Article List

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    "count": 38386,
    "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=500",
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    "results": [
        {
            "pk": 50827,
            "title": "Early Recognition and Referral of Acute Stroke in Primary and Emergency Care: A Systematic Review",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Early recognition and referral are critical to minimizing morbidity and mortality in acute stroke, but evaluation and referral processes differ worldwide. In this systematic review we examined the accuracy of recognition tools, referral patterns, outcomes, and factors affecting efficiency in primary and emergency care settings.</p>\n<p><strong>Methods:</strong> Following PRISMA 2020 guidelines, we searched PubMed, Scopus, Web of Science, and Cochrane Library for studies published January 2003–December 2025. Eligible studies included randomized controlled trials, cohort, case-control, cross-sectional, and large case series (&gt; 30 patients) involving adults with acute ischemic or hemorrhagic stroke. Risk of bias was assessed using Cochrane Risk-of-Bias 2 (RoB) and RoB in non-standardized studies-I. We extracted data on diagnostic accuracy, referral pathways, outcomes, and systemic factors.</p>\n<p><strong>Results:</strong> We identified 206 papers, of which 33 studies met our inclusion criteria. Recognition tools such as Face, Arms, Speech, Time (FAST); Recognition of Stroke in the Emergency Room, the Cincinnati Prehospital Stroke Scale, and National Institutes of Health Stroke Scale showed good pooled sensitivity (79-95%) but variable specificity (52-84%). Newer technologies, including the  PreHospital Ambulance Stroke Test, FAST-ED, and artificial intelligence (AI)-based models, showed promise but need validation. Referral strategies such as emergency medical services prenotification, dispatcher triage, and mobile stroke units reduced prehospital delays. Seven studies reported onset-to-door times 12-22 minutes faster and 7-12% increase in reperfusion eligibility. Increased referral efficiency was associated with a reduction in mortality of approximately 8-12% and improvements in functional independence of 10-15%, with persistent disparities reported in resource-limited settings. </p>\n<p><strong>Conclusion: </strong>Early recognition and referral improve outcomes in patients with acute stroke. Structured tools and system-level interventions reduce mortality, while AI and mobile stroke units show promise. Strengthening referral systems and adopting cost-effective triage strategies may support equitable implementation, particularly in low-resource settings, as addressing systemic and geographic barriers is critical for equitable stroke care.</p>",
            "language": "eng",
            "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": "Acute Stroke"
                },
                {
                    "word": "Prehospital stroke recognition"
                },
                {
                    "word": "diagnostic accuracy"
                },
                {
                    "word": "EMS prenotification"
                },
                {
                    "word": "Referral patterns"
                }
            ],
            "section": "Systematic Review (Limit 4000 words)",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/3pt1v7mj",
            "frozenauthors": [
                {
                    "first_name": "Thamer Majed",
                    "middle_name": "",
                    "last_name": "Almunif",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Abdulaziz Fahd",
                    "middle_name": "",
                    "last_name": "Alkaabba",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Khaled Waleed",
                    "middle_name": "",
                    "last_name": "Alomran",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Abdullah Mfwadh",
                    "middle_name": "",
                    "last_name": "Alanazi",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Faris Nashmi",
                    "middle_name": "",
                    "last_name": "Alharbi",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Safar Saad",
                    "middle_name": "",
                    "last_name": "Alshahrani",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Naif Mansour",
                    "middle_name": "",
                    "last_name": "Alsaeed",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Rayan Ahmed",
                    "middle_name": "",
                    "last_name": "Alabdulkader",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Sultan Adel",
                    "middle_name": "",
                    "last_name": "Alibraheem",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Khaled saeed",
                    "middle_name": "",
                    "last_name": "Alzahrani",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                },
                {
                    "first_name": "Mohammed Hamad",
                    "middle_name": "",
                    "last_name": "Albagieh",
                    "name_suffix": "",
                    "institution": "College of Medicine, Imam Muhammad Ibn Saud Islamic University, Department of Family Medicine, Riyadh, Saudi Arabia",
                    "department": ""
                }
            ],
            "date_submitted": "2025-09-03T08:49:03.661000+02:00",
            "date_accepted": "2025-12-20T22:07:01.226000+01:00",
            "date_published": "2026-01-24T10:40:00+01:00",
            "render_galley": null,
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                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/50827/galley/48035/download/"
                }
            ]
        },
        {
            "pk": 48852,
            "title": "Interdepartmental Commensality: A Strategy for Increased Interdepartmental Collaboration",
            "subtitle": null,
            "abstract": "<p><strong>Introduction: </strong>The concept of commensality, the act of eating together, is as old as humanity and has been extensively explored in the social sciences and humanities. We sought to assess whether an interdepartmental commensality program would improve cross-departmental familiarity, willingness to engage in scholarly discussions, and enhance collaborative efforts.</p>\n<p><strong>Methods:</strong> A program was established to arrange dinners for emergency department (ED) faculty with six other departments, after which participants were surveyed about their thoughts on the dinner’s impact. Our primary outcome measure was change in perceived familiarity with interdepartmental colleagues. Secondary outcomes included willingness to engage in academic discussion and perceived likelihood of future collaboration. A program was established to arrange dinners between the ED and six other departments (obstetrics and gynecology, neurology, psychiatry, internal medicine, otolaryngology, and ophthalmology), followed by a post-event survey.</p>\n<p><strong>Results: </strong>A total of 55 of 81 participants responded to the survey (response rate 67.9%). We found significant increases in familiarity with colleagues (2 pre- to 4/5 post-intervention, P &lt; .001), willingness to discuss academic issues (4 to 5/5, P &lt; .001), and anticipated collaborations (2 to 5/5, P &lt; .001).</p>\n<p><strong>Conclusion: </strong>An interdepartmental commensality program initiated by an institution’s department of emergency medicine can potentially improve interdepartmental collaboration, familiarity, and discussions.</p>",
            "language": "eng",
            "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": "commensality"
                },
                {
                    "word": "departmental collaboration"
                }
            ],
            "section": "Emergency Department Administration",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/3rc4h1s4",
            "frozenauthors": [
                {
                    "first_name": "Jeffrey",
                    "middle_name": "",
                    "last_name": "Druck",
                    "name_suffix": "",
                    "institution": "University of Utah Spencer Fox Eccles School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Graham",
                    "middle_name": "",
                    "last_name": "Brant-Zawadzki",
                    "name_suffix": "",
                    "institution": "University of Utah Spencer Fox Eccles School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Mike",
                    "middle_name": "",
                    "last_name": "Morgan",
                    "name_suffix": "",
                    "institution": "University of Utah Spencer Fox Eccles School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Jamal",
                    "middle_name": "",
                    "last_name": "Jones",
                    "name_suffix": "",
                    "institution": "University of Utah Spencer Fox Eccles School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Shilpa",
                    "middle_name": "",
                    "last_name": "Raju",
                    "name_suffix": "",
                    "institution": "University of Utah Spencer Fox Eccles School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Holden",
                    "middle_name": "",
                    "last_name": "Wagstaff",
                    "name_suffix": "",
                    "institution": "University of Utah Spencer Fox Eccles School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Emad",
                    "middle_name": "",
                    "last_name": "Awad",
                    "name_suffix": "",
                    "institution": "University of Utah Spencer Fox Eccles School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-01T01:07:20.709000+02:00",
            "date_accepted": "2025-11-05T07:01:22.231000+01:00",
            "date_published": "2026-01-24T10:13:00+01:00",
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                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48852/galley/49071/download/"
                }
            ]
        },
        {
            "pk": 62191,
            "title": "Book Review: Transformative Currents: Art and Action in the Pacific Ocean, edited by Cassandra Coblentz",
            "subtitle": null,
            "abstract": "<p><!-- [if gte mso 9]&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;xml&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;\n 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<!--StartFragment--><em><span style='font-size: 12.0pt; line-height: 115%; font-family: \"Calibri\",sans-serif;'>Book review: </span><span style='font-size: 12.0pt; line-height: 115%; font-family: \"Calibri\",sans-serif;'>Cassandra Coblentz, editor, </span></em><span style='font-size: 12.0pt; line-height: 115%; font-family: \"Calibri\",sans-serif;'>Transformative Currents: Art and Action in the Pacific Ocean<em>. X Artists’ Books and Oceanside Museum of Art, 2025. ISBN: 9798990698581. 176 pages</em>, </span><em><span style=\"font-size: 12pt; line-height: 115%; font-family: Calibri, sans-serif; color: rgb(43, 53, 69); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;\">illustrations (chiefly color), maps.</span><span style='font-size: 12.0pt; line-height: 115%; font-family: \"Calibri\",sans-serif;'> Hardcover, US$45.</span></em><!--EndFragment--></p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution-NonCommercial-NoDerivatives  4.0",
                "short_name": "CC BY-NC-ND 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by-nc-nd/4.0"
            },
            "keywords": [
                {
                    "word": "Pacific Ocean"
                },
                {
                    "word": "Contemporary Art"
                },
                {
                    "word": "pollution"
                },
                {
                    "word": "extraction"
                },
                {
                    "word": "coastal environment"
                },
                {
                    "word": "blue humanities"
                },
                {
                    "word": "Indigenous artist"
                },
                {
                    "word": "exhibition"
                },
                {
                    "word": "Pollution"
                },
                {
                    "word": "Extraction"
                },
                {
                    "word": "Blue Humanities"
                }
            ],
            "section": "Reviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/54z9q4d2",
            "frozenauthors": [
                {
                    "first_name": "Maggie",
                    "middle_name": "",
                    "last_name": "Wander",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-23T22:16:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/pacificarts/article/62191/galley/48740/download/"
                }
            ]
        },
        {
            "pk": 62177,
            "title": "[SOK] Large Language Models in Security Code Review and Testing",
            "subtitle": null,
            "abstract": "<p>In this paper, we systematically present and discuss practical applications of Large Language Models (LLMs) in software security, concretely in code vulnerability detection, fuzz testing, and exploit generation. Measurements of various research outcomes are analyzed to answer questions about the performance of LLMs in those fields, including a comparison with tools that follow traditional approaches. In addition, the drawbacks and a future outlook, along with a delineation of technical challenges, are provided. Challenges include the cost- and time-intensive training of LLMs, the limited context-length understanding of program code, the high false positive rate due to hallucinations, and keeping the data up-to-date so that definitions of newly detected vulnerabilities are covered.</p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution-NonCommercial  4.0",
                "short_name": "CC BY-NC 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by-nc/4.0"
            },
            "keywords": [],
            "section": "Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/40z4v3f9",
            "frozenauthors": [
                {
                    "first_name": "Edin",
                    "middle_name": "",
                    "last_name": "Beljulji",
                    "name_suffix": "",
                    "institution": "Zurich University of Applied Sciences",
                    "department": ""
                },
                {
                    "first_name": "Gürkan",
                    "middle_name": "",
                    "last_name": "Gür",
                    "name_suffix": "",
                    "institution": "Zurich University of Applied Sciences",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-12-16T12:00:00+01:00",
            "date_published": "2026-01-23T12:00:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/jsys/article/62177/galley/48024/download/"
                }
            ]
        },
        {
            "pk": 48864,
            "title": "Pleural and Pericardial Effusions Associated with Semaglutide: A Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Semaglutide, a glucagon-like peptide-1 receptor agonist, has gained increasing popularity for managing both type 2 diabetes mellitus and obesity. However, as its use increases, new adverse events are emerging. This case report presents a 70-year-old patient who developed pleural and pericardial effusions likely related to semaglutide use.</p>\n<p><strong>Case Report</strong>: Four weeks after being prescribed semaglutide, a 70-year-old woman presented to the emergency department (ED) with shortness of breath. Diagnostic testing in the ED and hospital revealed that she had both pericardial and exudative pleural effusions, along with a positive anti-nuclear antibody and elevated inflammatory markers. Her signs and symptoms improved with steroid administration, and no other etiology was identified.</p>\n<p><strong>Conclusion</strong>: The patient was diagnosed with drug-induced lupus, likely triggered by semaglutide. This case underscores the importance of recognizing and investigating uncommon drug-related complications. With the growing use of semaglutide, clinicians must remain vigilant for rare adverse effects such as pleural effusions to ensure prompt diagnosis and treatment.</p>",
            "language": "eng",
            "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": "Pleural Effusions"
                },
                {
                    "word": "Drug Induced Lupus"
                },
                {
                    "word": "Semaglutide"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2nq2949g",
            "frozenauthors": [
                {
                    "first_name": "Maggie",
                    "middle_name": "",
                    "last_name": "Stark",
                    "name_suffix": "",
                    "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island",
                    "department": ""
                },
                {
                    "first_name": "Nicholas",
                    "middle_name": "",
                    "last_name": "Valentini",
                    "name_suffix": "",
                    "institution": "Brown University, Department of Emergency Medicine, Providence, Rhode Island",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-02T17:23:36.585000+02:00",
            "date_accepted": "2025-10-02T22:52:16.725000+02:00",
            "date_published": "2026-01-22T09:03:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/48864/galley/48096/download/"
                }
            ]
        },
        {
            "pk": 62156,
            "title": "The Added Value of a Comparative Phylogenetic Reconstruction in Indo-European and Beyond",
            "subtitle": null,
            "abstract": "<p>The most fundamental use of phylogenetic methods is to infer a cladistic tree structure. Besides the use of different methods for the phylogenetic inference (parsimony, likelihood), contemporary phylogenetic research also discusses on which linguistic features an inference should be based. What happens if we substitute (or complement) the basic vocabulary data with other data types, such as sound changes or morphosyntactic features? By a comparative phylogenetic reconstruction model, i.e., a reconstruction of the transition rates and probability of presence at the root and hidden nodes of features in a phylogenetic tree, we may reconstruct the probability of the presence of different features back to a proto-language, and using a world tree even further back, to Early language. However, how reliable is this reconstruction? How does this reconstruction relate to other types of reconstruction, using, e.g., the comparative method or diachronic typology? Alternatively, is there any other information that can be extracted from a comparative phylogenetic reconstruction?</p>\n<p>This paper introduces and outlines comparative phylogenetic reconstruction: the advantages, the constraints, and the ways in which these models support or contradict earlier attempts towards reconstruction. Further, this paper indicates how comparative phylogenetic reconstruction can be used to scale up questions about the origin of morphosyntactic categories, general evolutionary trends, as well as aspects of lineage and areality in the diffusion of morphosyntax.</p>",
            "language": "eng",
            "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": "phylogenetic"
                },
                {
                    "word": "cladistic"
                },
                {
                    "word": "reconstruction"
                },
                {
                    "word": "Comparative"
                },
                {
                    "word": "model"
                },
                {
                    "word": "Morphosyntax"
                },
                {
                    "word": "diffusion"
                },
                {
                    "word": "evolution"
                }
            ],
            "section": "Paper",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7n86n7vd",
            "frozenauthors": [
                {
                    "first_name": "Gerd",
                    "middle_name": "",
                    "last_name": "Carling",
                    "name_suffix": "",
                    "institution": "Goethe-Universität Frankfurt am Main",
                    "department": "",
                    "country": "Germany"
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-11-19T04:19:00+01:00",
            "date_published": "2026-01-22T07:45:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/weciec/article/62156/galley/48010/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/weciec/article/62156/galley/48010/download/"
                }
            ]
        },
        {
            "pk": 62155,
            "title": "An Artificial <em>i</em>-Stem in Non-Primary Derivation: The Morphology of Mycenaean <em>te-mi-dwe</em> and Homeric τερμιόεις",
            "subtitle": null,
            "abstract": "<p>This paper clarifies the morphological development of Homeric τερμιόεις ‘fringed, hemmed, edged’ and re-examines its relationship with<br>Mycenaean <em>te-mi-dwe</em> ‘wedged’. Earlier accounts, notably Meier (1975:75), interpret τερμιόεις as preserving an archaic <em>i</em>-stem base, with the once-attested Linear B form <em>ṭẹ-mi-we-te</em> (neuter nominative dual) taken as direct evidence for such a formation in Mycenaean. Through a reassessment of the Linear B dossier, I argue that this form is more plausibly explained as a scribal error for <em>te-mi-de-we-te</em>, consistent with the <em>id</em>-stem base attested elsewhere in the corpus. I further show that only the <em>id</em>-stem variant yields metrically acceptable forms in hexametric poetry, whereas a Proto-Greek <em>i</em>-stem-based *<em>termi-went</em>- would not scan without the addition of linking -<em>o</em>-, a feature absent in Mycenaean and demonstrably secondary in Homeric *-<em>went</em>-adjectives. I therefore argue for a reversal of the trajectory described by Meier. Rather than preserving an older form, Homeric τερμιόεις is best viewed as an innovative reshaping influenced by poetic constraints and contamination with other -ιόεις adjectives. This proposal aligns with recent findings in the study of artificial <em>i</em>-stems in the Homeric <em>Kunstsprache</em>, chiefly van Beek 2022a and Lundquist 2023.</p>",
            "language": "eng",
            "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": "Homeric"
                },
                {
                    "word": "Mycenaean"
                },
                {
                    "word": "archaic"
                },
                {
                    "word": "i-stem"
                },
                {
                    "word": "scribal error"
                },
                {
                    "word": "Kunstsprache"
                }
            ],
            "section": "Paper",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/06b364dc",
            "frozenauthors": [
                {
                    "first_name": "Paolo",
                    "middle_name": "",
                    "last_name": "Sabattini",
                    "name_suffix": "",
                    "institution": "University of California, Los Angeles",
                    "department": "",
                    "country": "United States"
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-12-13T00:27:00+01:00",
            "date_published": "2026-01-22T07:17:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/weciec/article/62155/galley/48009/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/weciec/article/62155/galley/48009/download/"
                }
            ]
        },
        {
            "pk": 62154,
            "title": "Gk. μοιχός ‘adulterer’: Re-mixing a Piss-poor Etymology",
            "subtitle": null,
            "abstract": "<p>This paper challenges the traditional etymology of Greek μοιχός as a τομός-type noun derived from PIE *<em>h₃mei̯g̑ʰ</em>- ‘to piss’ and proposes to trace back the word to PIE *<em>mei̯k̑</em>- ‘to mix’. I re-evaluate the Latin and Sanskrit evidence cited in favor of a derivation for μοιχός from *<em>h₃mei̯g̑ʰ</em>- and find it inconclusive for the salient details of the semantic development proposed in the earlier literature. Moreover, the lateness of both the Sanskrit and Latin evidence points towards parallel innovations of the meaning ‘to ejaculate’ from ‘to piss’. Instead, the insight that reflexes of *<em>mei̯k̑</em>- frequently denote extramarital intercourse across Indo-European languages and especially Greek, notably in Homeric uses of μίσγω and ἐμίγην in adulterous contexts, provides semantic support for deriving μοιχός from PIE *<em>mei̯k̑</em>-. I formalize the derivation through a <em>rátha</em>-type derivational chain (*<em>mei̯k̑</em>- → *<em>moi̯k̑-éh₂</em> → *<em>moi̯k̑-h₂-ó-s</em> &gt; μοιχός) and adduce evidence from the Balto-Slavic branch for the intermediate τομή-type abstract. This analysis circumvents the difficulties posed by a lack of incontrovertible Greek evidence for the reconstruction of word-initial Saussure-Hirt effect (*#<em>HRo</em> &gt; *#<em>Ro</em>) in PIE, especially when the resonant has the feature [–nasal]. A full re-evaluation of the evidence is, however, left for future research.</p>",
            "language": "eng",
            "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": "etymology"
                },
                {
                    "word": "Greek"
                },
                {
                    "word": "Sanskrit"
                },
                {
                    "word": "Latin"
                },
                {
                    "word": "Derivation"
                },
                {
                    "word": "Balto-Slavic"
                },
                {
                    "word": "Abstract"
                }
            ],
            "section": "Paper",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/74w4n1t0",
            "frozenauthors": [
                {
                    "first_name": "Muhammad",
                    "middle_name": "",
                    "last_name": "Rehan",
                    "name_suffix": "",
                    "institution": "University of California, Los Angeles",
                    "department": "",
                    "country": "United States"
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-11-19T05:58:00+01:00",
            "date_published": "2026-01-22T07:07:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/weciec/article/62154/galley/48008/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/weciec/article/62154/galley/48008/download/"
                }
            ]
        },
        {
            "pk": 62153,
            "title": "From <em>s</em>-Stems to -εσι-Compounds: Morphosemantic Constraints on Analogical Change in Ancient Greek",
            "subtitle": null,
            "abstract": "<p>In Ancient Greek, verbal first compound members in -εσι- derive regularly from verbs with aorists in -εσ- (e.g., ἐτέλεσα ⇒ τελεσι-). From this context, the sequence -εσι- is reanalyzed as a linking element and extended to verbs without an aorist in -εσ- (e.g., πηγεσι- vs. aor. ἔπηξα). Previous analyses of this analogical extension have proved empirically inadequate. I reconstruct a process, active in Homeric Greek and parallel to the deverbative formation of verbal second members in -ής (Meissner 2006:186–96), which produces verbal first members in -εσι- by analogy with the compositional forms of <em>s</em>-stems (-τειχής : τειχεσι- :: -τελής : τελεσι-). The process starts with denominative verbs from neuter <em>s</em>-stems, which also produce second members in -ής. As these are reanalyzed as deverbative, a verbal first member in -εσι- is also created and specialized for transitive meanings. The new derivational rule spreads according to strictly defined patterns of proportional analogy to verbs without a connection to <em>s</em>-stems, but with verbal second members in -ής. Once the new subclass of τερψίμβροτος compounds in -εσι- is created, it patterns with the class of φερέοικος compounds in -ε- and provides the -ε- verbal first members with an -εσι- counterpart. While the analogical process ceases to be productive already in Homer, compounds in -εσι- remain in the lexicon of poetry and onomastics as archaisms.</p>",
            "language": "eng",
            "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": "Greek"
                },
                {
                    "word": "Derivation"
                },
                {
                    "word": "analogy"
                },
                {
                    "word": "deverbative"
                },
                {
                    "word": "verbal compound member"
                },
                {
                    "word": "s-stem"
                },
                {
                    "word": "Poetry"
                },
                {
                    "word": "onomastics"
                },
                {
                    "word": "archaic"
                }
            ],
            "section": "Paper",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7397v2mk",
            "frozenauthors": [
                {
                    "first_name": "Elisa",
                    "middle_name": "",
                    "last_name": "Migliaretti",
                    "name_suffix": "",
                    "institution": "University of California, Los Angeles",
                    "department": "",
                    "country": "United States"
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-11-19T05:46:00+01:00",
            "date_published": "2026-01-22T06:50:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/weciec/article/62153/galley/48007/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/weciec/article/62153/galley/48007/download/"
                }
            ]
        },
        {
            "pk": 62152,
            "title": "The 2nd/3rd Sg. Endings of the Future Passive Imperative in Latin",
            "subtitle": null,
            "abstract": "<p>In this paper I provide a comprehensive analysis of the 51 instances I have found of the future passive imperative in Latin, offering new suggestions about the chronology of the creation of the three different 2nd/3rd singular endings, -<em>tō</em>, -<em>minō</em>, and -<em>tor</em>, and their usage. The data suggest that -<em>minō</em> is the most archaic ending attested for the 2nd/3rd sg. future passive imperative. I argue that the preserved instances of passive use of the ending -<em>tō</em> represent a more recent development rather than deriving directly from the situation reconstructed for Proto-Indo-European. In Latin, this use seems instead to be a transfer of the active ending onto deponents via common verbs. Further, the lack of transparency of the ending -<em>minō</em> has several consequences for this verbal category in Latin, such as the creation of a more clearly marked passive ending -<em>tor</em>. I consider also whether the situation in Latin reflects a paradigmatic gap.</p>",
            "language": "eng",
            "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": "imperative"
                },
                {
                    "word": "Latin"
                },
                {
                    "word": "second person"
                },
                {
                    "word": "third person"
                },
                {
                    "word": "singular"
                },
                {
                    "word": "Ending"
                },
                {
                    "word": "future"
                },
                {
                    "word": "passive"
                },
                {
                    "word": "active"
                },
                {
                    "word": "deponent"
                },
                {
                    "word": "verb"
                }
            ],
            "section": "Paper",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/1tx5v8p8",
            "frozenauthors": [
                {
                    "first_name": "Sólveig",
                    "middle_name": "",
                    "last_name": "Hilmarsdóttir",
                    "name_suffix": "",
                    "institution": "University of Cambridge",
                    "department": "",
                    "country": "United Kingdom"
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-11-19T04:25:00+01:00",
            "date_published": "2026-01-22T06:41:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/weciec/article/62152/galley/48005/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/weciec/article/62152/galley/48005/download/"
                }
            ]
        },
        {
            "pk": 62151,
            "title": "Ancient Greek Nominal Accentuation",
            "subtitle": null,
            "abstract": "<p>Ancient Greek accentuation has been notoriously difficult to categorize comprehensively. We set out a new model which we believe is the first fully comprehensive account that formally treats nominal accentuation as approximations of recessive accentuation. This is done using Direct OT, according to which morphemes are represented by the constraints they violate.</p>",
            "language": "eng",
            "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": "Greek"
                },
                {
                    "word": "accentuation"
                },
                {
                    "word": "nominal"
                }
            ],
            "section": "Paper",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9zj3j24h",
            "frozenauthors": [
                {
                    "first_name": "Chris",
                    "middle_name": "",
                    "last_name": "Golston",
                    "name_suffix": "",
                    "institution": "California State University, Fresno",
                    "department": "",
                    "country": "United States"
                },
                {
                    "first_name": "Christian",
                    "middle_name": "",
                    "last_name": "Paulsen",
                    "name_suffix": "",
                    "institution": "Fresno City College",
                    "department": "",
                    "country": "United States"
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-11-19T04:25:00+01:00",
            "date_published": "2026-01-22T06:33:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/weciec/article/62151/galley/48004/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/weciec/article/62151/galley/48004/download/"
                }
            ]
        },
        {
            "pk": 62150,
            "title": "Bad Hittite, Good Hattian: Linguistic Interference in the Old Hittite Oracle KBo 18.151",
            "subtitle": null,
            "abstract": "<p>The establishment of the Hittite-speaking court in Hattusa in the 17th century BCE must have led to close contact of speakers of Hattian, Luwian, and newly introduced Hittite in and around Hattusa, if not beyond. In such a situation we would expect influence from Hattian on<br>Hittite beyond borrowed lexemes. However, there is no evidence of Hattian interference with the grammar of Hittite that can be extracted from the documents of the court, our main source of Hittite. Nonetheless, a rare document, the oracle inquiry KBo 18.151, does exhibit such influence from Hattian. As has generally been accepted, this document, dated to Hattusili I’s reign, contains orthographic anomalies pointing to Hattian phonetic interference reflecting the speech of a native speaker of Hattian, perhaps representing the general populace. But there is more interference. The current study reveals how the incorrect use of Hittite case endings is best explained as resulting from pattern imposition of the Hattian case system. The language of KBo 18.151 might thus reflect the type of Hittite that resulted from acquisition of Hittite as a second language. This implies that Old Hittite society was diglossic, with Hittite predominantly as the elite language, while Hattian and possibly Luwian were spoken by the general populace. KBo 18.151 provides an invaluable glimpse into the initial phase of Hittite-Hattian language contact from the perspective of a native Hattian speaker.</p>",
            "language": "eng",
            "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": "Hittite"
                },
                {
                    "word": "Hattian"
                },
                {
                    "word": "Luwian"
                },
                {
                    "word": "oracle"
                },
                {
                    "word": "Interference"
                },
                {
                    "word": "diglossic"
                },
                {
                    "word": "Contact"
                }
            ],
            "section": "Paper",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/109996jb",
            "frozenauthors": [
                {
                    "first_name": "Petra",
                    "middle_name": "",
                    "last_name": "Goedegebuure",
                    "name_suffix": "",
                    "institution": "The University of Chicago",
                    "department": "Institute for the Study of Ancient Cultures",
                    "country": "United States"
                }
            ],
            "date_submitted": null,
            "date_accepted": "2025-11-19T04:15:00+01:00",
            "date_published": "2026-01-22T06:06:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/weciec/article/62150/galley/48003/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/weciec/article/62150/galley/48003/download/"
                }
            ]
        },
        {
            "pk": 47316,
            "title": "Association Between Socioeconomic Status and Emergency Department Use for Non-traumatic Dental Conditions",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Among ED visits, presentation for a non-traumatic dental condition represents one of the most preventable, as 79% of these visits are considered avoidable. Our goal was to investigate the association between individual-level socioeconomic status (SES) and emergency department (ED) use for non-traumatic dental conditions.</p>\n<p><strong>Methods: </strong>In this retrospective, pooled cross-sectional analysis we used data from a database of administrative health claims for members of large commercial and Medicare Advantage health plans. The sample included adults (≥ 18) who presented to the ED between 2017-2021 and had complete data on SES indicators (ie, income, education level, net worth, homeownership, and low-income subsidy status). The primary outcome was ED use for non-traumatic dental conditions, identified via International Classification of Diseases diagnosis codes. We used multivariate logistic regression models with marginal effects to examine the relationship between SES and ED visits, adjusted for demographics, geographic region, and disease burden.</p>\n<p><strong>Results:</strong> Among 3,894,785 individuals, 74,685 (1.9%) had an ED visit related to non-traumatic dental conditions. Lower SES was significantly associated with increased ED visits for these conditions, with income exhibiting the strongest effect. Compared to individuals earning &gt; $100,000 annually, those earning &lt; $40,000 were 0.7 percentage points (1.5% vs 2.2%) more likely to visit the ED for non-traumatic dental conditions (P &lt; .001). A dose-dependent effect was observed for the composite SES score, with individuals in the lowest SES quartile 1.3 percentage points (1.3% vs 2.6%) more likely to visit the ED compared to the highest quartile (P &lt; .001).</p>\n<p><strong>Conclusion:</strong> Lower socioeconomic status is associated with higher ED use for non-traumatic dental conditions, underscoring disparities in oral healthcare access. Targeted policy interventions and better integration of oral and medical healthcare systems are needed to reduce preventable ED visits.</p>",
