnitude. However, thefindings did not support the hypothesis that the reinforcement omission of largemagnitude induces greater behavioral facilitation than the reinforcementomission of smaller magnitude. The data were interpreted in terms of ROEsmultiple process behavioral facilitation after nonreinforcement and behavioraltransient inhibition after reinforcement.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "reinforcement omission effects" }, { "word": "reinforcement magnitude" }, { "word": "Operant Conditioning" }, { "word": "rats" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0rj1d5jv", "frozenauthors": [ { "first_name": "José Lino", "middle_name": "Oliveira", "last_name": "Bueno", "name_suffix": "", "institution": "University of São Paulo", "department": "None" }, { "first_name": "Danielle", "middle_name": "Marcilio", "last_name": "Judice-Daher", "name_suffix": "", "institution": "University of São Paulo", "department": "None" }, { "first_name": "Henrique", "middle_name": "Guindalini", "last_name": "Deliberato", "name_suffix": "", "institution": "University of São Paulo", "department": "None" } ], "date_submitted": "2014-03-31T21:00:51Z", "date_accepted": "2014-03-31T21:00:51Z", "date_published": "2014-08-24T21:34:38Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5304/galley/3174/download/" } ] }, { "pk": 5305, "title": "Mediational Role of Hormones in Incentive Contrast", "subtitle": null, "abstract": "Frustration can be defined as an emotional state generated by the omission or devaluation in the quantity or quality of an expected appetitive reward. Thus reactivity to a reward is affected by prior experience with the different reinforcer values of that reward, a phenomenon known as incentive relativity, which can be studied by different paradigms to induce frustration. In this work we will focus in successive negative contrast (SNC), involving a downshift of the reward, and in the complete omission of the reward, a phenomenon known as extinction. Also, we will discuss the role of the neuroendocrine mechanisms involved in these processes. Specifically, we analyze the action of monoamines, adrenal and sexual hormones.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Frustration" }, { "word": "Neuroendocrine mechanisms" }, { "word": "successive negative contrast" }, { "word": "extinction" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1d479982", "frozenauthors": [ { "first_name": "Nadia", "middle_name": "", "last_name": "Justel", "name_suffix": "", "institution": "Laboratorio de Psicologia Experimental y Aplicada-Instituto de Investigaciones Medicas-CONICET", "department": "None" }, { "first_name": "Ricardo", "middle_name": "Marcos", "last_name": "Pautassi", "name_suffix": "", "institution": "Instituto de Investigación Médica M. y M. Ferreyra (INIMEC) CONICET", "department": "None" }, { "first_name": "Mariana", "middle_name": "", "last_name": "Psyrdellis", "name_suffix": "", "institution": "Laboratorio de Psicologia Experimental y Aplicada-Instituto de Investigaciones Medicas-CONICET", "department": "None" }, { "first_name": "Alba", "middle_name": "", "last_name": "Mustaca", "name_suffix": "", "institution": "Laboratorio de Psicologia Experimental y Aplicada-Instituto de Investigaciones Medicas-CONICET", "department": "None" } ], "date_submitted": "2014-04-03T15:11:31Z", "date_accepted": "2014-04-03T15:11:31Z", "date_published": "2014-08-24T21:26:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5305/galley/3175/download/" } ] }, { "pk": 43993, "title": "Minimal Change Disease Relapse: Case Presentation and Discussion", "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/8823w5vn", "frozenauthors": [ { "first_name": "Puja ", "middle_name": "", "last_name": "Goswami", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-23T00:47:55Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43993/galley/32797/download/" } ] }, { "pk": 43980, "title": "Coagulopathy in the Hospitalized Patient", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1v97k72f", "frozenauthors": [ { "first_name": "Evangelia ", "middle_name": "K. ", "last_name": "Kirimis", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-22T23:18:17Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43980/galley/32784/download/" } ] }, { "pk": 43975, "title": "CHEMOTHERAPY AND CLOSTRIDIUM", "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/3sx3x1d5", "frozenauthors": [ { "first_name": "Evangelia ", "middle_name": "K. ", "last_name": "Kirimis", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-22T23:03:51Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43975/galley/32779/download/" } ] }, { "pk": 44045, "title": "Empyema - An Old Disease Not to Be Forgotten", "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/0f7541d8", "frozenauthors": [ { "first_name": "Jason ", "middle_name": "", "last_name": "Hove", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Deren ", "middle_name": "", "last_name": "Sinkowitz", "name_suffix": "M.D.