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{ "count": 38423, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=28200", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=28000", "results": [ { "pk": 18258, "title": "Assessment of a Chief Complaint–Based Curriculum for Resident Education in Geriatric Emergency Medicine", "subtitle": null, "abstract": "Introduction: We hypothesized that a geriatric chief complaint–based didactic curriculum would improve resident documentation of elderly patient care in the emergency department (ED).\n\n\nMethods: A geriatric chief complaint curriculum addressing the 3 most common chief complaints—abdominal pain, weakness, and falls—was developed and presented. A pre- and postcurriculum implementation chart review assessed resident documentation of the 5 components of geriatric ED care: 1) differential diagnosis/patient evaluation considering atypical presentations, 2) determination of baseline function, 3) chronic care facility/caregiver communication, 4) cognitive assessment, and 5) assessment of polypharmacy. A single reviewer assessed 5 pre- and 5 postimplementation charts for each of 18 residents included in the study. We calculated 95% confidence and determined that statistical significance was determined by a 2-tailed z test for 2 proportions, with statistical significance at 0.003 by Bonferroni correction.\n\n\nResults: For falls, resident documentation improved significantly for 1 of 5 measures. For abdominal pain, 2 of 5 components improved. For weakness, 3 of 5 components improved.\n\n\nConclusion: A geriatric chief complaint–based curriculum improved emergency medicine resident documentation for the care of elderly patients in the ED compared with a non–age-specific chief complaint–based curriculum. [West J Emerg Med. 2011;12(4):484–488.]", "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": "curriculum development" }, { "word": "Resident Education" }, { "word": "Geriatrics" }, { "word": "Curriculum and Instruction" }, { "word": "Emergency Medicine" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/73t2k528", "frozenauthors": [ { "first_name": "Michael", "middle_name": "C", "last_name": "Wadman", "name_suffix": "", "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska", "department": "None" }, { "first_name": "William", "middle_name": "L", "last_name": "Lyons", "name_suffix": "", "institution": "University of Nebraska Medical Center, Section of Geriatrics and Gerontology, Department of Internal Medicine, Omaha, Nebraska", "department": "None" }, { "first_name": "Lance", "middle_name": "H", "last_name": "Hoffman", "name_suffix": "", "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska", "department": "None" }, { "first_name": "Robert", "middle_name": "L", "last_name": "Muelleman", "name_suffix": "", "institution": "University of Nebraska Medical Center, Department of Emergency Medicine, Omaha, Nebraska", "department": "None" } ], "date_submitted": "2009-09-23T03:00:00-04:00", "date_accepted": "2009-09-23T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18258/galley/9357/download/" } ] }, { "pk": 18247, "title": "Bedside Ultrasound Diagnosis of Acalculous Cholecystitis from Ebstein-Barr Virus", "subtitle": null, "abstract": "Acalculous cholecystitis is thought to occur in patients with a severe systemic illness or during long periods of intravenous nutrition. We discuss a case of acalculous cholecystitis secondary to Ebstein-Barr virus detected by bedside ultrasound. We hope to alert clinicians who are actively using bedside of an important, yet not commonly discussed association. [West J Emerg Med. 2011;12(4): 481–483.]", "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": "acalculous" }, { "word": "cholecystitis" }, { "word": "Emergency Medicine" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3866b8s9", "frozenauthors": [ { "first_name": "Arun", "middle_name": "", "last_name": "Nagdev", "name_suffix": "", "institution": "Alameda County Medical Center–Highland General Hospital, Department of Emergency Medicine, Oakland, California; University of California, San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Jeanine", "middle_name": "", "last_name": "Ward", "name_suffix": "", "institution": "Brown University School of Medicine, Department of Emergency Medicine, Providence, Rhode Island", "department": "None" } ], "date_submitted": "2010-03-20T03:00:00-04:00", "date_accepted": "2010-03-20T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18247/galley/9346/download/" } ] }, { "pk": 18280, "title": "Blunt Abdominal Trauma Patients Are at Very Low Risk for Intra-Abdominal Injury after Emergency Department Observation", "subtitle": null, "abstract": "Introduction: Patients are commonly admitted to the hospital for observation following blunt abdominal trauma (BAT), despite initially negative emergency department (ED) evaluations. With the current use of screening technology, such as computed tomography (CT) of the abdomen and pelvis, ultrasound, and laboratory evaluations, it is unclear which patients require observation. The objective of this study was to determine the prevalence of intra-abdominal injury (IAI) and death in hemodynamically normal and stable BAT patients with initially negative ED evaluations admitted to an ED observation unit and to define a low-risk subgroup of patients and assess whether they may be discharged without abdominal/pelvic CT or observation. Methods: This was a retrospective cohort study performed at an urban level 1 trauma center and included all BAT patients admitted to an ED observation unit as part of a BAT key clinical pathway. All were observed for at least 8 hours as part of the key clinical pathway, and only minors and pregnant women were excluded. Outcomes included the presence of IAI or death during a 40-month follow-up period. Prior to data collection, low-risk criteria were defined as no intoxication, no hypotension or tachycardia, no abdominal pain or tenderness, no hematuria, and no distracting injury. To be considered low risk, patients needed to meet all low-risk criteria. Results: Of the 1,169 patients included over the 2-year study period, 29% received a CT of the abdomen and pelvis, 6% were admitted to the hospital from the observation unit for further management, 0.4% (95% confidence interval [CI], 0.1%–1%) were diagnosed with IAI, and 0% (95% CI, 0%–0.3%) died. Patients had a median combined ED and observation length of stay of 9.5 hours. Of the 237 (20%) patients who met low-risk criteria, 7% had a CT of the abdomen and pelvis and 0% (95% CI, 0%–1.5%) were diagnosed with IAI or died. Conclusion: Most BAT patients who have initially negative ED evaluations are at low risk for IAI but still require some combination of observation and CT. A subgroup of BAT patients may be safely discharged without CT or observation after the initial evaluation. [West J Emerg Med. 2011;12(4):496–504.]", "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": "Blunt abdominal trauma" }, { "word": "emergency department" }, { "word": "evaluation" }, { "word": "observation" }, { "word": "risk stratification" }, { "word": "Emergency Medicine" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8753v7ms", "frozenauthors": [ { "first_name": "John", "middle_name": "", "last_name": "Kendall", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado; University of Colorado School of Medicine, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Andrew", "middle_name": "M", "last_name": "Kestler", "name_suffix": "", "institution": "University of Colorado School of Medicine, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Kurt", "middle_name": "T", "last_name": "Whitaker", "name_suffix": "", "institution": "LDS Hospital, Salt Lake City, Utah", "department": "None" }, { "first_name": "Mette-Margrethe", "middle_name": "", "last_name": "Adkisson", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado", "department": "None" }, { "first_name": "Jason", "middle_name": "S", "last_name": "Haukoos", "name_suffix": "", "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado: University of Colorado Denver School of Medicine, Department of Preventive Medicine and Biometrics, Denver, Colorado", "department": "None" } ], "date_submitted": "2010-06-24T03:00:00-04:00", "date_accepted": "2010-06-24T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18280/galley/9379/download/" } ] }, { "pk": 18165, "title": "Can Emergency Medicine Residents Reliably Use the Internet to Answer Clinical Questions?", "subtitle": null, "abstract": "Introduction: The study objective was to determine the accuracy of answers to clinical questions by emergency medicine (EM) residents conducting Internet searches by using Google. Emergency physicians commonly turn to outside resources to answer clinical questions that arise in the emergency department (ED). Internet access in the ED has supplanted textbooks for references because it is perceived as being more up to date. Although Google is the most widely used general Internet search engine, it is not medically oriented and merely provides links to other sources. Users must judge the reliability of the information obtained on the links. We frequently observed EM faculty and residents using Google rather than medicine-specific databases to seek answers to clinical questions. Methods: Two EM faculties developed a clinically oriented test for residents to take without the use of any outside aid. They were instructed to answer each question only if they were confident enough of their answer to implement it in a patient-care situation. Questions marked as unsure or answered incorrectly were used to construct a second test for each subject. On the second test, they were instructed to use Google as a resource to find links that contained answers. Results: Thirty-three residents participated. The means for the initial test were 32% correct, 28% incorrect, and 40% unsure. On the Google test, the mean for correct answers was 59%; 33% of answers were incorrect and 8% were unsure. Conclusion: EM residents’ ability to answer clinical questions correctly by using Web sites from Google searches was poor. More concerning was that unsure answers decreased, whereas incorrect answers increased. The Internet appears to have given the residents a false sense of security in their answers. Innovations, such as Internet access in the ED, should be studied carefully before being accepted as reliable tools for teaching clinical decision making. [West J Emerg Med. 2011;12(4):442–447.]", "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": "Internet searches" }, { "word": "Medical Informatics" }, { "word": "clinical information sources" }, { "word": "reliability" }, { "word": "Databases and Information Systems" }, { "word": "Emergency Medicine" }, { "word": "library and information science" } ], "section": "Technology and Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1fn2761x", "frozenauthors": [ { "first_name": "Richard", "middle_name": "", "last_name": "Krause", "name_suffix": "", "institution": "State University of New York at Buffalo, Department of Emergency Medicine, Buffalo, New York", "department": "None" }, { "first_name": "Ronald", "middle_name": "", "last_name": "Moscati", "name_suffix": "", "institution": "State University of New York at Buffalo, Department of Emergency Medicine, Buffalo, New York", "department": "None" }, { "first_name": "Shravanti", "middle_name": "", "last_name": "Halpern", "name_suffix": "", "institution": "State University of New York at Buffalo, Department of Emergency Medicine, Buffalo, New York", "department": "None" }, { "first_name": "Diane", "middle_name": "G.", "last_name": "Schwartz", "name_suffix": "", "institution": "State University of New York at Buffalo, Kaleida Health Libraries, Buffalo, New York", "department": "None" }, { "first_name": "June", "middle_name": "", "last_name": "Abbas", "name_suffix": "", "institution": "University of Oklahoma, Department of Library and Information Studies, Norman, Oklahoma", "department": "None" } ], "date_submitted": "2010-03-03T03:00:00-05:00", "date_accepted": "2010-03-03T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18165/galley/9266/download/" } ] }, { "pk": 18346, "title": "Cardiac Arrest from Postpartum Spontaneous Coronary Artery Dissection", "subtitle": null, "abstract": "We present the case of a 32-year-old woman who presented to the emergency department with a witnessed cardiac arrest. She was otherwise healthy with no cardiac risk factors and had undergone an uneventful repeated cesarean section 3 days priorly. The patient underwent defibrillation, out of ventricular fibrillation to a perfusing sinus rhythm, and was taken to the catheterization laboratory where coronary angiography findings showed spontaneous dissection of the left anterior descending artery. The patient received a total of 6 stents during her hospital stay and was eventually discharged in good condition. Spontaneous coronary artery dissection is a rare entity with a predilection for pregnant or postpartum women. Early diagnosis and treatment are key for survival, and when identified early, mortality is good. [West J Emerg Med. 2011;12(4):567–570.]", "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": "spontaneous coronary artery dissection" }, { "word": "cardiac arrest" }, { "word": "postpartum" }, { "word": "Cardiovascular Diseases" } ], "section": "Cardiology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4gz1s8xh", "frozenauthors": [ { "first_name": "Malford", "middle_name": "T", "last_name": "Pillow", "name_suffix": "", "institution": "Baylor College of Medicine, Section of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Ngoc Anh", "middle_name": "", "last_name": "Nguyen", "name_suffix": "", "institution": "Baylor College of Medicine, Section of Emergency Medicine, Houston, Texas", "department": "None" }, { "first_name": "Dick", "middle_name": "", "last_name": "Kuo", "name_suffix": "", "institution": "Baylor College of Medicine, Section of Emergency Medicine, Houston, Texas", "department": "None" } ], "date_submitted": "2011-03-24T03:00:00-04:00", "date_accepted": "2011-03-24T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18346/galley/9423/download/" } ] }, { "pk": 18145, "title": "Cardiac Complications in Acute Ischemic Stroke", "subtitle": null, "abstract": "Introduction: To characterize cardiac complications in acute ischemic stroke (AIS) patients admitted from an urban emergency department (ED).\n\n\nMethods: Retrospective cross-sectional study evaluating AIS patients admitted from the ED within 24 hours of symptom onset who also had an echocardiogram performed within 72 hours of admission.\n\n\nResults: Two hundred AIS patients were identified with an overall in-hospital mortality rate of 8% (n¼ 16). In our cohort, 57 (28.5%) of 200 had an ejection fraction less than 50%, 35 (20.4%) of 171 had ischemic changes on electrocardiogram (ECG), 18 (10.5%) of 171 presented in active atrial fibrillation, 21 (13.0%) of 161 had serum troponin elevation, and 2 (1.1%) of 184 survivors had potentially lethal\n\n\narrhythmias on telemetry monitoring. Subgroup analysis revealed higher in-hospital mortality rates among those with systolic dysfunction (15.8% versus 4.9%; P ¼ 0.0180), troponin elevation (38.1% versus 3.4%; P , 0.0001), atrial fibrillation on ECG (33.3% versus 3.8%; P ¼ 0.0003), and ischemic changes on ECG (17.1% versus 6.1%; P ¼ 0.0398) compared with those without.\n\n\nConclusion: A proportion of AIS patients may have cardiac complications. Systolic dysfunction, troponin elevation, atrial fibrillation, or ischemic changes on ECG may be associated with higher inhospital mortality rates. These findings support the adjunctive role of cardiac-monitoring strategies in the acute presentation of AIS. [West J Emerg Med. 2011;12(4):414–420.]", "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": "stroke" }, { "word": "heart" }, { "word": "Echocardiogram" }, { "word": "cardiology" }, { "word": "Emergency Medicine" }, { "word": "Neurology" } ], "section": "Cardiovascular", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37t0w8w5", "frozenauthors": [ { "first_name": "Charles", "middle_name": "R", "last_name": "Wira", "name_suffix": "", "institution": "Yale School of Medicine, Department of Emergency Medicine and Acute Stroke Service, New Haven, Connecticut", "department": "None" }, { "first_name": "Emanuel", "middle_name": "", "last_name": "Rivers", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine and Surgical Critical Care, Detroit, Michigan", "department": "None" }, { "first_name": "Cynthia", "middle_name": "", "last_name": "Martinez-Capolino", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Silver", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Neurology, Detroit, Michigan", "department": "None" }, { "first_name": "Gayathri", "middle_name": "", "last_name": "Iyer", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Cardiology, Detroit, Michigan", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Sherwin", "name_suffix": "", "institution": "Wayne State University, Department of Emergency Medicine, Detroit, Michigan", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Lewandowski", "name_suffix": "", "institution": "Henry Ford Hospital, Department of Emergency Medicine and Acute Stroke Service, Detroit, Michigan", "department": "None" } ], "date_submitted": "2009-11-11T03:00:00-05:00", "date_accepted": "2009-11-11T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18145/galley/9254/download/" } ] }, { "pk": 18209, "title": "Comparison of Metallic Foreign Body Removal between Dynamic Ultrasound and Static Radiography in a Pigs’ Feet Model", "subtitle": null, "abstract": "Introduction: We compared the immediate cosmetic outcome of metallic foreign-body removal by emergency medicine (EM) residents with ultrasound guidance and conventional radiography.\n\n\nMethods: This single-blinded, randomized, crossover study evaluated the ability of EM residents to remove metallic pins embedded in pigs’ feet. Before the experiment, we embedded 1.5-cm metallic pins into numbered pigs’ feet. We randomly assigned 14 EM residents to use either ultrasound or radiography to help remove the foreign body. Residents had minimal ultrasound experience. After a brief lecture, we provided residents with a scalpel, laceration kit, a bedside portable ultrasound machine, nipple markers, paper clips, a dedicated radiograph technician, and radiograph machine 20 feet away. After removal, 3 board-certified emergency physicians, who were blinded to the study group, evaluated the soft-tissue model by using a standardized form. They recorded incision length and cosmetic appearance on the Visual Analogue Scale.\n\n\nResults: In total, 28 foreign bodies were removed. No significant difference in the time of removal (P¼ 0.12), cosmetic appearance (P ¼ 0.96), or incision length (P ¼ 0.76) was found.\n\n\nConclusion: This study showed no difference between bedside ultrasound and radiography in assisting EM residents with metallic foreign-body removal from soft tissue. No significant difference was found in removal time or cosmetic outcome when comparing ultrasound with radiography.", "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": "foreign body" }, { "word": "Removal" }, { "word": "soft tissue" }, { "word": "Disorders of Environmental Origin" }, { "word": "Emergency Medicine" }, { "word": "Integumentary System" }, { "word": "Therapeutics" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6b0655gt", "frozenauthors": [ { "first_name": "William", "middle_name": "C", "last_name": "Manson", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "James", "middle_name": "G", "last_name": "Ryan", "name_suffix": "", "institution": "New York Hospital Queens, Department of Emergency Medicine, Queens, New York", "department": "None" }, { "first_name": "Heidi", "middle_name": "", "last_name": "Ladner", "name_suffix": "", "institution": "New York Hospital Queens, Department of Emergency Medicine, Queens, New York", "department": "None" }, { "first_name": "Sanjey", "middle_name": "", "last_name": "Gupta", "name_suffix": "", "institution": "New York Hospital Queens, Department of Emergency Medicine, Queens, New York", "department": "None" } ], "date_submitted": "2010-02-28T03:00:00-05:00", "date_accepted": "2010-02-28T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18209/galley/9310/download/" } ] }, { "pk": 18118, "title": "Comparison of Three Aspirin Formulations in Human Volunteers", "subtitle": null, "abstract": "Introduction: The treatment of acute coronary syndrome (ACS) includes the administration of aspirin. Current guidelines recommend chewing aspirin tablets to increase absorption. While this is intuitive, there are scant data supporting this recommendation. The purpose of this study is to assess which of 3 different aspirin formulations is most rapidly absorbed after ingestion.\n\n\nMethods: A prospective, open-label, 3-way crossover volunteer study at a tertiary university medical center with human subjects 18 years or older. Fasted subjects were randomly assigned to receive aspirin 1,950 mg as (1) solid aspirin tablets swallowed whole, (2) solid aspirin tablet chewed then swallowed, or (3) a chewable aspirin formulation chewed and swallowed. Serum salicylate measurements were obtained over a period of 180 minutes. Pharmacokinetic parameters were determined.