Article List
API Endpoint for journals.
GET /api/articles/?format=api&offset=700
{ "count": 38386, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=800", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=600", "results": [ { "pk": 63850, "title": "The Evolving Landscape of Insurance Law and Assisted Reproductive Technology: Implications for Gay Parenthood", "subtitle": null, "abstract": "<p>Starting a family and becoming a parent are major milestones for many people regardless of their sexual orientation. While some people choose not to have children, others face unique challenges in their journey to becoming parents. The legalization of same-sex marriage opened the door for parenthood to many same-sex couples who wished to pursue parenthood; however, that journey would not be easy. The long history of medical institutions pathologizing homosexuality and the legal system’s criminalization of same-sex intimacy created a standard of heterosexuality that entrenched itself in the fabric of American society. This standard would eventually be used against same-sex couples in the healthcare system where they would attempt to access assisted reproductive technology. This Article explains how the centuries-long tradition of associating parenthood with heterosexuality had managed to seep into health insurance policies that can serve as gatekeepers—providing different-sex couples with an ability to become parents while withholding the same opportunity from same-sex couples. After <em>Bostock v. Clayton County</em> supplied the necessary ammunition and the U.S. Department of Health and Human Services promulgated recent regulatory changes, gay people from multiple states brought lawsuits alleging discrimination based on sexual orientation in their health insurance policies. The Article explores an ongoing slew of court battles and synthesizes legal strategy lessons. The Article concludes with future directions for improving the healthcare system and supporting gay parenthood.</p>", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4j73233k", "frozenauthors": [ { "first_name": "Mantas", "middle_name": "", "last_name": "Grigorovicius", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-06T20:53:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jgl/article/63850/galley/49017/download/" } ] }, { "pk": 63849, "title": "Pathways to the Boardroom for Women", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5p36b6hz", "frozenauthors": [ { "first_name": "Cindy", "middle_name": "A.", "last_name": "Schipani", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Terry", "middle_name": "M.", "last_name": "Dworkin", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Alyse", "middle_name": "", "last_name": "Geiger", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-06T20:47:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jgl/article/63849/galley/49016/download/" } ] }, { "pk": 63848, "title": "State-Sponsored Coercion and Control: The Need for Federal Abortion Protections to Safeguard the Autonomy of Survivors of Intimate Partner Violence", "subtitle": null, "abstract": "<p>This Note makes the case for federal abortion protections by illustrating the heightened danger of intimate partner violence during pregnancy and highlighting the ways that abusers may use the law and legal systems as tools of abuse against their pregnant partners. To do so, this Note explains how the United States Supreme Court recognized the heightened risk of intimate partner violence during pregnancy in Planned Parenthood v. Casey and used concern for the safety of survivors of intimate partner violence to strike down abortion restrictions. It next discusses how Dobbs v. Jackson Women’s Health Organization toppled critical protections for survivors of intimate partner violence when it ended federal constitutional protections for abortion. The Note explains the ways that bounty-style laws like Texas’s S.B. 8, wrongful death suits, spousal consent laws, and pregnancy criminalization laws can be used to further trap survivors in abusive relationships in a post-Dobbs era. Finally, it concludes that federal abortion protections are critical to keeping survivors of intimate partner violence safe and advocates that the Women’s Health Protection Act be passed with viability ban language removed, for prohibiting notice and consent requirements, and for repealing the Hyde Amendment.