            "language": "eng",
            "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": "Non-traumatic dental conditions"
                },
                {
                    "word": "Socioeconomic Status"
                },
                {
                    "word": "Claims data"
                }
            ],
            "section": "Health Equity",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/5ms5f7bw",
            "frozenauthors": [
                {
                    "first_name": "Heather",
                    "middle_name": "L.",
                    "last_name": "Taylor",
                    "name_suffix": "",
                    "institution": "Indiana University Richard M. Fairbanks of Public Health, Department of Health Policy and Management, Indianapolis, Indiana",
                    "department": ""
                },
                {
                    "first_name": "Paul",
                    "middle_name": "",
                    "last_name": "Musey",
                    "name_suffix": "",
                    "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana",
                    "department": ""
                },
                {
                    "first_name": "Adam",
                    "middle_name": "",
                    "last_name": "Hirsch",
                    "name_suffix": "",
                    "institution": "Indiana University School of Science, Department of Psychology, Indianapolis, Indiana",
                    "department": ""
                },
                {
                    "first_name": "Thankam",
                    "middle_name": "",
                    "last_name": "Thyvalikakath",
                    "name_suffix": "",
                    "institution": "Regenstrief Institute, Center for Biomedical Informatics, Indianapolis, Indiana; Indiana University School of Dentistry, Department of Dental Public Health & Dental Informatics, Indianapolis, Indiana",
                    "department": ""
                },
                {
                    "first_name": "Joshua",
                    "middle_name": "R.",
                    "last_name": "Vest",
                    "name_suffix": "",
                    "institution": "Indiana University Richard M. Fairbanks of Public Health, Department of Health Policy and Management, Indianapolis, Indiana; Regenstrief Institute, Center for Biomedical Informatics, Indianapolis, Indiana",
                    "department": ""
                }
            ],
            "date_submitted": "2025-04-29T17:12:40.455000+02:00",
            "date_accepted": "2025-10-27T20:50:12.208000+01:00",
            "date_published": "2026-01-21T18:50:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/47316/galley/49074/download/"
                }
            ]
        },
        {
            "pk": 48713,
            "title": "From Evaluation to Elevation: Standardized Letter of Evaluation Domains Tied to Future Emergency Medicine Chief Residents",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> The Standardized Letter of Evaluation (SLOE) is a core component of emergency medicine (EM) residency applications, designed to assess clinical performance, professionalism, and leadership potential. While its utility in selecting residency candidates is well established, its association with future leadership roles, such as chief resident, remains unclear. Identifying early indicators of leadership potential could inform both recruitment and resident development efforts. In this study we aimed to evaluate whether medical students’ SLOEs are associated with subsequent selection as chief residents, offering insight into the SLOE’s potential to forecast future leadership within EM.</p>\n<p><strong>Methods:</strong> We conducted a retrospective review of 243 de-identified SLOEs from 101 residents at a single urban, academic EM residency program between 2015–2021; 21 residents (20.8%) went on to hold chief resident roles between 2018–2024. The SLOEs were numerically scored across 10 groups. We excluded SLOEs lacking quantitative ratings or written for non-core EM rotations.</p>\n<p><strong>Results:</strong> Chief residents scored significantly higher than non-chief residents in three of 10 evaluated domains following Bonferroni correction for multiple comparisons: teamwork (P = .002), overall comparison to EM applicants from prior years (P = .003), and anticipated rank-list placement (P = .004). No significant differences were found in domains such as clinical reasoning, communication skills, or commitment to EM. Sex distribution among chief residents was approximately equal, minimizing concerns for confounding.</p>\n<p><strong>Conclusion: </strong>The Standardized Letter of Evaluation may offer limited but meaningful insight into future leadership potential in EM. Traits such as teamwork, self-directed learning, and perceived autonomy may distinguish future chief residents even prior to matriculation. However, traditional academic indicators alone may not identify those who ultimately assume leadership roles. These findings underscore the need for structured leadership development opportunities for all residents, regardless of early SLOE evaluations. Future research should explore whether intentional cultivation of leadership competencies throughout training can better support residents in achieving roles such as chief resident and beyond.</p>",
            "language": "eng",
            "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": "SLOE"
                },
                {
                    "word": "chief resident"
                },
                {
                    "word": "leadership"
                },
                {
                    "word": "residency application"
                }
            ],
            "section": "Medical Education",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/0rr4v8ct",
            "frozenauthors": [
                {
                    "first_name": "Abagayle",
                    "middle_name": "",
                    "last_name": "Bierowski",
                    "name_suffix": "",
                    "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania; Sidney Kimmel Medical College, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Zaid",
                    "middle_name": "",
                    "last_name": "Tayyem",
                    "name_suffix": "",
                    "institution": "Thomas Jefferson University, Abington Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Casey",
                    "middle_name": "",
                    "last_name": "Morrone",
                    "name_suffix": "",
                    "institution": "Wake Forest University, Department of Emergency Medicine, Winston-Salem, North Carolina; Wake Forest University School of Medicine, Winston-Salem, North Carolina",
                    "department": ""
                },
                {
                    "first_name": "Carlos",
                    "middle_name": "",
                    "last_name": "Rodriguez",
                    "name_suffix": "",
                    "institution": "Temple University, Chestnut Hill Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Chaiya",
                    "middle_name": "",
                    "last_name": "Laoteppitaks",
                    "name_suffix": "",
                    "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania; Sidney Kimmel Medical College, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Peter",
                    "middle_name": "",
                    "last_name": "Tomaselli",
                    "name_suffix": "",
                    "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania; Sidney Kimmel Medical College, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Dimitrios",
                    "middle_name": "",
                    "last_name": "Papanagnou",
                    "name_suffix": "",
                    "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania; Sidney Kimmel Medical College, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Xiao Chi",
                    "middle_name": "",
                    "last_name": "Zhang",
                    "name_suffix": "",
                    "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania; Sidney Kimmel Medical College, Philadelphia, Pennsylvania",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-20T20:46:33.108000+02:00",
            "date_accepted": "2025-10-04T23:21:48.759000+02:00",
            "date_published": "2026-01-21T18:21:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48713/galley/49065/download/"
                }
            ]
        },
        {
            "pk": 47931,
            "title": "Recurrent Miller Fisher Syndrome: A Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Guillain-Barré syndrome (GBS) can manifest with progressive paralysis, requiring careful monitoring and treatment with steroids or IVIG. While this disease can be devastating and require ICU level of care, there are few incidences of GBS relapses.</p>\n<p><strong>Case Report:  </strong>A 67-year-old man with a past medical history of Miller Fisher Syndrome (MFS) variant Guillain-Barre Syndrome (GBS), with complete recovery presenting to the emergency department (ED) with ataxia, ophthalmoplegia, dysphonia, and ambulatory dysfunction. The patient noticed his neurologic symptoms after waking up and presented to the ED with physical examination positive for difficulty with upward gaze, mild right lower facial droop, dysmetria with left finger to nose testing, and unsteady gait.  A lumbar puncture (LP) revealed albuminocytologic dissociation and he was diagnosed with recurrent MFS. The patient completed a five-day course of intravenous immunoglobulin with marked improvement of his symptoms. Unfortunately, the patient continued to have ambulatory difficulty, requiring inpatient rehabilitation with residual deficits including ophthalmoplegia and mild dysphonia.</p>\n<p><strong>Conclusion: </strong>MFS is an uncommon variant of GBS with atypical neurologic findings that can lead to respiratory distress that requires high levels of suspicion and diagnostic evaluation.  This disease process can recur in a patient’s lifetime, contrary to traditional medical literature. </p>\n<p> </p>",
            "language": "eng",
            "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": "Guillain-Barré syndrome"
                },
                {
                    "word": "Miller Fisher syndrome"
                },
                {
                    "word": "neurological emergencies"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6g61255f",
            "frozenauthors": [
                {
                    "first_name": "Larry",
                    "middle_name": "",
                    "last_name": "Vernier",
                    "name_suffix": "",
                    "institution": "Montefiore Einstein, Department of Emergency Medicine, The Bronx, New York",
                    "department": ""
                },
                {
                    "first_name": "Griffin",
                    "middle_name": "",
                    "last_name": "Barnes Gilmore",
                    "name_suffix": "",
                    "institution": "Mount Sinai Elmhurst, Department of Emergency Medicine, Queens, New York",
                    "department": ""
                },
                {
                    "first_name": "Kelsey",
                    "middle_name": "",
                    "last_name": "Van Housen",
                    "name_suffix": "",
                    "institution": "Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Xiao Chi",
                    "middle_name": "",
                    "last_name": "Zhang",
                    "name_suffix": "",
                    "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                }
            ],
            "date_submitted": "2025-05-26T00:20:03.502000+02:00",
            "date_accepted": "2025-09-19T18:04:22.090000+02:00",
            "date_published": "2026-01-21T00:37:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47931/galley/48097/download/"
                }
            ]
        },
        {
            "pk": 48896,
            "title": "Carotidynia—A Rare Cause of Anterior Neck Pain: Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Carotidynia is a rare, often under-diagnosed condition characterized by idiopathic inflammation around the carotid artery, presenting with unilateral neck pain that typically resolves within two weeks.</p>\n<p><strong>Case Report: </strong>A 32-year-old male presented with intermittent right anterior neck pain for two years, with no other associated symptoms. Computed tomography revealed carotid perivascular inflammation, consistent with carotidynia.</p>\n<p><strong>Conclusion</strong>: Although self-limited, carotidynia should be considered in patients with unexplained neck pain, as its recognition is crucial to differentiate it from more serious conditions and to avoid mismanagement or unnecessary interventions.</p>",
            "language": "eng",
            "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": "carotidynia"
                },
                {
                    "word": "neck pain"
                },
                {
                    "word": "carotid inflammation"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2cp8v219",
            "frozenauthors": [
                {
                    "first_name": "Faith",
                    "middle_name": "",
                    "last_name": "Ibu",
                    "name_suffix": "",
                    "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota",
                    "department": ""
                },
                {
                    "first_name": "Olivia",
                    "middle_name": "",
                    "last_name": "Keller-Baruch",
                    "name_suffix": "",
                    "institution": "Ichilov Medical Center, Department of Emergency Medicine, Tel-Aviv, Israel",
                    "department": ""
                },
                {
                    "first_name": "Jessica",
                    "middle_name": "",
                    "last_name": "Pelletier",
                    "name_suffix": "",
                    "institution": "University of Missouri-Columbia, Department of Emergency Medicine, Columbia, Missouri",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-20T06:17:45.668000+02:00",
            "date_accepted": "2025-10-02T22:46:57.401000+02:00",
            "date_published": "2026-01-21T00:29:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/48896/galley/48095/download/"
                }
            ]
        },
        {
            "pk": 52898,
            "title": "A Case Report on an Investigation of Oddity Concept Learning in Humans (Homo sapiens) with Olfactory Stimuli",
            "subtitle": null,
            "abstract": "<p>The present study aimed to investigate whether children could acquire the oddity concept using olfactory stimuli. To this end, three children aged 3 to 6 years were concurrently trained on multiple odor oddity problems and tested with novel ones. The findings showed that the 6-year-old participant mastered the acquisition training and transferred this experience to the novel oddity problems in the transfer test, suggesting that the child had acquired a relational understanding of the difference between odd and identical odor stimuli. Factors influencing the acquisition of the oddity concept were discussed. </p>",
            "language": "eng",
            "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": "Oddity concept"
                },
                {
                    "word": "concurrent presentation"
                },
                {
                    "word": "odor stimuli"
                },
                {
                    "word": "Stimulus Generalization"
                }
            ],
            "section": "Brief Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/08s6b6kk",
            "frozenauthors": [
                {
                    "first_name": "Md. Abu Bokor",
                    "middle_name": "",
                    "last_name": "Siddik",
                    "name_suffix": "",
                    "institution": "Other",
                    "department": ""
                },
                {
                    "first_name": "Bushra",
                    "middle_name": "",
                    "last_name": "Mushtari",
                    "name_suffix": "",
                    "institution": "Government Azizul Haque College",
                    "department": "Psychology"
                },
                {
                    "first_name": "Nadia",
                    "middle_name": "",
                    "last_name": "Akter",
                    "name_suffix": "",
                    "institution": "Government Azizul Haque College",
                    "department": "Psychology"
                }
            ],
            "date_submitted": "2025-09-17T12:52:19.032000+02:00",
            "date_accepted": "2025-11-13T23:48:57.302000+01:00",
            "date_published": "2026-01-20T17:13:00+01:00",
            "render_galley": {
                "label": "Siddik_Final",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/52898/galley/47988/download/"
            },
            "galleys": [
                {
                    "label": "Siddik_Final",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/52898/galley/47988/download/"
                }
            ]
        },
        {
            "pk": 49089,
            "title": "Antimuscarinic Toxicity Safely Managed with High-Dose Transdermal Rivastigmine: A Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Antimuscarinic toxicity, which can cause delirium and unsafe behavior, may result from an adverse effect of prescribed medications or from non-medical substance use. Physostigmine shortages have prompted use of transdermal rivastigmine for management of antimuscarinic toxicity; however, symptom control is equivocal at standard dosing.</p>\n<p><strong>Case Report: </strong>A patient with antimuscarinic toxicity was treated with physostigmine and transitioned to 26.6 milligrams/24 hours transdermal rivastigmine for sustained symptom control. He experienced no adverse effects and tolerated floor admission.</p>\n<p><strong>Discussion</strong>: There is mechanistic plausibility supporting safe, sustained control of antimuscarinic toxicity with high-dose transdermal rivastigmine. Central distribution is more rapid than serum distribution and higher doses correlate with a shorter time to peak concentration.</p>",
            "language": "eng",
            "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": "drug overdose"
                },
                {
                    "word": "Muscarinic Antagonists"
                },
                {
                    "word": "Physostigmine"
                },
                {
                    "word": "Rivastigmine"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/0f10d1kc",
            "frozenauthors": [
                {
                    "first_name": "Christopher",
                    "middle_name": "James",
                    "last_name": "Watson",
                    "name_suffix": "",
                    "institution": "Maine Medical Center, Department of Emergency Medicine, Portland, Maine; Northern New England Poison Center, Portland, Maine; Tufts University School of Medicine, Boston, Massachusetts",
                    "department": ""
                },
                {
                    "first_name": "Emilie",
                    "middle_name": "M.",
                    "last_name": "Burrill",
                    "name_suffix": "",
                    "institution": "Maine Medical Center, Department of Emergency Medicine, Portland, Maine; Maine Medical Center, Acute Care Pharmacy Services, Portland, Maine",
                    "department": ""
                },
                {
                    "first_name": "William",
                    "middle_name": "S.",
                    "last_name": "Jaffee",
                    "name_suffix": "",
                    "institution": "Tufts University School of Medicine, Boston, Massachusetts; Maine Medical Center, Adult Inpatient Medicine, Portland, Maine",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-22T21:54:42.923000+02:00",
            "date_accepted": "2025-09-12T17:58:16.012000+02:00",
            "date_published": "2026-01-17T00:54:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/49089/galley/48092/download/"
                }
            ]
        },
        {
            "pk": 50489,
            "title": "When STEMI Isn’t STEMI: Cardiac Arrest from Aortic Valve Papillary Fibroelastoma – A Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Cardiac arrest remains a major global cause of mortality, with both structural and non-structural cardiac abnormalities implicated. While ischemic heart disease is a common etiology, rare conditions such as papillary fibroelastoma can also result in life-threatening events through embolization or coronary obstruction. Timely recognition and advanced cardiac imaging, particularly transesophageal echocardiography, are essential in such atypical presentations.</p>\n<p><strong>Case Report</strong>: A 61-year-old female with a history of ischemic heart disease presented to the emergency department following an out-of-hospital cardiac arrest. Initial electrocardiogram (ECG) demonstrated anterior ST-elevation myocardial infarction, which resolved on repeat ECG, prompting reconsideration of the underlying cause. The patient achieved return of spontaneous circulation twice and eventually self-extubated. Further investigation, including cardiac imaging, revealed a mobile mass on the aortic valve intermittently obstructing the left main coronary artery. The mass was surgically resected and histologically confirmed as a papillary fibroelastoma. The patient recovered fully with no neurological or cardiac complications.</p>\n<p><strong>Conclusion</strong>: This case highlights the importance of maintaining a broad differential diagnosis in patients presenting with cardiac arrest, especially when ischemic changes are transient or unexplained. Although benign, papillary fibroelastoma can lead to sudden death due to embolization or coronary obstruction. Emergency physicians should be aware of such rare but treatable causes and consider early use of advanced cardiac imaging when standard presentations do not align with the clinical picture.</p>",
            "language": "eng",
            "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": "case report"
                },
                {
                    "word": "Papillary fibroelastoma"
                },
                {
                    "word": "cardiac arrest"
                },
                {
                    "word": "acute coronary syndrome mimic"
                },
                {
                    "word": "transesophageal echocardiograph"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/0px540gp",
            "frozenauthors": [
                {
                    "first_name": "Mohammad Wasim",
                    "middle_name": "Mohammad Zouhir",
                    "last_name": "Kanaa",
                    "name_suffix": "",
                    "institution": "Dubai Health, Department of Emergency Medicine, Dubai, United Arab Emirates",
                    "department": ""
                },
                {
                    "first_name": "Shahd",
                    "middle_name": "H I",
                    "last_name": "Abbastanira",
                    "name_suffix": "",
                    "institution": "Dubai Health, Department of Emergency Medicine, Dubai, United Arab Emirates",
                    "department": ""
                },
                {
                    "first_name": "Essra",
                    "middle_name": "Mohamed Abdullah",
                    "last_name": "Elameen",
                    "name_suffix": "",
                    "institution": "Dubai Health, Department of Emergency Medicine, Dubai, United Arab Emirates",
                    "department": ""
                },
                {
                    "first_name": "Sarah",
                    "middle_name": "Emad",
                    "last_name": "Alsultan",
                    "name_suffix": "",
                    "institution": "Dubai Health, Department of Emergency Medicine, Dubai, United Arab Emirates",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-26T16:55:55.674000+02:00",
            "date_accepted": "2025-10-21T17:38:51.337000+02:00",
            "date_published": "2026-01-17T00:09:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/50489/galley/48089/download/"
                }
            ]
        },
        {
            "pk": 48527,
            "title": "Gender- and Sex-equitable Submission Guidelines in Emergency Medicine Journals Are Associated with Enhanced Publication Metrics",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Gender and sex equity-promoting (GSEP) clinical research is essential to improving diversity and inclusivity in medicine. In this study we aimed to compare journal impact metrics in emergency medicine (EM) between journals that integrated gender- and sex-based considerations and those that did not.</p>\n<p><strong>Methods:</strong> We searched the 2023 Journal Citations Report (Clarivate Analytics) for EM journals. Submission guidelines of each EM journal were examined according to the SAGER (Sex and Gender Equity in Research) guidelines and stratified as conforming or non-conforming depending on whether at least one SAGER criterion was met. Our primary outcome measure was the journal impact factor. Secondary outcome measures included other citation and influence metrics: total citations; 5-year journal impact factor; journal citation indicator; article influence score, normalized Eigenfactor score; citable items; total articles; and immediacy index.</p>\n<p><strong>Results:</strong> Based on our classification system informed by the SAGER criteria, most journals (66%, 31/47) were classified as non-compliant. The EM journals that conformed to the sex and gender equity guidelines were rated higher than non-conforming journals across all studied journal metrics. We found that conforming journals had a significantly higher median difference (MD) than non-conforming EM journals in total citations (MD 1,586; GSEP: 3,599 vs non-GSEP: 901); 2023 2-year journal impact factor (MD 0.8; 2.3 vs 1.4); 5-year journal impact factor (MD 0.7; 2.5 vs 1.9); article influence score (MD 0.26; 0.76 vs 0.47); normalized Eigenfactor score (MD 0.79; 1.06 vs 0.26); citable items (MD 37; 103 vs 56), and total articles (MD 41; 87 vs 42). All differences were statistically significant (P &lt; 0.05). </p>\n<p><strong>Conclusion:</strong> Using criteria informed by the Sex and Gender Equity in Research guidelines, most EM journals (66%) were classified as non-conforming to these guidelines. This indicates a significant gap in the integration of gender- and sex-based considerations in EM research publication practices.</p>",
            "language": "eng",
            "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": "Diversity"
                },
                {
                    "word": "Inclusion"
                },
                {
                    "word": "Emergency Medicine"
                }
            ],
            "section": "Population Health Research Design",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6ct1w42s",
            "frozenauthors": [
                {
                    "first_name": "Akash",
                    "middle_name": "",
                    "last_name": "Manes",
                    "name_suffix": "",
                    "institution": "University of British Columbia, Faculty of Medicine, Vancouver, British Columbia, Canada",
                    "department": ""
                },
                {
                    "first_name": "Michelle",
                    "middle_name": "D.",
                    "last_name": "Lall",
                    "name_suffix": "",
                    "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia",
                    "department": ""
                },
                {
                    "first_name": "Starr",
                    "middle_name": "",
                    "last_name": "Knight",
                    "name_suffix": "",
                    "institution": "University of California, San Francisco, Department of Emergency Medicine, San Francisco, California",
                    "department": ""
                },
                {
                    "first_name": "Ali",
                    "middle_name": "S.",
                    "last_name": "Raja",
                    "name_suffix": "",
                    "institution": "Harvard Medical School and Mass General Brigham, Department of Emergency Medicine, Boston, Massachusetts",
                    "department": ""
                },
                {
                    "first_name": "Faisal",
                    "middle_name": "",
                    "last_name": "Khosa",
                    "name_suffix": "",
                    "institution": "University of British Columbia, Faculty of Medicine, Vancouver, British Columbia, Canada",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-11T02:34:54.851000+02:00",
            "date_accepted": "2025-10-13T01:58:16.758000+02:00",
            "date_published": "2026-01-16T15:14:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48527/galley/49073/download/"
                }
            ]
        },
        {
            "pk": 62005,
            "title": "Introduction to the RISE Declarations Project",
            "subtitle": null,
            "abstract": "<p>The George Wright Society (GWS) has launched a new program, the RISE Declarations Project, to support conservation colleagues who have recently lost their jobs due to actions by the current US administration: people we refer to as Recent Involuntarily Separated Employees (RISEs). The Society recognizes that government service, non-profit civil society, and unfettered academic inquiry are foundational to the well-being of the American nation. While the current administration’s policy and budgetary decisions are designed to undermine these values, the Society continues to support them in our focal area—parks, protected/conserved areas, cultural sites, and other forms of place-based conservation. RISEs are leaving conservation-related government service, academia, non-profit employment, or for-profit contractor positions for reasons unrelated to their job performance. Losing the wisdom, experience, and service of RISEs is doing incalculable damage to American society. The Society would like to contribute to stemming this loss by providing a platform for RISEs who worked in place-based conservation to share their insights and experience as part of a permanent repository that will be made available to the public: the RISE Declarations: a statement that lets RISEs summarize in their own words the most important aspects of their career in place-based conservation, along with lessons learned.  Beginning with this issue of Parks Stewardship Forum, we will publish RISE Declarations for as long as we receive them.</p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution-NonCommercial  4.0",
                "short_name": "CC BY-NC 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by-nc/4.0"
            },
            "keywords": [],
            "section": "New Perspectives",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/68j660nw",
            "frozenauthors": [
                {
                    "first_name": "David",
                    "middle_name": "W.",
                    "last_name": "Reynolds",
                    "name_suffix": "",
                    "institution": "George Wright Society",
                    "department": ""
                },
                {
                    "first_name": "Lauren",
                    "middle_name": "",
                    "last_name": "Wenzel",
                    "name_suffix": "",
                    "institution": "George Wright Society",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-08T20:50:55.984000+01:00",
            "date_accepted": "2026-01-08T20:54:09.108000+01:00",
            "date_published": "2026-01-15T23:00:00+01:00",
            "render_galley": {
                "label": "PDF",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/psf/article/62005/galley/47933/download/"
            },
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62005/galley/47933/download/"
                }
            ]
        },
        {
            "pk": 50782,
            "title": "Results from the Linguistic Survey of Sikkim",
            "subtitle": null,
            "abstract": "<p>This article re-examines a 2005-2006 school-based survey of language use across Sikkim, a multilingual Himalayan state in northeastern India. 16,527 students in classes VIII–XII from 105 schools answered questions about languages used with grandparents, parents, and siblings, and which they considered to be their “mother tongue”. Two patterns emerge from our reanalysis. Heritage languages are still used with elders, showing family-based maintenance. Yet everyday conversations among younger people increasingly shift to other languages—often those used in school and public life—especially in conversations between siblings. About one in nine parent pairs (11.24%) no longer use any of their parents’ languages, and about one in eight sibling groups (12.97%) use none of their parents’ languages. The “mother tongue” that students officially reported through the survey often differs from what they speak, highlighting a gap between linguistic identity and language practice. There are also regional variations: North Sikkim shows the strongest continuity; East and South show faster language shift; and the West sits somewhere between. Although school-based sampling and simple matching limit what we can deduce about language use, the directionality of language shift is clear: even though the parent generation know the languages of the grandparent generation and use them to communicate across the two generations, in many cases, they use other language(s) to communicate within their own generation. This is a significant finding, and the same pattern continues to the next generation. Going forward, we recommend strengthening vernacular teaching, expanding spaces for heritage languages, and repeating this survey each decade to track change across schools and communities, as well as to inform language policy.</p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution-NonCommercial  4.0",
                "short_name": "CC BY-NC 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by-nc/4.0"
            },
            "keywords": [
                {
                    "word": "sikkim"
                },
                {
                    "word": "Linguistic Survey"
                },
                {
                    "word": "Statistical association"
                }
            ],
            "section": "Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9vv0s3w6",
            "frozenauthors": [
                {
                    "first_name": "Samopriya",
                    "middle_name": "",
                    "last_name": "Basu",
                    "name_suffix": "",
                    "institution": "Carleton University",
                    "department": ""
                },
                {
                    "first_name": "Mark",
                    "middle_name": "",
                    "last_name": "Turin",
                    "name_suffix": "",
                    "institution": "The University of British Columbia",
                    "department": ""
                }
            ],
            "date_submitted": "2025-08-29T17:23:07.794000+02:00",
            "date_accepted": "2025-11-24T12:10:41.158000+01:00",
            "date_published": "2026-01-15T13:56:00+01:00",
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        },
        {
            "pk": 62082,
            "title": "A Spatial History of Thomas Edison National Historical Park: Challenges and Opportunities",
            "subtitle": null,
            "abstract": "This essay examines how the spatial history of Thomas Edison National Historical Park, New Jersey, reveals long-time tensions between exclusivity and public accessibility. At the center of this study is Glenmont, the Edison family home, located within Llewellyn Park—the nation’s first gated residential community. While Llewellyn Park embodied 19th-century elite ideals of seclusion and pastoral retreat, residents like the Edison family operation relied upon the labor of predominantly female domestic workers and the industrial workforce at Edison’s nearby laboratories. I draw on archival research, cultural landscape studies, and heritage theory to illuminate how class-based insulation at Llewellyn Park both obscured and depended on working-class labor. I argue that these dynamics continue to shape visitor experiences at Thomas Edison National Historical Park: the laboratories remain easily accessible on West Orange’s Main Street, while seeing Glenmont requires a multistep, carefully managed process that deters casual visitation. This geography risks reinforcing cultural divides by privileging narratives of one person’s inventions over those of the working-class labor that actualized those ideas. By situating Glenmont within broader debates on gated communities, universal design, and museum inclusivity, I propose strategies for interpreting the invisible labor that sustained Edison’s household and for re-embedding the estate into its diverse local community. Ultimately, this essay calls for a reimagining of Glenmont not solely as a memorial to Edison’s genius but as a site where histories of work, migration, and community belonging can be made visible and usable for contemporary audiences.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
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            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/4fg7k5hv",
            "frozenauthors": [
                {
                    "first_name": "Melissa",
                    "middle_name": "",
                    "last_name": "Benbow Flowers",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62082/galley/47966/download/"
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            ]
        },
        {
            "pk": 62088,
            "title": "Assessing conservation planning in South Dakota: Challenges and opportunities in collaboration, public participation, and climate information",
            "subtitle": null,