\n\n\nResults: Thirteen males and 1 female completed all 3 arms of study. Peak serum salicylate concentrations were seen at 180 minutes in all groups. Mean peaks were 10.4, 11.3, and 12.2 mg/dL in groups 1, 2, and 3, respectively. Mean area under the time concentration was 1,153, 1,401, and 1,743 mg-min/dL in groups 1, 2, and 3, respectively. No measurable salicylate concentrations were seen in 6 subjects in group 1 at 60 minutes as compared to 1 subject in group 2. All subjects in group 3 had measurable levels at 45 minutes. There were no adverse effects in any of the subjects during the study period.\n\n\nConclusion: Our data demonstrate that the chewable aspirin formulation achieved the most rapid rate of absorption. In addition, the chewable formulation absorption was more complete than the other formulations at 180 minutes. These data suggest that in the treatment of ACS, a chewable aspirin formulation may be preferable to solid tablet aspirin, either chewed or swallowed. [West J Emerg Med. 2011;12(4):381–385.]", "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": "aspirin" }, { "word": "acute coronary syndrome" }, { "word": "acetyl salicylic acid" }, { "word": "Health Professions and Related Programs" }, { "word": "Medicine" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8zj716bw", "frozenauthors": [ { "first_name": "Sean Patrick", "middle_name": "", "last_name": "Nordt", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Richard", "middle_name": "F.", "last_name": "Clark", "name_suffix": "", "institution": "University of California, San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "Edward", "middle_name": "M.", "last_name": "Castillo", "name_suffix": "", "institution": "University of California, San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" }, { "first_name": "David", "middle_name": "A.", "last_name": "Guss", "name_suffix": "", "institution": "University of California, San Diego, Department of Emergency Medicine, San Diego, California", "department": "None" } ], "date_submitted": "2011-02-05T03:00:00-05:00", "date_accepted": "2011-02-05T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18118/galley/9237/download/" } ] }, { "pk": 18176, "title": "Completeness and Accuracy of Emergency Medical Information on the Web: Update 2008", "subtitle": null, "abstract": "Introduction: Reliable and accurate Web-based health information is extremely valuable when applied to emergency medical diagnoses. With this update we seek to build upon on the 2004 study by determining whether the completeness and accuracy of emergency medical information available online has improved over time.\n\n\nMethods: The top 15 healthcare information sites, as determined by internet traffic, were reviewed between February 4, 2008, and February 29, 2008. Standard checklists were created from information provided by American Stroke Association, American Heart Association, National Institutes of Health, and American College of Emergency Physicians to evaluate medical content on each of the Web sites for 4 common emergency department diagnoses: myocardial infarct, stroke, influenza, and febrile child. Each Web site was evaluated for descriptive information, completeness, and accuracy. Data were sorted for total medical checklist items, certification and credentialing, and medical items by topic.\n\n\nResults: Three of the 15 sites were excluded because of a lack of medical information on the selected topics. Completeness of sites ranged from 46% to 80% of total checklist items found. The median percentage of items found was 72. Two sites, MSN Health and Yahoo!Health, contained the greatest amount of medical information, with 98 of 123 checklist items found for each site. All Web sites but 1, Healthology.com, contained greater than 50% of aggregated checklist items, and the majority (ie, 7 of 12) contained greater than 70%. Healthology.com was the least complete Web site, containing 57 of 123 items. No significant correlation was found between credentialing and completeness of site (correlation coefficient = -0.385) or credentialing and site popularity (correlation coefficient = 0.184).\n\n\nConclusion: This study indicates that the completeness and accuracy of online emergency medical information available to the general public has improved over the past 6 years. Overall, health Web sites studied contained greater than 70% of aggregated medical information on 4 common emergency department diagnoses, and 4 sites examined advanced from 2002 to 2008. [West J Emerg Med. 2011;12(4):448–454.]", "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": "web" }, { "word": "accuracy" }, { "word": "public education" }, { "word": "Emergency Medicine" } ], "section": "Technology and Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5tw9818k", "frozenauthors": [ { "first_name": "Leslie", "middle_name": "", "last_name": "Zun", "name_suffix": "", "institution": "Mount Sinai Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Lavonne", "middle_name": "", "last_name": "Downey", "name_suffix": "", "institution": "Roosevelt University, School of Policy Studies, Chicago, Illinois", "department": "None" }, { "first_name": "Susan", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "Mount Sinai Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" } ], "date_submitted": "2009-06-03T03:00:00-04:00", "date_accepted": "2009-06-03T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18176/galley/9277/download/" } ] }, { "pk": 18322, "title": "Continuous Diaphragm Sign", "subtitle": null, "abstract": "[West J Emerg Med. 2011;12(4):526–527.]", "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": "continuous diaphragm sign" }, { "word": "pneumomediastinum" }, { "word": "pneumopericardium" }, { "word": "Emergency Medicine" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1047x975", "frozenauthors": [ { "first_name": "Eric", "middle_name": "R", "last_name": "Schmitt", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "None" }, { "first_name": "Michael", "middle_name": "D", "last_name": "Burg", "name_suffix": "", "institution": "Kaweah Delta Medical Center, Department of Emergency Medicine, Visalia, California", "department": "None" } ], "date_submitted": "2011-04-12T03:00:00-04:00", "date_accepted": "2011-04-12T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18322/galley/9413/download/" } ] }, { "pk": 18152, "title": "Course of Untreated High Blood Pressure in the Emergency Department", "subtitle": null, "abstract": "Introduction: No clear understanding exists about the course of a patient’s blood pressure (BP) during an emergency department (ED) visit. Prior investigations have demonstrated that BP can be reduced by removing patients from treatment areas or by placing patients supine and observing them for several hours. However, modern EDs are chaotic and noisy places where patients and their families wait for long periods in an unfamiliar environment. We sought to determine the stability of repeated BP measurements in the ED environment.\n\n\nMethods: A prospective study was performed at an urban ED. Research assistants trained and certified in BP measurement obtained sequential manual BPs and heart rates on a convenience sample of 76 patients, beginning with the patient arrival in the ED. Patients were observed through their stay for up to 2 hours, and BP was measured at 10-minute intervals. Data analysis with SAS PROC MIXED (SAS Institute, Cary, North Carolina) for regression models with correlated data determined the shape of the curve as BP changed over time. Patients were grouped on the basis of their presenting BP as normal (less than 140/90), elevated (140–160/90–100), or severely elevated (greater than 160/100) for the regression analysis.\n\n\nResults: A statistically significant downward trend in systolic and diastolic BP was observed only for those patients presenting with severely elevated BPs (ie, greater than 160/100).\n\n\nConclusion: We demonstrate a statistically significant decline in systolic and diastolic BP over time spent in the ED only for patients with severely elevated presenting BPs. [West J Emerg Med. 2011;12(4):421–425.]", "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": "hypertension" }, { "word": "blood pressure measurement" }, { "word": "Cardiovascular Diseases" }, { "word": "Emergency Medicine" }, { "word": "Other Analytical, Diagnostic and Therapeutic Techniques and Equipment" } ], "section": "Cardiovascular", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/61z7d9ff", "frozenauthors": [ { "first_name": "John", "middle_name": "J", "last_name": "Cienki", "name_suffix": "", "institution": "University of Miami, Jackson Memorial Hospital/Miller School of Medicine, Division of Emergency Medicine, Miami, Florida", "department": "None" }, { "first_name": "Lawrence", "middle_name": "A", "last_name": "DeLuca", "name_suffix": "", "institution": "University of Arizona, College of Medicine, Department of Emergency Medicine, Tempe, Arizona", "department": "None" }, { "first_name": "Daniel", "middle_name": "J", "last_name": "Feaster", "name_suffix": "", "institution": "University of Miami, Miller School of Medicine, Division of Biostatistics, Miami, Florida", "department": "None" } ], "date_submitted": "2009-11-10T03:00:00-05:00", "date_accepted": "2009-11-10T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18152/galley/9257/download/" } ] }, { "pk": 18333, "title": "Cutaneous Conditions Leading to Dermatology Consultations in the Emergency Department", "subtitle": null, "abstract": "Introduction: We established the most common cutaneous diseases that received dermatology consultation in the adult emergency department (ED) and identified differentiating clinical characteristics of dermatoses that required hospital admission.\n\n\nMethods: A retrospective chart review of 204 patients presenting to the ED who received dermatology consultations at Los Angeles County/University of Southern California Medical Center, an urban tertiary care teaching hospital.\n\n\nResults: Of all patients, 18% were admitted to an inpatient unit primarily for their cutaneous disease, whereas 82% were not. Of nonadmitted patients, the most commonly diagnosed conditions were eczematous dermatitis not otherwise specified (8.9%), scabies (7.2%), contact dermatitis (6.6%), cutaneous drug eruption (6.0%), psoriasis vulgaris (4.2%), and basal cell carcinoma (3.6%). Of patients admitted for their dermatoses, the most highly prevalent conditions were erythema multiforme major/Stevens-Johnson syndrome (22%), pemphigus vulgaris (14%), and severe cutaneous drug eruption (11%). When compared with those of nonadmitted patients, admitted skin conditions were more likely to be generalized (92% vs 72%; P = 0.0104), acute in onset (< 1 month duration) (81% vs 51%; P = 0.0005), painful (41% vs 15%; P = 0.0009), blistering (41% vs 7.8%; P < 0.0001), and ulcerated or eroded (46% vs 7.8%; P < 0.0001). They were more likely to involve the mucosa (54% vs 7.2%; P < 0.0001) and less likely to be pruritic (35% vs 58%; P = 0.0169).\n\n\nConclusion: We have described a cohort of patients receiving dermatologic consultation in the ED of a large urban teaching hospital. These data identify high-risk features of more severe skin disease and may be used to refine curricula in both emergency and nonemergency cutaneous disorders for emergency physicians. [West J Emerg Med. 2011;12(4):551–555.]", "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": "Dermatology" }, { "word": "emergency department" }, { "word": "ED" }, { "word": "Emergency Medicine" } ], "section": "Dermatology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/04t8f8bp", "frozenauthors": [ { "first_name": "Alexander", "middle_name": "R", "last_name": "Jack", "name_suffix": "", "institution": "University of Southern California, Department of Dermatology, Los Angeles, California", "department": "None" }, { "first_name": "Allyson", "middle_name": "A", "last_name": "Spence", "name_suffix": "", "institution": "University of Southern California, Department of Dermatology, Los Angeles, California", "department": "None" }, { "first_name": "Benjamin", "middle_name": "J", "last_name": "Nichols", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Summer", "middle_name": "", "last_name": "Chong", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "David", "middle_name": "T", "last_name": "Williams", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Stuart", "middle_name": "P", "last_name": "Swadron", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "David", "middle_name": "H", "last_name": "Peng", "name_suffix": "", "institution": "University of Southern California, Department of Dermatology, Los Angeles, California", "department": "None" } ], "date_submitted": "2009-07-29T03:00:00-04:00", "date_accepted": "2009-07-29T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18333/galley/9418/download/" } ] }, { "pk": 18336, "title": "Drug Rash with Eosinophilia and Systemic Symptoms: Two Emergency Department Cases", "subtitle": null, "abstract": "Drug rash with eosinophilia and systemic symptoms (DRESS) is a rare, severe adverse drug event that appears with a generalized rash, fevers, and dysfunction of 1 or more organ systems. We describe 2 patients (1 adult and 1 pediatric) seen in the emergency department with DRESS, and review the clinical presentations, potential complications, and management of DRESS. Although rare, it can be associated with significant morbidity, including liver failure and death, and should be considered in the differential diagnosis of patients with diffuse rash and systemic symptoms. [West J Emerg Med. 2011;12(4):559–562.]", "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": "DRESS syndrome" }, { "word": "Pathological Conditions, Signs and Symptoms" }, { "word": "Skin and Connective Tissue Diseases" } ], "section": "Dermatology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5wz281wh", "frozenauthors": [ { "first_name": "Alina", "middle_name": "", "last_name": "Tsyrulnik", "name_suffix": "", "institution": "Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut", "department": "None" }, { "first_name": "Adam", "middle_name": "", "last_name": "Landman", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine and Harvard Medical School, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2010-08-26T03:00:00-04:00", "date_accepted": "2010-08-26T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18336/galley/9420/download/" } ] }, { "pk": 18334, "title": "Erythema Gyratum Repens: A Rare Paraneoplastic Rash", "subtitle": null, "abstract": "Erythema gyratum repens (EGR) is a rare, and characteristic, paraneoplastic rash associated with a variety of malignancies, most notably lung, esophageal, and breast cancers. This case report details the appearance, epidemiology, diagnosis, and treatment of EGR. Prompt identification of EGR is essential, as the rash often precedes the diagnosis of malignancy by several months. Urgent patient referral to evaluate for malignancy is crucial, as this may lead to decreased morbidity and mortality. [West J Emerg Med. 2011;12(4):556–558.]", "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": "erythema gyratum repens" }, { "word": "paraneoplastic rash" }, { "word": "malignancy" }, { "word": "Dermatology" }, { "word": "Emergency Medicine" }, { "word": "Medicine" } ], "section": "Dermatology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9h40p8tj", "frozenauthors": [ { "first_name": "Marina", "middle_name": "", "last_name": "Gore", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore Maryland", "department": "None" }, { "first_name": "Michael", "middle_name": "E", "last_name": "Winters", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore Maryland", "department": "None" } ], "date_submitted": "2010-09-07T03:00:00-04:00", "date_accepted": "2010-09-07T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18334/galley/9419/download/" } ] }, { "pk": 18330, "title": "Feedback in the Emergency Medicine Clerkships", "subtitle": null, "abstract": "Objective: Feedback is a technique used in medical education to help develop and improve clinical skills. A comprehensive review article specifically intended for the emergency medicine (EM) educator is lacking, and it is the intent of this article to provide the reader with an in-depth, up-to-date, and evidence-based review of feedback in the context of the EM clerkship. Methods: The review article is organized in a progressive manner, beginning with the definition of feedback, the importance of feedback in medical education, and the obstacles limiting the effective delivery of feedback, and the techniques to overcome these obstacles then follows. The article concludes with practical recommendations to implement feedback in the EM clerkship. To advance the literature on feedback, the concept of receiving feedback is introduced. Results: The published literature regarding feedback is limited but generally supportive of its importance and effectiveness. Obstacles in the way of feedback include time constraints, lack of direct observation, and fear of negative emotional responses from students. Feedback should be timely, expected, focused, based on first-hand data, and limited to behaviors that are remediable. Faculty development and course structure can improve feedback in the EM clerkship. Teaching students to receive feedback is a novel educational technique that can improve the feedback process. Conclusion: Feedback is an important educational technique necessary to improve clinical skills. Feedback can be delivered effectively in the EM clerkship. [West J Emerg Med. 2011;12(4):537–542.]", "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": "Feedback" }, { "word": "Emergency Medicine" }, { "word": "receiving feedback" }, { "word": "Economics" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34z2t80p", "frozenauthors": [ { "first_name": "Aaron", "middle_name": "W", "last_name": "Bernard", "name_suffix": "", "institution": "Ohio State University, College of Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Nicholas", "middle_name": "E", "last_name": "Kman", "name_suffix": "", "institution": "Ohio State University, College of Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Sorabh", "middle_name": "", "last_name": "Khandelwal", "name_suffix": "", "institution": "Ohio State University, College of Medicine, Columbus, Ohio", "department": "None" } ], "date_submitted": "2010-06-22T03:00:00-04:00", "date_accepted": "2010-06-22T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18330/galley/9416/download/" } ] }, { "pk": 18302, "title": "Food Protein-Induced Enterocolitis Syndrome as a Cause for Infant Hypotension", "subtitle": null, "abstract": "Infants with food protein-induced enterocolitis syndrome (FPIES) may present to the emergency department (ED) with vomiting and hypotension. A previously healthy, 5-month-old male presented with vomiting and hypotension 2 to 3 hours after eating squash. The patient was resuscitated with intravenous fluids, antibiotics, and admitted for presumed sepsis. No source of infection was ever found and the patient was discharged. The patient returned 8 days later with the same symptoms after eating sweet potatoes; the diagnosis of FPIES was made during this admission. Two additional ED visits occurred requiring hydration after new food exposure. FPIES should be considered in infants presenting with gastrointestinal complaints and hypotension. A dietary history, including if a new food has been introduced in the last few hours, may help facilitate earlier recognition of the syndrome. [West J Emerg Med. 2011;12(4):512–514.]", "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": "FPIES" }, { "word": "enterocolitis" }, { "word": "infant hypotension" }, { "word": "Allergy and Immunology" }, { "word": "Digestive System Diseases" }, { "word": "Emergency Medicine" }, { "word": "pediatrics" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/11r5v191", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "W.", "last_name": "Coates", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Kevin", "middle_name": "R", "last_name": "Weaver", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Rezarta", "middle_name": "", "last_name": "Lloyd", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Nicole", "middle_name": "", "last_name": "Ceccacci", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Marna", "middle_name": "Rayl", "last_name": "Greenberg", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" } ], "date_submitted": "2010-11-14T03:00:00-05:00", "date_accepted": "2010-11-14T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18302/galley/9401/download/" } ] }, { "pk": 18350, "title": "Fracture Dislocation C6 to C7: Importance of Adequate Radiolographs", "subtitle": null, "abstract": "[West J Emerg Med. 2011;12(4):577–578.]", "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": "Fracture" }, { "word": "dislocation" }, { "word": "Spine" }, { "word": "radiology" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0xt5f4s5", "frozenauthors": [ { "first_name": "Ernesto", "middle_name": "", "last_name": "Muñoz-Mahamud", "name_suffix": "", "institution": "Hospital Clinic of Barcelona, Department of Orthopaedic Surgery and Traumatology, University of Barcelona. Barcelona, Spain", "department": "None" }, { "first_name": "Andrés", "middle_name": "", "last_name": "Combalia", "name_suffix": "", "institution": "Hospital Clinic of Barcelona, Department of Orthopaedic Surgery and Traumatology, University of Barcelona. Barcelona, Spain", "department": "None" } ], "date_submitted": "2011-03-27T03:00:00-04:00", "date_accepted": "2011-03-27T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18350/galley/9426/download/" } ] }, { "pk": 18128, "title": "Ileus and Small Bowel Obstruction in an Emergency Department Observation Unit: Are there Outcome Predictors?", "subtitle": null, "abstract": "Introduction: The purpose of our study was to describe the evaluation and outcome of patients with ileus and bowel obstruction admitted to an emergency department (ED) observation unit (OU) and to identify predictors of successful management for such patients.