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-22T05:50:58Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/44045/galley/32848/download/" } ] }, { "pk": 4757, "title": "End of the Old Kingdom", "subtitle": null, "abstract": "Egypt’s Old Kingdom ended, according to widespread scholarly opinion, with the last king of the 8th Dynasty—that is, around the middle of the twenty-second century BCE, or a few decades later. The reasons for the fall are to be seen in internal and/or climatic factors that arose much earlier, or possibly in an invasion from the northeast—explanations that do not preclude each other. As a result of these factors, the territorial entity of the Egyptian state was dissolved and a period of economic and cultural decline followed. The end of the Old Kingdom is one of the most controversial topics in Egyptian historiography. Moreover, the end recorded by the ancient Egyptians does not necessarily coincide with what modern scholars have considered the end.\n \nUntil now the exact causes for the decline remain uncertain.", "language": "en", "license": null, "keywords": [ { "word": "climate" }, { "word": "economy" }, { "word": "Politics" } ], "section": "Time and History", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2ns3652b", "frozenauthors": [ { "first_name": "Renate", "middle_name": "", "last_name": "Müller-Wollermann", "name_suffix": "", "institution": "University of Tuebingen", "department": "None" } ], "date_submitted": "2009-12-11T23:50:08Z", "date_accepted": "2009-12-11T23:50:08Z", "date_published": "2014-08-20T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/4757/galley/2674/download/" } ] }, { "pk": 43968, "title": "Amyloidosis with Gastrointestinal Involvement", "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/45k7881z", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Ovsiowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daniel ", "middle_name": "", "last_name": "Cho", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-18T22:49:03Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43968/galley/32772/download/" } ] }, { "pk": 5311, "title": "Incentive Relativity: Gene-environment Interactions", "subtitle": null, "abstract": "Reward loss experiences are among the main sources of emotional stress that humans face throughout their lives. In the animal laboratory, it has been repeatedly shown that the unexpected omission or devaluation of a reinforcer triggers a physiological, cognitive, and behavioral state called frustration. This state involves emotional mechanisms that resemble those unleashed by the presentation of other aversive stimuli, inducing similar stress responses through the activation of brain circuits involved in fear and anxiety. Although this hypothesis has been supported by behavioral, pharmacological, hormonal, and neurobiological evidence, only a few studies have focused on the neurogenetic basis of frustration in animals. This review focuses on the gene-environment interactions that determine the emotional response under conditions of reward loss. Behavioral and genetic correlates of frustration are reviewed in two strains of animals selected on the basis of extreme differences in active avoidance learning: inbred Roman High- (RHA-I) and Roman Low-Avoidance (RLA-I) rats. The review shows the usefulness of Roman strains for neurogenetic research and sets out unsolved questions regarding gene-environment interactions underlying behavior induced by incentive loss.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Incentive relativity" }, { "word": "Reward loss" }, { "word": "psychological pain" }, { "word": "Roman rats" }, { "word": "emotional reactivity" }, { "word": "Frustration" }, { "word": "Contrast" }, { "word": "Partial reinforcement" }, { "word": "gene expression" }, { "word": "high avoidance" }, { "word": "low avoidance" } ], "section": "Special Issue: Revisiting The Legacy of Stan Kuczaj", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3m65c70g", "frozenauthors": [ { "first_name": "Carmen", "middle_name": "", "last_name": "Torres", "name_suffix": "", "institution": "University of Jaén", "department": "None" }, { "first_name": "Marta", "middle_name": "", "last_name": "Sabariego", "name_suffix": "", "institution": "University of Jaén", "department": "None" } ], "date_submitted": "2014-05-20T17:43:46Z", "date_accepted": "2014-05-20T17:43:46Z", "date_published": "2014-08-18T02:27:55Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5311/galley/3179/download/" } ] }, { "pk": 43957, "title": "A Case of Envenomation by a Stingray", "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/96j0848d", "frozenauthors": [ { "first_name": "Neil", "middle_name": "", "last_name": "Patel", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-17T21:08:56Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43957/galley/32761/download/" } ] }, { "pk": 43984, "title": "East-West Approach to Postoperative Nausea and Vomiting", "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/3q13985z", "frozenauthors": [ { "first_name": "Lawrence ", "middle_name": "B. ", "last_name": "Taw", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Malcolm ", "middle_name": "B. ", "last_name": "Taw", "name_suffix": "M.D.", "institution": "", "department": "" }, { "first_name": "Mary ", "middle_name": "", "last_name": "Maish", "name_suffix": "M.D., M.P.H.", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-15T23:25:22Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43984/galley/32788/download/" } ] }, { "pk": 7866, "title": "BE-SAFE: Bedside Sonography for Assessment of the Fetus in Emergencies: Educational Intervention for Late-pregnancy Obstetric Ultrasound", "subtitle": null, "abstract": "Introduction:\n Late obstetric emergencies are time critical presentations in the emergency department. Evaluation to ensure the safety of mother and child includes rapid assessment of fetal viability, fetal heart rate (FHR), fetal lie, and estimated gestational age (EGA). Point-of-care (POC) obstetric ultrasound (OBUS) offers the advantage of being able to provide all these measurements. We studied the impact of POC OBUS training on emergency physician (EP) confidence, knowledge, and OBUS skill performance on a live model.\nMethods: \nThis is a prospective observational study evaluating an educational intervention we designed, called the BE-SAFE curriculum (BEdside Sonography for the Assessment of the Fetus in Emergencies). Subjects were a convenience sample of EP attendings (N=17) and residents (N=14). Prior to the educational intervention, participants completed a self-assessment survey on their confidence regarding OBUS, and took a pre-test to assess their baseline knowledge of OBUS. They then completed a 3-hour training session consisting of didactic and hands-on education in OBUS. After training, each subject’s time and accuracy of performance of FHR, EGA, and fetal lie was recorded. Post-intervention knowledge tests and confidence surveys were administered. Results were compared with non-parametric t-tests.\nResults: \nPre- and post-test knowledge assessment scores for previously untrained EPs improved from 65.7% [SD=20.8] to 90% [SD=8.2] (p<0.0007). Self-confidence on a scale of 1-6 improved significantly for identification of FHR, fetal lie, and EGA. After training, the average times for completion of OBUS critical skills were as follows: cardiac activity (9s), FHR (68.6s), fetal lie (28.1s), and EGA (158.1 sec). EGA estimates averaged 28w0d (25w0d-30w6d) for the model’s true gestational age of 27w0d.\nConclusion: \nAfter a focused POC OBUS training intervention, the BE-SAFE educational intervention, EPs can accurately and rapidly use ultrasound to determine FHR, fetal lie, and estimate gestational age in mid-late pregnancy. [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": "ultrasound" }, { "word": "pregnancy" }, { "word": "3rd Trimester" }, { "word": "Medicine" }, { "word": "Emergency Medicine" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7cd1r7w8", "frozenauthors": [ { "first_name": "Sachita", "middle_name": "", "last_name": "Shah", "name_suffix": "", "institution": "University of Washington School of Medicine, Division of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Adeyinka", "middle_name": "", "last_name": "Adedipe", "name_suffix": "", "institution": "University of Washington School of Medicine, Division of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Ruffatto", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Tuscon, Arizona", "department": "None" }, { "first_name": "Brandon", "middle_name": "H", "last_name": "Backlund", "name_suffix": "", "institution": "University of Washington School of Medicine, Division of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Dana", "middle_name": "", "last_name": "Sajed", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts", "department": "None" }, { "first_name": "Kari", "middle_name": "", "last_name": "Rood", "name_suffix": "", "institution": "University of Washington School of Medicine, Division of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Rosemarie", "middle_name": "", "last_name": "Fernandez", "name_suffix": "", "institution": "University of Washington School of Medicine, Division of Emergency Medicine, Seattle, Washington", "department": "None" } ], "date_submitted": "2013-06-05T05:58:16Z", "date_accepted": "2013-06-05T05:58:16Z", "date_published": "2014-08-14T20:50:02Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7866/galley/4577/download/" } ] }, { "pk": 