            "abstract": "Conservation planning protects habitats, supports biodiversity, and sustains ecosystem functions that support human and ecological well-being. Natural resource managers are expected to make sound management decisions and balance competing interests in a social-ecological context. However, they face challenges related to effective collaboration, public participation in decision-making, and the application of climate information. This study describes conservation planning challenges in South Dakota, a predominantly rural state where over 80% of land is privately owned, and natural resources are highly valued. We used an inductive, qualitative research approach, including in-depth interviews with 35 experts and content analysis of 56 conservation plans. Our study identifies the absence of complementary goals among federal, state, and non-profit organizations. Managers have concerns that current methods of public engagement are inadequate and often result in low engagement during the public participation process. Limited understanding and application of climate data were prevalent among managers. Our findings indicate that managers face multiple, complex demands in conservation planning. Conservation outcomes can be more sustainable when collaborative efforts are complementary, public perspectives are incorporated, and clear guidance exists for using climate tools. This study positions relationships as an important social foundation for conservation success. The insights from this study inform policy and practice by offering considerations for improving collaboration, public participation, and the use of scientific data.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Advances in Research and Management",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/89r785hk",
            "frozenauthors": [
                {
                    "first_name": "Vivian",
                    "middle_name": "",
                    "last_name": "Hulugh",
                    "name_suffix": "",
                    "institution": "",
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                },
                {
                    "first_name": "Lauren",
                    "middle_name": "",
                    "last_name": "Redmore",
                    "name_suffix": "",
                    "institution": "",
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                },
                {
                    "first_name": "Jennifer",
                    "middle_name": "",
                    "last_name": "Zavaleta Cheek",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62088/galley/47972/download/"
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            ]
        },
        {
            "pk": 62071,
            "title": "Cover, Masthead, and Table of Contents PSF Vol. 42 no. 1",
            "subtitle": null,
            "abstract": "",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Cover, Masthead, and Table of Contents",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/8f55249j",
            "frozenauthors": [
                {
                    "first_name": "The",
                    "middle_name": "",
                    "last_name": "PSF Editorial Team",
                    "name_suffix": "",
                    "institution": "UCB/GWS",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
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                    "path": "https://journalpub.escholarship.org/psf/article/62071/galley/47955/download/"
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            ]
        },
        {
            "pk": 62085,
            "title": "Disrupted Pathways: Indigenous Knowledge and the Shifting Politics of Federal Resource Governance",
            "subtitle": null,
            "abstract": "This article examines recent efforts to include Indigenous Knowledge and Traditional Ecological Knowledge into the stewardship and governance of US national parks and historic sites in the National Park Service (NPS) Northeast Region. Drawing on Mellon postdoctoral research conducted in collaboration with Tribal communities and NPS between 2023 and 2025, it traces both the transformative possibilities and structural constraints of these initiatives. Under Secretary of the Interior Deb Haaland’s leadership (2021–2025), federal agencies began to institutionalize new pathways for equitable Tribal engagement, grounded in principles of sovereignty, relational stewardship, and the inclusion of Indigenous governance practices. Yet the abrupt termination of NPS’s involvement with the postdoctoral program in early 2025 and policy reversals under the Trump administration disrupted these developments, undermining fragile relationships of trust and severing institutional commitments. Through ethnographic insights and policy analysis, the article interrogates the conditions that enable—or foreclose—meaningful Tribal collaboration in federal conservation efforts. It highlights the enduring gap between symbolic inclusion and actual power-sharing, arguing that the rapid reversal of policy illustrates how settler-state governance continues to reproduce historical patterns of dispossession and erasure within US environmental management.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/03h3p93x",
            "frozenauthors": [
                {
                    "first_name": "Shelly",
                    "middle_name": "Annette",
                    "last_name": "Biesel",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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        },
        {
            "pk": 62084,
            "title": "Documenting Memory, Surveillance, and Carceral Geographies at National Park Sites in the US–Mexico Borderlands",
            "subtitle": null,
            "abstract": "This article is based on two years of postdoctoral research at Organ Pipe Cactus National Monument and Juan Bautista de Anza Historic Trail. Using visual anthropology, ethnographic site visits, and participatory data collection, I explore how these public lands, often seen as spaces of heritage, recreation, and preservation, also function as sites of surveillance, violence, and contested memory. My research highlights how over-policing, resource shortages, and colonial narratives continue to influence these two National Park Service locations. Despite efforts toward reconciliation and “healing” through co-stewardship with Indigenous groups, both sites’ histories remain deeply tied to settler-colonial violence and ongoing state militarization. This complicates the implementation of practices that could foster community trust and engagement. Drawing from data and projects developed at both sites, I analyze the limitations of federal and community partnerships in addressing historical and present-day inequalities that affect not only the landscape but also how migrants, residents, employees, and tourists interact physically with these spaces. This work contributes to the scholarship on public lands, race, and memory by highlighting the often-overlooked human impact amid the social and political tensions of borderlands embedded within so-called protected and public lands. Community-led, ethnographically grounded approaches offer a promising path forward. By prioritizing Indigenous sovereignty, migrant experiences, and local stories, heritage practices can evolve toward more just and accurate representations of the complex interplay between federal oversight, legal policies, human movement, and public discourse at the US–Mexico borderlands.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/4nh695vk",
            "frozenauthors": [
                {
                    "first_name": "Brittany",
                    "middle_name": "",
                    "last_name": "Romanello",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62084/galley/47968/download/"
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            ]
        },
        {
            "pk": 62077,
            "title": "Do We Know It When We See It? Defining Significance and Integrity in the National Women’s History Landmark Project, 1989–1993",
            "subtitle": null,
            "abstract": "The National Women’s History Landmark Project (NWHLP) was the most influential, concentrated effort to improve women’s history representation across the National Historic Landmarks (NHL) Program. Between 1989 and 1993, representatives of the NHL Program, Organization of American Historians (OAH), and the National Coordinating Committee for the Promotion of History (NCCPH) collaboratively generated 39 landmark nominations. Throughout the collaborative process, dissension emerged as project participants disagreed on how to define the two terms most integral to the NHL nomination process: “significance” and “integrity.” This article examines the root causes of these debates and outlines recommendations for productive academic–federal collaborative partnerships.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9jj1f12x",
            "frozenauthors": [
                {
                    "first_name": "Sarah",
                    "middle_name": "",
                    "last_name": "Pawlicki",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62077/galley/47961/download/"
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            ]
        },
        {
            "pk": 62080,
            "title": "Enslavement to Freedom: A Conversation on Interpreting and Commemorating New York State’s History of Enslavement",
            "subtitle": null,
            "abstract": "In June 2025, the Mellon Humanities Postdoctoral Program separated from the National Park Service. This significantly altered the projects of each Fellow. As part of the second cohort of Fellows, Shanleigh Corrallo has embarked on a research project on enslavement in New York in collaboration with the New York State Office of Parks, Recreation and Historic Preservation (OPRHP, or Parks) and Skidmore College. Corrallo has applied her scholarship on African American history to positions in executive-level policy and advocacy, data analysis, and higher education for reentering students. In her partnership with OPRHP, Corrallo will work with Lavada Nahon, interpreter of African American History at OPRHP. Nahon has over 25 years of experience in New York State (NYS) Black history, with an emphasis on the 17th–19th centuries, including culinary and Black culture. In this interview, which evolves into an exploratory conversation, Nahon and Corrallo discuss what guided them to study histories of enslavement in New York, the “nuts and bolts” of their research, and how to break through to public audiences when faced with calcified narratives of Revolutionary history. The two scholars also share thoughts on the historic “roots and routes” of Black resistance and White reticence regarding histories that challenge hero narratives and recenter enslaved people, and offer differing perspectives on “empathetic” or “emotional” history.  The conversation concludes with behind-the-scenes details about OPRHP’s initiatives Our Whole History and Enslavement to Freedom, and wisdom from Nahon on how to counteract the heightened silencing of African American history.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2w96b445",
            "frozenauthors": [
                {
                    "first_name": "Lavada",
                    "middle_name": "",
                    "last_name": "Nahon",
                    "name_suffix": "",
                    "institution": "",
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                },
                {
                    "first_name": "Shanleigh",
                    "middle_name": "",
                    "last_name": "Corrallo",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62080/galley/47964/download/"
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            ]
        },
        {
            "pk": 62072,
            "title": "Humanities in Exile",
            "subtitle": null,
            "abstract": "<p>In this \"Letter from Woodstock,\" our columnist Rolf Diamant considers the Trump administration's abrupt termination of the National Park Service's participation in the Mellon Humanities Fellowship Program.</p>",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Points of View",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/417208hk",
            "frozenauthors": [
                {
                    "first_name": "Rolf",
                    "middle_name": "",
                    "last_name": "Diamant",
                    "name_suffix": "",
                    "institution": "GWS",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
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                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62072/galley/47956/download/"
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            ]
        },
        {
            "pk": 62073,
            "title": "I have come to find myself through the source of food",
            "subtitle": null,
            "abstract": "A personal chronicle of self-discovery from an entrepreneur working in sustainable agriculture whose work is based in Cuyahoga Valley National Park.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Points of View",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/48s6n3tc",
            "frozenauthors": [
                {
                    "first_name": "Ben",
                    "middle_name": "",
                    "last_name": "Bebenroth",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
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                    "path": "https://journalpub.escholarship.org/psf/article/62073/galley/47957/download/"
                }
            ]
        },
        {
            "pk": 62086,
            "title": "Marianas Wartime Oral Histories Portal—Public-Facing Digital Archive of Island Memory",
            "subtitle": null,
            "abstract": "This article explores the creation of the Marianas Wartime Oral Histories Portal, a public-facing digital archive of island memory that presents first-hand accounts of World War II in the Mariana Islands. It highlights the creative use of public programs to gain feedback from community members on the most appropriate mechanism for accessing oral history interviews. It also details the culturally sensitive transcription and editing techniques employed by lead project partner Guampedia. The oral history portal and supporting programming were undertaken as part of a National Park Service Mellon Humanities Postdoctoral Fellowship project. The article offers an overview of the scope of the fellowship, as well as insights into successfully blending place-based learning with public-facing digital work.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2js5s8x6",
            "frozenauthors": [
                {
                    "first_name": "Jennifer",
                    "middle_name": "",
                    "last_name": "Craig",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62086/galley/47970/download/"
                }
            ]
        },
        {
            "pk": 62083,
            "title": "Moving Toward Accountability: Challenging Settler Narratives through Interpretive Shifts and Tribal Engagement at Anza National Historic Trail",
            "subtitle": null,
            "abstract": "This article summarizes the work I undertook from 2023–2025 as a Mellon Humanities Postdoctoral Fellow on the Juan Bautista de Anza National Historic Trail (Anza NHT). It identifies long-standing gaps in Indigenous representation and participation on the trail and reviews the perpetuation of settler-colonial narratives that minimize the violence of settler invasion and marginalize the contributions of Native peoples in interpretive materials. These critiques are set alongside the significant interpretive and relational shifts initiated by Anza NHT staff following the adoption of revised themes and interpretive approaches in the 2023 Foundation Document. The report details the creation of internal onboarding materials designed to reorient the staff’s understanding of the impact of Indigenous dispossession, settler occupation, and the legal and structural violence that shaped the United States federal government and the National Park Service. The report also outlines the development of external Tribal outreach materials that build on this understanding of settler violence and articulate the trail’s commitments to accountability that exceeded the minimum federal requirement within an inherently asymmetrical system. The work concludes by summarizing updates to interpretive materials and highlighting new projects and partnerships along the trail, including the development of the Anza 250 commemorative logo, a revised Anza NHT brochure, and enhanced support for Tribes and Native-led organizations made possible through the Mellon partnership’s funding.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6ws356kc",
            "frozenauthors": [
                {
                    "first_name": "Sarah",
                    "middle_name": "",
                    "last_name": "Montoya",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62083/galley/47967/download/"
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            ]
        },
        {
            "pk": 62079,
            "title": "New Perspectives in Transcontinental Railroad History: An Interview with Laura Dominguez",
            "subtitle": null,
            "abstract": "This interview reflects on recent efforts by the National Park Service (NPS) to commemorate and interpret the Transcontinental Railroad. Themes explored include public memory, community engagement, and the potential role of the humanities in NPS research and education initiatives.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/3fw8f0dr",
            "frozenauthors": [
                {
                    "first_name": "Eleanor",
                    "middle_name": "",
                    "last_name": "Mahoney",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62079/galley/47963/download/"
                }
            ]
        },
        {
            "pk": 62074,
            "title": "Now and Here: Public Humanities and National Parks in Tumultuous Times—An Introduction",
            "subtitle": null,
            "abstract": "Across the National Park System, visitors, community partners, descendant communities, and researchers are engaging with stories that seek to explore the full breadth of American history. Since 2018, the Mellon Humanities Postdoctoral Fellowship Program has helped drive this effort. Thirty-five scholars, representing more than a dozen disciplines, have taken part in the initiative, leading efforts such as those described above. Their work has been both challenging and inspiring. They have questioned long-standing agency narratives and norms, while also affirming—often quite vigorously—the capacity of public humanities to bring people together in dialogue and debate. As the national coordinators of the Mellon Humanities Program, we are honored to be guest editors of this special issue of Parks Stewardship Forum. The featured articles offer insight into the depth and breadth of the Mellon Humanities Program’s achievements over the past seven years.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2x01926q",
            "frozenauthors": [
                {
                    "first_name": "Eleanor",
                    "middle_name": "",
                    "last_name": "Mahoney",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                },
                {
                    "first_name": "Perri",
                    "middle_name": "",
                    "last_name": "Meldon",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
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                    "path": "https://journalpub.escholarship.org/psf/article/62074/galley/47958/download/"
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            ]
        },
        {
            "pk": 62078,
            "title": "Origins of the Go Go Live at the Capital Centre Concert: The Compared to What Group and Arts Programming in DC Parks",
            "subtitle": null,
            "abstract": "This article looks at the origins of Compared to What, a non-profit arts program that was in operation during the 1970s in Washington, DC. It focuses on the organization’s collaboration with the National Park Service in several DC-area parks, among them the National Mall, Anacostia Park, and Rock Creek Park, and argues that such engagement prepared the founders of the organization to be a major player in the go-go promotion scene of the 1980s, notably in organizing the Go Go Live at the Capital Centre concert.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/3wx7x2gr",
            "frozenauthors": [
                {
                    "first_name": "Rami",
                    "middle_name": "Toubia",
                    "last_name": "Stucky",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
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                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62078/galley/47962/download/"
                }
            ]
        },
        {
            "pk": 62095,
            "title": "Presencia de amor en la isla / Presence of Love on the Island",
            "subtitle": null,
            "abstract": "A poem in the \"Verse in Place\" section of Parks Stewardship Forum.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Verse in Place",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9c4298b3",
            "frozenauthors": [
                {
                    "first_name": "Julia",
                    "middle_name": "",
                    "last_name": "de Burgos",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
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                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62095/galley/47979/download/"
                }
            ]
        },
        {
            "pk": 62076,
            "title": "Produce, Prepare, Propel: Reflections from the ACE Mellon Program’s Digital Humanities Team",
            "subtitle": null,
            "abstract": "What is the value of digital work in park-centered or place-based interpretation? This article offers an answer to this question by reflecting on the work of the ACE (American Conservation Experience) Mellon Humanities Postdoctoral Fellowship Program’s digital humanities (DH) team. Thanks to deliberate investment from the ACE Mellon Program, we were able to support broad and boundary-pushing digital work—applying the wider field of DH to specific program goals. This work focused on three main categories: producing engaging digital projects and storytelling, preparing fellows and their partners to create their own digital products, and propelling fellows forward into their next career stages through professional development opportunities. The ability for the DH team to work collaboratively, flexibly, and remotely has enabled us to find creative interpretive solutions for Fellows’ individual projects as well as for telling the story of the program as a whole. In this article, members of the DH team offer examples, resources, and lessons learned that can be applied to programs or organizations at various scales who are interested in creating their own DH projects.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/83z5x204",
            "frozenauthors": [
                {
                    "first_name": "Jessica",
                    "middle_name": "",
                    "last_name": "Dauterive",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                },
                {
                    "first_name": "Cait",
                    "middle_name": "",
                    "last_name": "Johnson",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                },
                {
                    "first_name": "Michael",
                    "middle_name": "",
                    "last_name": "Faist",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
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                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62076/galley/47960/download/"
                }
            ]
        },
        {
            "pk": 62089,
            "title": "RISE Declaration: “I could not be more proud of my work and the ongoing service of the men and women at NOAA’s Sanctuary System”",
            "subtitle": null,
            "abstract": "The federal government has been undergoing dramatic cuts since President Trump took office in January 2025, with ripple effects through partners in state and local government, academia, and the non-profit and private sectors. These changes are affecting all aspects of government, including the place-based conservation roles of agencies like the Bureau of Land Management, National Park Service, NOAA (National Oceanic and Atmospheric Administration), US Fish and Wildlife Service, and US Forest Service. This represents an enormous loss of institutional knowledge and capacity. The George Wright Society recognizes that government service, non-profit civil society, and unfettered academic inquiry are foundational to the well-being of the American nation. While the current administration’s policy and budgetary decisions are designed to undermine these values, the Society continues to support them in our focal area—parks, protected/conserved areas, cultural sites, and other forms of place-based conservation.  As part of that response, the Society has launched a new program, the RISE Declarations Project, to support conservation colleagues who have recently lost their jobs due to actions by the current administration: people we refer to as Recent Involuntarily Separated Employees (RISEs). What follows is a RISE Declaration: a statement that lets RISEs summarize in their own words the most important aspects of their career in place-based conservation, along with lessons learned. For a complete introduction to the RISE Declarations Project, please go to https://doi.org/10.5070/P5.62005.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "New Perspectives",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/0773f72q",
            "frozenauthors": [
                {
                    "first_name": "Matt",
                    "middle_name": "",
                    "last_name": "Stout",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
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                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62089/galley/47973/download/"
                }
            ]
        },
        {
            "pk": 62094,
            "title": "RISE Declaration: “I feel that I could have done so much more”",
            "subtitle": null,
            "abstract": "The federal government has been undergoing dramatic cuts since President Trump took office in January 2025, with ripple effects through partners in state and local government, academia, and the non-profit and private sectors. These changes are affecting all aspects of government, including the place-based conservation roles of agencies like the Bureau of Land Management, National Park Service, NOAA (National Oceanic and Atmospheric Administration), US Fish and Wildlife Service, and US Forest Service. This represents an enormous loss of institutional knowledge and capacity. The George Wright Society recognizes that government service, non-profit civil society, and unfettered academic inquiry are foundational to the well-being of the American nation. While the current administration’s policy and budgetary decisions are designed to undermine these values, the Society continues to support them in our focal area—parks, protected/conserved areas, cultural sites, and other forms of place-based conservation.  As part of that response, the Society has launched a new program, the RISE Declarations Project, to support conservation colleagues who have recently lost their jobs due to actions by the current administration: people we refer to as Recent Involuntarily Separated Employees (RISEs). What follows is a RISE Declaration: a statement that lets RISEs summarize in their own words the most important aspects of their career in place-based conservation, along with lessons learned. For a complete introduction to the RISE Declarations Project, please go to https://doi.org/10.5070/P5.62005.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "New Perspectives",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/8cq6087d",
            "frozenauthors": [
                {
                    "first_name": "Anonymous",
                    "middle_name": "",
                    "last_name": "Marine Conservationist",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
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                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62094/galley/47978/download/"
                }
            ]
        },
        {
            "pk": 62090,
            "title": "RISE Declaration: “I think we took for granted the value of our service”",
            "subtitle": null,
            "abstract": "<p>The federal government has been undergoing dramatic cuts since President Trump took office in January 2025, with ripple effects through partners in state and local government, academia, and the non-profit and private sectors. These changes are affecting all aspects of government, including the place-based conservation roles of agencies like the Bureau of Land Management, National Park Service, NOAA (National Oceanic and Atmospheric Administration), US Fish and Wildlife Service, and US Forest Service. This represents an enormous loss of institutional knowledge and capacity. The George Wright Society recognizes that government service, non-profit civil society, and unfettered academic inquiry are foundational to the well-being of the American nation. While the current administration’s policy and budgetary decisions are designed to undermine these values, the Society continues to support them in our focal area—parks, protected/conserved areas, cultural sites, and other forms of place-based conservation. As part of that response, the Society has launched a new program, the RISE Declarations Project, to support conservation colleagues who have recently lost their jobs due to actions by the current administration: people we refer to as Recent Involuntarily Separated Employees (RISEs). What follows is a RISE Declaration: a statement that lets RISEs summarize in their own words the most important aspects of their career in place-based conservation, along with lessons learned. For a complete introduction to the RISE Declarations Project, please go to https://doi.org/10.5070/P5.62005.</p>",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "New Perspectives",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2qn7p6qq",
            "frozenauthors": [
                {
                    "first_name": "Anonymous",
                    "middle_name": "",
                    "last_name": "Marine Conservationist",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
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                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62090/galley/47974/download/"
                }
            ]
        },
        {
            "pk": 62091,
            "title": "RISE Declaration: “Look at conservation through a long-term lens”",
            "subtitle": null,
            "abstract": "The federal government has been undergoing dramatic cuts since President Trump took office in January 2025, with ripple effects through partners in state and local government, academia, and the non-profit and private sectors. These changes are affecting all aspects of government, including the place-based conservation roles of agencies like the Bureau of Land Management, National Park Service, NOAA (National Oceanic and Atmospheric Administration), US Fish and Wildlife Service, and US Forest Service. This represents an enormous loss of institutional knowledge and capacity. The George Wright Society recognizes that government service, non-profit civil society, and unfettered academic inquiry are foundational to the well-being of the American nation. While the current administration’s policy and budgetary decisions are designed to undermine these values, the Society continues to support them in our focal area—parks, protected/conserved areas, cultural sites, and other forms of place-based conservation.  As part of that response, the Society has launched a new program, the RISE Declarations Project, to support conservation colleagues who have recently lost their jobs due to actions by the current administration: people we refer to as Recent Involuntarily Separated Employees (RISEs). What follows is a RISE Declaration: a statement that lets RISEs summarize in their own words the most important aspects of their career in place-based conservation, along with lessons learned. For a complete introduction to the RISE Declarations Project, please go to https://doi.org/10.5070/P5.62005.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "New Perspectives",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/1hw9f5wn",
            "frozenauthors": [
                {
                    "first_name": "Brady",
                    "middle_name": "",
                    "last_name": "Phillips",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
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                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62091/galley/47975/download/"
                }
            ]
        },
        {
            "pk": 62092,
            "title": "RISE Declaration: “The greatest challenge for me was always questioning if we were doing enough”",
            "subtitle": null,
            "abstract": "The federal government has been undergoing dramatic cuts since President Trump took office in January 2025, with ripple effects through partners in state and local government, academia, and the non-profit and private sectors. These changes are affecting all aspects of government, including the place-based conservation roles of agencies like the Bureau of Land Management, National Park Service, NOAA (National Oceanic and Atmospheric Administration), US Fish and Wildlife Service, and US Forest Service. This represents an enormous loss of institutional knowledge and capacity. The George Wright Society recognizes that government service, non-profit civil society, and unfettered academic inquiry are foundational to the well-being of the American nation. While the current administration’s policy and budgetary decisions are designed to undermine these values, the Society continues to support them in our focal area—parks, protected/conserved areas, cultural sites, and other forms of place-based conservation.  As part of that response, the Society has launched a new program, the RISE Declarations Project, to support conservation colleagues who have recently lost their jobs due to actions by the current administration: people we refer to as Recent Involuntarily Separated Employees (RISEs). What follows is a RISE Declaration: a statement that lets RISEs summarize in their own words the most important aspects of their career in place-based conservation, along with lessons learned. For a complete introduction to the RISE Declarations Project, please go to https://doi.org/10.5070/P5.62005.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "New Perspectives",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/1hd0h5j2",
            "frozenauthors": [
                {
                    "first_name": "Anonymous",
                    "middle_name": "",
                    "last_name": "Policy and Program Analyst",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62092/galley/47976/download/"
                }
            ]
        },
        {
            "pk": 62093,
            "title": "RISE Declaration: “There were so many obstacles placed in my path each time I tried to make headway”",
            "subtitle": null,
            "abstract": "The federal government has been undergoing dramatic cuts since President Trump took office in January 2025, with ripple effects through partners in state and local government, academia, and the non-profit and private sectors. These changes are affecting all aspects of government, including the place-based conservation roles of agencies like the Bureau of Land Management, National Park Service, NOAA (National Oceanic and Atmospheric Administration), US Fish and Wildlife Service, and US Forest Service. This represents an enormous loss of institutional knowledge and capacity. The George Wright Society recognizes that government service, non-profit civil society, and unfettered academic inquiry are foundational to the well-being of the American nation. While the current administration’s policy and budgetary decisions are designed to undermine these values, the Society continues to support them in our focal area—parks, protected/conserved areas, cultural sites, and other forms of place-based conservation.  As part of that response, the Society has launched a new program, the RISE Declarations Project, to support conservation colleagues who have recently lost their jobs due to actions by the current administration: people we refer to as Recent Involuntarily Separated Employees (RISEs). What follows is a RISE Declaration: a statement that lets RISEs summarize in their own words the most important aspects of their career in place-based conservation, along with lessons learned. For a complete introduction to the RISE Declarations Project, please go to https://doi.org/10.5070/P5.62005.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "New Perspectives",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/68g14635",
            "frozenauthors": [
                {
                    "first_name": "Rebecca",
                    "middle_name": "",
                    "last_name": "Trinh",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62093/galley/47977/download/"
                }
            ]
        },
        {
            "pk": 62075,
            "title": "Some Thoughts about NPS, the Humanities, and the Mellon Humanities Postdoctoral Fellowship Program",
            "subtitle": null,
            "abstract": "<p>Reflections on the Mellon Humanities Postdoctoral Fellowship Program from its project director in the National Park Service.</p>",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/89g9q3w4",
            "frozenauthors": [
                {
                    "first_name": "Barbara",
                    "middle_name": "J.",
                    "last_name": "Little",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62075/galley/47959/download/"
                }
            ]
        },
        {
            "pk": 62087,
            "title": "Steps on the Healing Journey: Investigating the Pipestone Indian Boarding School Archival Records for Survivors, Descendants, Tribes, and National Park Visitors",
            "subtitle": null,
            "abstract": "In this article, we detail our approach to digitizing, researching, and developing a messaging plan around the archival records from Pipestone Indian Boarding School, a federally run industrial training school that operated from 1893–1953 in southwest Minnesota. We begin by discussing the history of the sacred Pipestone quarries, why the federal government built a boarding school there, and how the quarries went from being protected treaty land to being designated a national monument. We then describe how our project was initiated in response to feedback received in government-to-government consultation between Pipestone National Monument and 23 Tribal Nations with historical ties to the sacred quarries. Tribal partners expressed that they want the full truth about the school known and acknowledged, and they want the public to be educated about what they and their relatives experienced at the school. Our team worked closely with consulting Tribes and Native communities to develop a research plan, bring archival documentation to light, and discuss future public engagement.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2z77w5w2",
            "frozenauthors": [
                {
                    "first_name": "Michelle",
                    "middle_name": "L.",
                    "last_name": "Night Pipe",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                },
                {
                    "first_name": "Felicia",
                    "middle_name": "",
                    "last_name": "Bartley",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                },
                {
                    "first_name": "Fallon",