</p>", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43c9x7r8", "frozenauthors": [ { "first_name": "Kira", "middle_name": "Eidson", "last_name": "Phillips", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-06T20:44:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jgl/article/63848/galley/49015/download/" } ] }, { "pk": 63846, "title": "Between a Rock and a Hard Place: Prenatal Personhood and the Right of Procreation", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4x03z3mb", "frozenauthors": [ { "first_name": "Dominica", "middle_name": "", "last_name": "Aranaga", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-06T20:40:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jgl/article/63846/galley/49014/download/" } ] }, { "pk": 63845, "title": "Front Matter", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "All rights reserved", "short_name": "Copyright", "text": "© the author(s). All rights reserved.", "url": "https://creativecommons.org/licenses/authors" }, "keywords": [], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4kj5b48d", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-06T20:36:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uclalaw_jgl/article/63845/galley/49013/download/" } ] }, { "pk": 41790, "title": "New mammalian herbivore records from the Early to Middle Miocene Castilletes fauna, Colombia and late Neogene environmental change in northern South America", "subtitle": null, "abstract": "<p>The Early to Middle Miocene mammal assemblage of the Castilletes Formation, Colombia records a diverse assemblage of mammals in the northern Neotropics prior to the Great American Biotic Interchange. We identify new records of herbivorous mammal taxa, with additional specimens of <em>Huilatherium </em>sp. and the first records of cf. <em>Pericotoxodon </em>sp., <em>Miocochilius </em>cf. <em>M . anomopodus</em> and ‘ <em>Scleromys</em>’ sp. All these genera are shared with other tropical Middle Miocene assemblages, including La Venta (Colombia) and Fitzcarrald (Peru) and increase the faunal similarity among them. Ecometric analysis of dental traits suggests a habitat change between the assemblages of the Castilletes Formation and the Ware Formation (Late Pliocene), consistent with results from other proxies that show increased opening and drying. In combination, these results support the utility of ecometric methods in Neogene South America and emphasise the importance of taxonomic revisions for these taxon-independent methods.</p>", "language": null, "license": { "name": "Creative Commons Attribution-NonCommercial-ShareAlike 4.0", "short_name": "CC BY-NC-SA 4.0", "text": "<p><!-- x-tinymce/html --></p>\n<p>Readers are free to:</p>\n<ul>\n<li><strong>Share</strong> — copy and redistribute the material in any medium or format</li>\n<li><strong>Adapt</strong> — remix, transform, and build upon the material<br><br>The licensor cannot revoke these freedoms as long as you follow the license terms.</li>\n</ul>\n<p>Under the following terms:</p>\n<ul>\n<li><strong>Attribution</strong> — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</li>\n<li><strong>NonCommercial</strong> — You may not use the material for commercial purposes .</li>\n<li><strong>ShareAlike</strong> — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.<br><br>No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.</li>\n</ul>\n<p>Notices:</p>\n<p>You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.</p>\n<p>No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.</p>", "url": "https://creativecommons.org/licenses/by-nc-sa/4.0" }, "keywords": [ { "word": "ecometrics" }, { "word": "Neogene" }, { "word": "South America" }, { "word": "taxonomy" }, { "word": "ungulate" }, { "word": "rodent" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1109w01k", "frozenauthors": [ { "first_name": "Oscar", "middle_name": "Edward", "last_name": "Wilson", "name_suffix": "", "institution": "Other", "department": "" }, { "first_name": "Aldo", "middle_name": "F.", "last_name": "Rincón", "name_suffix": "", "institution": "Universidad del Norte, Km 5 vía Puerto Colombia, Barranquilla, Colombia", "department": "None" }, { "first_name": "Juan", "middle_name": "D.", "last_name": "Carrillo", "name_suffix": "", "institution": "Department of Biology, University of Fribourg, and Swiss Institute of Bioinformatics, Chemin du Musée 10, Fribourg, Switzerland", "department": "None" }, { "first_name": "Catalina", "middle_name": "", "last_name": "Suarez", "name_suffix": "", "institution": "Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales (IANIGLA), CCT-CONICET Mendoza, Av. Ruiz Leal s/n, Parque General San Martín, Mendoza, 5500, Argentina", "department": "None" }, { "first_name": "Juha", "middle_name": "", "last_name": "Saarinen", "name_suffix": "", "institution": "Department of Geosciences and Geography, University of Helsinki, P.O. Box 64 (Gustaf Hällströmin katu 2), 00014, Helsinki, Finland", "department": "None" } ], "date_submitted": "2024-07-23T11:30:53+02:00", "date_accepted": "2025-11-09T23:04:13.318000+01:00", "date_published": "2025-12-04T21:00:00+01:00", "render_galley": null, "galleys": [] }, { "pk": 59640, "title": "Investor Coalitions Through an Antitrust Lens", "subtitle": null, "abstract": "<p>This Article offers a novel—antitrust—perspective on a growing phenomenon in capital markets: institutional investor coalitions. In recent years, a large group of powerful institutional investors, who collectively own significant equity stakes in most public companies, have created alliances on various corporate governance issues. Traditionally, corporate law has encouraged investor cooperation on these