8306, "title": "Appendicitis During Pregnancy with a Normal MRI", "subtitle": null, "abstract": "Abdominal pain frequently represents a diagnostic challenge in the acute setting. In pregnant patients, the gravid abdomen and concern for ionizing radiation exposure further limit evaluation. If undiagnosed, appendicitis may cause disastrous consequences for the mother and fetus. We present the case of a pregnant female who was admitted for right lower quadrant abdominal pain. Advanced imaging of the abdomen and pelvis was interpreted to be either indeterminate or normal and a diagnosis of acute appendicitis was made on purely clinical grounds. This patient’s management and a literature review of diagnostic techniques for acute appendicitis during pregnancy are discussed. [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": "MRI" }, { "word": "pregnancy" }, { "word": "False negative" }, { "word": "appendicits" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3xx6z8wv", "frozenauthors": [ { "first_name": "Matthew", "middle_name": "M.", "last_name": "Thompson", "name_suffix": "", "institution": "Naval Medical Center, Emergency Department, San Diego, California", "department": "None" }, { "first_name": "Alexei", "middle_name": "", "last_name": "Kudla", "name_suffix": "", "institution": "Naval Medical Center, Emergency Department, San Diego, California", "department": "None" }, { "first_name": "Chris", "middle_name": "B.", "last_name": "Chisholm", "name_suffix": "", "institution": "Naval Medical Center, Emergency Department, San Diego, California", "department": "None" } ], "date_submitted": "2014-07-02T03:47:14Z", "date_accepted": "2014-07-02T03:47:14Z", "date_published": "2014-08-14T20:19:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8306/galley/4752/download/" } ] }, { "pk": 8274, "title": "High Altitude Pulmonary Edema in an Experienced Mountaineer. Possible Genetic Predisposition", "subtitle": null, "abstract": "High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen in patients who ascend over 2,500 meters, particularly if that ascent is rapid. This case describes a patient with no prior history of HAPE and extensive experience hiking above 2,500 meters who developed progressive dyspnea and cough while ascending to 3,200 meters. His risk factors included rapid ascent, high altitude, male sex, and a possible genetic predisposition for HAPE. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "HAPE" }, { "word": "high altitude pulmonary edema" }, { "word": "pulmonary edema" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/60r5h17m", "frozenauthors": [ { "first_name": "Kenneth", "middle_name": "S.", "last_name": "Whitlow", "name_suffix": "", "institution": "Kaweah Delta Medical Center, Department of Emergency Medicine, Visalia, California", "department": "None" }, { "first_name": "Babette", "middle_name": "W.", "last_name": "Davis", "name_suffix": "", "institution": "Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" } ], "date_submitted": "2014-06-03T19:35:49Z", "date_accepted": "2014-06-03T19:35:49Z", "date_published": "2014-08-14T19:50:34Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8274/galley/4737/download/" } ] }, { "pk": 8185, "title": "Ultrasound-Guided Diagnosis and Aspiration of Subdeltoid Abscess from Heroin Injection", "subtitle": null, "abstract": "A 49-year-old man presented to the emergency department (ED) with shoulder pain after intramuscular injection of heroin into his right deltoid muscle. Point-of-care (POC) ultrasound identified a subdeltoid abscess, and ultrasound-guided aspiration of the fluid collection was performed. The patient was admitted and improved on antibiotics and made a complete recovery. POC ultrasound and ultrasound-guided aspiration can assist in the diagnosis and treatment of deep musculoskeletal abscesses. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "ultrasound, abscess, soft tissue infection, musculoskeletal ultrasound, emergency, management" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0d63z200", "frozenauthors": [ { "first_name": "Amanda", "middle_name": "", "last_name": "Clauson", "name_suffix": "", "institution": "Los Angeles County + University of Southern California Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Tom", "middle_name": "", "last_name": "Mailhot", "name_suffix": "", "institution": "Los Angeles County + University of Southern California Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Mikaela", "middle_name": "Lynn", "last_name": "Chilstrom", "name_suffix": "", "institution": "Los Angeles County + University of Southern California Medical