\n\n\nMethods: We performed a retrospective chart review of 129 patients admitted to a university-affiliated, urban, tertiary hospital ED OU from January 1999 through November 2004. Inclusion criteria were all adult patients admitted to the OU with an ED diagnosis of ileus, partial small bowel obstruction, or small\n\n\nbowel obstruction, and electronic medical records available for review. The following variables were examined: ED diagnosis, history of similar admission, number of prior abdominal surgeries, surgery in\n\n\nthe month before, administration of opioid analgesia at any time after presentation, radiographs demonstrating air–fluid levels or dilated loops of small bowel, hypokalemia, use of nasogastric decompression, and surgical consultation.\n\n\nResults: Treatment failure, defined as hospital admission from the OU, occurred in 65 (50.4%) of 129 patients. Only the use of a nasogastric tube was associated with OU failure (21% discharged versus 79% requiring admission, P ¼ 0.0004; odds ratio, 5.294; confidence interval, 1.982–14.14).\n\n\nConclusion: Half of the patients admitted to our ED OU with ileus or varying degrees of small bowel obstruction required hospital admission. The requirement of a nasogastric tube in such patients was associated with a greater rate of observation unit failure. [West J Emerg Med. 2011;12(4):404–407.]", "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" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1p68s2rj", "frozenauthors": [ { "first_name": "Steven", "middle_name": "T.", "last_name": "Dorsey", "name_suffix": "", "institution": "Emergency Services Institute, Cleveland Clinic, Cleveland, Ohio", "department": "None" }, { "first_name": "Eric", "middle_name": "T.", "last_name": "Harrington", "name_suffix": "", "institution": "Quincy Valley Medical Center, Quincy, Washington", "department": "None" }, { "first_name": "W.", "middle_name": "F.", "last_name": "Peacock", "name_suffix": "", "institution": "Emergency Services Institute, Cleveland Clinic, Cleveland, Ohio", "department": "None" }, { "first_name": "Charles", "middle_name": "L.", "last_name": "Emerman", "name_suffix": "", "institution": "MetroHealth Medical Center, Department of Emergency Medicine, Cleveland, Ohio", "department": "None" } ], "date_submitted": "2011-01-03T03:00:00-05:00", "date_accepted": "2011-01-03T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18128/galley/9241/download/" } ] }, { "pk": 18105, "title": "Impending Airway Compromise due to Cystic Hygroma", "subtitle": null, "abstract": "We report on a 3-month-old infant, who arrived in the pediatric emergency department (ED) with a cervical cystic hygroma causing an impending compromise of the airway. We recognize that such a lesion can rapidly progress, and the judicious use of imaging in the ED may help to avoid airway compromise and possibly fatal complications. [West J Emerg Med. 2011;12(4):368–369.]", "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": "Cystic hygroma" }, { "word": "airway" }, { "word": "ultrasound" }, { "word": "tracheostomy" }, { "word": "Emergency Medicine" } ], "section": "Airway", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/17z5050z", "frozenauthors": [ { "first_name": "Giora", "middle_name": "", "last_name": "Weiser", "name_suffix": "", "institution": "Rambam Health Care Campus, Meyer Children’s Hospital, Department of Emergency Medicine, Haifa, Israel", "department": "None" }, { "first_name": "Nira", "middle_name": "", "last_name": "Beck-Razi", "name_suffix": "", "institution": "Rambam Health Care Campus, Department of Medical Imaging, Haifa, Israel", "department": "None" }, { "first_name": "Itai", "middle_name": "", "last_name": "Shavit", "name_suffix": "", "institution": "Rambam Health Care Campus, Meyer Children’s Hospital, Department of Emergency Medicine, Haifa, Israel", "department": "None" } ], "date_submitted": "2011-01-01T03:00:00-05:00", "date_accepted": "2011-01-01T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18105/galley/9228/download/" } ] }, { "pk": 18220, "title": "Implication and Approach to Incidental Findings in Live Ultrasound Models", "subtitle": null, "abstract": "Introduction: Incidental findings during ultrasound examinations occur frequently with live models in training sessions. Because of the broad scope of training sessions available, the ethics and guidelines of dealing with incidental findings in live models need to be discussed.\n\n\nMethods: We provide a case of an endovaginal ultrasound that had significant unexpected findings.\n\n\nResults: This report demonstrates an important finding uncovered during an endovaginal modeling session.\n\n\nConclusion: Models should be notified beforehand of the possibility of an incidental finding, informed about it, made aware of potential associated costs, referred to another physician for follow-up, and provided a copy of the scans. A secure copy of the ultrasound scan should be stored for future reference. [West J Emerg Med. 2011;12(4):472–474.]", "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": "model" }, { "word": "incidental finding" }, { "word": "Emergency Medicine" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2p51x4r6", "frozenauthors": [ { "first_name": "J Christian", "middle_name": "", "last_name": "Fox", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Andrew", "middle_name": "G", "last_name": "Richardson", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Lopez", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Solley", "name_suffix": "", "institution": "Poudre Valley Hospital, Department of Emergency Medicine, Fort Collins, Colorado", "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" } ], "date_submitted": "2010-08-03T03:00:00-04:00", "date_accepted": "2010-08-03T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18220/galley/9321/download/" } ] }, { "pk": 18236, "title": "Incidental Identification of Right Atrial Mass Using Bedside Ultrasound: Cardiac Angiosarcoma", "subtitle": null, "abstract": "Background: Emergency ultrasound is now used in both community and academic hospitals for rapid diagnosis and treatment of life-threatening conditions. Bedside emergency echocardiography can rapidly identify significant pathology such as pericardial effusions and tamponade, right ventricle dilatation due to pulmonary embolism, and cardiac hypokinesis, and aid in the diagnosis and management of patients in emergency department (ED).\n\n\nCase Report: A 41-year-old man presented twice to the ED with history of abdominal pain and was diagnosed with primary cardiac angiosarcoma with point-of-care ultrasound.\n\n\nConclusion: This case is illustrative of how bedside cardiac ultrasound in the ED can dramatically change a patient’s hospital course. [West J Emerg Med. 2011;12(4):478–480.]", "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": "Cardiac Angiosarcoma" }, { "word": "ultrasound" }, { "word": "Emergency Medicine" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6h4298bp", "frozenauthors": [ { "first_name": "Ali", "middle_name": "", "last_name": "Pourmand", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington, DC", "department": "None" }, { "first_name": "Keith", "middle_name": "", "last_name": "Boniface", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington, DC", "department": "None" } ], "date_submitted": "2010-03-13T03:00:00-05:00", "date_accepted": "2010-03-13T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18236/galley/9335/download/" } ] }, { "pk": 18328, "title": "In-Training Practice Patterns of Combined Emergency Medicine/Internal Medicine Residents, 2003-2007", "subtitle": null, "abstract": "Introduction: This study seeks to evaluate the practice patterns of current combined emergency medicine/internal medicine (EM/IM) residents during their training and compare them to the typical practice patterns of EM/IM graduates. We further seek to characterize how these current residents perceive the EM/IM physician’s niche.\n\n\nMethods: This is a multi-institution, cross-sectional, survey-based cohort study. Between June 2008 and July 2008, all 112 residents of the 11 EM/IM programs listed by the Accreditation Council for Graduate Medical Education were contacted and asked to complete a survey concerning plans for certification, fellowship, and practice setting.\n\n\nResults: The adjusted response rate was 71%. All respondents anticipated certifying in both specialties, with 47% intending to pursue fellowships. Most residents (97%) allotted time to both EM and IM, with a median time of 70% and 30%, respectively. Concerning academic medicine, 81% indicated intent to practice academic medicine, and 96% planned to allocate at least 10% of their future time to a university/academic setting. In evaluating satisfaction, 94% were (1) satisfied with their residency choice, (2) believed that a combined residency will advance their career, and (3) would repeat a combined residency if given the opportunity.\n\n\nConclusion: Current EM/IM residents were very content with their training and the overwhelming majority of residents plan to devote time to the practice of academic medicine. Relative to the practice patterns previously observed in EM/IM graduates, the current residents are more inclined toward pursuing fellowships and practicing both specialties. [West J Emerg Med. 2011;12(4):530–536.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Medical Education" }, { "word": "Emergency Medicine" }, { "word": "Internal Medicine" }, { "word": "Combined Training" }, { "word": "job satisfaction" } ], "section": "Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/99h9v09f", "frozenauthors": [ { "first_name": "Chad", "middle_name": "S", "last_name": "Kessler", "name_suffix": "", "institution": "The Jesse Brown VA Hospital, Department of Emergency Medicine, Chicago, Illinois", "department": "None" }, { "first_name": "Andrew", "middle_name": "A", "last_name": "Gonzalez", "name_suffix": "", "institution": "University of Illinois, Chicago, Department of Surgery, Chicago, Illinois", "department": "None" }, { "first_name": "Leonard", "middle_name": "A", "last_name": "Stallings", "name_suffix": "", "institution": "East Carolina University, Department of Emergency Medicine, Greenville, North Carolina", "department": "None" }, { "first_name": "Todd", "middle_name": "A", "last_name": "Templeman", "name_suffix": "", "institution": "Georgetown University Hospital/Washington Hospital Center, Department of Emergency Medicine, Washington, DC", "department": "None" } ], "date_submitted": "2010-08-30T03:00:00-04:00", "date_accepted": "2010-08-30T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18328/galley/9415/download/" } ] }, { "pk": 18375, "title": "Masthead November 2011", "subtitle": null, "abstract": "Masthead November 2011", "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": "Masthead" }, { "word": "Emergency Medicine" } ], "section": "Masthead", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6b1347nm", "frozenauthors": [ { "first_name": "Western", "middle_name": "Journal", "last_name": "Emergency Medicine", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2011-11-08T03:00:00-05:00", "date_accepted": "2011-11-08T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18375/galley/9434/download/" } ] }, { "pk": 18109, "title": "Myositis Ossificans", "subtitle": null, "abstract": "[West J Emerg Med. 2011;12(4):371.]", "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": "Myositis Ossificans" }, { "word": "Trauma" }, { "word": "Bone Malignancy" }, { "word": "radiograph" }, { "word": "Diagnosis" }, { "word": "Investigative Techniques" }, { "word": "Medicine" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2ww788kb", "frozenauthors": [ { "first_name": "Tyng Yu", "middle_name": "", "last_name": "Chuah", "name_suffix": "", "institution": "Penang Hospital, Department of Emergency Medicine, Georgetown, Malaysia", "department": "None" }, { "first_name": "Tze Ping", "middle_name": "", "last_name": "Loh", "name_suffix": "", "institution": "National University Hospital, Department of Laboratory Medicine, Singapore, Singapore", "department": "None" }, { "first_name": "Hoi Yin", "middle_name": "", "last_name": "Loi", "name_suffix": "", "institution": "National University Hospital, Department of Diagnostic Imaging, Singapore, Singapore", "department": "None" }, { "first_name": "Keat Hwa", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Penang Hospital, Department of Emergency Medicine, Georgetown, Malaysia", "department": "None" } ], "date_submitted": "2011-01-16T03:00:00-05:00", "date_accepted": "2011-01-16T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18109/galley/9232/download/" } ] }, { "pk": 18113, "title": "Nonconvulsive Status Epilepticus in Hepatic Encephalopathy", "subtitle": null, "abstract": "We discuss a case of a 64-year-old male with a history of liver failure presenting with altered mental status, initially diagnosed with hepatic encephalopathy but ultimately diagnosed with nonconvulsive status epilepticus (NCSE) by electroencephalogram (EEG). NCSE is a difficult diagnosis to make, given no clear consensus on diagnostic criteria. Especially in the intensive care unit setting of persistent altered mental status with no clear etiology, NCSE must be considered in the differential diagnosis, as the consequences of delayed diagnosis and treatment can be substantial. EEG can be useful in the evaluation of patients with hepatic encephalopathy who have persistently altered levels of consciousness despite optimal medical management. [West J Emerg Med. 2011;12(4):372–374.]", "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": "nonconvulsive status epilepticus" }, { "word": "hepatic encephalopathy" }, { "word": "Emergency Medicine" }, { "word": "Hepatology" }, { "word": "Neurology" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2pn6f87n", "frozenauthors": [ { "first_name": "Paul", "middle_name": "", "last_name": "Jhun", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Hyung", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2010-10-30T03:00:00-04:00", "date_accepted": "2010-10-30T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18113/galley/9234/download/" } ] }, { "pk": 18291, "title": "Oral and Tympanic Membrane Temperatures are Inaccurate to Identify Fever in Emergency Department Adults", "subtitle": null, "abstract": "Introduction: Identifying fever can influence management of the emergency department (ED) patient, including diagnostic testing, treatment, and disposition. We set out to determine how well oral and tympanic membrane (TM) temperatures compared with rectal measurements. Methods: A convenience sample of consecutively adult ED patients had oral, TM, and rectal temperatures performed within several minutes of each other. Descriptive statistics, Bland–Altman agreement matrices with 95% confidence interval (CI), and measures of test performance, including sensitivity, specificity, predictive values, and interval likelihood ratios were performed. Results: A total of 457 patients were enrolled with an average age of 64 years (standard deviation: 19 years). Mean temperatures were: oral (98.38F), TM (99.68F), and rectal (99.48F). The mean difference in rectal and oral temperatures was 1.18F, although there was considerable lack of agreement between oral and rectal temperatures, with the oral temperature as much as 2.918F lower or 0.748F higher than the rectal measurement (95% CI). Although the difference in mean temperature between right TM and rectal temperature was only 0.228F, the right TM was lower than rectal by up to 1.618F or greater by up to 2.058F (95% CI). Test performance varied as the positive predictive value of the oral temperature was 97% and for tympanic temperature was 55% (relative to a rectal temperature of 100.48F or higher). Comparative findings differed even at temperatures considered in the normal range; among patients with an oral temperature of 98.0 to 98.9, 38% (25/65) were found to have a rectal temperature of 100.4 or higher, while among patients with a TM of 98.0 to 98.9, only 7% (10/134) were found to have a rectal temperature of 100.4 or higher. Conclusion: In conclusion, the oral and tympanic temperature readings are not equivalent to rectal thermometry readings. Oral thermometry frequently underestimates the temperature relative to rectal readings, and TM values can either under- or overestimate the rectal temperature. The clinician needs to be aware of the varying relationship between oral, TM, and rectal temperatures when interpreting readings. [West J Emerg Med. 2011;12(4):505–511.]", "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": "rectal" }, { "word": "thermometry" }, { "word": "Diagnosis" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/56x9q6jc", "frozenauthors": [ { "first_name": "Barbara", "middle_name": "J", "last_name": "Barnett", "name_suffix": "", "institution": "NSLIJ Healthcare System, Emergency Medicine Department, New Hyde Park, New York; NSLIJ Healthcare System, Internal Medicine Department, New Hyde Park, New York; Hofstra North Shore–LIJ, School of Medicine at Hofstra University, Hempstead, New York", "department": "None" }, { "first_name": "Stacy", "middle_name": "", "last_name": "Nunberg", "name_suffix": "", "institution": "NSLIJ Healthcare System, Emergency Medicine Department, New Hyde Park, New York", "department": "None" }, { "first_name": "Julia", "middle_name": "", "last_name": "Tai", "name_suffix": "", "institution": "Feinstein Institute for Medical Research, Biostatistics Unit, Manhasset, New York", "department": "None" }, { "first_name": "Martin", "middle_name": "", "last_name": "Lesser", "name_suffix": "", "institution": "Hofstra North Shore–LIJ, School of Medicine at Hofstra University, Hempstead, New York; Feinstein Institute for Medical Research", "department": "None" }, { "first_name": "Vladmir", "middle_name": "", "last_name": "Fridman", "name_suffix": "", "institution": "Albert Einstein School of Medicine, Bronx, New York", "department": "None" }, { "first_name": "Patricia", "middle_name": "", "last_name": "Nichols", "name_suffix": "", "institution": "NSLIJ Healthcare System, Emergency Medicine Department, New Hyde Park, New York", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Powell", "name_suffix": "", "institution": "NSLIJ Healthcare System, Emergency Medicine Department, New Hyde Park, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Silverman", "name_suffix": "", "institution": "NSLIJ Healthcare System, Emergency Medicine Department, New Hyde Park, New York; Hofstra North Shore–LIJ, School of Medicine at Hofstra University, Hempstead, New York; Feinstein Institute for Medical Research, Biostatistics Unit, Manhasset, New York", "department": "None" } ], "date_submitted": "2010-05-05T03:00:00-04:00", "date_accepted": "2010-05-05T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18291/galley/9390/download/" } ] }, { "pk": 18314, "title": "Os Odontoideum: Rare Cervical Lesion", "subtitle": null, "abstract": "We report the case of a 22-year-old Marine who presented to the emergency department, after a martial arts exercise, with transient weakness and numbness in all extremities. Computed tomography cervical spine radiographs revealed os odontoideum. Lateral flexion–extension radiographs identified atlanto-axillary instability. This abnormality is rare and can be career ending for military members who do not undergo surgical fusion. [West J Emerg Med. 2011;12(4):520–522.