                    "middle_name": "",
                    "last_name": "Carey",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                },
                {
                    "first_name": "Samuel",
                    "middle_name": "",
                    "last_name": "Torres",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62087/galley/47971/download/"
                }
            ]
        },
        {
            "pk": 62081,
            "title": "The Sonic Record: Interpretation, Aesthetics, and Labor History",
            "subtitle": null,
            "abstract": "This article reflects on the theory and process of The Measure of Work: Sounds of Labor in Lowell, an interdisciplinary project that uses sound as an interpretive lens to explore labor history at Lowell National Historical Park. Drawing on sound studies, literary theory, and principles of dialogic interpretation, this project asked two interrelated questions: How might an emphasis on sound change the way we interpret labor history? and, How could the creation of a sound-centric museum experience open up new interpretive pathways? In partnership with the local arts and culture non-profit Mosaic Lowell, the park enlisted six composers to create original music that incorporated the sounds of work from different periods of Lowell’s long history. Workshops with community members, archival research, and field recordings informed compositions, which represent a wide breadth of musical styles. The resulting installation intervenes in the Boott Cotton Mills Museum’s current exhibits by juxtaposing established stories of progress, productivity, and decline with soundscapes that illuminate changing conceptions of work over time. The article shows how aesthetic forms have the capacity to both expand and destabilize dominant historical narratives.",
            "language": "eng",
            "license": {
                "name": "",
                "short_name": "",
                "text": null,
                "url": ""
            },
            "keywords": [],
            "section": "Featured Theme Articles",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/8r07p696",
            "frozenauthors": [
                {
                    "first_name": "Sarah",
                    "middle_name": "",
                    "last_name": "Buchmeier",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": null,
            "date_accepted": null,
            "date_published": "2026-01-15T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/psf/article/62081/galley/47965/download/"
                }
            ]
        },
        {
            "pk": 50611,
            "title": "Syncope in a Patient with Right Ventricular Compression from Severe Pectus Excavatum: A Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Pectus excavatum (PEX) is the most common congenital chest wall deformity, characterized by posterior depression of the sternum and lower costal margin. While often asymptomatic, severe PEX can lead to compression of the heart and great vessels, potentially causing right ventricular dysfunction, syncope, and other cardiovascular symptoms. Syncope due to right ventricle compression in PEX is rare but can significantly impact quality of life and may require surgical intervention.</p>\n<p><strong>Case Report</strong>: An 18-year-old female presented to the emergency department after an unwitnessed syncopal episode. The patient reported feeling lightheaded while showering, followed by collapse and brief loss of consciousness. Diagnostic testing revealed normal neurological and metabolic parameters including point-of-care glucose, electrocardiogram, serum troponin, electrolytes, and head computed tomography. Chest imaging showed severe PEX with concerns of right ventricular compression. Transthoracic echocardiography demonstrated normal cardiac function, and exercise stress testing showed no ischemic changes. Additional laboratory studies revealed iron deficiency anemia.</p>\n<p><strong>Conclusion</strong>: This case underscores the potential for PEX to cause distorted cardiac morphology, including right ventricular compression, which can lead to syncope in severe cases. The absence of cardiac ischemia, arrhythmias, or metabolic derangement suggests postural changes compounded by undiagnosed anemia and underlying PEX as the most likely cause of this patient’s syncope. Given the patient’s symptoms and anatomical findings, referral for surgical evaluation was made to discuss definitive management options. This case highlights the importance of considering structural chest wall abnormalities in the differential diagnosis of syncopal events, particularly when standard causes are excluded.</p>",
            "language": "eng",
            "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": "syncope"
                },
                {
                    "word": "pectus excavatum"
                },
                {
                    "word": "right ventricle compression"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/3w71h2v8",
            "frozenauthors": [
                {
                    "first_name": "Matthew",
                    "middle_name": "John",
                    "last_name": "Christensen",
                    "name_suffix": "",
                    "institution": "Naval Medical Center San Diego, Department of Emergency Medicine, San Diego, California",
                    "department": ""
                },
                {
                    "first_name": "Jennifer",
                    "middle_name": "",
                    "last_name": "Foti",
                    "name_suffix": "",
                    "institution": "Naval Medical Center San Diego, Department of Emergency Medicine, San Diego, California",
                    "department": ""
                }
            ],
            "date_submitted": "2025-08-10T20:32:37.979000+02:00",
            "date_accepted": "2025-09-25T00:09:31.112000+02:00",
            "date_published": "2026-01-15T00:18:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/50611/galley/48093/download/"
                }
            ]
        },
        {
            "pk": 3928,
            "title": "Calculation",
            "subtitle": null,
            "abstract": "<p><em>Calculation is a form of professional numeracy that, from the first evidence of writing in Egypt to the period of the New Kingdom, comprised concepts and methods different from those of contemporary Mesopotamia. In approximately the late fourth millennium BCE, professional numeracy developed in both regions. A comparison of these two early mathematical cultures allows insights into the parallel necessities that prompted this development, as well as elucidation of the differences in the formation of the two mathematical systems, their historiographical treatment, and the consequences of the choices of writing material for the preservation of sources.</em></p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Domains of Knowledge",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7hf463sj",
            "frozenauthors": [
                {
                    "first_name": "Annette",
                    "middle_name": "",
                    "last_name": "Imhausen",
                    "name_suffix": "",
                    "institution": "Other",
                    "department": ""
                }
            ],
            "date_submitted": "2021-04-15T16:47:44+02:00",
            "date_accepted": "2026-01-14T11:16:01.103000+01:00",
            "date_published": "2026-01-14T10:17:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "Calculation galley",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/nelc_uee/article/3928/galley/48753/download/"
                }
            ]
        },
        {
            "pk": 50643,
            "title": "Medial Clavicle Physeal Fracture in a 15-Year-Old Male: A Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Sternoclavicular joint injuries are rare and potentially life-threatening injuries due to their proximity to vital mediastinal structures. In adolescents, skeletal immaturity can add complexity to the injury due to potential involvement of the physis. A physeal fracture with displacement can appear as a dislocation on imaging, also known as pseudo-dislocation. Additionally, this anatomic area is difficult to visualize with plain radiographs, which can result in misdiagnosis and delayed treatment.</p>\n<p><strong>Case Report: </strong>We present a case of a 15-year-old male athlete who presented to the emergency department with severe right clavicular pain four hours after sustaining a football injury. Plain radiographs obtained at an outside facility as well as repeat plain radiographs at our facility showed no evidence of fracture or dislocation. The patient’s degree of pain and physical exam findings prompted further imaging with computed tomography (CT), ultimately revealing a physeal fracture of the medial right clavicle with posterior and superior displacement.</p>\n<p><strong>Conclusion: </strong>Sternoclavicular joint injuries in skeletally immature patients are complex and require immediate diagnosis and intervention. Plain radiographs are often unreliable in recognizing these injuries and, in our case, the physeal fracture with displacement was not radiographically apparent on two separate occasions. Advanced imaging with CT revealed the diagnosis, highlighting the importance of a detailed physical exam and for physicians to maintain a high index of clinical<br>suspicion when evaluating adolescents with high-impact trauma, even in the setting of negative plain radiographs.</p>",
            "language": "eng",
            "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": "sternoclavicular joint"
                },
                {
                    "word": "pediatric sports injury"
                },
                {
                    "word": "Physeal fracture"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7ph799nh",
            "frozenauthors": [
                {
                    "first_name": "Rochelle",
                    "middle_name": "",
                    "last_name": "Kofman",
                    "name_suffix": "",
                    "institution": "Mayo Clinic Alix School of Medicine, Phoenix, Arizona",
                    "department": ""
                },
                {
                    "first_name": "Ryan",
                    "middle_name": "",
                    "last_name": "Allen",
                    "name_suffix": "",
                    "institution": "Mayo Clinic Alix School of Medicine, Phoenix, Arizona",
                    "department": ""
                },
                {
                    "first_name": "Addison",
                    "middle_name": "B",
                    "last_name": "Smartt",
                    "name_suffix": "",
                    "institution": "Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona",
                    "department": ""
                },
                {
                    "first_name": "Kevin",
                    "middle_name": "",
                    "last_name": "Drechsel",
                    "name_suffix": "",
                    "institution": "Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona",
                    "department": ""
                },
                {
                    "first_name": "Jordan",
                    "middle_name": "Riley",
                    "last_name": "Pollock",
                    "name_suffix": "",
                    "institution": "Mayo Clinic Alix School of Medicine, Phoenix, Arizona; Mayo Clinic Arizona, Department of Radiology, Phoenix, Arizona",
                    "department": ""
                },
                {
                    "first_name": "Douglas",
                    "middle_name": "",
                    "last_name": "Rappaport",
                    "name_suffix": "",
                    "institution": "Mayo Clinic Alix School of Medicine, Phoenix, Arizona; Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona",
                    "department": ""
                }
            ],
            "date_submitted": "2025-08-14T03:25:15.604000+02:00",
            "date_accepted": "2025-10-24T17:31:40.532000+02:00",
            "date_published": "2026-01-14T09:50:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/50643/galley/48094/download/"
                }
            ]
        },
        {
            "pk": 53978,
            "title": "Syncope in a Patient with Takotsubo Syndrome: Additional Issues to Consider",
            "subtitle": null,
            "abstract": "",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Letters to the Editor",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6fz4w39f",
            "frozenauthors": [
                {
                    "first_name": "John",
                    "middle_name": "E.",
                    "last_name": "Madias",
                    "name_suffix": "",
                    "institution": "Icahn School of Medicine at Mount Sinai, New York, New York; Elmhurst Hospital Center, Department of Cardiology, Elmhurst, New York",
                    "department": ""
                }
            ],
            "date_submitted": "2025-11-17T00:12:27.626000+01:00",
            "date_accepted": "2025-11-24T20:18:21.005000+01:00",
            "date_published": "2026-01-14T09:31:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/53978/galley/48099/download/"
                }
            ]
        },
        {
            "pk": 47345,
            "title": "Spontaneous Splenic Vein Rupture: Case Report of a Rare Presentation",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Spontaneous splenic vein rupture is a rare condition associated with a high risk of mortality. Only a few cases have been documented, all of which have been linked to underlying predisposing conditions. In this case, however, we present a previously healthy patient with no identifiable risk factors.</p>\n<p><strong>Case Report</strong>: A 64-year-old male presented to the emergency department with acute-onset abdominal pain and nausea. Physical exam revealed a rigid abdomen with diffuse tenderness and guarding. Serial labs revealed a progressively decreasing hemoglobin and red blood cell count. Computed tomography demonstrated a ruptured splenic vein with a large volume of retroperitoneal hemorrhage. Laparotomy identified a large retroperitoneal hematoma with hemoperitoneum, and embolization was performed by interventional radiology. The patient recovered after one week in the surgical intensive care unit and was subsequently discharged home with no complications to date.</p>\n<p><strong>Conclusion</strong>: This case underscores the importance of maintaining a high clinical suspicion in patients with acute, unexplained abdominal pain, and emphasizes the crucial role of emergency physicians in the timely recognition and management of such conditions. Given the scarcity of existing literature, this case provides valuable insight into the presentation and management of spontaneous splenic vein rupture in previously healthy individuals, thereby enhancing clinical awareness of this rare and life-threatening condition.</p>",
            "language": "eng",
            "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": "splenic vein"
                },
                {
                    "word": "retroperitoneal hemorrhage"
                },
                {
                    "word": "Spontaneous rupture"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9fh5w06s",
            "frozenauthors": [
                {
                    "first_name": "Brittany",
                    "middle_name": "",
                    "last_name": "Franco",
                    "name_suffix": "",
                    "institution": "Broward Health North Hospital, Department of Emergency Medicine, Deerfield Beach, Florida",
                    "department": ""
                },
                {
                    "first_name": "Amanda",
                    "middle_name": "",
                    "last_name": "Karski",
                    "name_suffix": "",
                    "institution": "Broward Health North Hospital, Department of Emergency Medicine, Deerfield Beach, Florida",
                    "department": ""
                },
                {
                    "first_name": "Kevin",
                    "middle_name": "",
                    "last_name": "Boehm",
                    "name_suffix": "",
                    "institution": "Broward Health North Hospital, Department of Emergency Medicine, Deerfield Beach, Florida",
                    "department": ""
                }
            ],
            "date_submitted": "2025-05-05T05:00:22.853000+02:00",
            "date_accepted": "2025-09-22T19:34:39.691000+02:00",
            "date_published": "2026-01-14T08:45:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47345/galley/48091/download/"
                }
            ]
        },
        {
            "pk": 49018,
            "title": "Lithospheric Mantle Density Anomalies Determined From Lithosphere Thickness and Dynamic Topography",
            "subtitle": null,
            "abstract": "<p>Chemical buoyancy within the lithosphere may be prevalent in certain depth regions. To constrain those depths, we follow an approach similar to Wang et al. (2023) and plot the difference between residual topography—where only crustal isostatic topography has been removed—and dynamic topography—where only sub-lithospheric density anomalies are considered—against lithosphere thickness. In theory, this difference should be caused by density anomalies in the lithosphere, and the slope of the fitting line versus lithosphere thickness should hence indicate depth-dependent density anomalies in the lithosphere. When computing dynamic topography, lithosphere thickness and density anomalies outside the continental lithosphere are derived from tomography. Within the continental lithosphere, density anomalies are set to a reference value, for which we use either the global mean, or the depth-dependent mean values below mid-ocean ridges. With densities in the continental lithosphere set to global mean, we typically find a break in slope around 150 km thickness, from nearly zero above to a negative slope below. With densities set to mid-ocean ridge values, there is still a break in slope but the slope above 150 km is also negative. This indicates that chemical density anomalies that cause lithospheric buoyancy are concentrated in the upper ≈150 km. Whether or not there are substantial density anomalies also above 150 km mainly depends on whether the global mean, or mid-ocean ridges are used for reference.</p>",
            "language": "eng",
            "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": "Density"
                },
                {
                    "word": "Topography"
                },
                {
                    "word": "lithosphere"
                }
            ],
            "section": "Research article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/82w4g5ch",
            "frozenauthors": [
                {
                    "first_name": "Bernhard",
                    "middle_name": "",
                    "last_name": "Steinberger",
                    "name_suffix": "",
                    "institution": "GFZ Helmholtz Centre for Geosciences, Telegrafenberg, 14473 Potsdam, Germany",
                    "department": "Geophysics",
                    "country": "Germany"
                },
                {
                    "first_name": "Paul",
                    "middle_name": "",
                    "last_name": "Strobel",
                    "name_suffix": "",
                    "institution": "Wolkenberg-Gymnasium, Am Wolkenberg 14, 14552 Michendorf, Germany",
                    "department": "",
                    "country": "Germany"
                }
            ],
            "date_submitted": "2025-07-16T12:47:35.572000+02:00",
            "date_accepted": "2025-11-05T16:31:17.865000+01:00",
            "date_published": "2026-01-12T09:00:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "HTML",
                    "type": "html",
                    "path": "https://journalpub.escholarship.org/geodynamica/article/49018/galley/47937/download/"
                },
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/geodynamica/article/49018/galley/48023/download/"
                }
            ]
        },
        {
            "pk": 62013,
            "title": "WestJEM Full-Text Issue",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "WestJEM Full-Text Issue",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/0jh9b5br",
            "frozenauthors": [
                {
                    "first_name": "Cassandra",
                    "middle_name": "",
                    "last_name": "Saucedo",
                    "name_suffix": "",
                    "institution": "UC Irvine",
                    "department": ""
                },
                {
                    "first_name": "Isabella",
                    "middle_name": "",
                    "last_name": "Choi",
                    "name_suffix": "",
                    "institution": "UC Irvine",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-10T07:03:33.156000+01:00",
            "date_accepted": "2026-01-10T07:11:52.243000+01:00",
            "date_published": "2026-01-10T13:25:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/62013/galley/47983/download/"
                }
            ]
        },
        {
            "pk": 48511,
            "title": "Emergency Physician and Emergency Nurse Communication in the Emergency Department: A Mixed-methods Study",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> The emergency department (ED) is a setting where communication occurs often and with potential consequences for patient care. In this study we sought to determine nurse and physician perspectives on the nature and implications of effective and ineffective communication in the ED.</p>\n<p><strong>Methods:</strong> We used a mixed-methods design, including an online survey followed by in-person focus groups with emergency nurses (EN) and emergency physicians (EP). Participants were recruited through email listserves to emergency staff at four hospitals. We integrated quantitative survey results with focus-group themes.</p>\n<p><strong>Results: </strong>A total of 115 eligible ENs and EPs completed the initial questionnaire (50% response rate from ENs, 65% response rate from EPs). Responses from nurses and physicians were similar; both noted that poor communication is frequent, adversely affects patient care and ED function, affects trust, particularly between individuals, and that non- verbal communication behaviors affect team communication. In the focus groups (consisting of 18 EPs and 17 ENs), six themes emerged: 1) Situations, built physical environment, and medium of communications all impact quality of communication; 2) core elements of desired professional communication include respect and attention, often conveyed through non-verbal behaviors; 3) poor communication begets poor communication and influences interpersonal relationships; 4) effective communication is seen as fundamental to patient care but also has impacts beyond patient care; 5) clinician gender and gender dyads influence communication dynamics; and 6) participants were able to identify learning activities and techniques for effective communication.</p>\n<p><strong>Conclusion:</strong> Emergency nurses and physicians across four EDs described failures of communication as both frequent and significant to patient care. This study identified characteristics of effective communication, complex factors influencing communication, and emphasized the whole-team impact of communication quality.</p>",
            "language": "eng",
            "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": "Communication"
                },
                {
                    "word": "emergency department"
                }
            ],
            "section": "Emergency Department Operations",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/51n1p92h",
            "frozenauthors": [
                {
                    "first_name": "David",
                    "middle_name": "C.",
                    "last_name": "Jones",
                    "name_suffix": "",
                    "institution": "Oregon Health & Science University, Department of Emergency Medicine, Portland, Oregon",
                    "department": ""
                },
                {
                    "first_name": "Jeffrey",
                    "middle_name": "",
                    "last_name": "Phillips",
                    "name_suffix": "",
                    "institution": "Oregon Health & Science University, Department of Emergency Medicine, Portland, Oregon",
                    "department": ""
                },
                {
                    "first_name": "Amanda",
                    "middle_name": "",
                    "last_name": "Graveson",
                    "name_suffix": "",
                    "institution": "Cleveland Clinic, Department of Surgery, Cleveland, Ohio",
                    "department": ""
                },
                {
                    "first_name": "Lindsay",
                    "middle_name": "",
                    "last_name": "Hrizuk",
                    "name_suffix": "",
                    "institution": "University of Kansas Health System, Department of Emergency Medicine, Kansas City, Kansas",
                    "department": ""
                },
                {
                    "first_name": "Nichole",
                    "middle_name": "",
                    "last_name": "Meuwissen",
                    "name_suffix": "",
                    "institution": "University Health, Department of Emergency Medicine, San Antonio, Texas",
                    "department": ""
                },
                {
                    "first_name": "Evan",
                    "middle_name": "",
                    "last_name": "Alldredge",
                    "name_suffix": "",
                    "institution": "Legacy Emmanuel Hospital, Anesthesia Critical Care, Portland, Oregon",
                    "department": ""
                },
                {
                    "first_name": "Matthew",
                    "middle_name": "",
                    "last_name": "Loxton",
                    "name_suffix": "",
                    "institution": "Blue Faery: The Adrienne Wilson Liver Cancer Association, Birmingham, Alabama",
                    "department": ""
                },
                {
                    "first_name": "Esther",
                    "middle_name": "",
                    "last_name": "Choo",
                    "name_suffix": "",
                    "institution": "Oregon Health & Science University, Department of Emergency Medicine, Portland, Oregon",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-09T20:45:36.241000+02:00",
            "date_accepted": "2025-10-04T23:32:46.382000+02:00",
            "date_published": "2026-01-10T12:32:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48511/galley/47916/download/"
                }
            ]
        },
        {
            "pk": 47187,
            "title": "Incidence of Solar Retinopathy and Photokeratitis in US Emergency Departments Surrounding the April 2024 Total Solar Eclipse",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Viewing a solar eclipse without proper eye protection can lead to ocular injuries such as solar retinopathy or photokeratitis. The April 8, 2024, solar eclipse in the southern and eastern United States presented a rare opportunity to assess the public health impact of such events on eye-related emergency department (ED) visits.</p>\n<p><strong>Methods:</strong> We identified a total of 1,774 ED visits for eye injuries across both periods. There were 853 visits before the eclipse and 921 visits after, showing no statistically significant difference (X² = 1.432, P &gt; .05) between the two time periods.</p>\n<p><strong>Results:</strong> We identified a total of 1,774 ED visits for eye injuries across both periods. There were 853 visits before the eclipse and 921 visits after. The chi-square statistic (X² = 1.432, degree of freedom = 1, P &gt; .05) indicated no statistically significant difference in the incidence of eye injuries between the two time periods.</p>\n<p><strong>Conclusion:</strong> Despite concerns regarding eclipse-related eye injuries, we found no statistically significant increase in ED visits for ocular pain or photokeratitis following the April 8, 2024, solar eclipse. These results suggest that public education campaigns promoting safe eclipse viewing may have been effective. Ongoing efforts are warranted to continue promoting ocular safety during future eclipses</p>",
            "language": "eng",
            "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": "Solar Retinopathy"
                },
                {
                    "word": "UV Keratitis"
                },
                {
                    "word": "Solar Eclipse 2024"
                },
                {
                    "word": "Preventable Eye Injuries"
                }
            ],
            "section": "Clinical Practice",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7m40s715",
            "frozenauthors": [
                {
                    "first_name": "Matthew",
                    "middle_name": "",
                    "last_name": "Poremba",
                    "name_suffix": "",
                    "institution": "Allegheny Health Network, Department of Emergency Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Philip",
                    "middle_name": "",
                    "last_name": "Nawrock",
                    "name_suffix": "",
                    "institution": "Allegheny Health Network, Allegheny General Hospital, Department of Emergency Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Shiv",
                    "middle_name": "",
                    "last_name": "Dua, MD",
                    "name_suffix": "",
                    "institution": "Allegheny Health Network, Allegheny General Hospital, Department of Emergency Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Sharon",
                    "middle_name": "",
                    "last_name": "Klapec",
                    "name_suffix": "",
                    "institution": "Allegheny Health Network, Department of Emergency Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Vincent",
                    "middle_name": "",
                    "last_name": "LaMantia",
                    "name_suffix": "",
                    "institution": "Allegheny Health Network, Allegheny General Hospital, Department of Emergency Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Chadd",
                    "middle_name": "",
                    "last_name": "Nesbit",
                    "name_suffix": "",
                    "institution": "Allegheny Health Network, Allegheny General Hospital, Department of Emergency Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                }
            ],
            "date_submitted": "2025-04-07T16:49:40.222000+02:00",
            "date_accepted": "2025-09-22T19:48:38.799000+02:00",
            "date_published": "2026-01-09T17:39:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/47187/galley/47896/download/"
                }
            ]
        },
        {
            "pk": 48540,
            "title": "Sexual Assault and Forensic Exam Offers in the Emergency Department: A Retrospective Study",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Patients who report sexual assault in the emergency department (ED) have a legal right to a forensic exam. Emergency departments that do not provide such exams must offer transfer to a forensic site. Little is known about the factors influencing whether patients are offered a forensic exam and complete the transfer. In this study we aimed to identify patient characteristics associated with being offered a forensic exam in an ED that does not perform them on site.</p>\n<p><strong>Methods: </strong>We conducted a retrospective chart review of adult patients presenting to a single, urban, academic ED between January 2017–December 2019. The ED receives over 75,000 visits annually and refers patients to an external site for forensic exams. Using keywords “sexual assault” or “rape” we identified charts that included whether the visit involved an initial report of sexual assault. Charts were abstracted for demographics, insurance status, psychiatric history, clinician concern for acute mental illness or substance use, and mode of arrival. The primary outcome was whether a forensic exam was offered. Statistical analyses included chi-square tests and penalized logistic regression.</p>\n<p><strong>Results:</strong> Of 167 charts reviewed, 108 met inclusion criteria. Of these, 94 patients (87.0%) were offered a forensic exam and 14 (64.8%) accepted transfer. Patients who were offered exams were younger (mean age 29.9 vs 36.8 years, P = .05), more likely to arrive ambulatory (69.1 vs 42.9%, P = .02), and less likely to have a psychiatric history (31.9 vs 71.4%, P = .01). Clinician concern for acute psychiatric illness or substance use was significantly associated with not offering a forensic exam (64.3 vs 16.0%, P &lt; .001). In regression analysis, this concern was the only independent association of not being offered a forensic exam (adjusted odds ratio 0.16, 95% CI, 0.03-0.76, P = .02). Additionally, 23.1% of patients were uninsured, significantly higher than the local rate of 2.7%.</p>\n<p><strong>Conclusion: </strong>Patients in the ED who report sexual assault are less likely to be offered a forensic exam if they present with signs of acute mental illness or substance use disorder. These findings highlight the need for standardized protocols and advocacy to ensure equitable access to forensic exams, especially for patients with behavioral health needs or without insurance.</p>",
            "language": "eng",
            "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": "Sexual Assault"
                },
                {
                    "word": "Forensic Exams"
                },
                {
                    "word": "Emergency Medicine"
                }
            ],
            "section": "Women's Health",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/8419s88g",
            "frozenauthors": [
                {
                    "first_name": "Kirsten",
                    "middle_name": "",
                    "last_name": "Walton",
                    "name_suffix": "",
                    "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
                    "department": ""
                },
                {
                    "first_name": "Maria",
                    "middle_name": "",
                    "last_name": "Diaz",
                    "name_suffix": "",
                    "institution": "George Washington University, School of Medicine and Health Science, Washington, DC",
                    "department": ""
                },
                {
                    "first_name": "Colton",
                    "middle_name": "",
                    "last_name": "Hood",
                    "name_suffix": "",
                    "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
                    "department": ""
                },
                {
                    "first_name": "Neal",
                    "middle_name": "",
                    "last_name": "Sikka",
                    "name_suffix": "",
                    "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
                    "department": ""
                },
                {
                    "first_name": "Philip",
                    "middle_name": "",
                    "last_name": "Ma",
                    "name_suffix": "",
                    "institution": "George Washington University, School of Medicine and Health Science, Biomedical Informatics Center, Washington, DC",
                    "department": ""
                },
                {
                    "first_name": "Sonal",
                    "middle_name": "",
                    "last_name": "Batra",
                    "name_suffix": "",
                    "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-12T16:43:26.544000+02:00",
            "date_accepted": "2025-10-04T22:56:44.652000+02:00",
            "date_published": "2026-01-09T14:35:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48540/galley/47908/download/"
                }
            ]
        },
        {
            "pk": 50661,
            "title": "Preliminary Post-Dobbs Trends in Emergency Department Use for Early Pregnancy Complications",
            "subtitle": null,
            "abstract": "<p><strong>Introduction: </strong>Following the 2022 Dobbs Supreme Court decision, emergency department (ED) use for early pregnancy complications (EPC), such as miscarriage and ectopic pregnancy, may increase in states that enacted severely restrictive abortion policies. Patients may increasingly seek EPC-related care in the ED due to delays in treatment resulting in greater symptom severity or reduced access to usual settings of obstetric and family planning care. Our objective in this study was to examine the association between severely restrictive abortion policies and post-Dobbs EPC-related ED visits.</p>\n<p><strong>Methods: </strong>This retrospective, cross-sectional study used data from the 2016-2022 National Hospital Ambulatory Medical Care Survey. Our primary outcome measure was ED visits among female patients 15-49 years of age for EPC-related care, defined using encounter diagnosis code or chief complaint. We used multivariable logistic regression to examine the association between US region and post-Dobbs, EPC-related visits, as the number of states with severely restrictive abortion policies (bans from conception to six weeks) varied by region, from zero (Northeast) to 10 of 17 states in the South. </p>\n<p><strong>Results: </strong>We identified 7,872,445 weighted EPC-related visits (unweighted n = 1,008) among 266,222,232 weighted (unweighted n = 32,841) encounters for female patients 15-49 years of age (3.0%). The median age was 28 (IQR 23-32). The proportion of pre- vs post-Dobbs EPC-related visits was 3.1% vs 2.5% in the Northeast (P = .72); 3.2% vs 3.5% in the West (P = .80); 2.4% vs 3.1% in the Midwest (P = .36); and 2.9% vs 3.7% in the South (P = .50). Compared to the Northeast, the adjusted odds of post-Dobbs EPC-related visits were 1.4 in the West (95% CI, 0.4-5.2), 1.4 in the Midwest (95% CI, 0.4-4.6), and 1.3 in the South (95% CI, 0.4-4.7). </p>\n<p><strong>Conclusion: </strong>This preliminary study did not find a statistically significant association between US region and post-Dobbs ED visits for early pregnancy complications. However, given the increasing restrictions surrounding reproductive healthcare access, the ED represents an important setting for the delivery of this care. Further investigations using more robust data sources are needed to understand the effect of prohibitive abortion laws on the ED use and the management of early obstetric complications.</p>",
            "language": "eng",
            "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": "reproductive health"
                },
                {
                    "word": "abortion"
                },
                {
                    "word": "Obstetrics and Gynecology"
                }
            ],
            "section": "Women's Health",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/593390bd",
            "frozenauthors": [
                {
                    "first_name": "Emily",
                    "middle_name": "E.",
                    "last_name": "Ager",
                    "name_suffix": "",