Center, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2014-04-05T00:00:02Z", "date_accepted": "2014-04-05T00:00:02Z", "date_published": "2014-08-14T19:41:12Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8185/galley/4709/download/" } ] }, { "pk": 43997, "title": "Neuropathy after Malnutrition: Is Copper Deficiency the Missed Diagnosis?", "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/9j8135p6", "frozenauthors": [ { "first_name": "Erin ", "middle_name": "", "last_name": "Dowling", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-14T01:02:24Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43997/galley/32801/download/" } ] }, { "pk": 8156, "title": "Gastrointestinal Manifestations of Hereditary Angioedema Diagnosed by Ultrasound in the Emergency Department", "subtitle": null, "abstract": "Abdominal angioedema is a less recognized type of angioedema, which can occur in patients with hereditary angioedema (HAE). The clinical signs may range from subtle, diffuse abdominal pain and nausea, to overt peritonitis. We describe two cases of abdominal angioedema in patients with known HAE that were diagnosed in the emergency department by point-of-care (POC) ultrasound. In each case, the patient presented with isolated abdominal complaints and no signs of oropharyngeal edema. Findings on POC ultrasound included intraperitoneal free fluid and bowel wall edema. Both patients recovered uneventfully after receiving treatment. Because it can be performed rapidly, requires no ionizing radiation,and can rule out alternative diagnoses, POC ultrasound holds promise as a valuable tool in the evaluation and management of patients with HAE. [West J Emerg Med. 2014;15(7):-0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "ultrasound" }, { "word": "angioedema" }, { "word": "Emergency Medicine" }, { "word": "Bowel Wall Thickening" } ], "section": "Technology in Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/69m227xf", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Riguzzi", "name_suffix": "", "institution": "Highland Hospital-Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Lia", "middle_name": "", "last_name": "Losonczy", "name_suffix": "", "institution": "Highland Hospital-Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Nathan", "middle_name": "", "last_name": "Teismann", "name_suffix": "", "institution": "UCSF School of Medicine, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Andrew", "middle_name": "A.", "last_name": "Herring", "name_suffix": "", "institution": "Highland Hospital-Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" }, { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Highland Hospital-Alameda Health System, Department of Emergency Medicine, Oakland, California", "department": "None" } ], "date_submitted": "2014-02-28T00:23:56Z", "date_accepted": "2014-02-28T00:23:56Z", "date_published": "2014-08-13T15:50:02Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8156/galley/4696/download/" } ] }, { "pk": 8411, "title": "Special Delivery", "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": "Societal Impact on Emergency Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9br6085k", "frozenauthors": [ { "first_name": "Lori", "middle_name": "", "last_name": "Ludeman", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Irvine, California", "department": "None" } ], "date_submitted": "2014-07-17T05:00:48Z", "date_accepted": "2014-07-17T05:00:48Z", "date_published": "2014-08-13T15:47:04Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8411/galley/4840/download/" } ] }, { "pk": 8195, "title": "Impact of Post-Intubation Interventions on Mortality in Patients Boarding in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nEmergency physicians frequently perform endotracheal intubation and mechanical ventilation. The impact of instituting early post-intubation interventions on patients boarding in the emergency department (ED) is not well studied. We sought to determine the impact of post-intubation interventions (arterial blood gas sampling, obtaining a chest x-ray (CXR), gastric decompression, early sedation, appropriate initial tidal volume, and quantitative capnography) on outcomes of mortality, ventilator-associated pneumonia (VAP), ventilator days, and intensive care unit (ICU) length-of-stay (LOS).\nMethods:\n This was an observational, retrospective study of patients intubated in the ED at a large tertiary-care teaching hospital and included patients in the ED for greater than two hours post-intubation. We excluded them if they had incomplete data, were designated “do not resuscitate,” were managed primarily by the trauma team, or had surgery within six hours after intubation.