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "Os Odontoideum" }, { "word": "atlantoaxillary instability" }, { "word": "Allied Health Diagnostic, Intervention, and Treatment Professions" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/76k070f7", "frozenauthors": [ { "first_name": "Kristie", "middle_name": "A", "last_name": "Robson", "name_suffix": "", "institution": "Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth Virginia", "department": "None" } ], "date_submitted": "2010-07-07T03:00:00-04:00", "date_accepted": "2010-07-07T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18314/galley/9410/download/" } ] }, { "pk": 18343, "title": "Pacemarker Limitation of Tachycardia in Hypovolemic Shock", "subtitle": null, "abstract": "A 49-year-old white man was admitted to the emergency department with nausea and diarrhea of 11 hours duration. He had experienced crampy abdominal pain as well. He reported that his stools had been dark and malodorous. He had no prior history of gastrointestinal disorders, nor travel, unusual oral or liquid intake. There was a remote history of alcohol abuse, but no hepatitis or cirrhosis. Recent alcohol intake was denied by the patient. He had no medical allergies. His past medical history was pertinent for a history of hypertension, congestive heart failure, and a dual chamber pacemaker insertion. There was no history of diabetes mellitus, smoking, or myocardial infarction. Medications included lisinopril, a small dose of aspirin daily, and thyroid supplement. Family history was negative for cardiomyopathy, sudden cardiac death, gastric or duodenal ulcers, colon cancer, or any congenital abnormalities. [West J Emerg Med. 2011;12(4):565–566.]", "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": "PVARP" }, { "word": "AV Block" }, { "word": "Pacemaker Mediated Tachycardia" }, { "word": "AV synchronous pacing" }, { "word": "cardiology" }, { "word": "Emergency Medicine" } ], "section": "Cardiology", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0vr0h9j3", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "", "last_name": "Sparacino", "name_suffix": "", "institution": "Banner Good Samaritan Medical Center, Department of Internal Medicine, Phoenix, Arizona", "department": "None" }, { "first_name": "Marilyn", "middle_name": "R", "last_name": "Geninatti", "name_suffix": "", "institution": "Carondelet Holy Cross Hospital, Department of Emergency Medicine, Nogales, Arizona", "department": "None" }, { "first_name": "Gregory", "middle_name": "", "last_name": "Moore", "name_suffix": "", "institution": "Madigan Army Medical Center, Deartment of Emergency Medicine, Tacoma, Washington", "department": "None" } ], "date_submitted": "2010-11-24T03:00:00-05:00", "date_accepted": "2010-11-24T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18343/galley/9422/download/" } ] }, { "pk": 18351, "title": "Pericardial Cyst: Unexpected Finding on a Chest Radiograph", "subtitle": null, "abstract": "[West J Emerg Med. 2011;12(4):579–580.]", "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": "pericardial cyst" }, { "word": "Trauma" }, { "word": "Chest Radiography" }, { "word": "Emergency Medicine" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6m53w3dc", "frozenauthors": [ { "first_name": "Eric", "middle_name": "R", "last_name": "Schmitt", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California", "department": "None" }, { "first_name": "Michael", "middle_name": "D", "last_name": "Burg", "name_suffix": "", "institution": "Kaweah Delta Medical Center, Department of Emergency Medicine, Visalia, California", "department": "None" } ], "date_submitted": "2011-04-04T03:00:00-04:00", "date_accepted": "2011-04-04T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18351/galley/9427/download/" } ] }, { "pk": 18156, "title": "Pharmaceutical Sponsorship Bias Influences Thrombolytic Literature in Acute Ischemic Stroke", "subtitle": null, "abstract": "Background: The efficacy of thrombolytic therapy for acute ischemic stroke remains controversial in Emergency Medicine and has not been fully endorsed by either the American College of Emergency Physicians or the American Academy of emergency medicine. A growing recognition exists of the influence of pharmaceutical sponsorship on the reported findings of published clinical trials. Sponsorship bias has been suggested as a potential criticism of the literature and guidelines favoring thrombolytic therapy.\n\n\nObjective: The objective of this study is to review the most influential literature regarding thrombolytic therapy for acute ischemic stroke and document the presence or absence of pharmaceutical sponsorship.\n\n\nMethods: A publication-citation analysis was performed to identify the most frequently cited articles pertaining to thrombolytic therapy for acute ischemic stroke. Identified articles were reviewed for disclosures of pharmaceutical funding.\n\n\nResults: Of the 20 most-cited articles pertaining to thrombolytic therapy for acute stroke, 17 (85%) disclosed pharmaceutical sponsorship. These disclosures range from general sponsorship to direct employment of authors by pharmaceutical companies.\n\n\nConclusion: An overwhelming predominance of the most influential literature regarding thrombolytic therapy for acute ischemic stroke is susceptible to sponsorship bias. This potential bias may provide a basis for physician concern regarding the efficacy and safety of thrombolytic therapy. Further, large, independent, placebo-controlled studies may be required to guide therapy and professional guidelines definitively for acute ischemic stroke. [West J Emerg Med. 2011;12(4):435–441.]", "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": "stroke" }, { "word": "Thrombolytics" }, { "word": "Bias" }, { "word": "Conflict of Interest" }, { "word": "Bioethics and Medical Ethics" }, { "word": "Emergency Medicine" }, { "word": "Nervous System Diseases" }, { "word": "Neurology" } ], "section": "Cardiovascular", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9504g8md", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "P", "last_name": "Radecki", "name_suffix": "", "institution": "The University of Texas Health Science Center at Houston, Department of Emergency Medicine, Houston, Texas", "department": "None" } ], "date_submitted": "2010-12-29T03:00:00-05:00", "date_accepted": "2010-12-29T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18156/galley/9260/download/" } ] }, { "pk": 18269, "title": "Physician and Nurse Acceptance of Technicians to Screen for Geriatric Syndromes in the Emergency Department", "subtitle": null, "abstract": "Introduction: The objective of this study was to evaluate emergency medicine physician and nurse acceptance of nonnurse, nonphysician screening for geriatric syndromes.\n\n\nMethods: This was a single-center emergency department (ED) survey of physicians and nurses after an 8-month project. Geriatric technicians were paid medical student research assistants evaluating consenting ED patients older than 65 years for cognitive dysfunction, fall risk, or functional decline. The primary objective of this anonymous survey was to evaluate ED nurse and physician perceptions about the geriatric screener feasibility and barriers to implementation. In addition, as a secondary objective, respondents reported ongoing geriatric screening efforts independent of the research screeners.\n\n\nResults: The survey was completed by 72% of physicians and 33% of nurses. Most nurses and physicians identified geriatric technicians as beneficial to patients without impeding ED throughput. Fewer than 25% of physicians routinely screen for any geriatric syndromes. Nurses evaluated for fall risk significantly more often than physicians, but no other significant differences were noted in ongoing screening efforts.\n\n\nConclusion: Dedicated geriatric technicians are perceived by nurses and physicians as beneficial to patients with the potential to improve patient safety and clinical outcomes. Most nurses and physicians are not currently screening for any geriatric syndromes. [West J Emerg Med. 2011;12(4):489–495.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "geriatric" }, { "word": "Patient Safety" }, { "word": "screening" }, { "word": "Emergency Medicine" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/90m9w87w", "frozenauthors": [ { "first_name": "Chris", "middle_name": "", "last_name": "Carpenter", "name_suffix": "", "institution": "Washington University School of Medicine, Division of Emergency Medicine, St Louis, Missouri", "department": "None" }, { "first_name": "Richard", "middle_name": "T", "last_name": "Griffey", "name_suffix": "", "institution": "Washington University School of Medicine, Division of Emergency Medicine, St Louis, Missouri", "department": "None" }, { "first_name": "Susan", "middle_name": "", "last_name": "Stark", "name_suffix": "", "institution": "Washington University School of Medicine, Division of Occupational Therapy, St Louis, Missouri", "department": "None" }, { "first_name": "Craig", "middle_name": "M", "last_name": "Coopersmith", "name_suffix": "", "institution": "Emory University School of Medicine, Division of Critical Care, Atlanta, Georgia", "department": "None" }, { "first_name": "Brian", "middle_name": "F", "last_name": "Gage", "name_suffix": "", "institution": "Washington University School of Medicine, Division of General Medical Sciences, St Louis, Missouri", "department": "None" } ], "date_submitted": "2010-05-05T03:00:00-04:00", "date_accepted": "2010-05-05T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18269/galley/9368/download/" } ] }, { "pk": 18155, "title": "“Playboy Bunny” Sign of Congestive Heart Failure", "subtitle": null, "abstract": "In emergency, ultrasound has been widely used as a non-invasive and effective examination to evaluate congestive heart failure. We highlight “Playboy Bunny” sign as a reliable marker and an important clue to the diagnosis of passive hepatic congestion, caused by congestive heart failure. [West J Emerg Med. 2011;12(4):433–434.]", "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": "congestive heart failure" }, { "word": "cardiology" }, { "word": "Emergency Medicine" }, { "word": "Hepatology" } ], "section": "Cardiovascular", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4f80j4z6", "frozenauthors": [ { "first_name": "Akira", "middle_name": "", "last_name": "Hokama", "name_suffix": "", "institution": "University of the Ryukyus, Department of Infectious, Respiratory, and Digestive Medicine, Nishihara, Okinawa, Japan", "department": "None" }, { "first_name": "Shingo", "middle_name": "", "last_name": "Arakaki", "name_suffix": "", "institution": "University of the Ryukyus, Department of Infectious, Respiratory, and Digestive Medicine, Nishihara, Okinawa, Japan", "department": "None" }, { "first_name": "Daisuke", "middle_name": "", "last_name": "Shibata", "name_suffix": "", "institution": "University of the Ryukyus, Department of Infectious, Respiratory, and Digestive Medicine, Nishihara, Okinawa, Japan", "department": "None" }, { "first_name": "Tatsuji", "middle_name": "", "last_name": "Maeshiro", "name_suffix": "", "institution": "University of the Ryukyus, Department of Infectious, Respiratory, and Digestive Medicine, Nishihara, Okinawa, Japan", "department": "None" }, { "first_name": "Fukunori", "middle_name": "", "last_name": "Kinjo", "name_suffix": "", "institution": "University of the Ryukyus, Department of Endoscopy, Nishihara, Okinawa, Japan", "department": "None" }, { "first_name": "Jiro", "middle_name": "", "last_name": "Fujita", "name_suffix": "", "institution": "University of the Ryukyus, Department of Infectious, Respiratory, and Digestive Medicine, Nishihara, Okinawa, Japan", "department": "None" } ], "date_submitted": "2011-02-14T03:00:00-05:00", "date_accepted": "2011-02-14T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18155/galley/9259/download/" } ] }, { "pk": 18135, "title": "Pre-Hospital 12-Lead Electrocardiogram within 60 Minutes Differentiates Proximal versus Nonproximal Left Anterior Descending Artery Myocardial Infarction", "subtitle": null, "abstract": "Introduction: Acute anterior myocardial infarctions caused by proximal left anterior descending (LAD) artery occlusions are associated with a higher morbidity and mortality. Early identification of high-risk patients via the 12-lead electrocardiogram (ECG) could assist physicians and emergency response teams in providing early and aggressive care for patients with anterior ST-elevation myocardial infarctions (STEMI). Approximately 25% of US hospitals have primary percutaneous coronary intervention (PCI) capability for the treatment of acute myocardial infarctions. Given the paucity of\n\n\nhospitals capable of PCI, early identification of more severe myocardial infarction may prompt\n\n\nemergency medical service routing of these patients to PCI-capable hospitals. We sought to determine if the 12 lead ECG is capable of predicting proximal LAD artery occlusions.\n\n\nMethods: In a retrospective, post-hoc analysis of the Pre-Hospital Administration of Thrombolytic Therapy with Urgent Culprit Artery Revascularization pilot trial, we compared the ECG findings of\n\n\nproximal and nonproximal LAD occlusions for patients who had undergone an ECG within 180 minutes of symptom onset.\n\n\nResults: In this study, 72 patients had anterior STEMIs, with ECGs performed within 180 minutes of symptom onset. In patients who had undergone ECGs within 60 minutes (n¼35), the mean sum of ST elevation (STE) in leads V1 through V6 plus ST depression (STD) in leads II, III, and aVF was 19.2 mm for proximal LAD occlusions and 11.7 mm for nonproximal LAD occlusions (P¼0.007). A sum STE in V1 through V6 plus STD in II, III, and aVF of at least 17.5 mm had a sensitivity of 52.3%, specificity of 92.9%, positive predictive value of 91.7%, and negative predictive value of 56.5% for proximal LAD occlusions. When the ECG was performed more than 60 minutes after symptom onset (n¼37), there was no significant difference in ST-segment deviation between the 2 groups.\n\n\nConclusion: The sum STE (V1-V6) and STD (II, III, aVF) on a 12-lead ECG can be used to predict proximal LAD occlusions if performed within the first hour of symptom onset. This should be considered a high-risk finding and may prompt prehospital direction of such patients to PCI-capable hospitals. [West J Emerg Med. 2011;12(4):408–413.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "electrocardiogram" }, { "word": "ST elevation" }, { "word": "myocardial infarction" }, { "word": "proximal LAD" }, { "word": "cardiology" }, { "word": "Emergency Medicine" } ], "section": "Cardiovascular", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6h6219bn", "frozenauthors": [ { "first_name": "Robert", "middle_name": "A", "last_name": "Aertker", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "Colin", "middle_name": "M", "last_name": "Barker", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "H", "middle_name": "Vernon", "last_name": "Anderson", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "Ali", "middle_name": "E", "last_name": "Denktas", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "Gregory", "middle_name": "M", "last_name": "Giesler", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "Vinay", "middle_name": "R", "last_name": "Julapalli", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "John", "middle_name": "F", "last_name": "Ledoux", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "David", "middle_name": "E", "last_name": "Persse", "name_suffix": "", "institution": "Baylor College of Medicine, Department of Surgery, Houston, Texas; Houston Fire Department, Houston, Texas", "department": "None" }, { "first_name": "Stefano", "middle_name": "", "last_name": "Sdringola", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "Mary", "middle_name": "T", "last_name": "Vooletich", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "James", "middle_name": "J", "last_name": "McCarthy", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" }, { "first_name": "Richard", "middle_name": "W", "last_name": "Smalling", "name_suffix": "", "institution": "University of Texas at Houston Medical School and Memorial Hermann Heart and Vascular Institute", "department": "None" } ], "date_submitted": "2010-08-30T03:00:00-04:00", "date_accepted": "2010-08-30T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18135/galley/9244/download/" } ] }, { "pk": 18361, "title": "President's Message November 2011", "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": [ { "word": "Emergency Medicine" } ], "section": "CAL/AAEM Newsletter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4vq1j8fx", "frozenauthors": [ { "first_name": "Trevor", "middle_name": "", "last_name": "Mills", "name_suffix": "", "institution": "President CAL AAEM", "department": "None" } ], "date_submitted": "2011-11-03T03:00:00-04:00", "date_accepted": "2011-11-03T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18361/galley/9429/download/" } ] }, { "pk": 18124, "title": "Propofol and Etomidate are Safe for Deep Sedation in the Emergency Department", "subtitle": null, "abstract": "This study describes deep sedations performed for painful procedures completed in the emergency department at an academic tertiary care hospital during an 18-month period. One hundred consecutive cases were retrospectively reviewed to describe indications, complications, procedural lengths, medication dosing, and safety of these sedations. Propofol and etomidate were the preferred agents. We found that there were relatively few complications (10%), with only 2 of these (2%) being major complications. All complications were brief and did not adversely affect patient outcomes. This data further demonstrate the safety profile of deep sedation medications in the hands of emergency physicians trained in sedation and advanced airway techniques. [West J Emerg Med. 2011;12(4):399–403.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "sedation" }, { "word": "etomidate" }, { "word": "propofol" }, { "word": "Emergency Medicine" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9bq8f3ph", "frozenauthors": [ { "first_name": "Mark", "middle_name": "A", "last_name": "Denny", "name_suffix": "", "institution": "Diley Ridge Medical Center, Canal Winchester, Ohio", "department": "None" }, { "first_name": "Roger", "middle_name": "", "last_name": "Manson", "name_suffix": "", "institution": "Tripler Army Medical Center, Department of Emergency Medicine, Honolulu, Hawaii", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Della-Giustina", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" } ], "date_submitted": "2010-09-20T03:00:00-04:00", "date_accepted": "2010-09-20T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18124/galley/9240/download/" } ] }, { "pk": 18348, "title": "Pylephlebitis: An Uncommon Complication of Intra-Abdominal Infection", "subtitle": null, "abstract": "We herein present a case of pylephlebitis, which is an infective suppurative thrombosis of the portal vein. Pylephlebitis is an uncommon complication of intra-abdominal infections and carries with it significant morbidity and mortality. [West J Emerg Med. 2011;12(4):575–576.]", "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": "PYLEPHLEBITIS" }, { "word": "Portal Vein Thrombosis" }, { "word": "Medicine" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2qs1v234", "frozenauthors": [ { "first_name": "Tara", "middle_name": "", "last_name": "Hagopian", "name_suffix": "", "institution": "Baylor College of Medicine, Department of Radiology, Houston, Texas", "department": "None" }, { "first_name": "Fabricio", "middle_name": "", "last_name": "Zuniga", "name_suffix": "", "institution": "Corpus Christi Medical Center, Department of Family Practice, Corpus Christi, Texas", "department": "None" }, { "first_name": "Salim", "middle_name": "R", "last_name": "Surani", "name_suffix": "", "institution": "Texas A&M University, Department of Medicine, Corpus Christi, Texas", "department": "None" } ], "date_submitted": "2011-01-17T03:00:00-05:00", "date_accepted": "2011-01-17T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18348/galley/9425/download/" } ] }, { "pk": 18106, "title": "Quincke's Disease", "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": [ { "word": "Quincke's disease" }, { "word": "Emergency Medicine" }, { "word": "pediatrics" } ], "section": "Airway", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6mt5b0cd", "frozenauthors": [ { "first_name": "Warren", "middle_name": "", "last_name": "Johnson", "name_suffix": "", "institution": "University of Missouri Kansas City, Children’s Mercy Hospitals and Clinics, Division of Emergency and Urgent Care, Kansas City, Missouri", "department": "None" }, { "first_name": "Nirav", "middle_name": "", "last_name": "Shastri", "name_suffix": "", "institution": "University of Missouri Kansas City, Children’s Mercy Hospitals and Clinics, Division of Emergency and Urgent Care, Kansas City, Missouri", "department": "None" }, { "first_name": "Milton", "middle_name": "", "last_name": "Fowler", "name_suffix": "", "institution": "University of Missouri Kansas City, Children’s Mercy Hospitals and Clinics, Division of Emergency and Urgent Care, Kansas City, Missouri", "department": "None" } ], "date_submitted": "2011-03-15T03:00:00-04:00", "date_accepted": "2011-03-15T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18106/galley/9229/download/" } ] }, { "pk": 18326, "title": "Radiographic Evidence of Osteomyelitis", "subtitle": null, "abstract": "[West J Emerg Med. 2011;12(4):528–529.]", "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": "osteomyelitis" }, { "word": "imaging" }, { "word": "Infectious disease" }, { "word": "Musculoskeletal Diseases" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4g5874ds", "frozenauthors": [ { "first_name": "Natalie", "middle_name": "Terese", "last_name": "Desouza", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" }, { "first_name": "Prasanthi", "middle_name": "", "last_name": "Govindarajan", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California", "department": "None" } ], "date_submitted": "2011-03-20T03:00:00-04:00", "date_accepted": "2011-03-20T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18326/galley/9414/download/" } ] }, { "pk": 18099, "title": "Rapid Sequence Intubation from the Patient’s Perspective", "subtitle": null, "abstract": "Introduction: This study assesses the efficacy of the rapid sequence intubation (RSI) protocol in preventing patient recollection of resuscitative events and patient discomfort during intubation, as subjectively determined by the patient.