                    "institution": "University of California San Francisco School of Medicine, Department of Emergency Medicine, San Francisco, California",
                    "department": ""
                },
                {
                    "first_name": "Ralph",
                    "middle_name": "",
                    "last_name": "Wang",
                    "name_suffix": "",
                    "institution": "University of California San Francisco School of Medicine, Department of Emergency Medicine, San Francisco, California",
                    "department": ""
                },
                {
                    "first_name": "Lyndsey",
                    "middle_name": "S.",
                    "last_name": "Benson",
                    "name_suffix": "",
                    "institution": "University of Washington School of Medicine, Department of Obstetrics and Gynecology, Seattle, Washington",
                    "department": ""
                }
            ],
            "date_submitted": "2025-08-15T04:06:37.869000+02:00",
            "date_accepted": "2025-10-28T06:22:43.257000+01:00",
            "date_published": "2026-01-09T12:42:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/50661/galley/47894/download/"
                }
            ]
        },
        {
            "pk": 48526,
            "title": "Prehospital and Emergency Care Perspectives to Define Pediatric Critical Illness and Injury",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Timely identification of critically ill or injured children in prehospital and emergency settings remains a persistent challenge due to developmental variability, low case volumes in emergency medical services (EMS), and contextual limitations during field assessments. Existing frameworks to identify at-risk children often fail to capture the nuances of pediatric presentations, particularly in resource-limited or mass casualty settings. We aimed to explore prehospital and hospital-based clinician perspectives to inform a Delphi survey for the development of a consensus-driven definition of pediatric critical illness and injury.</p>\n<p><strong>Methods:</strong> We conducted a qualitative study using one semi-structured interview and two focus groups with participants with expertise in pediatric prehospital and hospital acute care. Participants were presented with a list of tools commonly used to assess the severity of illness in children in the emergency department and hospital-based settings. Interviews were conducted virtually, transcribed, coded using an iterative process, and thematically analyzed. We used key themes to inform the structure and priorities for a future Delphi survey.</p>\n<p><strong>Results:</strong> Six of the 12 invited participants took part in the study. Five major themes emerged: 1) prehospital indicators of critical illness (e.g., seizure, intravenous  placement, cardiopulmonary resuscitation; 2) in-hospital markers of severity (e.g., air medical transport, intubation, diagnostic findings); 3) perceptions of existing triage tools (e.g., limited awareness or utility among paramedics); 4) differences in assessment approaches across roles and settings; and 5) specific triage challenges during mass casualty or disaster scenarios. Paramedics emphasized clinical actions as indicators of acuity, while physicians cited diagnostic findings and broader contextual indicators. Across roles, there was more agreement on the limitations of current triage and illness severity tools than on their utility.</p>\n<p><strong>Conclusion:</strong> We gained insights into key gaps in current pediatric triage systems, including limited applicability of existing tools in prehospital settings, variability in comfort with pediatric interventions, and the lack of alignment between paramedic action-based indicators and physician reliance on diagnostic findings. Role-specific experiences influence how critical status is assessed and highlight the value of integrating multidisciplinary insight. These findings inform future work focused on the development of consensus-based outcome measures that align with decision-making across prehospital and hospital environments.</p>",
            "language": "eng",
            "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": "Pediatric Critical Illness"
                },
                {
                    "word": "prehospital assessment"
                },
                {
                    "word": "triage tools"
                },
                {
                    "word": "emergency medical services"
                }
            ],
            "section": "Pediatrics",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/08c1z69x",
            "frozenauthors": [
                {
                    "first_name": "Sriram",
                    "middle_name": "",
                    "last_name": "Ramgopal",
                    "name_suffix": "",
                    "institution": "Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children’s Hospital of Chicago, Division of Emergency Medicine, Chicago, Illinois",
                    "department": ""
                },
                {
                    "first_name": "Rebecca",
                    "middle_name": "E.",
                    "last_name": "Cash",
                    "name_suffix": "",
                    "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts",
                    "department": ""
                },
                {
                    "first_name": "Christian",
                    "middle_name": "",
                    "last_name": "Martin-Gill",
                    "name_suffix": "",
                    "institution": "University of Pittsburgh School of Medicine, Department of Emergency Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Ashley",
                    "middle_name": "",
                    "last_name": "Hayes",
                    "name_suffix": "",
                    "institution": "Ann & Robert H. Lurie Children’s Hospital of Chicago, Stanley Manne Children’s Research Institute, Research and Evaluation Center, Mary Ann & J. Milburn Smith Child Health Outcomes, Chicago, Illinois",
                    "department": ""
                },
                {
                    "first_name": "Leonardo",
                    "middle_name": "",
                    "last_name": "Barrera",
                    "name_suffix": "",
                    "institution": "Ann & Robert H. Lurie Children’s Hospital of Chicago, Stanley Manne Children’s Research Institute, Research and Evaluation Center, Mary Ann & J. Milburn Smith Child Health Outcomes, Chicago, Illinois",
                    "department": ""
                },
                {
                    "first_name": "Christopher",
                    "middle_name": "",
                    "last_name": "Horvat",
                    "name_suffix": "",
                    "institution": "University of Pittsburgh Medical Center Children’s Hospital of Pittsburgh, Department of Critical Care Medicine, Pittsburgh, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Michelle",
                    "middle_name": "L.",
                    "last_name": "Macy",
                    "name_suffix": "",
                    "institution": "Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children’s Hospital of Chicago, Division of Emergency Medicine, Chicago, Illinois; Ann & Robert H. Lurie Children’s Hospital of Chicago, Stanley Manne Children’s Research Institute, Research and Evaluation Center, Mary Ann & J. Milburn Smith Child Health Outcomes, Chicago, Illinois",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-11T01:37:35.432000+02:00",
            "date_accepted": "2025-10-14T01:56:58.771000+02:00",
            "date_published": "2026-01-09T12:25:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48526/galley/47893/download/"
                }
            ]
        },
        {
            "pk": 43498,
            "title": "Comparison of Unhoused and Domiciled Patients Evaluated for Trauma in a Level II Trauma Center",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> California has one of the highest rates of homelessness in the United States. Unhoused individuals often have complex medical and behavioral health disorders, frequently complicated by substance use disorders. They have a significant risk of sustaining traumatic injuries. This report compares unhoused and domiciled patients treated at our Northern California trauma center.</p>\n<p><strong>Methods:</strong> In this retrospective analysis of trauma patients we used data extracted from our institution’s Trauma Quality Improvement Program Trauma Registry for January 1, 2019–April 22, 2022 and compared characteristics of unhoused and domiciled individuals. All unhoused patients in the registry were included in the analysis, as well as an equal number of domiciled patients who were randomly selected during the same time frame. We described and compared demographic and clinical characteristics.</p>\n<p><strong>Results:</strong> Of 8,529 patients in the registry, 181 (2.1%) were unhoused, and we selected 181 domiciled patients to compare. Unhoused patients were more likely male (83% vs. 61%, P &lt; .001) and younger (48.8 ± 12.3 vs. 55. 8 ± 23.7 years, P &lt;.001). Both cohorts had similar Injury Severity Scores. However, unhoused patients had a higher rate of hospital admissions (76.8% vs. 61.9%, P &lt;.001) and longer hospital stays than domiciled patients (4.0 [IQR 2.0-9.0] days vs. 3.0 [IQR 1.0-6.0] days, respectively; P = .02). A higher proportion of unhoused patients received alcohol- (85.6% vs. 74.6%, P = .01) and drug screening (56.4% vs. 30.4%, P &lt; .001) than domiciled patients. Of those screened for urine drugs, unhoused patients had a higher positive rate (76.5% vs. 50.9%, P &lt; .001). Unhoused patients were more frequently injured by assault (30.4% vs. 8.8%, P &lt; .001) or pedestrian strike (21.5% vs. 3.3%, P &lt; .001), whereas more domiciled patients were injured in falls (46.4% vs. 21.5%, P &lt; .001) and motor vehicle accidents (29.8% vs. 8.3%, P &lt; .001). Falls were most common in the oldest quartile for both groups. In both cohorts, a “sharp object” was the most common mechanism of assault injury (40.0% vs. 37.5%, respectively). Assault by firearm occurred in 14.5% of unhoused and 18.8% of domiciled patients. Overall mortality was 2.2%, with no significant difference between groups (1.7 vs. 2.8%, P = .70). </p>\n<p><strong>Conclusion:</strong> Unhoused patients were predominantly younger males with a higher incidence of substance use disorder and greater likelihood of injuries  from assault and pedestrian strikes. Falls and assault with a sharp object were common in both cohorts. Unhoused patients  were admitted more often  and stayed longer  in the hospital. Understanding the complexities of these patients can guide local and regional prevention and treatment measures.</p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [
                {
                    "word": "Trauma"
                },
                {
                    "word": "unhoused"
                },
                {
                    "word": "Resources"
                }
            ],
            "section": "Trauma",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/03h287nk",
            "frozenauthors": [
                {
                    "first_name": "Paul",
                    "middle_name": "A.",
                    "last_name": "Silka",
                    "name_suffix": "",
                    "institution": "Providence Seaside Hospital, Department of Emergency Medicine, Seaside, Oregon",
                    "department": ""
                },
                {
                    "first_name": "Miriam",
                    "middle_name": "R.",
                    "last_name": "Elman",
                    "name_suffix": "",
                    "institution": "Oregon Health & Science University-Portland State University, School of Public Health, Biostatistics & Design Program, Portland, Oregon",
                    "department": ""
                },
                {
                    "first_name": "Margarida",
                    "middle_name": "",
                    "last_name": "Bettencourt",
                    "name_suffix": "",
                    "institution": "Unaffiliated",
                    "department": ""
                },
                {
                    "first_name": "Melissa",
                    "middle_name": "",
                    "last_name": "Harte",
                    "name_suffix": "",
                    "institution": "Regional Medical Center of San Jose, San Jose, California",
                    "department": ""
                }
            ],
            "date_submitted": "2025-02-13T18:07:26.050000+01:00",
            "date_accepted": "2025-09-13T17:01:43.291000+02:00",
            "date_published": "2026-01-09T11:44:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/43498/galley/47927/download/"
                }
            ]
        },
        {
            "pk": 49099,
            "title": "Practical Strategies for Developing Speaking Skills in Asynchronous L2 Courses",
            "subtitle": null,
            "abstract": "<p>This article presents a curricular model designed to strengthen oral production in asynchronous second language (L2) instruction. Developed within a Spanish L2 program at a large public university in the southern United States, the model responds to a persistent pedagogical challenge intensified by the post-pandemic shift toward remote learning: fostering communicative competence without real-time interaction. Grounded in Communicative Language Teaching (CLT), the Output Hypothesis, Sociocultural Theory (SCT), and the Community of Inquiry (CoI) framework, the model integrates two complementary asynchronous oral activities: (1) Video Conversation Threads and (2) structured, proctored Oral Description Tasks. The first promotes interaction, confidence, and social presence through multimodal, low-stakes exchanges, while the second reinforces grammatical accuracy, lexical control, and procedural familiarity with formal assessment formats. These tasks establish a scaffolded progression that supports both communicative fluency and linguistic precision. Implementation across multiple course levels followed two sequencing configurations: a Sequential Scaffolding Model emphasizing gradual skill development and a Cyclical Scaffolding Model reinforcing iterative learning. Preliminary observations from instructors and students suggest increased learner engagement, confidence, and digital competence, as well as reduced anxiety in high-stakes oral assessments. This framework demonstrates that meaningful oral communication can be effectively cultivated in asynchronous environments through intentional design, iterative practice, and reflective feedback. It offers a transferable, theory-informed approach to integrating oral production into online and hybrid language courses.</p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution-NonCommercial-NoDerivatives  4.0",
                "short_name": "CC BY-NC-ND 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nd/4.0"
            },
            "keywords": [],
            "section": "Teachers' Forum",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9wt6c9p7",
            "frozenauthors": [
                {
                    "first_name": "Jonathan",
                    "middle_name": "",
                    "last_name": "Malacara",
                    "name_suffix": "",
                    "institution": "University of Houston",
                    "department": "Hispanic Studies"
                }
            ],
            "date_submitted": "2025-07-23T10:11:53.237000+02:00",
            "date_accepted": "2025-11-04T21:40:29.963000+01:00",
            "date_published": "2026-01-08T20:39:00+01:00",
            "render_galley": {
                "label": "galley final",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/l2/article/49099/galley/47886/download/"
            },
            "galleys": [
                {
                    "label": "Galley v1",
                    "type": "other",
                    "path": "https://journalpub.escholarship.org/l2/article/49099/galley/47386/download/"
                },
                {
                    "label": "galley final",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/l2/article/49099/galley/47886/download/"
                }
            ]
        },
        {
            "pk": 47367,
            "title": "Machine Translation and L2 Anxiety Among L2 Learners: Patterns, Motivations, and Pedagogical Implications",
            "subtitle": null,
            "abstract": "<p>This paper reports findings from an empirical study that investigated the relationship between machine translator (MT) use and second language (L2) anxiety. Previous research has documented widespread MT use among learners, especially in recent years;  this increase can be explained not only by MT’s accessibility and accuracy but also by students’ favorable perceptions of MT functionality and the higher quality of their work when aided by MT. Fewer studies have focused on the psychological factors that may be driving learners’ growing reliance on these tools. The present investigation examined MT use patterns, reasons for use, and L2 anxiety levels in lower-level and upper-level college students. The results revealed a high level of MT use by learners even at the more advanced level and high-frequency MT use among learners who reported more L2 anxiety. Furthermore, students reported anxiety and fear of judgment as predominant factors driving their MT use, which suggests that pedagogical practices that aim to lessen learner dependence on MT may need to focus on lowering student anxiety as well. Other factors mentioned by participants were saving time, getting good grades, and feeling more confident in their L2 accuracy. Ultimately, students expressed positive views towards MT as a tool for language learning, although their comments also suggest that they recognize it can undermine their L2 development.   The discussion of the findings provides various suggestions for alternative teaching and assessment practices to combat learner anxiety and ensure MT use supports L2 learning.    </p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution-NonCommercial-NoDerivatives  4.0",
                "short_name": "CC BY-NC-ND 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nd/4.0"
            },
            "keywords": [
                {
                    "word": "Foreign Language Anxiety"
                },
                {
                    "word": "Machine Translation"
                },
                {
                    "word": "Second Language Acquisition"
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                {
                    "word": "alternative assessment"
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                {
                    "first_name": "Elena",
                    "middle_name": "",
                    "last_name": "Schoonmaker-Gates",
                    "name_suffix": "",
                    "institution": "Elon University",
                    "department": "World Languages and Cultures"
                },
                {
                    "first_name": "Ketevan",
                    "middle_name": "",
                    "last_name": "Kupatadze",
                    "name_suffix": "",
                    "institution": "Other",
                    "department": ""
                }
            ],
            "date_submitted": "2025-05-08T15:15:46.322000+02:00",
            "date_accepted": "2025-10-16T23:35:09.750000+02:00",
            "date_published": "2026-01-08T20:28:00+01:00",
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                "label": "Final Galley",
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                "path": "https://journalpub.escholarship.org/l2/article/47367/galley/47885/download/"
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                {
                    "label": "Galley v1",
                    "type": "other",
                    "path": "https://journalpub.escholarship.org/l2/article/47367/galley/47387/download/"
                },
                {
                    "label": "Final Galley",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/l2/article/47367/galley/47885/download/"
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            ]
        },
        {
            "pk": 62003,
            "title": "Zavala, Oswaldo. <em>Drug Cartels Do Not Exist: Narco-Trafficking and Culture in the US and Mexico</em>, translated by William Savinar. Vanderbilt University Press, 2022. 206 pp.",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Book Reviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/0dg6862v",
            "frozenauthors": [
                {
                    "first_name": "Elaine",
                    "middle_name": "",
                    "last_name": "Carey",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-08T19:04:27.449000+01:00",
            "date_accepted": "2026-01-08T19:05:18.467000+01:00",
            "date_published": "2026-01-08T19:06:17.682000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/62003/galley/47884/download/"
                }
            ]
        },
        {
            "pk": 62002,
            "title": "Anderson, Mark. <em>The Rights of Nature and the Testimony of Things: Literature and Environmental Ethics from Latin America</em>. Vanderbilt UP, 2024. pp. 388.",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Book Reviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2fv5c13p",
            "frozenauthors": [
                {
                    "first_name": "Martín",
                    "middle_name": "",
                    "last_name": "Camps",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-08T18:59:32.585000+01:00",
            "date_accepted": "2026-01-08T19:00:16.790000+01:00",
            "date_published": "2026-01-08T19:01:36.540000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/62002/galley/47883/download/"
                }
            ]
        },
        {
            "pk": 62001,
            "title": "Sandoval-Léon, Osvaldo y Chrystian Zegarra (Coords.). <em>Partera de la historia: violencia en la literatura, «performance» y medios audiovisuales en Latinoamérica</em>. Nómada, Universidad Autónoma Metropolitana, 2022, 365 pp",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Book Reviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/68h4t0t3",
            "frozenauthors": [
                {
                    "first_name": "Droh",
                    "middle_name": "Joël Arnauld",
                    "last_name": "Keffa",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-08T18:54:30.594000+01:00",
            "date_accepted": "2026-01-08T18:55:16.578000+01:00",
            "date_published": "2026-01-08T18:56:14.803000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/62001/galley/47882/download/"
                }
            ]
        },
        {
            "pk": 62000,
            "title": "Cross, Elsa, ed. <em>El Lejano Oriente en la poesía mexicana</em>. Universidad Nacional Autónoma de México, Universidad Autónoma de Sinaloa, Universidad Autónoma de Nuevo León, Vaso Roto Ediciones, 2022. 824 pp.",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Book Reviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7267w4gr",
            "frozenauthors": [
                {
                    "first_name": "Araceli",
                    "middle_name": "",
                    "last_name": "Tinajero",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-08T18:47:25.329000+01:00",
            "date_accepted": "2026-01-08T18:48:17.044000+01:00",
            "date_published": "2026-01-08T18:49:56.280000+01:00",
            "render_galley": null,
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                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/62000/galley/47881/download/"
                }
            ]
        },
        {
            "pk": 61999,
            "title": "Castro, Azucena. <em>Posnaturalezas poéticas: Pensamiento ecológico y políticas de la extrañeza en la poesía latinoamericana contemporánea</em>. De Gruyter, 2025, 221 pp.",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Book Reviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/1z36b2tf",
            "frozenauthors": [
                {
                    "first_name": "Carolina",
                    "middle_name": "",
                    "last_name": "Díaz",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-08T18:42:30.245000+01:00",
            "date_accepted": "2026-01-08T18:43:46.925000+01:00",
            "date_published": "2026-01-08T18:44:57.529000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/61999/galley/47880/download/"
                }
            ]
        },
        {
            "pk": 61998,
            "title": "Vallejo Aristizábal, Patricio. <em>Caminando sobre arenas movedizas</em>. Ediciones Contraelviento, 2024. pp. 220",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Book Reviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7cj3g8jt",
            "frozenauthors": [
                {
                    "first_name": "Conxita",
                    "middle_name": "",
                    "last_name": "Domènech",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                }
            ],
            "date_submitted": "2026-01-08T18:36:34.082000+01:00",
            "date_accepted": "2026-01-08T18:38:27.650000+01:00",
            "date_published": "2026-01-08T18:39:34.801000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/61998/galley/47879/download/"
                }
            ]
        },
        {
            "pk": 53818,
            "title": "Entrevista a la novelista catalano-marroquí Karima Ziali con respecto a su opera prima, <em>Una oración sin Dios </em>(2023): identidad, género y sexualidad",
            "subtitle": null,
            "abstract": "",
            "language": "spa",
            "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": "Karima Ziali"
                },
                {
                    "word": "Una oración sin Dios"
                },
                {
                    "word": "literatura periférica"
                }
            ],
            "section": "Interviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6vj554fh",
            "frozenauthors": [
                {
                    "first_name": "Leila",
                    "middle_name": "",
                    "last_name": "Temsamani",
                    "name_suffix": "",
                    "institution": "University Mohammed V of Rabat",
                    "department": "Spanish studies"
                }
            ],
            "date_submitted": "2025-11-01T11:34:11.116000+01:00",
            "date_accepted": "2025-11-03T15:33:03.438000+01:00",
            "date_published": "2026-01-08T18:32:06.049000+01:00",
            "render_galley": {
                "label": "By Cristián",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/transmodernity/article/53818/galley/47890/download/"
            },
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/53818/galley/47890/download/"
                }
            ]
        },
        {
            "pk": 52975,
            "title": "Giving Voice to the Silenced: Teolinda Gersão on Martha Freud and the Power of Fiction   ",
            "subtitle": null,
            "abstract": "",
            "language": "eng",
            "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": "Interview; Teolinda Gersão"
                },
                {
                    "word": "Autobiografia Não Escrita de Martha Freud"
                },
                {
                    "word": "gender"
                }
            ],
            "section": "Interviews",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/1gg949s6",
            "frozenauthors": [
                {
                    "first_name": "Sandra",
                    "middle_name": "",
                    "last_name": "Sousa",
                    "name_suffix": "",
                    "institution": "Other",
                    "department": ""
                }
            ],
            "date_submitted": "2025-09-29T19:19:47.267000+02:00",
            "date_accepted": "2025-10-01T03:57:45.480000+02:00",
            "date_published": "2026-01-08T17:34:08.990000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/52975/galley/47877/download/"
                }
            ]
        },
        {
            "pk": 20136,
            "title": "Pequeñas maniobras contra la censura: Religión y Revolución en la plástica cubana de los años 80 y 90.",
            "subtitle": null,
            "abstract": "<p>En 1961, dos años después del triunfo de la Revolución, Fidel Castro pronunció sus célebres palabras a los intelectuales en la Biblioteca Nacional de Cuba José Martí. En ese discurso, estableció la línea rectora que regiría la esfera pública cubana, donde el Estado controlaría todos los medios de difusión y permitiría únicamente expresiones y puntos de vista alineados con los revolucionarios. La frase de Castro, “Dentro la revolución todo, contra la revolución nada”, sin embargo, no fue suficiente y a lo largo del proceso de institucionalización de la Revolución otros dirigentes e intelectuales cubanos, partidarios del régimen, propusieron conceptos que respaldaban esta política y llevaron a cabo purgas contra aquellos que no las respetaban. Dos ejemplos son la declaración del Primer Congreso Nacional de Educación y Cultura celebrado en 1971 y el concepto de “diversionismo ideológico”, expresado primero por Raúl Castro en el juicio contra Aníbal Escalante (1909-1977) en 1968[1] y desarrollado después por el intelectual marxista José Antonio Portuondo (1911-1996). En este ensayo exploraré el desarrollo de este concepto en una ponencia de Raúl Castro y en otra de José Antonio Portuondo así como en las obras artísticas realizadas en Cuba entre mediados de 1980 y 1990 que hablan de la política y la religión. Me interesa subrayar no solo las directrices fundamentales de esta etiqueta ideológica, sino también las formas en que los escritores y artistas la subvirtieron. Para ello recurriré a las ideas de Bronislaw Baczko sobre el imaginario social, y la imposición (y distorsión) de los discursos del poder en cualquier sociedad y en las ideas de Michel Foucault sobre la biopolítica o el control que ejerce el Estado sobre los cuerpos con el objetivo de defender la sociedad. ¿Qué es el imaginario social? y ¿Cómo se desarrollan las prácticas simbólicas en esta generación?</p>\n<p> </p>",
            "language": "spa",
            "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": "Cuba"
                },
                {
                    "word": "Revolucion"
                },
                {
                    "word": "Martí"
                },
                {
                    "word": "Diversionismo"
                },
                {
                    "word": "Pintura"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/09n73342",
            "frozenauthors": [
                {
                    "first_name": "Jorge",
                    "middle_name": "L",
                    "last_name": "Camacho",
                    "name_suffix": "",
                    "institution": "University of South Carolina-Columbia",
                    "department": ""
                }
            ],
            "date_submitted": "2024-11-02T19:22:36.244000+01:00",
            "date_accepted": "2025-07-14T10:25:26.491000+02:00",
            "date_published": "2026-01-08T17:21:44.880000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/20136/galley/47876/download/"
                }
            ]
        },
        {
            "pk": 38397,
            "title": "Ambivalent Identities in US-Mexico Border Literature: A Short Survey",
            "subtitle": null,
            "abstract": "<p>The essay introduces some of the main themes of Mexican American literature and suggests a connection with the phenomenology of the alien (Bernhard Waldenfels) and such resultant values as ambivalence and hybridity. This frame of reference allows a brief exploration of specific topics present in several US-Mexico border authors, including Rubén Martínez and the “zigzagging” consciousness of border life, Gloria Anzaldúa and the values of hybridity and indigenous ancestry, Tomás Rivera and intra-cultural conflict, Lucha Corpi and the clash between ideology and history, and Richard Rodriguez’ problems of assimilation and familial contradictions.</p>",
            "language": "eng",
            "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": "US-Mexico Border"
                },
                {
                    "word": "Mexican American Literature"
                },
                {
                    "word": "Gloria Anzaldúa"
                },
                {
                    "word": "Phenomenology of the Alien"
                },
                {
                    "word": "Intra-Cultural Conflict"
                },
                {
                    "word": "assimilation"
                },
                {
                    "word": "Rubén Martínez"
                },
                {
                    "word": "Richard Rodriguez"
                },
                {
                    "word": "Tomás Rivera"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6d12m2gv",
            "frozenauthors": [
                {
                    "first_name": "Eduardo",
                    "middle_name": "",
                    "last_name": "Ruiz",
                    "name_suffix": "",
                    "institution": "Other",
                    "department": ""
                }
            ],
            "date_submitted": "2024-10-23T03:09:44.879000+02:00",
            "date_accepted": "2025-05-31T04:54:57.552000+02:00",
            "date_published": "2026-01-08T17:20:08.841000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/38397/galley/47875/download/"
                }
            ]
        },
        {
            "pk": 48515,
            "title": "Against Extinction: Space Nomads and Ancestral Futures in <em>Ximan Poteh: contos dos futuros puri</em> (2021)",
            "subtitle": null,
            "abstract": "<p>Indigenous futurisms is a growing genre throughout Abiayala, from short fiction, novels, and film to visual art, music, and comics. This essay focuses on a 44-page collection of short stories by Puri author André da Silva Muniz. <em>Ximan Poteh: contos dos futuros puri </em>(2021) imagines a future universe where First Nations like the Puri engage in space exploration, planetary worldbuilding, and interstellar diplomacy based on traditional communal practices. Placing Muniz<!-- x-tinymce/html -->’s approach in dialogue with the broader context of ancestral futures in Brazil and Indigenous futurisms throughout the hemisphere, I consider how he subverts the myth of the vanishing Indian by projecting his people into the distant future as a radical affirmation of presence.</p>",
            "language": "eng",
            "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": "Indigenous futurisms"
                },
                {
                    "word": "ancestral futures"
                },
                {
                    "word": "extinction"
                },
                {
                    "word": "ethnogenesis"
                },
                {
                    "word": "Science Fiction"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7tv1883m",
            "frozenauthors": [
                {
                    "first_name": "Hannah",
                    "middle_name": "",
                    "last_name": "Burdette",
                    "name_suffix": "",
                    "institution": "California State University, Chico",
                    "department": "Languages and Cultures"
                }
            ],
            "date_submitted": "2025-06-11T01:18:37.716000+02:00",
            "date_accepted": "2025-10-16T05:21:49.156000+02:00",
            "date_published": "2026-01-08T17:18:22.584000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/48515/galley/47874/download/"
                }
            ]
        },
        {
            "pk": 47031,
            "title": "\n\nProteger el cuerpo de la nación: Discursos sobre la salud en los textos de viajeros chilenos a la República Popular China\n",
            "subtitle": null,
            "abstract": "<p>Este artículo examina las narrativas de viajeros chilenos que visitaron la República Popular China en las décadas de 1950 y 1960, animados por su compromiso social y el deseo de presenciar de cerca la transformación del “enfermo de Asia” en una nueva nación socialista. Específicamente, sostengo que este diverso corpus narrativo ancla su interpretación de la \"Nueva China\" en un lenguaje de salud y medicina, tanto literal como metafórico, en ciertos casos para celebrar los logros del Estado en la creación de un cuerpo social sano y feliz, y en otros, para plantear dudas e inquietudes sobre su naturaleza vigilante e inmunológica. Este artículo sostiene que una lectura biopolítica de las obras de Olga Poblete, Alfonso González Dagnino, Francisco Coloane y Mercedes Valdivieso sobre su tiempo en la República Popular permite conceptualizar el impacto que China tuvo para ellos en la formulación, y las limitaciones, de futuros políticos alternativos durante la guerra fría global.</p>",
            "language": "spa",
            "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": "Guerra fría global"
                },
                {
                    "word": " Chile"
                },
                {
                    "word": " República Popular China"
                },
                {
                    "word": " narrativa de viaje"
                },
                {
                    "word": " biopolítica"
                },
                {
                    "word": "Chile"
                },
                {
                    "word": "República Popular China"
                },
                {
                    "word": "narrativa de viaje"
                },
                {
                    "word": "Biopolítica"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6b25v407",
            "frozenauthors": [
                {
                    "first_name": "José",
                    "middle_name": "",
                    "last_name": "Chávarry",
                    "name_suffix": "",
                    "institution": "College of Charleston",
                    "department": "Hispanic Studies"
                }
            ],
            "date_submitted": "2025-03-16T00:11:41.636000+01:00",
            "date_accepted": "2025-07-20T09:20:59.881000+02:00",
            "date_published": "2026-01-08T17:16:20.644000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/47031/galley/47873/download/"
                }
            ]
        },
        {
            "pk": 46576,
            "title": "Infraestructuras de imperio: La integración mexicana-estadounidense y el (anti)liberalismo en las crónicas de viajes mexicanas, 1876-1898",
            "subtitle": null,
            "abstract": "<p>(English) This article considers late 19th-century U.S.-Mexican integration through the travel chronicles of two writers of Mexico’s political elite, <em>Viaje a los Estados Unidos</em> (1877) by Guillermo Prieto and <em>En Tierra Yankee</em> (1898) by Justo Sierra, with attention to their analysis of the infrastructures and built environment that sustained US imperial expansion. Critics have conventionally analyzed Latin American travel literature in relation to discourses of national identity, nation-building, the European colonial gaze, or the autobiographical “I” (el “yo autobiográfico”). By contrast, this study follows the “infrastructural turn” in cultural studies and Raymond William’s concept of “structures of feeling” to focus on the writers’ attention to ports, ships, railroads, telegraphs, newspapers, and cityscapes as instruments of colonial and racial administration of the conquered Native and Mexican populations. These writers examined the material roots of the continental transition from the Hispanic Empire’s northern frontier to the American West, in part to offer an alternative to racialized narratives of Anglo-Saxon superiority. While Prieto grounds his critique of U.S. imperial expansion in his fading vision of republican nationalism, Sierra fervently denounces U.S.-style capitalism and imperial expansion in the Caribbean through an emerging discourse of pan-Hispanism. </p>",