issues, regarding it as the solution to the well-known collective-action problem facing shareholders in public companies. As this Article shows, however, the prevailing positive view underscores a crucial point: members of the coalition are not only co-owners of companies but also competitors in capital markets. In the primary markets, institutional investors are competing buyers of shares, vying for share allocation. In the secondary market, they compete as asset managers, using their portfolio performances to attract retail investors and sponsors. The concern raised in this Article is that cooperation among institutional investors—even on seemingly benign governance matters—could facilitate tacit collusion and grant coalition members an unfair advantage in capital markets.</p>\n<p>Focusing on one powerful investor coalition that emerged in recent years with the goal of limiting the use of dual-class stock in initial public offerings (IPOs), this Article demonstrates that when competing buyers of shares coordinate their response to a governance term at the IPO juncture, they effectively form a buyers’ cartel. Due to the coalition members’ collective dominance over the demand for public offerings, their orchestrated efforts lead to two potential economic distortions. First, abnormal underpricing of dual-class stock, which allows members to buy shares in the primary market below their fair market value. This price distortion explains the significant amounts of money often being “left on the table” by dual-class issuers. Second, the coalition can pressure issuers into adopting suboptimal governance arrangements, such as mandatory time-based sunset provisions, which may be value-decreasing. Both distortions can lead to the same sort of economic harm that antitrust law is designed to prevent.</p>\n<p>The potential anticompetitive effects of investor coalitions require an immediate policy response. This Article thus proposes a multi-faceted regulatory reform aimed at curbing institutional investors’ collective actions that may limit competition. The suggestions include restricting collective actions in the primary market and, under certain circumstances, banning communication between institutional investors during IPOs. Furthermore, the Article emphasizes the need for targeted antitrust scrutiny of institutional investor consortia—advocacy groups that coordinate governance initiatives on behalf of their members—given their demonstrated capacity to facilitate communication and sustain collusive practices. The proposed policy measures seek to strike a delicate balance between the goal of corporate law to encourage cooperation among shareholders and the goal of antitrust law to restrain collaboration among competitors.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8hn6j3s2", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "A.", "last_name": "Chaim", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T09:04:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59640/galley/45612/download/" } ] }, { "pk": 59639, "title": "Patient Autonomy, Public Safety, and Drivers with Cognitive Decline", "subtitle": null, "abstract": "<p>With a growing elderly population, cognitive decline in drivers has become a significant public safety concern. Currently, over thirty-two million individuals who are seventy or older have driver’s licenses, and that number is growing quickly. In addition, almost 10 percent of seniors in the United States (those sixty-five and older) have dementia, and an additional twenty-two percent have mild cognitive impairment. Between a quarter and a half of individuals with mild to moderate dementia still drive. As cognitive abilities such as memory, attention, and decision-making skills deteriorate, a driver’s ability to operate a vehicle safely can be compromised. This not only puts the driver at risk but also endangers passengers, other motorists, and pedestrians. As the population ages, the number of drivers experiencing cognitive decline is increasing, escalating the risk of accidents.</p>\n<p>For many older adults, however, driving is a key aspect of independence and mobility. Losing the ability to drive can lead to social isolation, dependence on others, and a decline in overall well-being. Understanding and addressing the challenges of cognitive decline in relation to driving is crucial for maintaining elderly individuals’ quality of life. Nonetheless, determining when someone should stop driving due to cognitive decline is especially difficult because cognitive decline often progresses gradually and is challenging to assess.</p>\n<p>Current legal mechanisms fail to resolve the tension between promoting personal autonomy and protecting public safety. Existing approaches to the problem are therefore unsatisfactory. Requiring road tests of every older adult is both overly intrusive and economically inefficient. At the same time, however, revoking driving privileges only after an accident has occurred creates a public safety hazard. Without an effective system of regulation, informal practices emerge. Medical professionals who recognize that a patient’s driving is likely to create a safety risk may either ignore the matter entirely or pressure family members to take away the keys from their loved one. And when accidents do happen, family members are sometimes sued for failing to prevent their loved ones from taking the wheel.