\n\n\nMethods: This was a prospective study of all patients intubated at Los Angeles County, University of Southern California Medical Center from July 2009 to January 2010. Extubated patients were interviewed using a standard questionnaire and data collection tool.\n\n\nResults: Of 211 airway codes, 201 were excluded due to death before extubation, transfer, or persistent vegetative state, leaving 10 awake, alert subjects who were interviewed regarding their recollection of the RSI and resuscitation. Five had recollection of the event. Most patients recalling RSI\n\n\ndescribed the event as painful or uncomfortable despite receiving the recommended doses of sedation/\n\n\ninduction agents.\n\n\nConclusion: In this cohort of 10 patients intubated using typical agents, 5 remembered some details of their intubation and 2 described pain that was 10/10 on a verbal pain scale. Further work is indicated to ensure that the medications used during this procedure provide the appropriate sedation and amnesia.\n\n\n[West J Emerg Med. 2011;12(4):365–367.]", "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": "RSI" }, { "word": "intubation" }, { "word": "awareness" }, { "word": "Allied Health Diagnostic, Intervention, and Treatment Professions" }, { "word": "Emergency Medicine" } ], "section": "Airway", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3wg7h4rg", "frozenauthors": [ { "first_name": "Deborah", "middle_name": "", "last_name": "Kimball", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California", "department": "None" }, { "first_name": "Ramon", "middle_name": "C", "last_name": "Kincaide", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California", "department": "None" }, { "first_name": "Crystal", "middle_name": "", "last_name": "Ives", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California", "department": "None" }, { "first_name": "Sean", "middle_name": "", "last_name": "Henderson", "name_suffix": "", "institution": "Keck School of Medicine of the University of Southern California, Los Angeles, California", "department": "None" } ], "date_submitted": "2010-03-26T03:00:00-04:00", "date_accepted": "2010-03-26T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18099/galley/9227/download/" } ] }, { "pk": 18120, "title": "Reversal of Warfarin-Induced Hemorrhage in the Emergency Department", "subtitle": null, "abstract": "Warfarin, an oral vitamin K antagonist, is used to prevent arterial and venous thromboembolism in patients suffering from a multitude of diseases. In 2004, 31 million warfarin prescriptions were dispensed in the United States. Warfarin inhibits the activation of the vitamin K–dependent clotting factors (Factors II, VII, IX, and X) and regulatory proteins (proteins C, S, and Z). It is one of the leading drugs implicated in emergency room visits for adverse drug reactions. Annually the frequency of bleeding complications associated with overanticoagulation is 15% to 20%, with fatal bleeds measuring as high as 1% to 3%. The most effective method of warfarin reversal involves the use of Four Factor Prothrombin Complex Concentrate (PCC), which is widely used throughout Europe but is unavailable in the United States. The current therapies available to emergency room physicians in the United States are fresh frozen plasma, recombinant Factor VIIa (rFVIIa), Factor Eight Inhibitory Bypassing Activity, or Three Factor PCC concomitantly administered with vitamin K. We review the advantages and disadvantages of these therapies and recommend Three Factor PCC with small doses of rFVIIa and with vitamin K in life-threatening situations if Four Factor PCC is unavailable. [West J Emerg Med. 2011;12(4):386–392.]", "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": "warfarin reversal" }, { "word": "Fresh frozen plasma" }, { "word": "prothrombin complex concentrate" }, { "word": "recombinant factor VIIa" }, { "word": "Pharmacology and Toxicology" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/12f3z5c9", "frozenauthors": [ { "first_name": "Meena", "middle_name": "", "last_name": "Zareh", "name_suffix": "", "institution": "Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California", "department": "None" }, { "first_name": "Andrew", "middle_name": "J", "last_name": "Davis", "name_suffix": "", "institution": "Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California", "department": "None" }, { "first_name": "Sean", "middle_name": "O", "last_name": "Henderson", "name_suffix": "", "institution": "Department of Emergency Medicine, Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California", "department": "None" } ], "date_submitted": "2010-07-29T03:00:00-04:00", "date_accepted": "2010-07-29T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18120/galley/9238/download/" } ] }, { "pk": 18354, "title": "Severe Open Ankle Sprain", "subtitle": null, "abstract": "[West J Emerg Med. 2011;12(4):581–582.]", "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": "ankle" }, { "word": "radiology" }, { "word": "Diagnosis" }, { "word": "Emergency Medicine" }, { "word": "Orthopedics" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7k8380hf", "frozenauthors": [ { "first_name": "Bridget", "middle_name": "A", "last_name": "Sinnott", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington", "department": "None" }, { "first_name": "Jared", "middle_name": "", "last_name": "Strote", "name_suffix": "", "institution": "University of Washington Medical Center, Division of Emergency Medicine, Seattle, Washington", "department": "None" } ], "date_submitted": "2011-05-03T03:00:00-04:00", "date_accepted": "2011-05-03T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18354/galley/9428/download/" } ] }, { "pk": 18198, "title": "Simulation in Medical School Education: Review for Emergency Medicine", "subtitle": null, "abstract": "Medical education is rapidly evolving. With the paradigm shift to small-group didactic sessions and focus on clinically oriented case-based scenarios, simulation training has provided educators a novel way to deliver medical education in the 21st century. The field continues to expand in scope and practice and is being incorporated into medical school clerkship education, and specifically in emergency medicine (EM). The use of medical simulation in graduate medical education is well documented. Our aim in this article is to perform a retrospective review of the current literature, studying simulation use in EM medical student clerkships. Studies have demonstrated the effectiveness of simulation in teaching basic science, clinical knowledge, procedural skills, teamwork, and communication skills. As simulation becomes increasingly prevalent in medical school curricula, more studies are needed to assess whether simulation training improves patient-related outcomes.", "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": "Simulation" }, { "word": "Medical Education" }, { "word": "Emergency Medicine" }, { "word": "Economics" } ], "section": "Technology and Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1523c9nt", "frozenauthors": [ { "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": "Elizabeth", "middle_name": "", "last_name": "ter Haar", "name_suffix": "", "institution": "University of California, Irvine School of Medicine, Orange, California", "department": "None" }, { "first_name": "Srinidhi", "middle_name": "Subraya", "last_name": "Bhat", "name_suffix": "", "institution": "K.S. Hegde Medical Academy, Mangalore, India", "department": "None" }, { "first_name": "Christopher Erik", "middle_name": "", "last_name": "McCoy", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "T.", "middle_name": "Kent", "last_name": "Denmark", "name_suffix": "", "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, 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" } ], "date_submitted": "2010-03-17T03:00:00-04:00", "date_accepted": "2010-03-17T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18198/galley/9299/download/" } ] }, { "pk": 18187, "title": "Simulation in Medical Student Education: Survey of the Clerkship Directors in Emergency Medicine", "subtitle": null, "abstract": "Introduction: The objective of this study is to identify (1) the current role of simulation in medical student emergency medicine (EM) education; (2) the challenges to initiating and sustaining simulationbased programs; and (3) educational advances to meet these challenges.\n\n\nMethods: We solicited members of the Clerkship Directors in Emergency Medicine (CDEM) e-mail list to complete a Web-based survey addressing the use of simulation in both EM clerkships and preclinical EM curricula. Survey elements addressed the nature of the undergraduate EM clerkship and utilization of simulation, types of technology, and barriers to increased use in each setting.\n\n\nResults: CDEM members representing 60 EM programs on the list (80%) responded. Sixty-seven percent of EM clerkships are in the fourth year of medical school only and 45% are required. Fewer than 25% of clerkship core curriculum hours incorporate simulation. The simulation modalities used most frequently were high-fidelity models (79%), task trainers (55%), and low-fidelity models (30%). Respondents identified limited faculty time (88.7%) and clerkship hours (47.2%) as the main barriers to implementing simulation training in EM clerkships. Financial resources, faculty time, and the volume of students were the main barriers to additional simulation in preclinical years.\n\n\nConclusion: A focused, stepwise application of simulation to medical student EM curricula can help optimize the ratio of student benefit to faculty time. Limited time in the curriculum can be addressed by replacing existing material with simulation-based modules for those subjects better suited to simulation. Faculty can use hybrid approaches in the preclinical years to combine simulation with classroom settings for either small or large groups to more actively engage learners while minimizing identified barriers.", "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": "Simulation" }, { "word": "Undergraduate Medical Education" }, { "word": "medical student" }, { "word": "Curriculum and Instruction" }, { "word": "Emergency Medicine" } ], "section": "Technology and Education", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7mv8668f", "frozenauthors": [ { "first_name": "Corey", "middle_name": "", "last_name": "Heitz", "name_suffix": "", "institution": "Virginia Tech–Carilion School of Medicine, Department of Emergency Medicine, Roanoke, Virginia", "department": "None" }, { "first_name": "Raymond", "middle_name": "", "last_name": "Ten Eyck", "name_suffix": "", "institution": "Boonshoft School of Medicine, Wright State University, Department of Emergency Medicine, Kettering, Ohio", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "MetroHealth Medical Center, Case Western Reserve University, Department of Emergency Medicine, Cleveland, Ohio", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Fitch", "name_suffix": "", "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston- Salem, North Carolina", "department": "None" } ], "date_submitted": "2010-10-03T03:00:00-04:00", "date_accepted": "2010-10-03T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18187/galley/9288/download/" } ] }, { "pk": 18372, "title": "Table of Contents November 2011", "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": [ { "word": "Table of Contents November 2011" }, { "word": "Emergency Medicine" } ], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8zb1t8qd", "frozenauthors": [], "date_submitted": "2011-11-08T03:00:00-05:00", "date_accepted": "2011-11-08T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18372/galley/9433/download/" } ] }, { "pk": 18122, "title": "Tattoos and Piercing: A Review for the Emergency Department Physician", "subtitle": null, "abstract": "Tattoos and piercings are increasingly part of everyday life for large sections of the population, and more emergency physicians are seeing these body modifications (BM) adorn their patients. In this review we elucidate the most common forms of these BMs, we describe how they may affect both the physical and psychological health of the patient undergoing treatment, and also try to educate around any potential pitfalls in treating associated complications. [West J Emerg Med. 2011;12(4):393–398.]", "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": "Tatoo" }, { "word": "piercing" }, { "word": "pocketing" }, { "word": "complications" }, { "word": "Emergency Medicine" }, { "word": "body modification" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7k87770k", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Urdang", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" }, { "first_name": "Jennifer", "middle_name": "T", "last_name": "Mallek", "name_suffix": "", "institution": "University of Southern California, Keck School of Medicine, Los Angeles, California", "department": "None" }, { "first_name": "William", "middle_name": "K.", "last_name": "Mallon", "name_suffix": "", "institution": "University of Southern California, Department of Emergency Medicine, Los Angeles, California", "department": "None" } ], "date_submitted": "2011-03-28T03:00:00-04:00", "date_accepted": "2011-03-28T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18122/galley/9239/download/" } ] }, { "pk": 18364, "title": "The Impact of the 2011 New Duty Hours Regulations on EM Residents", "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": [ { "word": "Emergency Medicine" } ], "section": "CAL/AAEM Newsletter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/65p1386f", "frozenauthors": [ { "first_name": "Randy", "middle_name": "", "last_name": "Woo", "name_suffix": "", "institution": "Resident, Department of Emergency Medicine, University of California, Irvine Medical Center, Orange, CA", "department": "None" } ], "date_submitted": "2011-11-03T03:00:00-04:00", "date_accepted": "2011-11-03T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18364/galley/9430/download/" } ] }, { "pk": 18311, "title": "Torsion of Undescended Testis in a 14-Month-Old Child Refusing to Bear Weight", "subtitle": null, "abstract": "In this report, we discuss a case of a 14-month-old male presenting in the emergency department refusal to bear weight on his left leg. Plain radiographic studies revealed no evidence of effusion, fracture, or dislocation. Laboratory studies were significant for an elevated white blood cell count, erythrocyte sedimentation rate, and C-reactive protein. Further studies included unremarkable ultrasound of the left hip and normal magnetic resonance imaging (MRI) of both hips. An incidental finding on MRI was a left inguinal mass concerning an incarcerated hernia. Ultrasound of this demonstrated a left undescended testis within the inguinal canal and possible incarcerated paratesticular inguinal hernia. The final pathologic diagnosis of a torsed gangrenous left testicle the inguinal canal was confirmed during surgery. [West J Emerg Med. 2011;12(4):515–519.]", "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": "Testicular torsion" }, { "word": "Urology" }, { "word": "history and physical exam" }, { "word": "refusal to bear weight" }, { "word": "Congenital, Hereditary, and Neonatal Diseases and Abnormalities" }, { "word": "Diagnosis" }, { "word": "Male Urogenital Diseases" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4xn385mp", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "M", "last_name": "Knight", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Peter", "middle_name": "J", "last_name": "Cuenca", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2010-11-02T03:00:00-04:00", "date_accepted": "2010-11-02T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18311/galley/9409/download/" } ] }, { "pk": 18226, "title": "Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department: Patient-Centered Survey", "subtitle": null, "abstract": "Introduction: To assess characteristics, satisfaction, and disposition of emergency department (ED) patients who successfully received ultrasound (US)-guided peripheral intravenous (IV) access.\n\n\nMethods: This is a prospective observational study among ED patients who successfully received US-guided peripheral IV access by ED technicians. Nineteen ED technicians were taught to use US guidance to obtain IV access. Training sessions consisted of didactic instruction and hands-on practice. The US guidance for IV access was limited to patients with difficult access. After successfully receiving an US-guided peripheral IV, patients were approached by research assistants who administered a 10-question survey. Disposition information was collected after the conclusion of the ED visit by accessing patients’ electronic medical record.\n\n\nResults: In total, 146 surveys were completed in patients successfully receiving US-guided IVs. Patients reported an average satisfaction with the procedure of 9.2 of 10. Forty-two percent of patients had a body mass index (BMI) of greater than 30, and 17.8% had a BMI of more than 35. Sixty-two percent reported a history of central venous catheter placement. This patient population averaged 3 ED visits per year in the past year. Fifty-three percent of the patients were admitted.\n\n\nConclusion: Patients requiring US-guided IVs in our ED are discharged home at the conclusion of their ED visit about half of the time. These patients reported high rates of both difficult IV access and central venous catheter placement in the past. Patient satisfaction with US-guided IVs was very high. These data support the continued use of US-guided peripheral IVs in this patient population. [West J Emerg Med. 2011;12(4):475–477.]", "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": "intravenous access" }, { "word": "emergency department" }, { "word": "Satisfaction" }, { "word": "disposition" }, { "word": "Emergency Medicine" } ], "section": "Ultrasound", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1cg689zq", "frozenauthors": [ { "first_name": "Elizabeth", "middle_name": "M", "last_name": "Schoenfeld", "name_suffix": "", "institution": "Baystate Medical Center/Tufts University School of Medicine, Department of Emergency Medicine, Springfield, Massachusetts", "department": "None" }, { "first_name": "Hamid", "middle_name": "", "last_name": "Shokoohi", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington, DC", "department": "None" }, { "first_name": "Keith", "middle_name": "", "last_name": "Boniface", "name_suffix": "", "institution": "George Washington University, Department of Emergency Medicine, Washington, DC", "department": "None" } ], "date_submitted": "2010-03-26T03:00:00-04:00", "date_accepted": "2010-03-26T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18226/galley/9325/download/" } ] }, { "pk": 18318, "title": "Unusual Cause of Chest Pain on Radiograph", "subtitle": null, "abstract": "Although pneumomediastinum (PM) is a cause of chest pain which can be diagnosed on a plain chest radiograph, emergency physicians frequently miss the diagnosis. As follows a description of findings of PM on the chest radiograph. [West J Emerg Med. 2011;12(4):525.]", "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": "pneumomediastinum" }, { "word": "mediastinal emphysema" }, { "word": "chest pain" }, { "word": "Emergency Medicine" }, { "word": "radiology" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0289w8s4", "frozenauthors": [ { "first_name": "Mauro", "middle_name": "", "last_name": "Gallitelli", "name_suffix": "", "institution": "Hospital ‘‘SS. Giovanni e Paolo,’’ Emergency Department, Venice, Italy", "department": "None" }, { "first_name": "Pasquale", "middle_name": "", "last_name": "De Chirico", "name_suffix": "", "institution": "Hospital ‘‘Dimiccoli,’’ Radiology Department, Barletta, Italy", "department": "None" } ], "date_submitted": "2011-01-24T03:00:00-05:00", "date_accepted": "2011-01-24T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18318/galley/9412/download/" } ] }, { "pk": 18154, "title": "Vascular Pedicle Width on Chest Radiograph as a Measure of Volume Overload: Meta-Analysis", "subtitle": null, "abstract": "Introduction: Vascular pedicle width (VPW), a measurement obtained from a chest radiograph (CR), is thought to be an indicator of circulating blood volume. To date there are only a handful of studies that demonstrate a correlation between high VPW and volume overload, each utilizing different VPW values and CR techniques. Our objective was to determine a mean VPW measurement from erect and supine CRs and to determine whether VPW correlates with volume overload.\n\n\nMethods: MEDLINE database, Web of Science, and the Cochrane Central Register of Controlled Trials were searched electronically for relevant articles. References from the original and review publications selected electronically were manually searched for additional relevant articles. Two investigators independently reviewed relevant articles for inclusion criteria and data extraction. Mean\n\n\nVPW measurements from both supine and erect CRs and their correlation with volume overload were calculated.