            "language": "spa",
            "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": "travel literature"
                },
                {
                    "word": "19th-century Mexican literature"
                },
                {
                    "word": "Infrastructure"
                },
                {
                    "word": "U.S. Empire"
                },
                {
                    "word": "Race/racism"
                },
                {
                    "word": "Mexican liberalism"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9x06c579",
            "frozenauthors": [
                {
                    "first_name": "Jason",
                    "middle_name": "",
                    "last_name": "Ahlenius",
                    "name_suffix": "",
                    "institution": "Vanderbilt University",
                    "department": "Center for Latin American, Caribbean, and Latinx Studies"
                }
            ],
            "date_submitted": "2025-03-10T20:25:54.022000+01:00",
            "date_accepted": "2025-09-11T04:22:36.476000+02:00",
            "date_published": "2026-01-08T17:12:17.698000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/46576/galley/47872/download/"
                }
            ]
        },
        {
            "pk": 41520,
            "title": "Conflictos en la traducción y accesibilidad de dos lenguas indígenas: el quechua de Perú y el náhuatl de México",
            "subtitle": null,
            "abstract": "<p>En el marco de la inclusión del náhuatl al traductor de Google, el presente trabajo analiza comparativamente los desafíos de la traducción que enfrentan el náhuatl en México y el quechua en Perú. A tal fin se evalúan los siguientes factores que conforman el paradigma sociolingüístico de dichas lenguas: su estatus social, el papel de los traductores, las limitaciones de las ideologías lingüísticas y la accesibilidad a herramientas tecnológicas. Este artículo muestra que el desplazamiento histórico de estas lenguas las sitúa en una posición doblemente vulnerable en la que la tecnología y los derechos lingüísticos juegan un rol fundamental en su preservación y, paralelamente, en la que algunas de sus ideologías culturales en cuanto a las reglas lingüísticas crean una barrera en la traducción que complica el papel de los traductores. Se comprueba, a modo de conclusión que, aunque el papel de la traducción de lenguas indígenas ha evolucionado e impulsado el apoyo del reconocimiento sociolingüístico de estas lenguas, aún existen muchas trabas que impiden su progreso y estudio. Para intentar resolver dichos conflictos, es necesario un compromiso social y político que impulse a la estandarización de estas lenguas respetando las culturas indígenas, para así crear herramientas tecnológicas adecuadas para sus traducciones.</p>",
            "language": "spa",
            "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": "lenguas indígenas"
                },
                {
                    "word": "Quechua"
                },
                {
                    "word": "nahuatl"
                },
                {
                    "word": "Traducción"
                },
                {
                    "word": "intérpretes"
                },
                {
                    "word": "conflictos traducción"
                },
                {
                    "word": "ideologías lingüísticas"
                },
                {
                    "word": "traductor"
                },
                {
                    "word": "preservación de lenguas indígenas"
                },
                {
                    "word": "derechos lingüísticos"
                },
                {
                    "word": "español"
                },
                {
                    "word": "desplazamiento histórico"
                },
                {
                    "word": "Derechos Indigenas"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9v28p799",
            "frozenauthors": [
                {
                    "first_name": "Merci",
                    "middle_name": "",
                    "last_name": "Silva-Acosta",
                    "name_suffix": "",
                    "institution": "University Of Nevada - Las Vegas",
                    "department": "World Languages and Cultures"
                }
            ],
            "date_submitted": "2024-12-20T05:15:00.692000+01:00",
            "date_accepted": "2025-10-14T03:23:36.108000+02:00",
            "date_published": "2026-01-08T17:06:13.672000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/41520/galley/47871/download/"
                }
            ]
        },
        {
            "pk": 40014,
            "title": "Troubled Affinities: Feminist Reading of Intercolonial Relations in Emilio Díaz Valcárcel’s Puerto Rican Narratives of the Korean War ",
            "subtitle": null,
            "abstract": "<p>This article examines the representation of intercolonial relations between Puerto Rican soldiers and Koreans during the Korean War in Emilio Díaz Valcárcel’s “Andrés” (1956) and “El soldado Damián Sánchez” (1955) from a feminist perspective. Moving beyond interpretations that frame Puerto Rican military participation in the Korean War solely as a reconfiguration of colonial relations between Puerto Rico and the U.S., it considers the war as an intercolonial space where Puerto Ricans and Koreans, differently colonized peoples under U.S. militarism, encounter each other. Focusing on the militarized sexual dynamics of occupied Korea, the article demonstrates how intercolonial relations in Díaz Valcárcel’s stories emerge as troubled affinities that, despite interpersonal and geopolitical resonances among the colonized under transnational U.S. militarism, ultimately reproduce imperial sexual violence toward women from occupied territories. Through an intercolonial and feminist approach that attends to multiple power dynamics within an imperial enterprise, the article highlights the complex positionality of colonized soldiers within the intersecting racist and patriarchal structures of imperial power.</p>\n<p> </p>",
            "language": null,
            "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": "The Korean War"
                },
                {
                    "word": "Emilio Díaz Valcárcel"
                },
                {
                    "word": "Intercolonial"
                },
                {
                    "word": "Puerto Rican Literature"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/1xz0v7hk",
            "frozenauthors": [
                {
                    "first_name": "Yeongju",
                    "middle_name": "",
                    "last_name": "Lee",
                    "name_suffix": "",
                    "institution": "Smith College",
                    "department": "Spanish and Portuguese"
                }
            ],
            "date_submitted": "2024-11-26T20:08:21.686000+01:00",
            "date_accepted": "2025-10-09T10:49:53.582000+02:00",
            "date_published": "2026-01-08T17:04:04.833000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/40014/galley/47870/download/"
                }
            ]
        },
        {
            "pk": 39686,
            "title": "La materialización del deseo: biopolítica y transnacionalidad en dos ensayos de Octavio Paz",
            "subtitle": null,
            "abstract": "<p>Este estudio se enfoca en dos ensayos de Octavio Paz a través de un acercamiento biopolítico como el que propone Christopher Breu. En “El Pachuco y otros extremos” (1950), y “Posiciones y contraposiciones: México y Estados Unidos” (1983), reflexiono sobre la distancia existente entre la realidad/materialidad biológica del cuerpo humano y la realidad/inmaterialidad del cuerpo político que el Estado neoliberal ejerce para mantener su hegemonía. Aquí propongo analizar la materialización del lenguaje simbólico que Paz articuló para aproximarse a la “identidad mexicana” dentro de un contexto trasnacional y de relaciones históricas y culturales entre México y los Estados Unidos.</p>",
            "language": "spa",
            "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": "Biopolítica"
                },
                {
                    "word": " Materialidad"
                },
                {
                    "word": " Inmaterialidad"
                },
                {
                    "word": " Neoliberalismo"
                },
                {
                    "word": " Postmexicanidad"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7ps2f4gv",
            "frozenauthors": [
                {
                    "first_name": "José",
                    "middle_name": "Clemente",
                    "last_name": "Carreño Medina",
                    "name_suffix": "",
                    "institution": "Truman State University",
                    "department": "Langauges & Linguistics"
                }
            ],
            "date_submitted": "2024-11-05T04:43:40.970000+01:00",
            "date_accepted": "2025-12-03T11:55:30.907000+01:00",
            "date_published": "2026-01-08T17:01:13.490000+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/39686/galley/47869/download/"
                }
            ]
        },
        {
            "pk": 35387,
            "title": "La Marcha Verde en <em>El invierno de los jilgueros </em>(2022) de Mohamed El Morabet: el sigilio de un acontecimiento colectivo con repercusiones individuales",
            "subtitle": null,
            "abstract": "<p>El objetivo de esta investigación es examinar la novela El invierno de los jilgueros (2022) de Mohamed El Morabet desde una perspectiva psico- temática inspirada en la filosofía de Heidegger. Nos sumergimos en las páginas de esta Bildungsroman con una metodología que desentraña el concepto heideggeriano del Sorge, que va más allá del simple \"cuidado de sí mismo\", abarcando el \"cuidado de\" y el \"velar por\" otros. A través de un minucioso análisis textual, exploramos cómo este concepto se manifiesta en la caracterización de Brahim, el protagonista, a lo largo de su viaje de formación del héroe, en sintonía con la noción del \"héroe formandí\" de Goethe. Descubrimos cómo este personaje llega a entender su papel en la sociedad a través del prisma del \"cuidado\". Este descubrimiento no solo arroja luz sobre la complejidad de la narrativa, sino que también nos invita a reflexionar sobre la importancia del contexto social, histórico y cultural en la formación de la identidad individual.</p>",
            "language": "spa",
            "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": "El invierno de los jilgueros- Bildungsroman- cuidado - Marcha Verde"
                }
            ],
            "section": "Article",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7ch390jd",
            "frozenauthors": [
                {
                    "first_name": "Sahar",
                    "middle_name": "",
                    "last_name": "Ouafqa",
                    "name_suffix": "",
                    "institution": "University Hassan II of Casablanca",
                    "department": "Department of Spanish"
                }
            ],
            "date_submitted": "2024-09-09T16:45:37.487000+02:00",
            "date_accepted": "2025-02-13T01:58:32.967000+01:00",
            "date_published": "2026-01-08T16:57:39.005000+01:00",
            "render_galley": {
                "label": "By Cristián",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/transmodernity/article/35387/galley/47868/download/"
            },
            "galleys": [
                {
                    "label": "By Cristián",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/transmodernity/article/35387/galley/47868/download/"
                }
            ]
        },
        {
            "pk": 48835,
            "title": "Racial Disparities in Door-to-Clinician Time for Cardiac Chest Pain in the Emergency Department",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Timely evaluation in the emergency department (ED) is critical for patients with cardiac chest pain. Although racial disparities in ED wait times have been reported, few studies have focused specifically on cardiac-related presentations. In this study we assessed racial and ethnic disparities in ED door-to-clinician time for cardiac chest pain.</p>\n<p><strong>Methods:</strong> We conducted a retrospective analysis of adult ED visits for cardiac chest pain (2019–2025) at a tertiary-care academic hospital. Patients ≥ 18 years of age were included. Race/ethnicity was categorized as White, Hispanic/Latino, Black, Native American, Asian, or other/unknown. Multivariable generalized linear modeling assessed the association between race/ethnicity and door-to-clinician time, adjusting for demographics and clinical variables. </p>\n<p><strong>Results:</strong> The study included 3,925 patients. The overall median door-to-clinician time was 15.9 minutes (interquartile range 8.0-36.0). In unadjusted bivariate analyses, significant differences were observed across racial and ethnic groups (P &lt; .001). Native American patients experienced the longest delays (23.8 minutes [13.9-49.8]), followed by Asian (18.6 minutes [8.4-36.5]) and Hispanic/Latino patients (17.1 minutes [9.3-43.7]). In contrast, White and Black patients had shorter median wait times of 14.9 minutes [7.1-33.9] and 15.0 minutes [8.8-38.7], respectively. After adjustment for age, sex, triage acuity, clinician type, and initial vital signs, Hispanic/Latino patients waited 18.2 minutes vs 14.9 minutes for White patients (absolute +3.3 minutes; 22% longer; relative risk 1.22, 95% CI, 1.09-1.36, P &lt; .001). Adjusted times were also higher for Black (16.5 minutes), Native American (17.7 minutes), and Asian patients (15.1 minutes), but differences were not statistically significant. </p>\n<p><strong>Conclusion:</strong> Hispanic/Latino patients with cardiac chest pain experienced a 22% longer ED wait time than White patients. Our findings highlight the need for targeted interventions and multisite research to ensure equitable, timely care for all patients with acute cardiac conditions.</p>",
            "language": "eng",
            "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": "racial disparities"
                },
                {
                    "word": "health equity"
                },
                {
                    "word": "emergency department"
                },
                {
                    "word": "chest pain"
                },
                {
                    "word": "wait times"
                }
            ],
            "section": "Health Equity",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/4mt5g404",
            "frozenauthors": [
                {
                    "first_name": "Emad",
                    "middle_name": "",
                    "last_name": "Awad",
                    "name_suffix": "",
                    "institution": "University of Utah, School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Shilpa",
                    "middle_name": "",
                    "last_name": "Raju",
                    "name_suffix": "",
                    "institution": "University of Utah, School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Hesham",
                    "middle_name": "",
                    "last_name": "Alsayyed",
                    "name_suffix": "",
                    "institution": "Walden University, College of Nursing, Minneapolis, Minnesota",
                    "department": ""
                },
                {
                    "first_name": "Ramsey",
                    "middle_name": "",
                    "last_name": "Issa",
                    "name_suffix": "",
                    "institution": "University of Utah, Department of Materials Science and Engineering, Salt Lake City, Utah",
                    "department": ""
                },
                {
                    "first_name": "Jeffrey",
                    "middle_name": "",
                    "last_name": "Druck",
                    "name_suffix": "",
                    "institution": "University of Utah, School of Medicine, Department of Emergency Medicine, Salt Lake City, Utah",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-27T19:20:37.895000+02:00",
            "date_accepted": "2025-10-04T23:08:49.432000+02:00",
            "date_published": "2026-01-07T16:04:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48835/galley/47900/download/"
                }
            ]
        },
        {
            "pk": 48963,
            "title": "Mirror, Mirror on the Wall: Preventing Shadow Boxing through Habituation - A Pilot Study",
            "subtitle": null,
            "abstract": "<p>Shadow boxing is the aggressive response of an animal to its reflection. When the species is strong enough to break surfaces (e.g., bear, monkey, woodpecker), this behaviour can lead to human-wildlife conflicts. In this pilot study, we assessed whether shadow boxing is subject to habituation (learning to ignore stimuli) in Southern ground-hornbills (Bucorvus leadbeateri). In the Mirror task, birds were repeatedly exposed to unbreakable mirrors (habituation). Subsequently, one mirror was presented at a different location (test). In the Neophobia task, a food reward was placed next to novel objects. Ground-hornbills did not habituate to the mirrors, but they differed in their levels of neophobia. </p>",
            "language": "eng",
            "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": "ground-hornbill"
                },
                {
                    "word": "Habituation"
                },
                {
                    "word": "human-wildlife conflict"
                },
                {
                    "word": "learning-conservation interface"
                },
                {
                    "word": "learning"
                },
                {
                    "word": "Neophobia"
                },
                {
                    "word": "shadow boxing"
                }
            ],
            "section": "Brief Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/68c9q9hq",
            "frozenauthors": [
                {
                    "first_name": "Sharline",
                    "middle_name": "",
                    "last_name": "Cully",
                    "name_suffix": "",
                    "institution": "University of Liege",
                    "department": ""
                },
                {
                    "first_name": "Nancy",
                    "middle_name": "",
                    "last_name": "Rebout",
                    "name_suffix": "",
                    "institution": "",
                    "department": ""
                },
                {
                    "first_name": "Lucy",
                    "middle_name": "",
                    "last_name": "Kemp",
                    "name_suffix": "",
                    "institution": "Mabula Ground Hornbill Project",
                    "department": ""
                },
                {
                    "first_name": "Samara",
                    "middle_name": "",
                    "last_name": "Danel",
                    "name_suffix": "",
                    "institution": "Other",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-11T10:42:17.198000+02:00",
            "date_accepted": "2025-10-16T04:44:39.653000+02:00",
            "date_published": "2026-01-06T18:07:00+01:00",
            "render_galley": {
                "label": "Danel_final",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/48963/galley/47848/download/"
            },
            "galleys": [
                {
                    "label": "Danel_final",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/48963/galley/47848/download/"
                }
            ]
        },
        {
            "pk": 47307,
            "title": "A Case Report of Acute Lymphoblastic Leukemia Presenting as Bilateral Knee Pain in a Healthy Runner",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Acute lymphoblastic leukemia (ALL) is typically a childhood disease but may present in older patients in rare occurrences. Due to its significant morbidity and mortality, early diagnosis is crucial. The symptoms of ALL may be non-specific, making the initial diagnosis difficult leading to delayed treatment.</p>\n<p><strong>Case Report: </strong>We present the case of a 34-year-old, healthy male runner presenting to the emergency department with a common complaint of bilateral knee pain, who was ultimately diagnosed with ALL with signs of tumor lysis syndrome leading to premature death.</p>\n<p><strong>Conclusion</strong>: We discuss the presenting symptoms of acute lymphoblastic leukemia, which may include joint or knee pain as well as leukemic arthritis. We further discuss the importance of clinicians maintaining a high level of suspicion for the “bounce-back” patient and avoiding taking cognitive shortcuts.</p>",
            "language": "eng",
            "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": "knee pain"
                },
                {
                    "word": "acute lymphocytic leukemia"
                },
                {
                    "word": "tumor lysis syndrome"
                },
                {
                    "word": "spontaneous intracranial hemorrhage"
                },
                {
                    "word": "Critical care"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/7jx7d00h",
            "frozenauthors": [
                {
                    "first_name": "Michael",
                    "middle_name": "",
                    "last_name": "Rosselli",
                    "name_suffix": "",
                    "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida",
                    "department": ""
                },
                {
                    "first_name": "Alejandro",
                    "middle_name": "Jesus",
                    "last_name": "Sanoja",
                    "name_suffix": "",
                    "institution": "University of Florida, Department of Emergency Medicine, Gainesville, Florida",
                    "department": ""
                },
                {
                    "first_name": "Matthew",
                    "middle_name": "",
                    "last_name": "Apicella",
                    "name_suffix": "",
                    "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida",
                    "department": ""
                }
            ],
            "date_submitted": "2025-04-26T16:01:58.312000+02:00",
            "date_accepted": "2025-08-27T21:56:35.229000+02:00",
            "date_published": "2026-01-06T08:38:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47307/galley/48085/download/"
                }
            ]
        },
        {
            "pk": 49096,
            "title": "Acute Aortic Dissection Masquerading as Testicular Torsion: A Case Report",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Aortic dissection is a rare but life-threatening condition with a high mortality rate if diagnosis is delayed. Aortic dissection classically presents with sudden-onset, sharp pain in the chest or back. However, atypical presentations can also occur, which could lead to a delay in diagnosis.</p>\n<p><strong>Case Report: </strong>A patient initially presented to the emergency department (ED) with left testicular pain ongoing for several hours. On examination, he had tenderness in the left lower quadrant abdomen and left testicle. A testicular ultrasound revealed decreased blood flow to the left testicle, raising concern for testicular torsion. The patient was taken to the operating room, where no torsion was found, and he was subsequently discharged home. Several days later, the patient returned to the ED with worsening pain radiating to the back. A computed tomography revealed an acute type A aortic dissection extending to the iliac arteries. He was transferred for surgical repair and discharged 12 days later.</p>\n<p><strong>Conclusion</strong>: While acute aortic dissection (AAD) typically presents with chest or back pain, atypical presentations can occur. When initial findings do not fully explain a patient’s symptoms, AAD should remain on the differential. This case highlights an uncommon presentation of AAD initially mimicking a testicular torsion.</p>",
            "language": "eng",
            "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": "Aortic Dissection"
                },
                {
                    "word": "Testicular torsion"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/12q6f8hs",
            "frozenauthors": [
                {
                    "first_name": "Bruce",
                    "middle_name": "M",
                    "last_name": "Lo",
                    "name_suffix": "",
                    "institution": "Sentara Norfolk General Hospital/Eastern Virginia Medical School at Old Dominion University, Department of Emergency Medicine, Norfolk, Virginia",
                    "department": ""
                },
                {
                    "first_name": "Megyn",
                    "middle_name": "K",
                    "last_name": "Christensen",
                    "name_suffix": "",
                    "institution": "Eastern Virginia Medical School at Old Dominion University, Department of Emergency Medicine, Norfolk, Virginia",
                    "department": ""
                },
                {
                    "first_name": "Coral",
                    "middle_name": "E",
                    "last_name": "Byrns",
                    "name_suffix": "",
                    "institution": "Eastern Virginia Medical School at Old Dominion University, Department of Emergency Medicine, Norfolk, Virginia",
                    "department": ""
                },
                {
                    "first_name": "Benjamin",
                    "middle_name": "",
                    "last_name": "Chidester",
                    "name_suffix": "",
                    "institution": "Sentara Norfolk General Hospital/Eastern Virginia Medical School at Old Dominion University, Department of Emergency Medicine, Norfolk, Virginia",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-23T06:01:14.369000+02:00",
            "date_accepted": "2025-09-16T02:20:17.372000+02:00",
            "date_published": "2026-01-06T08:31:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/49096/galley/48087/download/"
                }
            ]
        },
        {
            "pk": 40087,
            "title": "Diagnosis of Bilateral Quadriceps Tendon Rupture using Point-of-Care Ultrasound",
            "subtitle": null,
            "abstract": "<p><strong>Case Presentation: </strong>A healthy 32-year-old man presented to the emergency department with bilateral knee pain after landing from a jump. He was unable to extend his knees and had pain to palpation superior to the patella. Bilateral quadriceps tendon rupture was confirmed using point-of-care ultrasound, and the patient underwent operative repair the next day.</p>\n<p><strong>Discussion</strong>: Bilateral quadriceps tendon rupture is exceedingly rare, which often leads to misdiagnosis. Magnetic resonance imaging is the gold standard diagnostic imaging study but has multiple disadvantages, especially in emergency settings. Point-of-care ultrasound is an excellent tool to screen for this injury and prevent morbidity from delay in surgical repair.</p>",
            "language": "eng",
            "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": "bilateral quadriceps tendon rupture"
                },
                {
                    "word": "case report"
                },
                {
                    "word": "point-of-care ultrasound"
                }
            ],
            "section": "Images in Emergency Medicine",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/10r9605c",
            "frozenauthors": [
                {
                    "first_name": "Edward",
                    "middle_name": "",
                    "last_name": "Guo",
                    "name_suffix": "",
                    "institution": "Jefferson Health Northeast, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Akaysha",
                    "middle_name": "",
                    "last_name": "Duran",
                    "name_suffix": "",
                    "institution": "University of Pittsburgh Medical Center (UPMC) Memorial, Department of Emergency Medicine, York, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Alexander",
                    "middle_name": "",
                    "last_name": "Kuc",
                    "name_suffix": "",
                    "institution": "Cooper University Health Care, Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, New Jersey",
                    "department": "Cooper University Health Care, Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, New Jersey"
                },
                {
                    "first_name": "Alfred",
                    "middle_name": "",
                    "last_name": "Cheng",
                    "name_suffix": "",
                    "institution": "Cooper University Health Care, Department of Emergency Medicine, Cooper Medical School of Rowan University, Camden, New Jersey",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-07T16:38:55.569000+02:00",
            "date_accepted": "2025-09-10T22:21:23.791000+02:00",
            "date_published": "2026-01-06T08:20:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/40087/galley/48098/download/"
                }
            ]
        },
        {
            "pk": 48651,
            "title": "Simulation Curriculum Improves Emergency Medicine Resident Preparedness for the New American Board of Emergency Medicine Certifying Exam",
            "subtitle": null,
            "abstract": "<p><strong>Introduction: </strong>In 2024, the American Board of Emergency Medicine (ABEM) announced the launch of a new certifying exam that emergency medicine (EM) residency graduates must pass to achieve specialty certification. To date, there are no comprehensive curricula published in the available literature to aid residents in exam preparation.</p>\n<p><strong>Methods: </strong>In this pre-post pilot study, 44% (24/55) of postgraduate year 1 (PGY-1) through PGY-4 EM residents at a single site participated in a four-hour simulated certifying exam curriculum. Learners were asked to complete a four-point Likert scale survey rating self-reported preparedness (very unlikely – very likely) to take the ABEM Certifying Exam, as well as comfort with the ABEM tested competencies, preceding and following the simulation session.</p>\n<p><strong>Results: </strong>Survey respondents (n = 21; 87.5%) reported an improvement in overall preparedness to take the ABEM Certifying Exam, yielding a pre-post mean difference score of +1.2 (1.9 [unlikely] pre to 3.1 [likely] post, P &lt; .001). Additionally, there was an improvement in all ABEM-tested competencies; pre-post mean difference score ranged from +0.5 (3.0 pre to 3.5 post) for patient-centered communication to +1.1 (2.2 pre to 3.3 post) for clinical decision-making (P &lt; .001 for all competencies).</p>\n<p><strong>Conclusion:</strong> Given the critical need, and self-reported improvement in preparedness, EM training programs nationwide could consider incorporating a similar simulation curriculum into their didactic experience to help better prepare their learners for the new ABEM Certifying Exam. </p>",
            "language": "eng",
            "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": "Simulation"
                },
                {
                    "word": "Exam Preparation"
                },
                {
                    "word": "emergency medicine boards"
                },
                {
                    "word": "ABEM"
                },
                {
                    "word": "Certifying Exam"
                },
                {
                    "word": "Peer Roleplay"
                },
                {
                    "word": "Medical Simulation"
                }
            ],
            "section": "Education",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/3gd2g1c7",
            "frozenauthors": [
                {
                    "first_name": "Ian",
                    "middle_name": "",
                    "last_name": "Batson",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Chinezimuzo",
                    "middle_name": "",
                    "last_name": "Ihenatu",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Frances",
                    "middle_name": "",
                    "last_name": "Shofer",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Epidemiology and Biostatistics, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Matthew",
                    "middle_name": "",
                    "last_name": "Magda",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Michael",
                    "middle_name": "E",
                    "last_name": "Abboud",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Lauren",
                    "middle_name": "",
                    "last_name": "Conlon",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Suzana",
                    "middle_name": "",
                    "last_name": "Tsao",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Mira",
                    "middle_name": "",
                    "last_name": "Mamtani",
                    "name_suffix": "",
                    "institution": "University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-17T03:16:59.430000+02:00",
            "date_accepted": "2025-10-01T03:56:53.941000+02:00",
            "date_published": "2026-01-04T03:23:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48651/galley/47903/download/"
                }
            ]
        },
        {
            "pk": 48788,
            "title": "Impact of Alcohol Intoxication on Mortality and Emergency Department Resource Use in Suicidal Patients",
            "subtitle": null,
            "abstract": "<p><strong>Introduction: </strong>In North America, suicide ranks among the top causes of death in individuals 15-60 years of age. In this study we aimed to determine whether an emergency department (ED) presentation for suicidal behaviors accompanied by acute alcohol intoxication was associated with increased six-month suicide or all-cause mortality compared to non-intoxicated presentations of suicidal behaviors.</p>\n<p><strong>Methods:</strong> We performed a retrospective cohort study of adults (≥ 18 years) presenting to 16 EDs in Alberta, Canada, between April 2011–March 2021. Suicidal attempt or self-harm was identified via International Classification of Diseases codes, 10th Rev, Canadian Enhancement (ICD-10-CA). Patients were classified as acutely intoxicated if they had relevant ICD-10-CA codes or a blood alcohol concentration ≥ 2 millimoles per liter (9.2 milligrams per deciliter). We excluded patients who died on arrival, were transferred, or were non-residents. The primary outcome was suicide-specific mortality at six months; secondary outcomes included all-cause mortality, use of involuntary holds, psychiatric consultations, admissions, and ED return visits. Median differences with 95% confidence intervals and unadjusted odds ratio (OR) with 95% CI were reported for continuous and categorical variables, respectively. </p>\n<p><strong>Results:</strong> Among 58,051 suicidal or self-harm patients, 17,488 (30%) were classified as intoxicated. Six-month suicide mortality was similar between intoxicated and non-intoxicated groups (0.3% each; adjusted sub-distribution hazard ratio = 0.98 [95% CI, 0.73-1.38]), indicating no significant association between alcohol intoxication and suicide-specific death. Intoxicated patients were more often male (58% vs 52%; OR 1.26 [1.22-1.31]), arrived by ambulance (70% vs 50%; OR 2.32 [2.23-2.41]), and were more frequently placed on involuntary holds (26% vs 16%; OR 1.92 [1.83-2.00]). They had fewer hospital admissions (10.8% vs 15.4%; OR 0.63 [0.60-0.67]), longer ED stays (411 vs 277 minutes; median difference = 134 minutes [127.7-140.3]), and higher ED return rates at 30 days (19.8% vs 18.3%; OR 1.10 [1.05-1.15]) and six months (45.8% vs 42.1%; OR 1.16 [1.12-1.20]).</p>\n<p><strong>Conclusion:</strong> Acute alcohol intoxication among ED patients presenting with suicidal behaviors was not independently associated with higher six-month suicide mortality. Patients with acute alcohol intoxication had increased use of involuntary holds, longer lengths of stay, and more frequent ED return visits. Future work should explore other psychosocial and clinical factors, including substance use and psychiatric comorbidities, that may influence outcomes beyond the acute setting. </p>",
            "language": "eng",
            "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": "suicidality"
                },
                {
                    "word": "Alcohol intoxication"
                },
                {
                    "word": "suicide mortality"
                }
            ],
            "section": "Behavioral Health",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/5v13297m",
            "frozenauthors": [
                {
                    "first_name": "Kevin",
                    "middle_name": "",
                    "last_name": "Skoblenick",
                    "name_suffix": "",
                    "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada; University of Alberta, Department of Psychiatry, Edmonton, Alberta, Canada; University of Alberta, Neuroscience and Mental Health Institute, Edmonton, Alberta, Canada",
                    "department": ""
                },
                {
                    "first_name": "Esther",
                    "middle_name": "",
                    "last_name": "Yang",
                    "name_suffix": "",
                    "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada; Alberta SPOR SUPPORT Unit, Data and Research Services, Edmonton, Alberta, Canada; Alberta Health Services, Provincial Research Data Services, Edmonton, Alberta, Canada",
                    "department": ""
                },
                {
                    "first_name": "Michael",
                    "middle_name": "P.",
                    "last_name": "Wilson",
                    "name_suffix": "",
                    "institution": "Virginia Tech Carilion School of Medicine, Department of Emergency Medicine, Roanoke, Virginia; Virginia Tech Carilion School of Medicine, Department of Psychiatry, Roanoke, Virginia",
                    "department": ""
                },
                {
                    "first_name": "Erik",
                    "middle_name": "",
                    "last_name": "Youngson",
                    "name_suffix": "",
                    "institution": "Alberta SPOR SUPPORT Unit, Data and Research Services, Edmonton, Alberta, Canada; Alberta Health Services, Provincial Research Data Services, Edmonton, Alberta, Canada",
                    "department": ""
                },
                {