</p>\n<p>This Article recommends a framework for enhanced medical and regulatory protocols to navigate the intricacies of driving with cognitive decline. It recognizes that earlier efforts to solve the problem have often failed because they relied too heavily on a single point of responsibility. Our proposed framework, by contrast, creates a connection between the medical provider and the motor vehicle regulator and sets out clear lines of responsibility. The Article develops recommendations for effective interventions, analyzing the role that physicians should play and proposing legislative changes. Driving with cognitive decline is a multifaceted challenge that impacts public safety, personal independence, family relationships, legal rights, and healthcare practices. Addressing it effectively requires a balanced and thoughtful approach that considers the needs and rights of all stakeholders.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7242t6r8", "frozenauthors": [ { "first_name": "Sharona", "middle_name": "", "last_name": "Hoffman", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Cassandra", "middle_name": "Burke", "last_name": "Robertson", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T09:00:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59639/galley/45611/download/" } ] }, { "pk": 59638, "title": "Reevaluating Felon-in-Possession Laws After Bruen and the War on Drugs", "subtitle": null, "abstract": "<p>The legal landscape surrounding firearm possession is evolving rapidly. In 2022, the Supreme Court accelerated its expansion of the individual right to bear arms under the Second Amendment in New York Rifle & Pistol Ass’n v. Bruen. Since Bruen, courts around the country have struck down nearly all types of firearm regulations, with a notable exception: felon-in-possession laws. This Article examines the implications of a legal landscape where those who have prior felony convictions, and especially prior drug convictions, are punished harshly for the same behavior—possession of a firearm—that is constitutionally protected for nearly everyone else.</p>\n<p>I argue that as the Second Amendment expands to protect more and more firearm possession, a dichotomy has arisen in which those who live in the communities most heavily targeted by the War on Drugs of the 1980s and 1990s are increasingly becoming virtually the only Americans for whom firearm possession is illegal. I examine the history and development of felon-in-possession statutes to show that they were not enacted with a clear purpose, and are not narrowly tailored to criminalize the most dangerous behavior. Further, I show how existing federal enforcement priorities and the structure of the United States Sentencing Guidelines compound the harms of the War on Drugs by punishing individuals with prior drug offenses most harshly, even when there is limited evidence to suggest that they pose the greatest danger from firearm possession.</p>\n<p>The Supreme Court recently confirmed that the Second Amendment permits individuals who pose a danger to the community to be disarmed in United States v. Rahimi. The question of how to determine who poses such a danger will be the next threshold of Second Amendment jurisprudence. I argue that as our understanding of the Second Amendment evolves, prosecutors and legislators must be cognizant of the lasting effects of the War on Drugs and question the assumption that any prior felony conviction is an accurate proxy for dangerousness.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82x6g60j", "frozenauthors": [ { "first_name": "Laura", "middle_name": "G.", "last_name": "Abelson", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T08:57:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59638/galley/45610/download/" } ] }, { "pk": 59605, "title": "The Price of Disinformation", "subtitle": null, "abstract": "<p>The general public is misinformed on a broad range of vitally important topics, such as what the true crime rates are, whether the COVID-19 vaccine is part of a conspiracy to control the population, and who won the last presidential election. There are myriad factors contributing to this epistemic crisis wherein large segments of the public form false belief on these and other major issues. One factor is the vast amount of intentionally false speech disseminated to mislead the public, often termed “disinformation.” Leaders in politics, industry, and the media spread disinformation for their own self-serving purposes. These purposes include turning a profit, growing an audience, and getting elected to office. Although the law prohibits “fraud,” the legal definition of that term—that