\n\n\nResults: Data from 8 studies with a total of 363 subjects were included, resulting in mean VPW\n\n\nmeasurements of 71 mm (95% confidence interval [CI] 64.9–77.3) and 62 mm (95% CI 49.3–75.1) for supine and erect CRs, respectively. The correlation coefficients for volume overload and VPW were 0.81 (95% CI 0.74–0.86) for both CR techniques and 0.81 (95% CI 0.72–0.87) for supine CR and 0.80 (95% CI 0.69–0.87) for erect CR, respectively.\n\n\nConclusion: There is a clinical and statistical correlation between VPW and volume overload. VPW may be used to evaluate the volume status of a patient regardless of the CR technique used. [West J Emerg Med. 2011;12(4):426–432.]", "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": "Vascular Pedicle Width" }, { "word": "Volume overload" }, { "word": "meta analysis" }, { "word": "Cardiovascular Diseases" }, { "word": "Emergency Medicine" }, { "word": "radiology" } ], "section": "Cardiovascular", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5rt4j1cg", "frozenauthors": [ { "first_name": "Hao", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "JPS Health Network, Department of Emergency Medicine, Fort Worth, Texas", "department": "None" }, { "first_name": "Runhua", "middle_name": "", "last_name": "Shi", "name_suffix": "", "institution": "Louisiana State University Health Science Center, Department of Internal Medicine, Shreveport, Louisiana", "department": "None" }, { "first_name": "Simon", "middle_name": "", "last_name": "Mahler", "name_suffix": "", "institution": "Louisiana State University Health Science Center, Department of Emergency Medicine, Shreveport, Louisiana", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Gaspard", "name_suffix": "", "institution": "Louisiana State University Health Science Center, Department of Emergency Medicine, Shreveport, Louisiana", "department": "None" }, { "first_name": "Julie", "middle_name": "", "last_name": "Gorchynski", "name_suffix": "", "institution": "JPS Health Network, Department of Emergency Medicine, Fort Worth, Texas", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "D'Etienne", "name_suffix": "", "institution": "JPS Health Network, Department of Emergency Medicine, Fort Worth, Texas", "department": "None" }, { "first_name": "Thomas", "middle_name": "", "last_name": "Arnold", "name_suffix": "", "institution": "Louisiana State University Health Science Center, Department of Emergency Medicine, Shreveport, Louisiana", "department": "None" } ], "date_submitted": "2010-07-01T03:00:00-04:00", "date_accepted": "2010-07-01T03:00:00-04:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18154/galley/9258/download/" } ] }, { "pk": 18378, "title": "WestJEM Top Section Editors and Reviewers 2011", "subtitle": null, "abstract": "WestJEM Top Section Editors and Reviewers 2011", "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": "WestJEM Top Section Editors and Reviewers" }, { "word": "Emergency Medicine" } ], "section": "WestJEM Top Section Editors and Reviewers", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8xb5n8gm", "frozenauthors": [ { "first_name": "Western", "middle_name": "Journal", "last_name": "Emergency Medicine", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2011-11-08T03:00:00-05:00", "date_accepted": "2011-11-08T03:00:00-05:00", "date_published": "2011-05-27T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18378/galley/9435/download/" } ] }, { "pk": 43911, "title": "Exercise Induced Hematuria Due to a Wayward Intrauterine Device", "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/4rm5b1mj", "frozenauthors": [ { "first_name": "Alice", "middle_name": "E.", "last_name": "Agzarian", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Anita", "middle_name": "Y.", "last_name": "Agzarian", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-05-19T03:42:53-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43911/galley/32714/download/" } ] }, { "pk": 43913, "title": "Thyroid Nodules and Goiters: To Suppress or not suppress", "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/1r08115r", "frozenauthors": [ { "first_name": "Mina", "middle_name": "", "last_name": "Ma", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Dorothy", "middle_name": "", "last_name": "Martinez", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-05-18T03:46:07-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43913/galley/32716/download/" } ] }, { "pk": 4016, "title": "Cosmogony (Late to Ptolemaic and Roman Periods)", "subtitle": null, "abstract": "Cosmogonies of Late Period and Ptolemaic and Roman Egypt are founded upon those of the earlier “classic” ages, incorporating old texts and themes but elaborating them to form new compositions, synthesizing elements of the major Heliopolitan, Memphite, and Hermopolitan theologies with texts and rituals more specific to the deities of local cult centers, as well as newly developed theological concepts.", "language": "en", "license": null, "keywords": [ { "word": "cosmogony" }, { "word": "mythology" }, { "word": "demiurge" }, { "word": "Heliopolitan" }, { "word": "Hermopolitan" }, { "word": "Memphite" }, { "word": "theology" }, { "word": "Origin" }, { "word": "Amun" }, { "word": "Ptah" }, { "word": "Atum" }, { "word": "Ogdoad" }, { "word": "Ennead" }, { "word": "History" }, { "word": "Area Studies, Other" }, { "word": "Religion/Religious Studies" } ], "section": "Religion", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8tf3j2qq", "frozenauthors": [ { "first_name": "Brett", "middle_name": "", "last_name": "McClain", "name_suffix": "", "institution": "University of Chicago", "department": "None" } ], "date_submitted": "2007-10-16T03:00:00-04:00", "date_accepted": "2007-10-16T03:00:00-04:00", "date_published": "2011-05-18T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/4016/galley/2593/download/" } ] }, { "pk": 20261, "title": "Breithwait, Andrés, Ed. Bolaño por sí mismo. Entrevistas escogidas", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Latin American literature" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2mj3p4wj", "frozenauthors": [ { "first_name": "Ainoa", "middle_name": "", "last_name": "Iñigo", "name_suffix": "", "institution": "The Graduate Center - CUNY", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/20261/galley/10051/download/" } ] }, { "pk": 19892, "title": "Decolonizing Post-Colonial Studies and Paradigms of Political-Economy: Transmodernity, Decolonial Thinking, and Global Coloniality", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Transmodernity" }, { "word": "Dussel" }, { "word": "Poscoloniality" }, { "word": "philosophy" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/21k6t3fq", "frozenauthors": [ { "first_name": "Ramón", "middle_name": "", "last_name": "Grosfoguel", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19892/galley/9868/download/" } ] }, { "pk": 19722, "title": "Enrique Dussel's Liberation Thought in the Decolonial Turn", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "philosophy" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5hg8t7cj", "frozenauthors": [ { "first_name": "Nelson", "middle_name": "", "last_name": "Maldonado-Torres", "name_suffix": "", "institution": "University of California, Berkeley", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19722/galley/9779/download/" } ] }, { "pk": 20181, "title": "Mejías-López, Alejandro. The inverted conquest. The Myth of Modernity and the Transatlantic Onset of Modernism", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Spanish Language and Literature" }, { "word": "Portuguese Language and Literature" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1wq4q6wx", "frozenauthors": [ { "first_name": "Jorge", "middle_name": "", "last_name": "Camacho", "name_suffix": "", "institution": "University of South Carolina-Columbia", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/20181/galley/10025/download/" } ] }, { "pk": 19572, "title": "Preconceito e ideologia racista: Negros em contos, de Luís Silva", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Latin American literature" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0pd6k2mz", "frozenauthors": [ { "first_name": "Lizandro Carlos", "middle_name": "", "last_name": "Calegari", "name_suffix": "", "institution": "Universidade Federal de Santa Maria, Brazil", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19572/galley/9682/download/" } ] }, { "pk": 20271, "title": "Sierra, Verónica. Palabras huérfanas. Los niños y la Guerra Civil", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "european" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8193s876", "frozenauthors": [ { "first_name": "Francisco", "middle_name": "", "last_name": "Arriero Ranz", "name_suffix": "", "institution": "Universidad de Alcalá, SIECE", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/20271/galley/10061/download/" } ] }, { "pk": 20278, "title": "Tinajero, Araceli. El Lector: A History of the Cigar Factory Reader", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Spanish Language and Literature" }, { "word": "Portuguese Language and Literature" } ], "section": "Book Reviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82k5t21v", "frozenauthors": [ { "first_name": "Roberto", "middle_name": "", "last_name": "González Echevarría", "name_suffix": "", "institution": "Yale University", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/20278/galley/10068/download/" } ] }, { "pk": 20027, "title": "Transmodernidad: un nuevo paradigma", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Transmodernidad nuevo paradigma" }, { "word": "Arts and Humanities" }, { "word": "philosophy" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/57c8s9gr", "frozenauthors": [ { "first_name": "Rosa María", "middle_name": "", "last_name": "Rodríguez Magda", "name_suffix": "", "institution": "INSTITUCIÓN ALFONSO EL MAGNÁNIMO", "department": "None" } ], "date_submitted": "2011-05-10T03:00:00-04:00", "date_accepted": "2011-05-10T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/20027/galley/9949/download/" } ] }, { "pk": 19489, "title": "When a \"New Deal\" Became a Raw Deal: Depression-Era, \"Latin\" Federal Theatre", "subtitle": null, "abstract": "", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "https://escholarship.org/terms" }, "keywords": [ { "word": "Cultural Studies/Critical Theory and Analysis" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3rd2z64t", "frozenauthors": [ { "first_name": "Kenya", "middle_name": "C", "last_name": "Dworkin-Méndez", "name_suffix": "", "institution": "Carnegie Mellon University", "department": "None" } ], "date_submitted": "2011-05-13T03:00:00-04:00", "date_accepted": "2011-05-13T03:00:00-04:00", "date_published": "2011-05-13T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/transmodernity/article/19489/galley/9633/download/" } ] }, { "pk": 5198, "title": "Development and Validation of a Psychometric Tool for Assessing Impulsivity in the Domestic Dog (\nCanis familiaris\n)", "subtitle": null, "abstract": "Impulsivity is a trait that has received much attention in humans, but in dogs impulsivity is illdefined, and previous studies have tended to focus on aggression, rather than its more pervasive effect on behavior. The objective of this study was to develop a valid psychometric assessment tool of impulsivity in dogs. An owner report questionnaire was constructed using items generated by a survey of experts. Five hundred and seventy one dog owners returned the questionnaire and data were subjected to principal components analysis, revealing a three-factor structure: Factor 1: Behavioral Regulation, Factor 2: Aggression & Response to Novelty, and Factor 3: Responsiveness. The resulting Dog Impulsivity Assessment Scale comprised of 18 items demonstrated evidence of reliability and validity.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "International Journal of Comparative Psychology, Behavior, Aggression, Behaviour, Assessment Scale, Psychometric Scale, Comparative Psychology, Behavioral Taxonomy, Cognition, Cognitive Processes, I.." } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7pb1j56q", "frozenauthors": [ { "first_name": "Hannah", "middle_name": "F.", "last_name": "Wright", "name_suffix": "", "institution": "University of Lincoln", "department": "None" }, { "first_name": "Daniel", "middle_name": "S.", "last_name": "Mills", "name_suffix": "", "institution": "University of Lincoln", "department": "None" }, { "first_name": "Petra", "middle_name": "M. J.", "last_name": "Pollux", "name_suffix": "", "institution": "University of Lincoln", "department": "None" } ], "date_submitted": "2013-11-09T21:14:32-05:00", "date_accepted": "2013-11-09T21:14:32-05:00", "date_published": "2011-05-01T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5198/galley/3078/download/" } ] }, { "pk": 5202, "title": "Head and Foot Coordination in Head Scratching and Food Manipulation by Purple Swamp Hens (\nPorphyrio porphyrio\n): Rules for Minimizing the Computational Costs of Combining Movements from Multiple Parts of the Body", "subtitle": null, "abstract": "Complex movements, such as placing food into the mouth, involve coordinating multiple limb segments. Given the degrees of freedom for one limb segment, the computational costs of such complex movements can be high. One way to reduce such costs is to limit the adjusting movements needed to achieve coordination of distal body parts to only one part of the body. For example, for scratching the head, the hand or foot needs to make contact with the head and this involves movements of the head, neck and torso, as well as those of the foot and leg, or hand and arm. In this situation, the foot or hand is raised to a specific location in space and then makes oscillatory movements, but it is movements by the head and neck that ensure appropriate contact is made with the head (Pellis, 2010). In this paper, whether such cost-saving rules apply across functional contexts is tested in the purple swamp hen by comparing head and foot coordination during head scratching and during food reaching and handling. This species uses its foot to grasp and hold a wide range of food items that are picked up in its bill. Comparison of hundreds of videotaped sequences revealed that, in both cases, the bird uses the same rule: that of making the accommodating movements with only one of those body parts, even when coordination requires movements of disparate parts of the body. These data show that there are likely common computational cost-saving rules that widely apply to movements occurring in many different functional contexts.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "International Journal of Comparative Psychology, Behavior, Behaviour, Communication, Vocalization, Comparative Psychology, Behavioral Taxonomy, Cognition, Head Scratching, Food Manipulation, Motor C.." } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7c0083hm", "frozenauthors": [ { "first_name": "Sergio", "middle_name": "M.", "last_name": "Pellis", "name_suffix": "", "institution": "University of Lethbridge,", "department": "None" } ], "date_submitted": "2013-11-09T21:51:34-05:00", "date_accepted": "2013-11-09T21:51:34-05:00", "date_published": "2011-05-01T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5202/galley/3082/download/" } ] }, { "pk": 5199, "title": "Observational Learning in a Glaucous-winged Gull Natural Colony", "subtitle": null, "abstract": "The ability of the Glaucous-winged Gull (\nLarus glaucescens\n) to observationally learn has been investigated in their natural habitat, in a gull’s colony located on Toporkov Island (Comandorsky State Nature Reserve, Far East, Russia). The experiment was carried out in the gull’s breeding period, when each bird’s pair in the colony occupies and protects vigilantly their small nesting sites surrounded by those of neighboring pairs. The gulls chosen to be demonstrators were trained to solve two different tasks both of which were not part of the species’ behavioral repertoire. The first task was obtaining a bait placed by an experimenter into an opaque box within the bird's visual field ; the second one was choosing a red box from a set of four identically-looking boxes differing only incolor. In contrast to the demonstrator gulls, which needed considerably training, most observers (the gulls nesting side-by-side with the demonstrators) performed the same tasks correctly in the first trial.Thus, gulls have proven to be capable of successful learning to solve simple choice tasks by observing what their conspecifics are doing. Observational learning can be a way to distribute individual experience among the gulls in a colony. The ability to observationally learn quickly maybe one of the factors underlying a higher adaptive potential of these birds.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "International Journal of Comparative Psychology, Behavior, Behaviour, Communication, Vocalization, Comparative Psychology, Behavioral Taxonomy, Cognition, Cognitive Processes, Intelligence, Choice, .." } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3gx591nz", "frozenauthors": [ { "first_name": "T.", "middle_name": "A.", "last_name": "Obozova", "name_suffix": "", "institution": "Lomonosov Moscow State University", "department": "None" }, { "first_name": "A.", "middle_name": "A.", "last_name": "Smirnova", "name_suffix": "", "institution": "Lomonosov Moscow State University", "department": "None" }, { "first_name": "Z.", "middle_name": "A.", "last_name": "Zorina", "name_suffix": "", "institution": "Lomonosov Moscow State University", "department": "None" } ], "date_submitted": "2013-11-09T21:22:35-05:00", "date_accepted": "2013-11-09T21:22:35-05:00", "date_published": "2011-05-01T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5199/galley/3079/download/" } ] }, { "pk": 5196, "title": "Reward Probability and the Variability of Foraging Behavior in Rats", "subtitle": null, "abstract": "The connection between reduced reinforcement probability and increased behavioral variability hasbeen well established in recent years (Gharib, Gade, & Roberts, 2004; Stahlman, Roberts, & Blaisdell, 2010). Researchers have hypothesized that this relationship is an adaptive one - it is beneficial for animals to increase behavioral variability in response to low likelihood of success,because this increase in variability potentially allows them to discover new behavioral options that are more highly rewarded. We conducted a study to investigate the relationship between behavioral variability and reward probability in an ecologically valid experimental task. We trained rats tosearch for hidden food in the presence of either of two landmarks, each that signaled a different likelihood of reward (i.e., HI and LO). Variation in locations searched was higher in the presence ofthe LO probability landmark. These results build on prior findings that reward expectation drives behavioral variability.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "International Journal of Comparative Psychology, Behavior, Behaviour, Communication, Vocalization, Comparative Psychology, Behavioral Taxonomy, Cognition, Cognitive Processes, Intelligence, Reward, .." } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2182x9bc", "frozenauthors": [ { "first_name": "W.", "middle_name": "David", "last_name": "Stahlman", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Aaron", "middle_name": "P.", "last_name": "Blaisdell", "name_suffix": "", "institution": "University of California", "department": "None" } ], "date_submitted": "2013-11-09T21:02:59-05:00", "date_accepted": "2013-11-09T21:02:59-05:00", "date_published": "2011-05-01T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5196/galley/3076/download/" } ] }, { "pk": 5197, "title": "Timing of Turn Initiations in Signed Conversations with Cross-Fostered Chimpanzees (\nPan troglodytes\n)", "subtitle": null, "abstract": "This study examined turn taking by adult and infant cross-fostered chimpanzees in one-on-one signed conversations with a human. The study identified turns as alternating, overlapping, or simultaneousand explored the timing of overlapping turn initiations in detail for both age groups. Adult chimpanzee turn taking was furthermore examined in two conditions; in the first condition the human responded to the chimpanzees with scripted probes and in the second condition the human signed freely. Results showed that the adult chimpanzees engaged in more alternating turns in the scripted condition and more overlapping turns in unscripted condition. In the interactions of the unscripted condition, the adult chimpanzees and the human partner initiated overlapping turns with nearly equal frequency, and the chimpanzees were likely to initiate overlap as the partner completed a turn. In comparable unscripted interactions, the infant chimpanzees initiated significantly more overlap thantheir partners and initiated overlap randomly throughout the partner’s sign. Results suggest that turntaking in the chimpanzees developed with experience.