                    "first_name": "Brian",
                    "middle_name": "H.",
                    "last_name": "Rowe",
                    "name_suffix": "",
                    "institution": "University of Alberta, Department of Emergency Medicine, Edmonton, Alberta, Canada; University of Alberta, Neuroscience and Mental Health Institute, Edmonton, Alberta, Canada; University of Alberta, School of Public Health, Edmonton, Alberta, Canada",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-24T22:07:55.236000+02:00",
            "date_accepted": "2025-10-28T16:23:49.775000+01:00",
            "date_published": "2026-01-04T03:06:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48788/galley/47911/download/"
                }
            ]
        },
        {
            "pk": 48847,
            "title": "Improving Standardization and Access to Care via Seizure Pathways in the Emergency Department",
            "subtitle": null,
            "abstract": "<p><strong>Introduction: </strong>Seizures are one of the most common neurological presentations to an emergency department (ED), often as a first seizure of life or a breakthrough seizure. There is practice variation regarding the diagnostic workup and management for these patient populations. A standardized pathway for emergent evaluation of first seizure of life or breakthrough seizure currently does not exist, resulting in variability in evaluation and timing of outpatient care.</p>\n<p><strong>Methods: </strong>We created standardized pathways for evaluation and management of patients presenting to the ED with a first seizure of life or breakthrough seizure. These pathways, implemented at a large, quaternary-care hospital system, were utilized on 130 patients presenting with a seizure and compared with all patients with seizure on whom the pathway was not used, between May 2022–October 2023. Outcomes of interest included ED length of stay (LOS), proportion of patients admitted, time to outpatient follow-up, and difference in resource utilization. We compared categorical variables using chi-square test and continuous variables using the Wilcoxon rank-sum test. Equality of variance between the two cohorts was tested using the Levene test.</p>\n<p><strong>Results:</strong> There was no statistically significant difference between the percentage of male and female patients evaluated via standard-of-care model (45.6% and 49.5%) and those on the pathway (56.9% and 43.1%). The average age of patients was similar between standard-of-care and pathway groups (41 and 39 years, respectively). Median ED LOS was 5.0 (Interquartile range [IQR] 2.9-9.4) hours for standard of care and 4.8 (IQR 3.1-7.0) hours for pathway (P = .34), with a significant difference in variability in time for pathway group (P &lt; .001). Fewer patients were admitted or observed with pathway use (P &lt; .02). Median time to outpatient follow-up was 41.0 days (IQR 17.0-93.0) with standard of care and 23.5 days (IQR 8.0-57.0) with pathway use (P &lt; .001). More urinalyses (P &lt; .001), drug screens (P &lt; .001), alcohol levels (P &lt; .001) and computed tomography for first seizures (P &lt; .001) were ordered for the pathway group. Fewer magnetic resonance imaging studies were ordered for patients in the breakthrough seizures group using the pathway (P &lt; .001).</p>\n<p><strong>Conclusion:</strong> Standardized pathways to approach seizure presentation in the ED can reduce variability in care, improve time to outpatient neurologic care, and standardize seizure-safety counseling. </p>",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Neurology",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/9q58t2nq",
            "frozenauthors": [
                {
                    "first_name": "Brian",
                    "middle_name": "E.",
                    "last_name": "Emmert",
                    "name_suffix": "",
                    "institution": "Columbia University, Vagelos College of Physicians and Surgeons, Department of Neurology, Division of Epilepsy, New York, New York",
                    "department": ""
                },
                {
                    "first_name": "Cody",
                    "middle_name": "L.",
                    "last_name": "Nathan",
                    "name_suffix": "",
                    "institution": "Northwestern Memorial Hospital, Department of Neurology, Division of Epilepsy, Chicago, Illinois",
                    "department": ""
                },
                {
                    "first_name": "James",
                    "middle_name": "J.",
                    "last_name": "Gugger",
                    "name_suffix": "",
                    "institution": "University of Rochester, Department of Neurology, Rochester, New York",
                    "department": ""
                },
                {
                    "first_name": "Kathryn",
                    "middle_name": "A",
                    "last_name": "Davis",
                    "name_suffix": "",
                    "institution": "Perelman School of Medicine at the University of Pennsylvania, Department of  Neurology, Division of Epilepsy, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Margaret",
                    "middle_name": "",
                    "last_name": "Provencher",
                    "name_suffix": "",
                    "institution": "Perelman School of Medicine at the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Laura",
                    "middle_name": "A.",
                    "last_name": "Stein",
                    "name_suffix": "",
                    "institution": "Perelman School of Medicine at the University of Pennsylvania, Department of Neurology, Neurohospitalist Division, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Keith",
                    "middle_name": "C.",
                    "last_name": "Hemmert",
                    "name_suffix": "",
                    "institution": "Perelman School of Medicine at the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-30T18:28:23.041000+02:00",
            "date_accepted": "2025-10-19T19:35:49.143000+02:00",
            "date_published": "2026-01-04T02:54:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/48847/galley/47906/download/"
                }
            ]
        },
        {
            "pk": 54016,
            "title": "We Are Not Okay",
            "subtitle": null,
            "abstract": "",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Humanism",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/18j4t4zg",
            "frozenauthors": [
                {
                    "first_name": "Deena",
                    "middle_name": "D",
                    "last_name": "Wasserman",
                    "name_suffix": "",
                    "institution": "Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania",
                    "department": ""
                }
            ],
            "date_submitted": "2025-11-19T20:19:43.829000+01:00",
            "date_accepted": "2025-11-19T23:50:35.472000+01:00",
            "date_published": "2026-01-04T02:03:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/54016/galley/47918/download/"
                }
            ]
        },
        {
            "pk": 47910,
            "title": "Impact of Primary Spoken Language as a Social Determinant of Health on Cardiopulmonary Education and Use: Pilot Study",
            "subtitle": null,
            "abstract": "<p><strong>Introduction:</strong> Over 350,000 out-of-hospital cardiac arrests occur annually in the United States, with neurologically intact survival below 10%. Recent literature demonstrates that survival is lower in communities of color and non-English speakers. Social determinants of health, such as healthcare access, language, and literacy, may serve as barriers to receiving cardiopulmonary resuscitation (CPR) education and using the skills learned. Current research is sparse on identifying barriers contributing to the lack of CPR education and use in non-English speaking communities. We hypothesized that barriers to CPR education and use differ between English- and Spanish-speaking learners. This study provides insights into how classes could be tailored to address disparities in CPR education and use.</p>\n<p><strong>Methods: </strong>In this cross-sectional study we used survey-based research to assess the knowledge, comfort, and perceived barriers to activating the 9-1-1 system and performing bystander CPR. Participants were recruited using convenience sampling at community-based events in Roanoke, Virginia. We directly compared responses between language groups using Fisher tests within R, adjusting for various demographic factors.</p>\n<p><strong>Results: </strong>We collected 367 surveys from the 550 participants (estimated 50 attendees each for 11 events) for a response rate of 66.7%. Of the surveys collected, 231 (63%) were in English and 136 (37%) in Spanish. Spanish-speakers were more concerned with immigration status (7% vs 1%), doing something wrong (14% vs 7%), and language barrier (31% vs 1%) compared to English-speakers when asked why they may not call 9-1-1. We found that 72% of English-speakers would have no problem calling 9-1-1, compared to only 16% of Spanish-speakers. Regardless of language, the most prevalent barrier to initiating CPR was the “fear of doing something wrong” with 49% of Spanish-speakers and 28% of English-speakers endorsing this as a barrier. Only 10% of Spanish speakers would have no concerns starting CPR, compared to 54% of English-speakers. Language was reported by 21% of Spanish-speakers vs 2% of English-speakers as a barrier to administering CPR.</p>\n<p><strong>Conclusion: </strong>Results of this pilot study highlight that Spanish-speaking respondents were less comfortable calling 9-1-1 and initiating CPR compared to English-speaking respondents. While there were some shared barriers between the groups, Spanish-speaking respondents were more likely to identify a barrier overall. These results suggest that marginalized communities would benefit from tailored educational models that address their unique challenges. Further research is necessary to better understand how social determinants of health serve as barriers to CPR education/use in specific communities.</p>",
            "language": "eng",
            "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": "Out-of-hospital Cardiac Arrest"
                },
                {
                    "word": "language disparities"
                },
                {
                    "word": "chain of survival"
                },
                {
                    "word": "cardiopulmonary resuscitation"
                },
                {
                    "word": "social determinants of health"
                }
            ],
            "section": "Health Equity",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/96z004v2",
            "frozenauthors": [
                {
                    "first_name": "Charles",
                    "middle_name": "",
                    "last_name": "LeNeave",
                    "name_suffix": "",
                    "institution": "Virginia Tech Carilion School of Medicine, Roanoke, Virgina",
                    "department": ""
                },
                {
                    "first_name": "Brian",
                    "middle_name": "",
                    "last_name": "Meier",
                    "name_suffix": "",
                    "institution": "Virginia Tech Carilion School of Medicine, Department of Emergency Medicine, Roanoke, Virgina; Carilion Clinic, Roanoke, Virginia",
                    "department": ""
                },
                {
                    "first_name": "Heather",
                    "middle_name": "",
                    "last_name": "Liffert",
                    "name_suffix": "",
                    "institution": "Compress and Shock Foundation, Roanoke, Virginia",
                    "department": ""
                },
                {
                    "first_name": "Jack",
                    "middle_name": "C.",
                    "last_name": "Perkins",
                    "name_suffix": "",
                    "institution": "Virginia Tech Carilion School of Medicine, Department of Emergency Medicine, Roanoke, Virgina; Carilion Clinic, Roanoke, Virginia; Compress and Shock Foundation, Roanoke, Virginia",
                    "department": ""
                }
            ],
            "date_submitted": "2025-05-22T18:52:22.399000+02:00",
            "date_accepted": "2025-10-25T22:10:15.841000+02:00",
            "date_published": "2026-01-04T01:53:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/47910/galley/47897/download/"
                }
            ]
        },
        {
            "pk": 52941,
            "title": "Retention Challenges in Opioid Use Disorder Treatment: The Role of Comorbid Psychological Conditions",
            "subtitle": null,
            "abstract": "",
            "language": null,
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Letters to the Editor",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/75x589kg",
            "frozenauthors": [
                {
                    "first_name": "David",
                    "middle_name": "C",
                    "last_name": "Seaberg",
                    "name_suffix": "",
                    "institution": "US Acute Care Solutions, Canton, Ohio",
                    "department": ""
                }
            ],
            "date_submitted": "2025-09-24T20:20:19.489000+02:00",
            "date_accepted": "2025-09-24T20:25:03.373000+02:00",
            "date_published": "2026-01-04T01:32:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/52941/galley/47931/download/"
                }
            ]
        },
        {
            "pk": 50773,
            "title": "Retention Challenges in Opioid Use Disorder Treatment: The Role of Comorbid Psychological Conditions",
            "subtitle": null,
            "abstract": "",
            "language": "eng",
            "license": {
                "name": "Creative Commons Attribution 4.0",
                "short_name": "CC BY 4.0",
                "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
                "url": "https://creativecommons.org/licenses/by/4.0"
            },
            "keywords": [],
            "section": "Letters to the Editor",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6xk1n2kc",
            "frozenauthors": [
                {
                    "first_name": "Shu",
                    "middle_name": "",
                    "last_name": "Yuan",
                    "name_suffix": "",
                    "institution": "Sichuan Agricultural University, College of Resources, Chengdu, China",
                    "department": ""
                },
                {
                    "first_name": "Zi-Lin",
                    "middle_name": "",
                    "last_name": "Li",
                    "name_suffix": "",
                    "institution": "Medical University of the Air Force, College of Cardiovascular Medicine, Xi’an, China",
                    "department": ""
                },
                {
                    "first_name": "Jing",
                    "middle_name": "",
                    "last_name": "Hu",
                    "name_suffix": "",
                    "institution": "Northwest University, School of Medicine, Xi’an, China",
                    "department": ""
                }
            ],
            "date_submitted": "2025-08-28T07:18:20.345000+02:00",
            "date_accepted": "2025-09-10T18:09:00.594000+02:00",
            "date_published": "2026-01-04T01:26:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/westjem/article/50773/galley/47930/download/"
                }
            ]
        },
        {
            "pk": 48354,
            "title": "A Case Report of Milk-Alkali Syndrome Secondary to Excessive Antacid Use",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Milk-alkali syndrome is characterized by the triad of hypercalcemia, metabolic alkalosis, and acute kidney injury resulting from excessive intake of calcium and absorbable alkali. Despite falling out of prominence with the advent of modern ulcer treatments, milk-alkali syndrome has experienced a resurgence with the widespread availability of over-the-counter calcium preparations, which now account for up to 10% of hypercalcemia cases.</p>\n<p><strong>Case Report: </strong>A 60-year-old man with multiple comorbidities presented to the emergency department with altered mental status after his scheduled kyphoplasty was canceled due to concerning neurological findings. Laboratory evaluation revealed severe hypercalcemia, marked metabolic alkalosis, and acute kidney injury. Further history revealed excessive antacid consumption for heartburn. The patient was diagnosed with milk-alkali syndrome, treated with intravenous fluids and calcitonin, and discharged home after 48 hours with complete resolution of signs and symptoms.</p>\n<p><strong>Conclusion</strong>: Milk-alkali syndrome represents an increasingly recognized cause of severe hypercalcemia in the emergency setting. This case demonstrates the importance of thorough medication history, early recognition of the classic triad, and prompt initiation of conservative management. With the growing use of calcium-based, over-the-counter preparations, emergency physicians must maintain vigilance for this potentially serious but readily treatable condition.</p>",
            "language": "eng",
            "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": "case report"
                },
                {
                    "word": "milk alkali syndome"
                },
                {
                    "word": "Hypercalcemia"
                },
                {
                    "word": "antacids"
                },
                {
                    "word": "Metabolic alkalosis"
                },
                {
                    "word": "acute kidney injury"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/6wj9x771",
            "frozenauthors": [
                {
                    "first_name": "Layla",
                    "middle_name": "",
                    "last_name": "Abubshait",
                    "name_suffix": "",
                    "institution": "Jefferson Einstein Montgomery Hospital, Department of Emergency Medicine, East Norriton, Pennsylvania; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania",
                    "department": ""
                },
                {
                    "first_name": "Samir",
                    "middle_name": "",
                    "last_name": "Beso",
                    "name_suffix": "",
                    "institution": "Jefferson Einstein Montgomery Hospital, Department of Emergency Medicine, East Norriton, Pennsylvania",
                    "department": ""
                }
            ],
            "date_submitted": "2025-05-29T16:29:07.832000+02:00",
            "date_accepted": "2025-09-10T21:40:16.571000+02:00",
            "date_published": "2026-01-02T01:44:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/48354/galley/48088/download/"
                }
            ]
        },
        {
            "pk": 48533,
            "title": "Case Report: Pediatric Hallucinations and Anti-Neuronal Intermediate Filament Autoimmune Encephalitis",
            "subtitle": null,
            "abstract": "<p><strong>Introduction</strong>: Patients with psychiatric concerns often present to an emergency department (ED) for medical evaluation prior to inpatient psychiatry placement. One diagnosis to consider prior to disposition is autoimmune encephalitis (AIE). This report describes a pediatric patient who presented with psychiatric symptoms that required inpatient admission and workup to diagnose a rare form of AIE.</p>\n<p><strong>Case Report: </strong>A 16-year-old female with no known past medical history presented as a transfer from an outside hospital for medical evaluation of two days of auditory and visual hallucinations. Initial labs and imaging were unremarkable. Due to the acuity of her symptoms and abnormal vital signs, she was admitted to the hospital for further medical workup. After almost three weeks inpatient and multiple specialist consultations, she was diagnosed with anti-heavy chain neuronal intermediate filament AIE. The next month of admission included treatment with immunomodulators, antibiotics for associated infections, and malignancy evaluation. Symptoms resolved, and the patient was discharged. The patient remained asymptomatic on immunotherapies, and without psychiatric medications, the following year.</p>\n<p><strong>Conclusion</strong>: During evaluation of psychiatric concerns in the ED, it is essential to consider organic causes of behavioral changes, which can be difficult to discern. Autoimmune encephalitis can be subtle. Features such as autonomic dysregulation, acute or subacute symptom onset, recent infection, autoimmune or malignancy history, cognitive deficits, or focal neurologic findings should raise clinical suspicion. For patients with psychiatric symptoms, the role of an emergency physician is not to diagnose autoimmune encephalitis, but to recognize nuances in patient presentations to best direct proper workup, treatment, and disposition.</p>",
            "language": "eng",
            "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": "Autoimmune encephalitis"
                },
                {
                    "word": "pediatric"
                },
                {
                    "word": "neuronal intermediate filament"
                },
                {
                    "word": "case report"
                }
            ],
            "section": "Case Reports",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/5nc3w288",
            "frozenauthors": [
                {
                    "first_name": "Amanda",
                    "middle_name": "",
                    "last_name": "Bjornstad",
                    "name_suffix": "",
                    "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California",
                    "department": ""
                },
                {
                    "first_name": "Natalie",
                    "middle_name": "",
                    "last_name": "Oberhauser-Lim",
                    "name_suffix": "",
                    "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California",
                    "department": ""
                },
                {
                    "first_name": "Tammy",
                    "middle_name": "",
                    "last_name": "Phan",
                    "name_suffix": "",
                    "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California",
                    "department": ""
                },
                {
                    "first_name": "Emmelyn",
                    "middle_name": "",
                    "last_name": "Samones",
                    "name_suffix": "",
                    "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California",
                    "department": ""
                },
                {
                    "first_name": "Tim",
                    "middle_name": "",
                    "last_name": "Young",
                    "name_suffix": "",
                    "institution": "Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California",
                    "department": ""
                }
            ],
            "date_submitted": "2025-06-11T17:22:45.538000+02:00",
            "date_accepted": "2025-09-10T22:31:18.873000+02:00",
            "date_published": "2026-01-02T01:30:00+01:00",
            "render_galley": null,
            "galleys": [
                {
                    "label": "PDF",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_cpcem/article/48533/galley/48090/download/"
                }
            ]
        },
        {
            "pk": 52346,
            "title": "Prioritization: Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Department",
            "subtitle": null,
            "abstract": "<p>Audience: This case is designed for emergency medicine residents preparing for the American Board of Emergency Medicine Certifying Exam (ABEM). While we tested the case with third year emergency medicine residents, it could also be used with first- and second-year residents to develop complex decision-making and prioritization skills in a simulated environment.</p>\n<p>Introduction: Emergency medicine requires physicians to rapidly prioritize care, stabilize critically ill patients, adapt to changing clinical circumstances, and delegate tasks and resources. Traditional oral board cases emphasize single-patient encounters rather than multitasking or task-switching. This prioritization case better aligns with the clinical workflow of a shift in the emergency department, including triage, teamwork, and flexibility. This case forces learners to make timely decisions with incomplete information, giving examiners insight into how the examinee performs in the clinical environment.</p>\n<p>Educational Objectives: By the end of this case learners should: 1) Become familiar with the format of a prioritization case (a component of the ABEM Certifying Exam), 2) demonstrate their ability to prioritize multiple patients and provide stabilizing care, 3) consider changes in status/patient acuity/new cases as presented, 4) understand how to utilize team resources appropriately.</p>\n<p>Educational Methods: A group of five emergency medicine faculty with experience in simulation and oral board case design created a 15-minute practice prioritization case. This case is based on information provided by ABEM on the prioritization case format from the ABEM Certifying Exam. Learners are presented with evolving patient scenarios via tracking boards and prompted to prioritize, stabilize, task switch, and delegate as they manage multiple patients. The case is intended to be administered with two examiners and one examinee at a time. We used a group debrief structure, but this case can also be debriefed with each individual learner.</p>\n<p>Research Methods: This case was tested on 18 third-year emergency medicine residents. Following the case, each resident completed an anonymous two-item evaluation. The first item, “This case increased my understanding of the certifying exam format,” was scored on a 5-point Likert scale from “strongly disagree” to “strongly agree.” The second item, “How would you rate the overall quality of this case?” was scored on a 5-point Likert scale from “poor” to “excellent.” </p>\n<p>Results: Sixteen of eighteen (89%) examinees completed the post-case evaluation. All respondents (100%) “agreed” or “strongly agreed” that the case improved their understanding of the ABEM Certifying Exam format. Overall case quality was rated 4.88/5, and all learners rated the case “very good” or “excellent.”</p>\n<p>Discussion: This case was effective in simulating the competing demands of the clinical environment while also preparing learners for a new exam format. During the group debrief session, learners appreciated the pace, needing to stabilize multiple patients, and reacting to new information as it was presented. This case significantly improved residents’ understanding of the prioritization case type that will be tested on the ABEM Certifying Exam. It also provides a controlled environment for program faculty to observe how residents perform managing multiple sick patients simultaneously.</p>",
            "language": "eng",
            "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": "Prioritization"
                },
                {
                    "word": "resource utilization"
                },
                {
                    "word": "triage and stabilization"
                },
                {
                    "word": "task-switching"
                },
                {
                    "word": "cognitive load"
                }
            ],
            "section": "Certifying Exam Practice",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/5b69d06w",
            "frozenauthors": [
                {
                    "first_name": "Brian",
                    "middle_name": "",
                    "last_name": "Milman",
                    "name_suffix": "",
                    "institution": "UT Southwestern Medical Center",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Marshall",
                    "middle_name": "",
                    "last_name": "Howell",
                    "name_suffix": "",
                    "institution": "UT Southwestern Medical Center",
                    "department": ""
                },
                {
                    "first_name": "Joshua",
                    "middle_name": "",
                    "last_name": "Ginsburg",
                    "name_suffix": "",
                    "institution": "UT Southwestern Medical Center",
                    "department": ""
                },
                {
                    "first_name": "Samuel",
                    "middle_name": "",
                    "last_name": "Parnell",
                    "name_suffix": "",
                    "institution": "UT Southwestern Medical Center",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-02T00:20:08+02:00",
            "date_accepted": "2025-12-05T00:02:14.695000+01:00",
            "date_published": "2026-01-01T04:15:00+01:00",
            "render_galley": {
                "label": "Milman B, et al. Prioritization Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Department. JETem 2025. 10(5)CE370-396",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/uciem_jetem/article/52346/galley/47812/download/"
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            "galleys": [
                {
                    "label": "Milman B, et al. Prioritization Intracranial Hemorrhage, Testicular Torsion, and Tricyclic Antidepressant Department. JETem 2025. 10(5)CE370-396",
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                    "path": "https://journalpub.escholarship.org/uciem_jetem/article/52346/galley/47812/download/"
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        },
        {
            "pk": 52355,
            "title": "Prioritization: Run This Board: Septic Shock, Acute Coronary Syndrome, Small Bowel Obstruction, and Penetrating Chest Trauma",
            "subtitle": null,
            "abstract": "<p>Audience: This case was specifically designed for senior emergency medicine (EM) resident physicians as a preparatory tool for the American Board of Emergency Medicine (ABEM) Certifying Exam.  However, it is applicable for EM residents at all levels of training.</p>\n<p>Introduction: “A hallmark of emergency medicine is the ability to triage or prioritize care. This case will require the physician to evaluate and treat multiple patients while ensuring those who require immediate care receive it quickly. The physician may face the arrival of additional patients, the deterioration of existing patients, and realistic workflow interruptions during the case. A successful candidate will identify and stabilize high acuity patients.”1 With the introduction of the new Certifying Exam by ABEM and the current lack of resources to practice prioritization in an assessment setting, resident physicians will need practice material in order to adequately prepare for their board examination.</p>\n<p>Educational Objectives: By the end of this case learners will be able to: 1) Become familiar with format of a prioritization case (a component of the ABEM Certifying Exam), 2) Practice their ability to prioritize multiple patients and provide stabilizing care, 3) Consider changes in status/patient acuity/new cases as presented, 4) Understand how to utilize team resources appropriately.</p>\n<p>Educational Methods: This encounter is a structured, oral simulation case designed as a prioritization exercise for emergency medicine resident trainees. It follows an interview-based format in which an examiner presents evolving patient information in a time-limited scenario, and the examinee responds in real time with clinical reasoning, prioritization of care, and management decisions. The case mimics the structure of the Prioritization Case in the ABEM Certifying Exam, allowing the examinee to verbalize thought processes while receiving updated clinical data from the examiner. This format emphasizes critical thinking, triage under pressure, and the delegation of tasks within a simulated emergency department environment.</p>\n<p>Research Methods: We first alpha-tested the case with board-certified emergency medicine physicians, who evaluated both the facilitator and learner aspects of the simulation. Their feedback was used to refine the structure, flow, and clinical realism of the case. Following these edits, the revised case was implemented with emergency medicine residents across varying levels of training. This staged approach allowed us to ensure educational fidelity and enhance realism, while also confirming that the case structure aligned with ABEM exam standards and expectations.</p>\n<p>Results: We conducted multi-site alpha and beta testing of a novel ABEM-style prioritization case with a total of 18 emergency medicine residents (eight individual residents and two 5-person PGY2 teams) and three facilitators. Surveys were completed by two facilitators (Simulation Scenario Evaluation Tool, SSET) and eight resident participants or teams (modified usability survey). Facilitators rated the case highly, with an average global score of 87.5/100, and learners reported strong overall quality (4.4/5) and exceptional educational value (4.9/5), though clarity of instructions was rated lower (3.6/5). Participants were predominantly senior residents (62.5% PGY-3, 25.0% PGY-2, and 12.5% PGY-4). Qualitative comments emphasized the usefulness of practicing the new case format and highlighted a need for clearer explanations of structure and rules. </p>\n<p>These results suggest the case was well-received across training levels, with iterative revisions improving clarity and usability. Based on preliminary beta testing, a Total Score of 70-75% indicates passing for this case.</p>\n<p>Discussion: This oral board-style prioritization case offers learners the opportunity to practice essential but often underemphasized skills, including rapid prioritization, task switching, and real-time decision-making. The case format reinforces critical concepts such as situational awareness and resource management within the dynamic environment of the emergency department. During initial implementation, participants reported strong engagement and found the exercise particularly valuable in preparing for the ABEM Certifying Exam. Many noted that the structure and expectations closely mirrored those of the actual prioritization station based on the example video provided by ABEM.</p>\n<p>From the instructor perspective, the standardized format promotes consistent delivery and assessment. To minimize examiner cognitive load during this high-complexity simulation, we developed a modular toolkit including a structured script, stimuli slides, and an automated scoring sheet, modeled in part after ABEM’s dual-examiner approach. A suite of Appendices supports both digital and paper-based use, allowing flexibility across educational settings.</p>\n<p>To further support formative practice, we created a scoring rubric to guide examiner feedback and learner self-assessment. However, as ABEM has not released its internal scoring criteria, this rubric is unofficial and should be interpreted with caution. It is intended for educational use only and is not designed to predict performance on the actual certification exam.</p>",
            "language": "eng",
            "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": "Prioritization"
                },
                {
                    "word": "triage"
                },
                {
                    "word": "stabilization"
                },
                {
                    "word": "delegation"
                },
                {
                    "word": "task switching"
                },
                {
                    "word": "vaginal bleeding"
                },
                {
                    "word": "pediatric injury"
                },
                {
                    "word": "altered mental status"
                },
                {
                    "word": "septic shock"
                },
                {
                    "word": "acute coronary syndrome"
                },
                {
                    "word": "headache"
                },
                {
                    "word": "abdominal pain"
                },
                {
                    "word": "small bowel obstruction"
                },
                {
                    "word": "penetrating chest trauma"
                },
                {
                    "word": "Urinary Tract Infection"
                }
            ],
            "section": "Certifying Exam Practice",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/8sw547sf",
            "frozenauthors": [
                {
                    "first_name": "Colleen",
                    "middle_name": "",
                    "last_name": "Donovan",
                    "name_suffix": "",
                    "institution": "Rutgers Robert Wood Johnson Medical School",
                    "department": ""
                },
                {
                    "first_name": "Nicole",
                    "middle_name": "",
                    "last_name": "Novotny",
                    "name_suffix": "",
                    "institution": "Ochnser Health System",
                    "department": ""
                },
                {
                    "first_name": "Charles",
                    "middle_name": "",
                    "last_name": "Lei",
                    "name_suffix": "",
                    "institution": "Hennepin County Medical Center",
                    "department": ""
                },
                {
                    "first_name": "Alaa",
                    "middle_name": "",
                    "last_name": "Aldalati",
                    "name_suffix": "",
                    "institution": "University of Kansas School of Medicine-Wichita",
                    "department": "Wesley Medical Center Emergency Department"
                },
                {
                    "first_name": "Andrew",
                    "middle_name": "",
                    "last_name": "Melendez",
                    "name_suffix": "",
                    "institution": "Yale University",
                    "department": ""
                },
                {
                    "first_name": "Neil",
                    "middle_name": "",
                    "last_name": "Wallace",
                    "name_suffix": "",
                    "institution": "University of Arizona/Banner Medical Center",
                    "department": ""
                },
                {
                    "first_name": "Tiffany",
                    "middle_name": "",
                    "last_name": "Moadel",
                    "name_suffix": "",
                    "institution": "Zucker School of Medicine at Hofstra/Northwell Health",
                    "department": ""
                },
                {
                    "first_name": "Stephanie",
                    "middle_name": "",
                    "last_name": "Stapleton",
                    "name_suffix": "",
                    "institution": "Boston University/Boston Medical Center",
                    "department": ""
                },
                {
                    "first_name": "Shagun",
                    "middle_name": "",
                    "last_name": "Berry",
                    "name_suffix": "",
                    "institution": "Rush University Medical Center",
                    "department": ""