determines to a great extent the scope of which deceptions are actionable and which are protected speech—is narrowly focused on personal fraud. Schemes to defraud that are aimed at the public at large, by contrast, are rarely labeled “fraud” and are often protected under the First Amendment. Accordingly, disinformation is often allowed by law, despite the fact that (1) it is often knowingly false and disseminated for profit or advantage, and (2) it harms individuals or society. These harms include millions of deaths from tobacco, opioids, lead, and sugar; environmental destruction from climate change; and threats to democratic institutions. This Article highlights the difficult First Amendment issues posed by disinformation and argues that, in the search for solutions, we must consider the staggering amount of harm caused by disinformation. No adequate solution has yet been found for the mass proliferation of false and misleading claims, which is worse in today’s digital world than ever before. Indeed, given the complex and multi-faceted nature of the issue, any solution to it must be carefully tailored to regulate only narrow and well-defined categories of speech that are or should be unprotected, while carefully protecting the bedrock constitutional right to freedom of expression. But at the same time, the discussion around how to solve this problem must take into account the injuries caused by allowing unfettered self-serving falsehoods to be spread by those who hold the public megaphone.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/98x1w7xg", "frozenauthors": [ { "first_name": "Wes", "middle_name": "", "last_name": "Henricksen", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T07:17:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59605/galley/45589/download/" } ] }, { "pk": 59643, "title": "Ethical Horizons: Navigating the Complexities of Team-Based Legal Representation in Large Corporate Firms", "subtitle": null, "abstract": "<p>The legal profession requires the best of its members, asking them to act in ways that respect and prioritize the needs of clients, so long as those needs are ethical and legal. However, when an attorney works within a large law firm, they are faced with not only requirements from their clients, but also from their peers, supervisors, and client representatives. This Note focuses on (1) the origins and history of the large law firm structure that is so common today, (2) the ethics of practicing law in large law firms and how it impacts the individual, and (3) how to overcome ethical pitfalls common within the organizational structure. It concludes with a review of the literature that is most likely to find solutions to resolve these ethical dilemmas.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6qm42216", "frozenauthors": [ { "first_name": "Jake", "middle_name": "", "last_name": "Hermansen", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T07:12:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59643/galley/45615/download/" } ] }, { "pk": 59642, "title": "Rehabilitating the Nonprofit Arts Sector: Healthy Board Governance as a Condition to Federal Tax Exemption", "subtitle": null, "abstract": "<p>Americans celebrate the arts and how they increase our economic and collective well-being. Nonprofit arts and culture organizations are the primary vehicle by which individuals create art, attend events, and support millions of jobs in the industry. This has led to a perception that arts organizations have an effective framework for productivity and efficiency. Yet, the COVID-19 pandemic uncovered tumultuous relationships between artists, staff, Board members, and executive leadership within several nonprofit arts organizations.</p>\n<p>Although Americans regularly celebrate, support, and engage with the arts, the nonprofit arts industry is fraught with disconnected leaders, disgruntled staff and artists, and ineffective work environments. This Note explores why those issues persist and what can be done. First, I argue that the failures of nonprofit arts organizations’ Boards of Directors to uphold their responsibilities and manage stakeholder relationships are a key cause of the current destabilization of the nonprofit arts sector. Against that backdrop, I examine the current federal and state regulatory frameworks for tax-exempt organizations and highlight why certain mechanisms are ineffective in supporting accountability and transparency. Finally, as a solution, the Internal Revenue Service (IRS) should enumerate a category for arts and culture in the Internal Revenue Code (IRC). With this newfound designation, I then argue that the IRS should establish minimum governance standards for the boards of nonprofit arts organizations and tie those standards to an organization’s ability to receive and maintain its tax-exempt status.