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "International Journal of Comparative Psychology, Behavior, Behaviour, Communication, Vocalization, Comparative Psychology, Turn Taking, Cognition, Cognitive Processes, Intelligence, Chimpanzee, Huma.." } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/64f2v5g5", "frozenauthors": [ { "first_name": "J. Quentin", "middle_name": "", "last_name": "Hartmann", "name_suffix": "", "institution": "Augusta State University", "department": "None" } ], "date_submitted": "2013-11-09T21:07:45-05:00", "date_accepted": "2013-11-09T21:07:45-05:00", "date_published": "2011-05-01T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/5197/galley/3077/download/" } ] }, { "pk": 62465, "title": "A Tree-Ring Reconstruction of the Salinity Gradient in the Northern Estuary of San Francisco Bay", "subtitle": null, "abstract": "Blue oak tree-ring chronologies correlate highly with winter–spring precipitation totals over California, with Sacramento and San Joaquin river stream flow, and with seasonal variations in the salinity gradient in San Francisco Bay. The convergence of fresh and saline currents can influence turbidity, sediment accumulation, and biological productivity in the estuary. Three selected blue oak chronologies were used to develop a 625-year-long reconstruction of the seasonal salinity gradient, or low salinity zone (LSZ), which provides a unique perspective on the interannual-to-decadal variability of this important estuarine habitat indicator. The reconstruction was calibrated with instrumental LSZ data for the winter–spring season, and explains 73% of the variance in the February–June position of the LSZ from 1956 to 2003. Because this calibration period post-dates the sweeping changes that have occurred to land cover, channel morphology, and natural streamflow regimes in California, the reconstruction provides an idealized estimate for how the LSZ might have fluctuated under the seasonal precipitation variations of the past 625 years, given the modern geometry and bathymetry of the estuary and land cover across the drainage basin. The February–June season integrates precipitation and runoff variability during the cool season, and does not extend into the late-summer dry season when LSZ extremes can negatively affect Sacramento–San Joaquin Delta (Delta) agriculture and some aquatic organisms. However, there is such strong inter-seasonal persistence in the instrumental LSZ data that precipitation totals during the cool season can strongly pre-condition LSZ position in late summer. The 625-year-long reconstruction indicates strong interannual and decadal variability, the frequent recurrence of consecutive 2-year LSZ maxima and minima, large-scale ocean atmospheric forcing, and an interesting asymmetrical influence of warm El Niño–Southern Oscillation (ENSO) events.", "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": "blue oak" }, { "word": "Quercus douglasii" }, { "word": "tree rings" }, { "word": "dendrochronology" }, { "word": "low salinity zone" }, { "word": "San Francisco Bay" }, { "word": "estuarine habitat" }, { "word": "Climate" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5cz3q8v4", "frozenauthors": [ { "first_name": "David", "middle_name": "W.", "last_name": "Stahle", "name_suffix": "", "institution": "University of Arkansas, Fayetteville", "department": "" }, { "first_name": "R.", "middle_name": "Daniel", "last_name": "Griffin", "name_suffix": "", "institution": "University of Arkansas, Fayetteville", "department": "" }, { "first_name": "Malcolm", "middle_name": "K.", "last_name": "Cleaveland", "name_suffix": "", "institution": "University of Arkansas, Fayetteville", "department": "" }, { "first_name": "Jesse", "middle_name": "R.", "last_name": "Edmondson", "name_suffix": "", "institution": "University of Arkansas, Fayetteville", "department": "" }, { "first_name": "Falko", "middle_name": "K.", "last_name": "Fye", "name_suffix": "", "institution": "University of Arkansas, Fayetteville", "department": "" }, { "first_name": "Dorian", "middle_name": "J.", "last_name": "Burnette", "name_suffix": "", "institution": "University of Arkansas, Fayetteville", "department": "" }, { "first_name": "John", "middle_name": "T.", "last_name": "Abatzoglou", "name_suffix": "", "institution": "University of Idaho, Moscow", "department": "" }, { "first_name": "Kelly", "middle_name": "T.", "last_name": "Redmond", "name_suffix": "", "institution": "Western Regional Climate Center", "department": "" }, { "first_name": "David", "middle_name": "M.", "last_name": "Meko", "name_suffix": "", "institution": "University of Arizona, Tucson", "department": "" }, { "first_name": "Micheal", "middle_name": "D.", "last_name": "Dettinger", "name_suffix": "", "institution": "Scripps Institution of Oceanography", "department": "" }, { "first_name": "Daniel", "middle_name": "R.", "last_name": "Cayan", "name_suffix": "", "institution": "Scripps Institution of Oceanography", "department": "" }, { "first_name": "Matthew", "middle_name": "D.", "last_name": "Therrell", "name_suffix": "", "institution": "Southern Illinois University, Carbondale", "department": "" } ], "date_submitted": "2010-03-15T03:00:00-04:00", "date_accepted": "2010-03-15T03:00:00-04:00", "date_published": "2011-04-20T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62465/galley/48293/download/" } ] }, { "pk": 62466, "title": "Biology, History, Status and Conservation of Sacramento Perch, \nArchoplites interruptus", "subtitle": null, "abstract": "This paper is a review of the biology of Sacramento perch (Archoplites interruptus) based mainly on recent studies of their distribution, ecology, physiology, and genetics. The Sacramento perch is the only member of the family Centrarchidae that is endemic to California. It is most closely related to the rock basses (Ambloplites spp.) and is thought to have split from its eastern cousins during the Middle Miocene Period (15.5 to 5.2 million years ago, MYA). Their native range includes the Central Valley, Pajaro and Salinas rivers, tributaries to the San Francisco Estuary (e.g., Alameda Creek), and Clear Lake (Lake County). Today, they are most likely extirpated from all of their native range. They are known to persist in 28 waters outside their native range: 17 in California, nine in Nevada, and one each in Utah and Colorado. Disappearance from their native range coincided with massive changes to aquatic habitats in the Central Valley and with the introduction of alien species, including other centrarchids. Unfortunately, many populations established outside their native range have also disappeared and are continuing to do so.", "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": "Endemism" }, { "word": "Centrarchidae" }, { "word": "invasive species" }, { "word": "Central Valley fish" }, { "word": "fish conservation" }, { "word": "fish translocation" }, { "word": "fish life history" }, { "word": "Aquaculture and Fisheries" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8st5g6df", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "K", "last_name": "Crain", "name_suffix": "", "institution": "University of California, Davis", "department": "" }, { "first_name": "Peter", "middle_name": "B", "last_name": "Moyle", "name_suffix": "", "institution": "University of California, Davis", "department": "" } ], "date_submitted": "2009-06-05T03:00:00-04:00", "date_accepted": "2009-06-05T03:00:00-04:00", "date_published": "2011-04-20T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62466/galley/48294/download/" } ] }, { "pk": 62467, "title": "Conservation of Native Fishes of the San Francisco Estuary: Considerations for Artificial Propagation of Chinook Salmon, Delta Smelt, and Green Sturgeon", "subtitle": null, "abstract": "Many native fishes in the San Francisco Estuary and its watersheds have reached all-time low abundances. Some of these declining species (e.g., Chinook salmon Oncorhynchus tschawytscha) have been under artificial propagation for decades. For others (e.g., delta smelt, Hypomesus transpacificus, and green sturgeon, Acipenser medirostris), this management option is just beginning to be discussed and implemented. Propagation strategies, in which organisms spend some portion of their lives in captivity, pose well-documented genetic and ecological threats to natural populations. Negative impacts of propagation have been documented for all Central Valley Chinook salmon runs, but limited efforts have been made to adapt hatchery operations to minimize the genetic and ecological threats caused by propagated fishes. A delta smelt propagation program is undergoing intensive design and review for operations and monitoring. However, if limiting factors facing this species in its estuarine habitat are not effectively addressed, captive propagation may not be a useful conservation approach, regardless of how carefully the propagation activity is designed or monitored. Scientifically defensible, ecologically based restoration programs that include monitoring and research aimed at quantifying natural population vital rates should be fully implemented before there is any attempt to supplement natural populations of delta smelt. Green sturgeon are also likely to face risks from artificial propagation if a large–scale program is implemented before this species’ limiting factors are better understood. In each of these cases, restoring habitats, and reducing loss from human actions, are likely to be the best strategy for rebuilding and supporting self–sustaining populations.", "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": "risk assessment" }, { "word": "marking" }, { "word": "tagging" }, { "word": "effective population size" }, { "word": "diversity" }, { "word": "ecosystem management" }, { "word": "Biology, General" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9r80d47p", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "A.", "last_name": "Israel", "name_suffix": "", "institution": "U.S. Bureau of Reclamation, Mid-Pacific Region", "department": "" }, { "first_name": "Kathleen", "middle_name": "M.", "last_name": "Fisch", "name_suffix": "", "institution": "University of California, Davis", "department": "" }, { "first_name": "Thomas", "middle_name": "F.", "last_name": "Turner", "name_suffix": "", "institution": "University of New Mexico", "department": "" }, { "first_name": "Robin", "middle_name": "S.", "last_name": "Waples", "name_suffix": "", "institution": "NOAA Fisheries, Northwest Fisheries Science Center", "department": "" } ], "date_submitted": "2009-09-14T03:00:00-04:00", "date_accepted": "2009-09-14T03:00:00-04:00", "date_published": "2011-04-20T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62467/galley/48295/download/" } ] }, { "pk": 62469, "title": "Modeling Delta Smelt Losses at the South Delta Export Facilities", "subtitle": null, "abstract": "I previously estimated proportional losses of delta smelt to the water export facilities in the south Delta (Kimmerer 2008). This note is in response to Miller (2010), who disputes these estimated losses on several grounds. A re-analysis using a better analytical approach suggests a slight downward revision of the previous estimates for adult smelt. The distribution of smelt seems to have shifted northward in the last few years; if so, the delta smelt may now be less vulnerable to export losses than they previously were, although the reasons for such a shift are a concern. I argue, however, that it is legitimate to attempt such estimates in the absence of perfect information, and that mechanistic analyses are a valid way of estimating population-level impacts even in the absence of statistically significant correlations of estimated impact with subsequent population size.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "delta smelt" }, { "word": "Hypomesus transpacificus" }, { "word": "management" }, { "word": "water diversions" }, { "word": "population ecology" }, { "word": "Natural Resources and Conservation" }, { "word": "Natural Resources Management and Policy" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0rd2n5vb", "frozenauthors": [ { "first_name": "Wim", "middle_name": "J.", "last_name": "Kimmerer", "name_suffix": "", "institution": "San Francisco State University", "department": "" } ], "date_submitted": "2010-04-29T03:00:00-04:00", "date_accepted": "2010-04-29T03:00:00-04:00", "date_published": "2011-04-20T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62469/galley/48297/download/" } ] }, { "pk": 62468, "title": "Revisiting Assumptions that Underlie Estimates of Proportional Entrainment of Delta Smelt by State and Federal Water Diversions from the Sacramento-San Joaquin Delta", "subtitle": null, "abstract": "The delta smelt is a small, endemic fish that resides in the upper San Francisco Estuary. They are listed under state and federal Endangered Species Acts. Since 2002, their abundance has been at record low levels. Delta smelt are entrained at state (Banks) and federal (Jones) pumping plants that export water to much of California. Export cutbacks to limit entrainment have been controversial, making delta smelt arguably the most important fish in California. Kimmerer (2008) published the first estimates of proportional entrainment (mortality relative to population size) of delta smelt at the water export pumping plants, improving on previous estimates of absolute numbers entrained. This paper comments on Kimmerer’s estimates, which ranged from 0% to 40% annually with considerable uncertainty reflecting the challenge in estimating the distribution and numbers of this scarce fish. Kimmerer’s high estimates in some recent years and his conclusion that entrainment effects could be episodically important are counter to a lack of statistically significant correlation between entrainment and subsequent abundance. Analysis herein justifies estimates of lower proportional entrainment than suggested by Kimmerer. Based on alternative assumptions, his highest annual estimates of adult proportional entrainment would have been no more than 13% and could even be in the range of 5% to 10%. Most adjustments resulting from alternative assumptions underlying high estimates of larval-juvenile proportional entrainment cannot be quantified. However, it is argued here that eight of ten key assumptions underlying those estimates resulted in upward bias. Lower estimates of proportional entrainment would be consistent with the lack of statistically significant relationships between entrainment and subsequent abundance in previous studies and suggest that assessment of the importance of entrainment awaits additional analyses that narrow uncertainty. Findings of detection problems with adult and larval-juvenile surveys suggest adding more stations and other adjustments to resolve these problems.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "delta smelt" }, { "word": "Hypomesus transpacificus" }, { "word": "diversions" }, { "word": "entrainment estimates" }, { "word": "population ecology" }, { "word": "Population Biology" } ], "section": "Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5941x1h8", "frozenauthors": [ { "first_name": "William", "middle_name": "J.", "last_name": "Miller", "name_suffix": "", "institution": "Consulting Engineer", "department": "" } ], "date_submitted": "2009-06-22T03:00:00-04:00", "date_accepted": "2009-06-22T03:00:00-04:00", "date_published": "2011-04-20T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62468/galley/48296/download/" } ] }, { "pk": 62464, "title": "The Year Ahead at SFEWS", "subtitle": null, "abstract": "Abstracts are not presented with Editorials. -SFEWS Editors", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "editorial" }, { "word": "article category" }, { "word": "discoverability" }, { "word": "aims and scope" }, { "word": "Other Communication" } ], "section": "Editorial", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9zt572mn", "frozenauthors": [ { "first_name": "Samuel", "middle_name": "N", "last_name": "Luoma", "name_suffix": "", "institution": "University of California - Davis", "department": "" }, { "first_name": "Lauren", "middle_name": "D", "last_name": "Muscatine", "name_suffix": "", "institution": "University of California, Davis", "department": "" } ], "date_submitted": "2011-04-20T03:00:00-04:00", "date_accepted": "2011-04-20T03:00:00-04:00", "date_published": "2011-04-20T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jmie_sfews/article/62464/galley/48292/download/" } ] }, { "pk": 4015, "title": "Foreign Deities in Egypt", "subtitle": null, "abstract": "The presence of foreign deities in the Egyptian pantheon must be studied in the light of the openness of Egyptian polytheism and as a reflection on cultural identity. Even if Egyptian self-identity was defined as intrinsically opposed to the Other, i.e. the foreigner, Egypt always maintained contact with its neighbors, particularly Nubia and the Near East. These intercultural contacts had an effect on the religion. Since the earliest times, deities like Dedoun, Ha, or Sopdu formed an integral part of the Egyptian pantheon, so much so that their likely foreign origin is not immediately perceptible. Particularly important is the introduction of a series of Near Eastern deities into the established pantheon at the beginning of the New Kingdom, under the reign of Amenhotep II. Receiving cult from both the state and private individuals, these deities were worshiped under their foreign name while depicted in Egyptian fashion. Their principal function was providing protection. It is the very nature of Egyptian polytheism that allowed for foreign divinities to acquire the same status as the indigenous gods.", "language": "en", "license": null, "keywords": [ { "word": "Hauron" }, { "word": "Anat" }, { "word": "Astarte" }, { "word": "Ba'al" }, { "word": "Baal" }, { "word": "Seth" }, { "word": "Serapis" }, { "word": "Harmachis" }, { "word": "acculturation" }, { "word": "Qadesh" }, { "word": "History" }, { "word": "Area Studies, Other" }, { "word": "Religion/Religious Studies" } ], "section": "Religion", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7tr1814c", "frozenauthors": [ { "first_name": "Christiane", "middle_name": "", "last_name": "Zivie-Coche", "name_suffix": "", "institution": "Ecole Pratique des Hautes Etudes, Paris", "department": "None" } ], "date_submitted": "2007-07-02T03:00:00-04:00", "date_accepted": "2007-07-02T03:00:00-04:00", "date_published": "2011-04-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/4015/galley/2592/download/" } ] }, { "pk": 2496, "title": "L2 Arabic Dialect Comprehension: Empirical Evidence for the Transfer of Familiar Dialect Knowledge to Unfamiliar Dialects", "subtitle": null, "abstract": "Arabic is a diglossic language, and learners must become competent in both Modern Standard Arabic (MSA) and a spoken dialect. However, Arabic dialects are typically not taught in U.S. classrooms. One reason is the question of which dialect to teach? This study looks at two cases of transfer between familiar dialect listening ability and unfamiliar dialect listening ability. The first is between Egyptian and Levantine dialects, where one is familiar and one is not (EL transfer). The second is from Egyptian and/or Levantine dialects to Iraqi, Saudi, and Tunisian dialects when the speakers of these latter dialects are accommodating towards MSA (Accommodation transfer). In both cases, correlations and partial correlations revealed significant and positive relationships between the comprehension of unfamiliar dialects and both familiar dialect listening ability and MSA listening ability. Multiple regression analysis revealed that familiar dialect listening ability was a significant predictor of unfamiliar dialect listening ability for EL transfer, and MSA listening ability was not. For accommodation transfer, both familiar dialect listening ability and MSA listening ability were significant predictors of the comprehension of unfamiliar dialects, although MSA listening ability was slightly better. The implications of these results for the Arabic classroom are discussed.", "language": "en", "license": null, "keywords": [ { "word": "Arabic" }, { "word": "Dialects" }, { "word": "Listening" }, { "word": "Applied Linguistics" }, { "word": "First and Second Language Acquisition" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6qx1381h", "frozenauthors": [ { "first_name": "Emma", "middle_name": "", "last_name": "Trentman", "name_suffix": "", "institution": "Michigan State University", "department": "None" } ], "date_submitted": "2010-10-27T03:00:00-04:00", "date_accepted": "2010-10-27T03:00:00-04:00", "date_published": "2011-04-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2496/galley/1529/download/" } ] }, { "pk": 2495, "title": "Rethinking the role of language study in internationalizing higher education", "subtitle": null, "abstract": "This article critically examines current discourses of internationalizing higher education both inside and outside the humanities and considers whether some contemporary practices and positions taken on by departments of languages, literatures and cultures might actually undermine public perspectives on language study by encouraging conceptually reductive views of language. Three common myths about language study that commonly surface in discussions of internationalization are then identified and analyzed, with the intention of exposing the discursive traps that scholars of languages and literatures often set for themselves and finding new ways of explaining our potential role in institutional efforts to internationalize