                }
            ],
            "date_submitted": "2025-07-18T20:17:09+02:00",
            "date_accepted": "2025-12-13T22:14:27.927000+01:00",
            "date_published": "2026-01-01T03:59:00+01:00",
            "render_galley": {
                "label": "Donovan C, et al. Prioritization Run This Board Septic Shock, Acute Coronary Syndrome, Small Bowel Obstruction, and Penetrating Chest Trauma. JETem 2025. 10(5)CE312-369",
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                "path": "https://journalpub.escholarship.org/uciem_jetem/article/52355/galley/47811/download/"
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                    "label": "Donovan C, et al. Prioritization Run This Board Septic Shock, Acute Coronary Syndrome, Small Bowel Obstruction, and Penetrating Chest Trauma. JETem 2025. 10(5)CE312-369",
                    "type": "pdf",
                    "path": "https://journalpub.escholarship.org/uciem_jetem/article/52355/galley/47811/download/"
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        },
        {
            "pk": 53233,
            "title": "Clinical Decision-Making Case: Non-Accidental Trauma",
            "subtitle": null,
            "abstract": "<p>Audience: This clinical decision-making (CDM) case is intended for emergency medicine (EM) residents of all levels.</p>\n<p>Introduction: Non-accidental trauma (NAT) is a leading cause of morbidity and mortality in pediatrics. Every year in the United States, more than 656,000 children are found to be victims of NAT, causing over 1,800 deaths annually.<sup>1</sup> Subtle abusive injuries are frequently missed in medical settings,<sup>1-3</sup> and children may subsequently experience escalating or life-threatening abuse if interventions do not occur.<sup>2</sup> Timely identification of abusive injuries in acute care settings is crucial to provide appropriate and potentially life-saving care.</p>\n<p>Educational Objectives: By the end of this clinical decision-making case, learners will be able to: 1) demonstrate familiarity with the CDM case format and case play, 2)  describe important historical information to obtain when suspecting non-accidental trauma, 3) recognize potential physical exam findings in non-accidental trauma, 4) justify appropriate diagnostic studies based on clinical findings and current evidence on occult injury in suspected pediatric abuse, and 5) propose an appropriate disposition plan for patients with non-accidental trauma.</p>\n<p>Educational Methods: This is a clinical decision-making boards case as outlined by the American Board of Emergency Medicine (ABEM). Each learner was paired with one instructor for the case, a scoring checklist by the instructor was used, and learners were given the opportunity to provide feedback after the case.</p>\n<p>Research Methods: Each CDM case session lasted approximately 20 minutes, with 15 minutes for the case and 5 minutes for debriefing and feedback. A 25-point critical action checklist was developed to evaluate each learner’s performance. Learners then provided verbal feedback on the cases to the examiners at the conclusion of their assessments. </p>\n<p>Results: Thirty-nine emergency medicine residents participated as learners for this clinical decision-making session, including 10 third-year residents, 12 second-year residents, and 17 first-year residents. Scoring checklists had a possible score of 25 points, with each point reflecting an equally weighted item. The average overall score was 16.85 of 25 possible points.  Performance with respect to post-graduate year (PGY) is as follows: 18.0 for PGY-3s, 18.9 for PGY-2s, and 14.7 for PGY-1s.  One resident had a perfect score of 25/25. There was no threshold passing score; therefore, no one resident “failed” this mock structured interview.</p>\n<p>Discussion:  Performance of our learners varied and unexpectedly, our second-year residents outperformed our third-year residents. We believe this is due to our PGY-2 learners being responsible for the primary care of stroke patients in our department, which makes their identification of head bleed likely more recently retrievable. We reviewed outlier items (where residents all scored very high or if the score was lower compared to other items) to determine if this is an appropriately written item, and if so, we will use lower-scoring items as learning opportunities to emphasize within future didactics sessions. One of these items involved asking who the patients’ caregivers were, which may be attributed to being unaware of the relevance of this question to NAT, or, more likely, that NAT was not a top differential diagnosis in the early aspects of the case.</p>\n<p>Verbal feedback from our learners primarily focused on widening our accepted differential diagnoses for future iterations. We believe that this case is appropriate for all levels of learning, particularly when a formative approach (assessment for learning) is used. Given the feedback learners and instructors provided, we believe this case has high value impact in reviewing high-risk or high-acuity pediatric pathology. </p>\n<p>Topics: Emergency medicine, pediatrics, non-accidental trauma, pediatric head trauma, head bleed.</p>",
            "language": "eng",
            "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": "Emergency Medicine"
                },
                {
                    "word": "pediatrics"
                },
                {
                    "word": "non-accidental trauma"
                },
                {
                    "word": "Pediatric head trauma"
                },
                {
                    "word": "head bleed"
                }
            ],
            "section": "Certifying Exam Practice",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/35s7b4xb",
            "frozenauthors": [
                {
                    "first_name": "H",
                    "middle_name": "Michelle",
                    "last_name": "Greene",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Pediatrics"
                },
                {
                    "first_name": "Anne",
                    "middle_name": "",
                    "last_name": "Runkle",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Pediatrics and Department of Emergency Medicine"
                },
                {
                    "first_name": "Jennifer",
                    "middle_name": "",
                    "last_name": "Mitzman",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Pediatrics and Department of Emergency Medicine"
                },
                {
                    "first_name": "Christopher",
                    "middle_name": "",
                    "last_name": "San Miguel",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Krystin",
                    "middle_name": "N",
                    "last_name": "Miller",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Simiao",
                    "middle_name": "",
                    "last_name": "Li-Sauerwine",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Geremiha",
                    "middle_name": "",
                    "last_name": "Emerson",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Sorabh",
                    "middle_name": "",
                    "last_name": "Khandelwal",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": ""
                },
                {
                    "first_name": "Kelsey",
                    "middle_name": "",
                    "last_name": "Jordan",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Jennifer",
                    "middle_name": "",
                    "last_name": "Yee",
                    "name_suffix": "",
                    "institution": "The Ohio State University College of Medicine",
                    "department": "Department of Emergency Medicine"
                }
            ],
            "date_submitted": "2025-10-23T19:56:00.351000+02:00",
            "date_accepted": "2025-11-30T21:32:43.941000+01:00",
            "date_published": "2026-01-01T03:45:00+01:00",
            "render_galley": {
                "label": "Greene H M, et al. Clinical Decision-Making Case Non-Accidental Trauma. JETem 2025. 10(5)CE292-311",
                "type": "pdf",
                "path": "https://journalpub.escholarship.org/uciem_jetem/article/53233/galley/47810/download/"
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            "galleys": [
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                    "label": "Greene H M, et al. Clinical Decision-Making Case Non-Accidental Trauma. JETem 2025. 10(5)CE292-311",
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            ]
        },
        {
            "pk": 53003,
            "title": "Clinical Decision-Making Case: Thyroid Storm",
            "subtitle": null,
            "abstract": "<p>Audience: This clinical decision-making case is intended for all emergency physicians (EP) in training.</p>\n<p>Introduction: Thyroid storm (TS) is a rare but life-threatening endocrine emergency that represents the most severe form of thyrotoxicosis. If not promptly recognized and appropriately managed, TS carries a mortality rate of up to 25%.¹ However, with timely and aggressive treatment, mortality can be significantly reduced to 1.2–3.6% in the United States.² Due to its rarity and often nonspecific presentation, early diagnosis and intervention in the emergency department are essential to improving patient outcomes. Recognizing its critical nature, the American Board of Emergency Medicine (ABEM) identifies thyroid storm as a core emergency condition that emergency physicians (EPs) must be trained to manage.³ Additionally, recent updates to the ABEM certifying examination emphasize the importance of clinical decision-making and the ability to verbalize diagnostic reasoning and management plans. This case has been designed to help learners practice and demonstrate these skills in the context of a high-stakes, time-sensitive clinical scenario involving thyroid storm.</p>\n<p>Educational Objectives:  By the end of the session, learners will be able to: 1) verbalize key pertinent historical and physical exam findings in a young female patient presenting with altered mental status; 2)  formulate a prioritized differential diagnosis based on the history and physical exam; 3) order appropriate diagnostic studies and recognize abnormalities suggesting thyroid storm; 4) describe pathophysiology, management and rationale of sequential pharmacologic therapy in thyroid storm; 5) communicate patient’s medical care and course to family; and 6) review essential disposition actions including consultations and level of care for admission. </p>\n<p>Educational Methods: We implemented a certifying exam board format case aligned with the ABEM’s updated certifying exam board examination. The case was co-developed by experts in simulation-based education and emergency medicine and underwent external peer review, which focused on the accuracy of the clinical context, clarity of scenario instructions, and educational value.</p>\n<p>Research Methods: The case was iteratively developed and refined through multi-site piloting. Initial design was completed by three faculty with emergency medicine and simulation backgrounds, followed by external review using the Simulation Scenario Evaluation Tool (SSET). Feedback focused on case progression, realism, alignment with objectives, and consistency with assessment standards.</p>\n<p>The case was then piloted at two academic training sites and at the Society for Academic Emergency Medicine (SAEM) Annual Meeting. Participants included faculty facilitators and EM residents. Residents and faculty completed a modified usability survey incorporating Likert-scale items (1 = strongly disagree to 5 = strongly agree) and open-ended comments. Data was collected in Qualtrics® and analyzed in Excel®. Revisions were made after each iteration to improve clarity, usability, and educational impact.</p>\n<p>Results: The simulation scenario evaluation tool (SSET) evaluations were strongly positive. Facilitators (n = 3) consistently rated the case objectives, critical actions, and supporting materials as clear. They agreed or strongly agreed that the case was appropriate for the learner level, that the clinical course adhered to the ABEM format, and that the critical actions supported the stated objectives. Mean ratings ranged from 4 to 5 for ease of use, and facilitators noted that their colleagues would also find the materials accessible. They described the case as well-integrated, expressed confidence in facilitation, and endorsed its utility for ABEM certifying exam preparation.</p>\n<p>Resident feedback was similarly supportive. Three learners unanimously agreed that the case provided helpful practice for the ABEM exam and reported that both the written and verbal instructions were clear.</p>\n<p>Discussion: The thyroid storm clinical decision-making case proved to be an effective educational tool, meeting its intended objectives and offering meaningful preparation for emergency medicine residents facing the new ABEM certifying examination. Facilitators consistently reported that the case objectives, critical actions, and supporting materials were clear and aligned with the targeted level of learner training. Similarly, both facilitators and residents found the case to be a valuable exercise, providing relevant and realistic practice in the style of the certifying exam.</p>\n<p>While early results are encouraging, future challenges and opportunities remain. In particular, the evolving structure and scoring approach of the new ABEM certifying examination introduces areas where additional refinement may be needed. As more information becomes available regarding the exam’s evaluation metrics, this case can be further tailored to enhance alignment and maximize its educational impact. Continued iterative development will ensure the case remains a practical and high-yield resource for residents as they prepare for certification.</p>\n<p>Topics: Hyperthyroidism, communication, clinical decision-making case, certifying exam, thyroid storm, endocrinology.</p>",
            "language": "eng",
            "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": "Hyperthyroidism"
                },
                {
                    "word": "Communication"
                },
                {
                    "word": "Clinical Decision-Making Case"
                },
                {
                    "word": "Certifying Exam"
                },
                {
                    "word": "Thyroid storm"
                },
                {
                    "word": "endocrinology"
                }
            ],
            "section": "Certifying Exam Practice",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/1c35h05x",
            "frozenauthors": [
                {
                    "first_name": "Stephanie",
                    "middle_name": "",
                    "last_name": "Cohen",
                    "name_suffix": "",
                    "institution": "University of Central Florida",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Amrita",
                    "middle_name": "",
                    "last_name": "Vempati",
                    "name_suffix": "",
                    "institution": "Creighton School of Medicine Phoenix",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Charles",
                    "middle_name": "",
                    "last_name": "Lei",
                    "name_suffix": "",
                    "institution": "Hennepin County Medical Center",
                    "department": "Emergency Medicine"
                },
                {
                    "first_name": "Hillary",
                    "middle_name": "",
                    "last_name": "Moss",
                    "name_suffix": "",
                    "institution": "Montefiore Medical Center",
                    "department": "Department of Emergency Medicine,"
                },
                {
                    "first_name": "Tiffany",
                    "middle_name": "",
                    "last_name": "Moadel",
                    "name_suffix": "",
                    "institution": "Zucker School of Medicine at Hofstra/Northwell",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Suzanne",
                    "middle_name": "",
                    "last_name": "Bentley",
                    "name_suffix": "",
                    "institution": "NYC Health + Hospitals/Elmhurst; Icahn SOM at Mount Sinai",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Stephanie",
                    "middle_name": "",
                    "last_name": "Stapleton",
                    "name_suffix": "",
                    "institution": "Boston University/Boston Medical Center",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Kelly",
                    "middle_name": "N.",
                    "last_name": "Roszczynialski",
                    "name_suffix": "",
                    "institution": "Stanford University",
                    "department": "Department of Emergency Medicine"
                }
            ],
            "date_submitted": "2025-10-02T21:02:35.501000+02:00",
            "date_accepted": "2025-12-23T05:08:35.341000+01:00",
            "date_published": "2026-01-01T03:35:00+01:00",
            "render_galley": {
                "label": "Cohen S, et al. Clinical Decision-Making Case Thyroid Storm. JETem 2025. 10(5)CE260-291",
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                {
                    "label": "Cohen S, et al. Clinical Decision-Making Case Thyroid Storm. JETem 2025. 10(5)CE260-291",
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        },
        {
            "pk": 52322,
            "title": "Clinical Decision-Making Case: A Giant Headache",
            "subtitle": null,
            "abstract": "<p>Audience: This certifying exam practice case is intended for emergency medicine residents and medical students rotating through emergency medicine.</p>\n<p>Introduction: Giant cell arteritis (also known as GCA, temporal arteritis, cranial arteritis, or Horton’s disease) is the most common systemic vasculitis.<sup>1</sup> Patients commonly present with a new and unique headache, often with tenderness in the temporal region.  Patients may present with associated jaw claudication and transient visual loss.  Constitutional symptoms such as fever and fatigue are common and proximal muscle weakness may be present with concurrent polymyalgia rheumatica.<sup>1</sup> These symptoms are thought to be a result of an exaggerated immune response to vascular injury with lymphocyte proliferation and giant cell formation which can lead to luminal narrowing and even ischemia.<sup>2  </sup></p>\n<p>The incidence varies among various demographics.  It is highest in Scandinavia (21 per 100,000) and lowest in East Asia (less than one per 100,000).  Globally, it is estimated to be 10 per 100,000 and in the US roughly 19 per 100,000.<sup>2,3</sup>   Recent studies have shown increasing incidence in Hispanic and African American populations while showing it to still be rare in Middle Eastern and Asian populations.<sup>4</sup>   It is most common in patients who are 70-79 years old and almost never presents in those under 50.<sup>1</sup></p>\n<p><br>Left untreated, GCA can result in significant morbidity – vision loss.<sup>4</sup> Treatment is not benign – there are adverse effects of long-term glucocorticoid therapy.  The cost to the healthcare system in the US is expected to increase dramatically by 2050 due to the aging population and cost of treatment.<sup>3 </sup></p>\n<p>Given its relatively low incidence but high morbidity, giant cell arteritis is a rare diagnosis that Emergency Medicine residents may not encounter in training but is an important differential diagnosis to consider in the appropriate clinical context.   </p>\n<p>Educational Objectives:  By the end of this clinical decision-making case, learners will be able to: 1) demonstrate increased knowledge pertaining to ABEM’s clinical decision-making case, 2) communicate the differential diagnosis of a new acute onset headache in patients over the age of 50 and the importance of giant cell arteritis in that differential, 3) acquire an appropriate history and physical exam in this clinical setting, 4) verbalize, interpret, and justify the appropriate diagnostic testing for this clinical case (at minimum CT head, complete blood count (CBC), basic metabolic panel (BMP), comprehensive metabolic panel (CMP), erythrocyte sedimentation rate (ESR), and 5) explain the appropriate treatment and disposition of a patient with temporal arteritis.</p>\n<p>Educational Methods: This session was structured after the clinical decision-making case that was introduced by the American Board of Emergency Medicine (ABEM) in the instructional videos on the ABEM Qualifying Exam Part 2 released in December 2024. The materials used were modeled after the samples that were provided in the supplemental material for the clinical decision-making case. Slides were provided to the instructor concerning clinical presentation, differential diagnosis, and management for the debriefing following the session. This case was tested using 18 resident volunteers PGY 1-2 in an ACGME (Accreditation Council for Graduate Medical Education) accredited emergency medicine residency program.</p>\n<p>Research Methods: Using a score sheet, evaluators assessed the residents’ performance in acquiring appropriate clinical information, interpreting diagnostic tests, providing a differential, and justifying their management.  Residents were asked to evaluate the educational value of the case. </p>\n<p>Results: Nine PGY1 residents and nine PGY2 residents completed the case, scoring 19.7/25 with four failures and 21.4/25 with three failures, respectively.  Reasons for failing included scoring less than 19/25 or missing a critical action. Of the 17 residents that completed the post-survey, the educational value was reported to be 4.7/5 with all residents stating it increased their medical knowledge.  Almost all of those residents stated that this experience made them more comfortable with the new ABEM clinical decision-making case.</p>\n<p>Discussion: This educational case focusing on giant cell arteritis (GCA) was effective in enhancing resident knowledge and clinical skills. All participating residents reported increased knowledge following the exercise and rated the case highly in terms of educational value.  Performance outcomes further supported the case’s efficacy. All residents successfully completed critical actions related to obtaining an adequate history, performing a focused physical exam, and ordering appropriate diagnostic tests. The only resident who failed the critical action of starting steroids was also the only resident to miss the critical action of diagnosis, which supports the close association of these two critical actions. This positive feedback supports the use of this case to expose learners to a rare but high-risk diagnose which they are unlikely to encounter during clinical training. </p>",
            "language": "eng",
            "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": "giant cell arteritis"
                },
                {
                    "word": "temporal arteritis"
                },
                {
                    "word": "headache"
                },
                {
                    "word": "Vasculitis"
                },
                {
                    "word": "ophthalmologic disorders"
                }
            ],
            "section": "Certifying Exam Practice",
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                {
                    "first_name": "Mark",
                    "middle_name": "",
                    "last_name": "Portman",
                    "name_suffix": "",
                    "institution": "Sutter Roseville Medical Center",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Linda",
                    "middle_name": "",
                    "last_name": "Herman",
                    "name_suffix": "",
                    "institution": "Sutter Roseville Medical Center",
                    "department": "Department of Emergency Medicine"
                }
            ],
            "date_submitted": "2025-06-04T20:11:00+02:00",
            "date_accepted": "2025-12-12T20:50:26.736000+01:00",
            "date_published": "2026-01-01T03:25:00+01:00",
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        {
            "pk": 52339,
            "title": "Clinical Decision-Making Case: Pulmonary Embolism",
            "subtitle": null,
            "abstract": "<p>Audience: Emergency medicine residents and medical students on emergency medicine rotations.</p>\n<p>Introduction: Pulmonary embolism (PE) is a common diagnosis with an annual incidence of approximately one in 1000 persons.1,2,3 There is a wide variety of clinical presentations, ranging from the asymptomatic patient to shock and cardiac arrest. Most patients have chest pain and shortness of breath (SOB), but PE may also present with mild or nonspecific symptoms, such as dizziness, cough, wheezing, syncope and hemoptysis. These patients have risk for clinical decompensation.4,5 It is therefore critical to maintain a high level of suspicion because misdiagnosis is common. There are risks attributable to the diagnostic evaluation and treatment, including radiation exposure, contrast reactions and complications related to anticoagulant therapy. Work up requires an understanding of clinical pretest probability, diagnostic algorithms such as the modified Wells scoring system and the revised Geneva scoring system, the pulmonary embolism rule-out criteria (PERC), and interpretation of D-dimer testing and diagnostic imaging.6,7 Management requires anticoagulation, but for the unstable patient may also require respiratory and hemodynamic support, systemic or catheter-directed thrombolysis, catheter or surgical embolectomy, or extracorporeal membrane oxygenation (ECMO) if available. Understanding the diagnostic evaluation and management of pulmonary embolism is essential for the practicing emergency medicine physician.</p>\n<p>Educational Objectives: By the end of the clinical decision-making case, the learner will: 1) gain familiarity with clinical decision-making (CDM) case format to be used in the new American Board of Emergency Medicine (ABEM) certification examination starting in 2026, 2) demonstrate the ability to obtain a focused history and physical examination and develop appropriate differential diagnoses for chest pain and dyspnea, 3) demonstrate understanding of clinical decisions rules to estimate the pre-test probability for pulmonary embolism and the application of rules to guide appropriate diagnostic testing, 4) recognize high clinical suspicion for pulmonary embolism and indication for empirical treatment, 5) recognize the unstable patient and provide appropriate hemodynamic and respiratory support, 6) understand indications for thrombolytic therapy or embolectomy in unstable pulmonary embolism, 7) demonstrate communication skills with patients and specialists across the health care spectrum, and 8) arrange appropriate disposition for the unstable patient with a pulmonary embolism.</p>\n<p>Educational Methods: This session is based on the clinical decision-making (CDM) case format introduced by ABEM to be used in the oral certification examination starting in 2026.8 The materials were modeled after the samples provided in the instructional videos on the ABEM Qualifying Exam Part 2 released in December 2024. Slides were provided to the instructor concerning clinical presentation, differential diagnosis, and management for the debrief following the session. This case was tested using 18 resident volunteers ranging from PGY 1-2 in an Accreditation Council for Graduate Medical Education (ACGME) accredited emergency medicine residency program. This was our first mock board session using the CDM format.</p>\n<p>Research Methods: Prior to the session, the learner was asked to complete a pre-survey to see if the learner had previously reviewed the ABEM instructional video demonstrating a CDM case. Immediate feedback was then solicited both from the learners and from the evaluators following the debriefing session. Residents were asked to evaluate the educational value of the case using a 1-5 Likert scale (5 being excellent). Evaluators were asked to score the residents by designating whether the learner was able to provide the correct responses concerning required appropriate historical information, physical examination findings, diagnostic testing needed, differential diagnoses, interpretation of diagnostic results, reaching the correct diagnosis, management and disposition of the patient and coordinating transition of care.  The examiner would mark the evaluation form with either a yes or no for each response.</p>\n<p>Results: Eighteen residents (nine PGY1 residents and nine PGY2 residents) completed the case. We were a new residency program at the time and did not yet have any PGY3 residents. The average score was 28.9 out of 29 points. The pre-survey revealed that only two of the nine EM PGY1 and four of the nine EM PGY2 had reviewed the ABEM video. Eighteen residents completed the post-survey which was done immediately after the simulation. The learners rated the educational value of the case 4.9/5 (5.0/5 for PGY1, 4.9/5 for PGY2). Fifteen residents (8/9 PGY1, 7/9 PGY2) stated that the case increased their understanding of key concepts about the disease process “somewhat,” while three responded that they have had similar patients and did not learn anything new. Thirteen residents (8/9 PGY1, 5/9 PGY2) said that the experience made them more comfortable with the new testing process but that they needed more practice, while only two residents (both PGY2) responded that they were very comfortable with the process.</p>\n<p>Discussion: The objective of this oral boards case was two-fold: to give residents experience with the new CDM case format of the ABEM certifying exam and to reinforce the work-up and management of pulmonary embolism.</p>\n<p>This simulation was an effective educational tool for residents to gain familiarity with the CDM case portion of the ABEM certifying exam. Only a minority (6/18, 33%) of the residents were familiar with the new testing format prior to the case. This session was the first mock oral board session using a CDM case. Post survey results revealed that 72% of the residents (13/18) said that the experience made them more comfortable with the new testing method but that they needed more practice, while only two residents (11%) stated that they were very comfortable with the process.</p>\n<p>This was also a learning opportunity for the examiner in this new CDM case format. The evaluation form used a dichotomous yes/no format which likely contributed to excessive prompting which inflated scoring. This may not accurately reflect the experience at the certifying exam. In response, more specific criteria regarding the degree of prompting and timing of case were added to the script. Repetition of testing in this format should be helpful for residents and educators as preparation for the ABEM certifying exam.</p>\n<p>The initial evaluation of pulmonary embolism is a topic with which most residents are comfortable. Residents scored well on testing, suggesting an understanding of the work-up for chest pain and routine management for pulmonary embolism. They had less familiarity with management of the high-acuity, unstable presentation.</p>\n<p>This case was not tested on medical students, but we anticipate that this would be an appropriate learning experience for the medical student on an emergency medicine rotation, without need for modification.</p>\n<p>This case was designed to introduce residents to the CDM case format. There is limited existing training material for the new oral board exam, and we feel this simulation case is valuable for residents to gain familiarity with the new ABEM certifying exam format through a comfortable topic and a “low pressure” setting.</p>",
            "language": "eng",
            "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": "Clinical Decision-Making Case"
                },
                {
                    "word": "pulmonary embolism"
                },
                {
                    "word": "shortness of breath"
                },
                {
                    "word": "Dyspnea"
                }
            ],
            "section": "Certifying Exam Practice",
            "is_remote": true,
            "remote_url": "https://escholarship.org/uc/item/2sc8r5xk",
            "frozenauthors": [
                {
                    "first_name": "James",
                    "middle_name": "H",
                    "last_name": "Lee",
                    "name_suffix": "",
                    "institution": "Sutter Roseville Medical Center",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Linda",
                    "middle_name": "",
                    "last_name": "Herman",
                    "name_suffix": "",
                    "institution": "Sutter Roseville Medical Center",
                    "department": "Department of Emergency Medicine"
                }
            ],
            "date_submitted": "2025-06-25T22:24:24+02:00",
            "date_accepted": "2025-11-27T23:58:03.445000+01:00",
            "date_published": "2026-01-01T03:17:00+01:00",
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                "label": "Lee J H, et al. Clinical Decision-Making Case Pulmonary Embolism. JETem 2025. 10(5)CE212-238",
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        {
            "pk": 53814,
            "title": "Simulation-Based Preparation for the American Board of Emergency Medicine Certifying Exam: A Comprehensive Curriculum for Residents  \n<!--EndFragment-->",
            "subtitle": null,
            "abstract": "<p>Audience and type of curriculum: This curriculum is designed for junior and senior emergency medicine (EM) residents who are preparing for the new American Board of Emergency Medicine (ABEM) Certifying Exam.</p>\n<p>Length of curriculum: This curriculum can be completed over the course of an EM residency program to prepare junior residents for the individual content areas encountered on the new Certifying Exam. Alternatively, it can be implemented during a single session to simulate the actual exam for senior residents.</p>\n<p>Introduction/Background: With ABEM transitioning to a new format for its Certifying Exam, there is a critical need for targeted preparatory materials that reflect these changes.</p>\n<p>Educational Goals: The goal of this curriculum is to equip residents with the knowledge and skills needed to succeed on the ABEM Certifying Exam. It includes a comprehensive set of case types expected to appear on the Certifying Exam, with a focus on assessing competencies not currently evaluated by the existing written Qualifying Exam and retiring Oral Exam. The curriculum is designed to be delivered to current residents in a single-day exam format to closely replicate the structure and experience of the new Certifying Exam.</p>\n<p>Educational Methods: The educational strategy used in this curriculum consists of a set of eight simulation scenarios written in an Observed Structured Clinical Examination (OSCE) format. Each scenario targets a distinct area of the recently introduced ABEM Certifying Exam. These content areas include clinical decision making, prioritization, reassessment, difficult conversations, managing conflict, ultrasound, procedures, and patient-centered communications. The OSCE structure intentionally reflects that of the ABEM Certifying Exam to enhance realism, ensure consistency, and maintain educational relevance.</p>\n<p>Research Methods: This eight-case simulation curriculum focuses on core EM competencies, including decision making, communication, conflict resolution, prioritization, procedural skills, and ultrasound. Initially developed by experts in simulation and medical education, each case was subsequently refined through a structured peer review process. This process involved written evaluations by external reviewers followed by pilot testing across multiple EM residency programs and at the Society for Academic Emergency Medicine Annual Meeting. Faculty facilitators and resident learners provided targeted feedback using the Simulation Scenario Evaluation Tool and modified usability surveys, assessing factors such as case realism, scenario flow, clarity of learning objectives, alignment of assessment criteria, and practical feasibility for implementation.</p>\n<p>Results: Pilot testing across multiple institutions and at a national academic meeting demonstrated the curriculum’s strong educational value, clarity, and usability. Feedback from both facilitators and residents was overwhelmingly positive, highlighting the simulation scenarios’ realism, clinical relevance, and effectiveness in exam preparation.</p>\n<p>Discussion: This comprehensive simulation-based curriculum, designed to align with the ABEM Certifying Exam, proved to be feasible, effective, and well-received by both learners and facilitators. Key insights from its implementation emphasized the importance of thorough faculty preparation, flexibility in adapting to available resources, and the use of structured debriefing to support learning. Thoughtfully designed simulation experiences can significantly enhance EM resident preparedness for high-stakes assessments.</p>",
            "language": "eng",
            "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": "Certifying Exam"
                },
                {
                    "word": "Simulation"
                },
                {
                    "word": "board certification"
                },
                {
                    "word": "American Board of Emergency Medicine"
                },
                {
                    "word": "Residency"
                }
            ],
            "section": "Curriculum",
            "is_remote": false,
            "remote_url": "https://jetem.org/certifying_exam_curr/",
            "frozenauthors": [
                {
                    "first_name": "Kimberly",
                    "middle_name": "",
                    "last_name": "Sokol",
                    "name_suffix": "",
                    "institution": "Kaweah Health Medical Center",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Alaa",
                    "middle_name": "",
                    "last_name": "Aldalati",
                    "name_suffix": "",
                    "institution": "University of Kansas School of Medicine-Wichita",
                    "department": "Wesley Medical Center Emergency Department"
                },
                {
                    "first_name": "Michelle",
                    "middle_name": "",
                    "last_name": "Hughes",
                    "name_suffix": "",
                    "institution": "University of Wisconsin School of Medicine and Public Health",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Stephanie",
                    "middle_name": "",
                    "last_name": "Stapleton",
                    "name_suffix": "",
                    "institution": "Boston University/Boston Medical Center",
                    "department": "Department of Emergency Medicine"
                },
                {
                    "first_name": "Charles",
                    "middle_name": "",
                    "last_name": "Lei",
                    "name_suffix": "",
                    "institution": "Hennepin County Medical Center",
                    "department": "Department of Emergency Medicine"
                }
            ],
            "date_submitted": "2025-10-31T20:36:22.944000+01:00",
            "date_accepted": "2025-12-15T20:41:40.256000+01:00",
            "date_published": "2026-01-01T02:54:00+01:00",
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