\nResults:\n Of 169 patients meeting criteria, 15 died and 10 developed VAP. The mortality odds ratio (OR) in patients receiving CXR was 0.10 (95% CI 0.01 to 0.98), and 0.11 (95% CI 0.03 to 0.46) in patients receiving early sedation. The mortality OR for patients with 3 or fewer interventions was 4.25 (95% CI 1.15 to 15.75) when compared to patients with 5 or more interventions. There was no significant relationship between VAP rate, ventilator days, or ICU LOS and any of the intervention groups.\nConclusion:\n The performance of a CXR and early sedation as well as performing five or more vs. three or fewer post-intubation interventions in boarding adult ED patients was associated with decreased mortality. [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": "critical care, post intubation, ventilator management" } ], "section": "Patient Safety", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4ms77447", "frozenauthors": [ { "first_name": "Rahul", "middle_name": "", "last_name": "Bhat", "name_suffix": "", "institution": "MedStar Georgetown University Hospital, Department of Emergency Medicine, Washington, DCr", "department": "None" }, { "first_name": "Munish", "middle_name": "", "last_name": "Goyal", "name_suffix": "", "institution": "MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, DC", "department": "None" }, { "first_name": "Shannon", "middle_name": "", "last_name": "Graf", "name_suffix": "", "institution": "MedStar Union Memorial Hospital, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Anu", "middle_name": "", "last_name": "Bhooshan", "name_suffix": "", "institution": "MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, DC", "department": "None" }, { "first_name": "Eshetu", "middle_name": "", "last_name": "Teferra", "name_suffix": "", "institution": "MedStar Health Research Institute, Department of Biostatistics and Bioinformatics, Hyattsville, Maryland", "department": "None" }, { "first_name": "Jeffrey", "middle_name": "", "last_name": "Dubin", "name_suffix": "", "institution": "MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, DC", "department": "None" }, { "first_name": "Bill", "middle_name": "", "last_name": "Frohna", "name_suffix": "", "institution": "MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, DC", "department": "None" } ], "date_submitted": "2014-04-04T01:44:58Z", "date_accepted": "2014-04-04T01:44:58Z", "date_published": "2014-08-13T15:44:02Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8195/galley/4715/download/" } ] }, { "pk": 8298, "title": "Acute Pulmonary Edema Associated With Propofol: An Unusual Complication", "subtitle": null, "abstract": "Propofol is frequently used in the emergency department to provide procedural sedation for patients undergoing various procedures and is considered to be safe when administered by trained personnel. Pulmonary edema after administration of propofol has rarely been reported. We report a case of a 23-year-old healthy male who developed acute cough, hemoptysis and hypoxia following administration of propofol for splinting of a foot fracture. Chest radiography showed bilateral patchy infiltrates. The patient was treated successfully with supportive care. This report emphasizes the importance of this potentially fatal propofol-associated complication and discusses possible underlying mechanisms and related literature. [West J Emerg Med. 2014;15(7):–0.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "propofol" }, { "word": "pulmonary edema" }, { "word": "hemoptysis" } ], "section": "Diagnostic Acumen", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7fk9h8z2", "frozenauthors": [ { "first_name": "Mian Adnan", "middle_name": "", "last_name": "Waheed", "name_suffix": "", "institution": "Texas Tech University Health Science Center, Department of Internal Medicine, Odessa, Texas", "department": "None" }, { "first_name": "Lavi", "middle_name": "", "last_name": "Oud", "name_suffix": "", "institution": "Texas Tech University Health Science Center, Department of Internal Medicine, Odessa, Texas", "department": "None" } ], "date_submitted": "2014-06-25T03:03:57Z", "date_accepted": "2014-06-25T03:03:57Z", "date_published": "2014-08-13T15:40:19Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8298/galley/4748/download/" } ] }, { "pk": 8170, "title": "Performance Accuracy of Hand-on-needle versus Hand-on-syringe Technique for Ultrasound-guided Regional Anesthesia Simulation for Emergency Medicine Residents", "subtitle": null, "abstract": "Objectives: \nUltrasound-guided nerve blocks (UGNBs) are increasingly used in emergency care. The hand-on-syringe (HS) needle technique is ideally suited to the Emergency Department setting because it allows a single operator to perform the block without assistance. The HS technique is assumed to provide less exact needle control than the alternative two operator hand-on-needle (HN) technique; however this assumption has never been directly tested.