curricula.", "language": "en", "license": null, "keywords": [ { "word": "language study" }, { "word": "internationalization" }, { "word": "Arts and Humanities" }, { "word": "Linguistics" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7188g4z0", "frozenauthors": [ { "first_name": "Chantelle", "middle_name": "", "last_name": "Warner", "name_suffix": "", "institution": "University of Arizona", "department": "None" } ], "date_submitted": "2010-09-03T03:00:00-04:00", "date_accepted": "2010-09-03T03:00:00-04:00", "date_published": "2011-04-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2495/galley/1528/download/" } ] }, { "pk": 2497, "title": "Team Teaching Beginning Spanish at a University: A Democratic Model", "subtitle": null, "abstract": "This study centers on a pilot project conducted at a research university to develop a democratic team teaching model for beginning language classes. The goals of the project were to design a solid model for delivery of the daily class material by two different instructors and to measure satisfaction with the model on the part of students and instructors. Written and oral evaluations by students showed a high level of satisfaction because of the exposure to two different accents, teaching styles and types of cultural presentations. Students also said they liked having the benefit of the different strengths of the two teachers. The instructors expressed high satisfaction because of the experience of collaboration, the greater amount of time that could be dedicated to each class preparation and the reduced amount of time spent in commuting to work.", "language": "en", "license": null, "keywords": [ { "word": "Spanish" }, { "word": "Team Teaching" }, { "word": "Curriculum and Instruction" }, { "word": "Higher Education and Teaching" }, { "word": "Teacher Education and Professional Development, Specific Levels and Methods" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/92v076gq", "frozenauthors": [ { "first_name": "Denise", "middle_name": "E.", "last_name": "Minor", "name_suffix": "", "institution": "California State University - Chico", "department": "None" } ], "date_submitted": "2011-01-04T03:00:00-05:00", "date_accepted": "2011-01-04T03:00:00-05:00", "date_published": "2011-04-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2497/galley/1530/download/" } ] }, { "pk": 2499, "title": "The Acquisition of Verbal Agreement in Instructed Italian L2A", "subtitle": null, "abstract": "Researchers propose that L2 learners acquire the abstract features of agreement at relatively low levels of L2 proficiency (Bruhn de Garavito, 2003a, 2003b). However, some argue that there is also evidence for the use of default forms in learners’ errors (McCarthy, 2007, 2008), and that these may be predicted based on the morphological underspecification hypothesis (MUSH). Studies in Italian child L1A (e.g., Pizzuto & Caselli, 1992) and Italian adult L2A (e.g., Banfi & Bernini, 2003) have found evidence for the use of such variability and for defaults, in particular 3rd person singular forms. Similar results have been found in studies on the acquisition of L2 verbal inflection in other languages, including Spanish (McCarthy, 2007). Other views (e.g., the MSIH) propose instead that inflection is generally correct and that defaults surface as nonfinite/ bare forms not inflected ones (e.g., Prévost & White, 2000).\n\n\nThis present study examined the acquisition of verbal agreement in both comprehension and production by 85 university-level L2 learners of Italian. By analyzing accuracy rates, evidence was found for the acquisition of agreement morphology even at low levels of proficiency, particularly in comprehension. Although error rates were generally low, patterns emerged whereby certain persons of the verb (especially the 3rd person singular) were used as defaults to replace other forms. It is argued that results provide support for no impairment in adult L2A in general, and for the MUSH in particular.", "language": "en", "license": null, "keywords": [ { "word": "Italian" }, { "word": "verb" }, { "word": "agreement" }, { "word": "instructed" }, { "word": "SLA" }, { "word": "acquisition" }, { "word": "First and Second Language Acquisition" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6xk96348", "frozenauthors": [ { "first_name": "Daryl", "middle_name": "M", "last_name": "Rodgers", "name_suffix": "", "institution": "Susquehanna University", "department": "None" } ], "date_submitted": "2011-04-26T03:00:00-04:00", "date_accepted": "2011-04-26T03:00:00-04:00", "date_published": "2011-04-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2499/galley/1532/download/" } ] }, { "pk": 2500, "title": "The Cultural Identities of Foreign Language Teachers", "subtitle": null, "abstract": "Foreign language teachers are often migrants. They have traveled and lived in other countries either to learn or to teach a language. In 2005, Domna Stanton characterized language teaching as a cosmopolitan act-- “a complex encounter made in a sympathetic effort to see the world as [others] see it and, as a consequence, to denaturalize our own views” (629). Do foreign language teachers ‘denaturalize’ their views of their native culture through their encounters with the other culture? Could it be that “engagement with the Other necessarily mean[s] an abnegation of the inherited culture” (Mani, 2007, p.29)?\n\n\nThis study investigated not only in how far foreign language teachers affiliate with more than one culture but also how this cultural identity affects their classroom practice. To what extent do foreign language instructors claim multiple cultural identities? What advantages and disadvantages do foreign language instructors experience in the classroom in respect to their cultural identities? To what extent do foreign language instructors feel their cultural identity is relevant in the classroom? Results showed that foreign language instructors engage with their cultural affiliations intellectually, by embracing but not embodying “the other” culture.", "language": "en", "license": null, "keywords": [ { "word": "Second Language Acquisition" }, { "word": "cultural identities" }, { "word": "cosmopolitanism" }, { "word": "German" }, { "word": "Spanish" }, { "word": "German Language and Literature" }, { "word": "Area Studies, Other" }, { "word": "Other Teacher Education and Professional Development" }, { "word": "Spanish Language and Literature" }, { "word": "Portuguese Language and Literature" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9dw9z83c", "frozenauthors": [ { "first_name": "Friederike", "middle_name": "", "last_name": "Fichtner", "name_suffix": "", "institution": "University of Wisconsin-Madison", "department": "None" }, { "first_name": "Katie", "middle_name": "", "last_name": "Chapman", "name_suffix": "", "institution": "University of Wisconsin-Madison", "department": "None" } ], "date_submitted": "2010-10-04T03:00:00-04:00", "date_accepted": "2010-10-04T03:00:00-04:00", "date_published": "2011-04-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2500/galley/1533/download/" } ] }, { "pk": 2498, "title": "Writing Instruction and Policies for Written Corrective Feedback in the Basic Language Sequence", "subtitle": null, "abstract": "This study presents results of a May 2009 online survey that asked foreign language program directors at U.S. universities about corrective feedback options their teachers use in response to student writing in beginning and intermediate courses. Survey categories included: 1) general information, 2) general written corrective feedback (WCF) policies, 3) specific WCF types applied at different instruction levels, and 4) open-ended commentaries. Results indicate a number of common tendencies: 1) teachers in most programs provide WCF on multiple drafts of student writing; 2) the number of programs with uniform writing policies has been recently increasing; and 3) written feedback on holistic aspects in addition to surface-level error correction is expanding. The study concludes with suggestions for further research and pedagogical applications.", "language": "en", "license": null, "keywords": [ { "word": "written corrective feedback" }, { "word": "foreign language teaching" }, { "word": "Foreign Language Writing" }, { "word": "language program direction" }, { "word": "writing policies" }, { "word": "Bilingual, Multilingual, and Multicultural Education" }, { "word": "Higher Education and Teaching" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6jg9z585", "frozenauthors": [ { "first_name": "Nina", "middle_name": "", "last_name": "Vyatkina", "name_suffix": "", "institution": "University of Kansas Main Campus", "department": "None" } ], "date_submitted": "2010-08-27T03:00:00-04:00", "date_accepted": "2010-08-27T03:00:00-04:00", "date_published": "2011-04-05T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/l2/article/2498/galley/1531/download/" } ] }, { "pk": 43917, "title": "Oral Therapy for Advanced 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/18j2328q", "frozenauthors": [ { "first_name": "Shahryar", "middle_name": "A.", "last_name": "Ashouri", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:53:56-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43917/galley/32720/download/" } ] }, { "pk": 43916, "title": "Gitelman’s Syndrome", "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/5js1h57p", "frozenauthors": [ { "first_name": "Diane", "middle_name": "", "last_name": "Suzuki", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:52:40-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43916/galley/32719/download/" } ] }, { "pk": 43914, "title": "Hypothyroidism Presenting With Isolated Myalgias", "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/9f91n6p8", "frozenauthors": [ { "first_name": "Diane", "middle_name": "", "last_name": "Suzuki", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:47:44-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43914/galley/32717/download/" } ] }, { "pk": 43910, "title": "Missed Diagnosis: A case of Spontaneous intracranial hypotension presenting as headache", "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/34t675qr", "frozenauthors": [ { "first_name": "Stella", "middle_name": "", "last_name": "Izuchukwu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:41:21-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43910/galley/32713/download/" } ] }, { "pk": 43909, "title": "Sarcoidosis: A Case Study", "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/863863n2", "frozenauthors": [ { "first_name": "Gloria", "middle_name": "", "last_name": "Kim", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:39:45-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43909/galley/32712/download/" } ] }, { "pk": 43908, "title": "Hydroxychloroquine-induced DRESS Syndrome", "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/0gs73089", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "R.", "last_name": "Kretzmann", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Meika", "middle_name": "A.", "last_name": "Fang", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:37:47-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43908/galley/32711/download/" } ] }, { "pk": 43907, "title": "Case Report: Hypertriglyceridemia as a Cause of Pancreatitis", "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/2mt1b66v", "frozenauthors": [ { "first_name": "Kwame", "middle_name": "", "last_name": "Donkor", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:36:14-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43907/galley/32710/download/" } ] }, { "pk": 43906, "title": "Transaminitis and Iron Overload – Fatty Liver vs. Hemochromatosis", "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/9cv3x2hm", "frozenauthors": [ { "first_name": "Jamie", "middle_name": "", "last_name": "Polito", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:34:32-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43906/galley/32709/download/" } ] }, { "pk": 43905, "title": "Acute Fatty Liver of Pregnancy", "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/2zx948rv", "frozenauthors": [ { "first_name": "Anh", "middle_name": "", "last_name": "Kieu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:32:06-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43905/galley/32708/download/" } ] }, { "pk": 43904, "title": "Irregularly Irregular Wide Complex Tachycardia (sometimes narrow)", "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/8366d0gf", "frozenauthors": [ { "first_name": "Sanjay", "middle_name": "", "last_name": "Bindra", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ravi", "middle_name": "", "last_name": "Dave", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Ramin", "middle_name": "", "last_name": "Tabibiazar", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Michael", "middle_name": "", "last_name": "Mazar", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:28:55-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43904/galley/32707/download/" } ] }, { "pk": 43903, "title": "Case Report: Pituitary Apoplexy", "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/6w03j8g6", "frozenauthors": [ { "first_name": "Kwame", "middle_name": "", "last_name": "Donkor", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Neil", "middle_name": "", "last_name": "Patel", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:27:23-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43903/galley/32706/download/" } ] }, { "pk": 43902, "title": "Amyloidosis Presenting as Recurrent Syncope: A Case Report 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/86v4c9gm", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Mazar", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Spencer", "middle_name": "", "last_name": "Adams", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Taylor", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:25:26-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43902/galley/32705/download/" } ] }, { "pk": 43901, "title": "Chemotherapy Associated Thrombotic Microangiopathy: A Case of Indolent Thrombotic Thrombocytopenia Purpura After Gemcitabine Treatment", "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/5dt9106q", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "K.", "last_name": "Itagaki", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Seong", "middle_name": "", "last_name": "Ra", "name_suffix": "MD", "institution": "", "department": "" }, { "first_name": "Hamid", "middle_name": "", "last_name": "Hajmomenian", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:23:36-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43901/galley/32704/download/" } ] }, { "pk": 43900, "title": "Hyperaldosteronism 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/80f2d2vv", "frozenauthors": [ { "first_name": "Hamid", "middle_name": "R.", "last_name": "Hajmomenian", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramin", "middle_name": "", "last_name": "Tabibiazar", "name_suffix": "MD", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:21:41-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43900/galley/32703/download/" } ] }, { "pk": 43898, "title": "Acute Renal Failure Associated with Administration of Ifosfamide", "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/75x0q86h", "frozenauthors": [ { "first_name": "Hamid", "middle_name": "R.", "last_name": "Hajmomenian", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2011-03-31T03:18:26-04:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/43898/galley/32701/download/" } ] }, { "pk": 38161, "title": "A Historical Conspiracy: Competition, Opportunity, and the Emergence of Direction in History", "subtitle": null, "abstract": "I describe historical patterns that I believe would emerge in any system characterized by living things competing for locally scarce resources. I then consider the search for patterns and their explanation in the context of an intellectual climate dominated by anti-adaptationist rhetoric and doubts about the validity of scientific approaches to history. Notwithstanding this hostile environment, I present a summary of the economic principles that in my view not only account for historical patterns but also serve to predict future trends and postdict past ones not yet known. A positive feedback between consumers and resources – a historical conspiracy of sorts – implies the existence of inherent directions in the history of living things, including humans.", "language": "en", "license": null, "keywords": [ { "word": "History" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6gh17580", "frozenauthors": [ { "first_name": "Geerat", "middle_name": "J", "last_name": "Vermeij", "name_suffix": "", "institution": "University of California, Davis", "department": "None" } ], "date_submitted": "2011-03-20T03:00:00-04:00", "date_accepted": "2011-03-20T03:00:00-04:00", "date_published": "2011-03-31T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38161/galley/28726/download/" } ] }, { "pk": 38152, "title": "An Inquiry into History, Big History, and Metahistory", "subtitle": null, "abstract": "This editorial introduces the special feature, 'History, Big History, and Metahistory'", "language": "en", "license": null, "keywords": [ { "word": "History" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7xk1n3wb", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Krakauer", "name_suffix": "", "institution": "Santa Fe Institute", "department": "None" }, { "first_name": "John", "middle_name": "L", "last_name": "Gaddis", "name_suffix": "", "institution": "Yale University", "department": "None" }, { "first_name": "Kenneth", "middle_name": "L", "last_name": "Pomeranz", "name_suffix": "", "institution": "Univ.Calif.Irvine", "department": "None" } ], "date_submitted": "2011-03-30T03:00:00-04:00", "date_accepted": "2011-03-30T03:00:00-04:00", "date_published": "2011-03-31T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38152/galley/28717/download/" } ] }, { "pk": 38168, "title": "A Paleontological Look at History", "subtitle": null, "abstract": "The fossil record of animal life is far more incomplete and patchy than even the most obscure historical records. Consequently, some of the approaches developed by paleobiologists over the past couple of decades to assess the reliability of the fossil record, investigate patterns and infer underlying processes may be useful in analyzing historical data as well. Here I discuss two examples where paleontologists have investigated historical questions, in one case the evolution of cornets, in the second estimating the survival rate of Medieval manuscripts. Depending on the scope of big history, there are a number of areas where history and paleontology overlap, particularly in the investigation of early human history. More rigorous analysis of the biases of the historical record may be of some use in determining which historical patterns are sufficiently reliable for further exploration.", "language": "en", "license": null, "keywords": [ { "word": "History" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31j4540h", "frozenauthors": [ { "first_name": "Douglas", "middle_name": "H", "last_name": "Erwin", "name_suffix": "", "institution": "Smithsonian Institution", "department": "None" } ], "date_submitted": "2011-03-18T03:00:00-04:00", "date_accepted": "2011-03-18T03:00:00-04:00", "date_published": "2011-03-31T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38168/galley/28733/download/" } ] }, { "pk": 38153, "title": "A Single Historical Continuum", "subtitle": null, "abstract": "In the middle of the twentieth century our understanding of the past underwent a quiet revolution whose full implications have yet to be integrated into modern historical scholarship. At the heart of the revolution were new chronometric techniques, new ways of dating past events. For the first time, these techniques allowed the construction of reliable chronologies extending back before the first written documents, before even the appearance of the first humans, back to the early days of our planet and even to the birth of the Universe as a whole. This expanded timeline provided the foundation for the “Single Historical Continuum” of my title. This paper describes the chronometric revolution and the creation of a single historical continuum. It then discusses some of the implications of these changes for our understanding of “history.” I am a historian by training so that, despite an enduring amateur interest in the sciences, my account of the chronometric revolution reflects the somewhat intuitive pattern-seeking methodologies of my discipline, rather than the often more rigorous, and more mathematical methods of the natural sciences. I will argue that the chronometric revolution requires a fundamental re-thinking of what we understand by “history.”", "language": "en", "license": null, "keywords": [ { "word": "History" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3062j4rm", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Christian", "name_suffix": "", "institution": "Macquarie University", "department": "None" } ], "date_submitted": "2011-03-18T03:00:00-04:00", "date_accepted": "2011-03-18T03:00:00-04:00", "date_published": "2011-03-31T03:00:00-04:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/cliodynamics/article/38153/galley/28718/download/" } ] } ] }