</p>\n<p>Because of the immense economic and respected social value of arts and culture in the United States, nonprofit arts organizations must be held to a high standard to maintain public confidence. This Note believes that creating greater standards for nonprofit arts entities to receive federal tax-exemption status will improve organizational accountability and help such organizations in the United States remain the cultural beacon we believe them to be.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/37b240k8", "frozenauthors": [ { "first_name": "Kanome’", "middle_name": "", "last_name": "Jones", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T02:10:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59642/galley/45614/download/" } ] }, { "pk": 59641, "title": "Algorithmic Personalization Features and Democratic Values: What Regulation Initiatives Are Missing", "subtitle": null, "abstract": "<p>2024 was poised to be the largest election year in history, with pivotal elections in Asia, Europe, and the Americas encompassing regional, legislative, and presidential contests, capturing the attention of half the globe. In an era dominated by social media, these elections were influenced by information dissemination through digital platforms.</p>\n<p>Over the last two decades, the landscape of public discourse in matters of civic concern has undergone a transformative shift, moving from traditional media to personalized digital social media outlets. Algorithmic features now selectively match content to users, fostering engagement but also giving rise to issues such as echo chambers, filter bubbles, and sensationalized content. While much attention has been devoted to the challenges posed by personalized discourse, this paper sheds light on a critical aspect that has been overlooked in regulatory paradigms: the erosion of an open, public sphere for discourse due to individualized manipulated content matching.</p>\n<p>In a well-functioning democratic system, an informed citizenry is paramount. However, amplification algorithms and recommendation systems—referred to as “personalization features” here—employ manipulated partial and even contradicting messages designed to targeted audience, while excluding users who may object, correct or protest against them. This paper aims to address the question of whether democratic public discourse can be preserved amidst the individualized flow of manipulated content on social media.</p>\n<p>Existing regulatory approaches—including content regulation, algorithm regulation, and privacy regulation—primarily focus on data profiling, algorithmic content matching, and the nature of discourse within personalized spheres. They prove inadequate in mitigating harm to the public sphere resulting from the selective distribution of individualized manipulated content, hindering open public discussion. Even regulatory initiatives specifically targeting accessible public discourse fall short in addressing both the individualized and manipulated aspects of personalized speech.</p>\n<p>The research findings highlight a pressing concern—the inherent contradiction between the individualized manipulated flow of content and the principles of democratic deliberation. Urgent regulatory frameworks are needed to safeguard a public space for deliberation that is accessible to all, facilitating joint decisions and the construction of pluralistic democratic societies. Potential solutions may involve establishing alternative spaces for public discourse and recognizing distinct considerations for issues in the public sphere. Additionally, a multifaceted strategy beyond online discourse or algorithm regulation is proposed, aiming to foster constructive dialogue, respect, and tolerance in the digital ecosystem, complemented by public education.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/96b9x2c4", "frozenauthors": [ { "first_name": "Sharon", "middle_name": "", "last_name": "Bassan", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T02:08:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59641/galley/45613/download/" } ] }, { "pk": 59637, "title": "The Democratic Value of Transnational Campaign Finance", "subtitle": null, "abstract": "<p>Democratic decision-making in the United States does not solely affect U.S. citizens. Indeed, many such decisions impact people living in other countries, as well as noncitizens residing within the United States. Decisions on U.S. policies regarding climate change, immigration, trade, and military aid—to name a few—can have major implications for the lives of many non-Americans. Yet, in being noncitizens, such people effectively have zero representation within the democratic process that results in these decisions. This phenomenon illustrates what has become known as the problem of “democratic externalities.”</p>\n<p>Theorists have proffered multiple democratic frameworks to resolve this problem—e.g., democratic cosmopolitanism, deliberative democracy, and epistemic aggregative democracy. Ultimately, though, none have managed to adequately mitigate the issue of underrepresentation that democratic externalities produce. Accordingly, this Article considers an alternative, albeit imperfect, route to addressing democratic externalities: transnational campaign finance. Specifically, this Article argues that by permitting foreign nationals to monetarily contribute to, or expend money in support of, political campaigns, a polity can better account for impacted noncitizens in its lawmaking and electoral decisions.