\n \nThe primary objective of this study was to compare\n \naccuracy of needle targeting under ultrasound guidance by Emergency Medicine (EM) residents using HN and HS techniques on a standardized gelatinous simulation model.\n \nMethods: \nThis prospective, randomized study evaluated task performance. Needle targeting accuracy using the HN and HS techniques was compared. Each participant performed a set of structured needling maneuvers (both simple and difficult) on a standardized partial-task simulator. Time to task completion, needle visualization during advancement, and accuracy of needle tip at targeting were evaluated. Resident technique preference was assessed using a post-task survey.\n \nResults: \n60 tasks performed by 10 EM residents were evaluated. There was no significant difference in time to complete the simple model (HN vs. HS, 18 seconds vs. 18 seconds, p=0.93), time to complete the difficult model (HN vs. HS, 56 seconds vs. 50 seconds, p=0.63), needle visualization, or needle tip targeting accuracy. Most residents (60%) preferred the HS technique.\n \nConclusion: \nFor EM residents learning UGNBs, the HN technique was not associated with superior needle control. Our results suggest that the single operator HS technique provides equivalent needle control when compared to the two-operator HN technique.", "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": "anesthesia" }, { "word": "ultrasonography" }, { "word": "Education, Medical" }, { "word": "nerve block" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6w46537s", "frozenauthors": [ { "first_name": "Brian", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "Highland Hospital, Alameda Health System, Oakland, CA", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Herring", "name_suffix": "", "institution": "Highland Hospital, Alameda Health System, Oakland, CA\nUniversity of California San Francisco, San Francisco, CA", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Stone", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Harvard Medical School, Boston, MA", "department": "None" }, { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Highland Hospital, Alameda Health System, Oakland, CA\nUniversity of California San Francisco, San Francisco, CA", "department": "None" } ], "date_submitted": "2014-04-11T20:14:42Z", "date_accepted": "2014-04-11T20:14:42Z", "date_published": "2014-08-13T15:21:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/8170/galley/4701/download/" } ] }, { "pk": 43979, "title": "Closed-Fist Injury: What Dangers Lurk Within", "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/944173fv", "frozenauthors": [ { "first_name": "Neil", "middle_name": "", "last_name": "Patel", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-12T23:10:23Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43979/galley/32783/download/" } ] }, { "pk": 43989, "title": "HEMOPTYSIS - Massive or Not", "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/3g79745b", "frozenauthors": [ { "first_name": "Brian ", "middle_name": "K.", "last_name": "Wong", "name_suffix": "M.D.", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-11T00:40:10Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43989/galley/32793/download/" } ] }, { "pk": 43976, "title": "Chiari I Malformation with Syringomyelia as a Cause of Nausea and Vomiting", "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/21m467q9", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Ovsiowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Daniel ", "middle_name": "", "last_name": "Cho", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-08T23:05:13Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43976/galley/32780/download/" } ] }, { "pk": 43969, "title": "An Interesting Case of PTLD After Kidney Transplantation", "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/34k1n991", "frozenauthors": [ { "first_name": "Uttam ", "middle_name": "G. ", "last_name": "Reddy", "name_suffix": "MD ", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Erik ", "middle_name": "", "last_name": "Lum", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-08T22:51:02Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43969/galley/32773/download/" } ] }, { "pk": 43995, "title": "Multivalvular Rheumatic Heart Disease: Challenges in Nonsurgical Management", "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/0822f8x2", "frozenauthors": [ { "first_name": "Kayvan ", "middle_name": "", "last_name": "Kani", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Camellia ", "middle_name": "", "last_name": "Kani", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Kamran ", "middle_name": "", "last_name": "Shamsa", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2014-08-08T00:58:14Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43995/galley/32799/download/" } ] } ] }