</p>\n<p>Over the past few decades, however, numerous U.S. states and countries have passed laws outright prohibiting transnational campaign finance. While there are certainly legitimate reasons to regulate the practice—e.g., corruption, distortion, misalignment, and national security—this Article contends that these measures have been too drastic in light of the democratic externalities problem. Thus, the latter portion of this Article provides guidance on how to best regulate transnational campaign finance in a way that mitigates its negative consequences without entirely impeding its pro-democratic value.</p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2gk1p576", "frozenauthors": [ { "first_name": "John", "middle_name": "J.", "last_name": "Martin", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T01:23:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59637/galley/45609/download/" } ] }, { "pk": 59630, "title": "Unpatenting Product Hops", "subtitle": null, "abstract": "<p>On July 9, 2021, President Joseph R. Biden signed Executive Order 14036 (“Promoting Competition in the American Economy”), which directed the U.S. Food and Drug Administration (FDA) and the U.S. Patent and Trademark Office (USPTO) to collaborate on new approaches to increasing competition and lowering prices in the pharmaceutical marketplace. In response, the USPTO outlined several new initiatives, among them an intent to improve the robustness and reliability of issued patents. </p>\n<p>A major impetus for the Executive Order was the pervasive nature of pharmaceutical product hopping, which occurs when manufacturers introduce new follow-on versions of lucrative pharmaceutical products to the market, versions of low added commercial value like extended-release forms of drugs, or modifications to device components of combination therapeutics. Product hops are usually intended to mitigate lost market share due to generic competition or thwart generic competition entirely. Yet the small benefits of these new products are usually far outweighed by excess costs to payers and patients alike. Product hops remain an essential part of product lifecycle management strategies due to patents, many of which are obtained after the flagship product is on the market and which offer market exclusivity for these incrementally better products. These patents also discourage manufacturers from entering lucrative markets, encourage settlement and delayed generic entry, and result in the prescribing of marginally better product hops at brand-name prices. In doing so, they undermine the fundamental constitutional intent of the patent system—a time-limited exclusive right. </p>\n<p>Elevating patentability standards at the USPTO could mitigate product hopping through the rejection of weaker patents, which should eventually curtail patent applications from manufacturers that attempt to create “new,” yet arguably uninventive, products intended primarily to capture market share from would-be competitors. This article evaluates the core elements of patentability and relevant case law, highlighting opportunities for the USPTO to strengthen its review of pharmaceutical patents. When coupled with regulatory reforms that further mitigate the impact of product hops, pharmaceutical research and development may pivot away from product life cycle management strategies that focus on extending the profitability of older drugs facing the prospect of generic competition and toward transformative innovation that accelerates the development of the next generation of therapeutics and cures. </p>", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0kg3s9p2", "frozenauthors": [ { "first_name": "Michael", "middle_name": "S.", "last_name": "Sinha", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T01:21:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59630/galley/45608/download/" } ] }, { "pk": 59474, "title": "Foreword - Remembering Professor Dan L. Burk", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2j06q0mt", "frozenauthors": [ { "first_name": "Austen", "middle_name": "", "last_name": "Parrish", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T01:00:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59474/galley/45467/download/" } ] }, { "pk": 59338, "title": "Table of Contents", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4z18f4s6", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T00:43:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59338/galley/45344/download/" } ] }, { "pk": 59329, "title": "Mission Statement", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4k28s4cd", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T00:42:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59329/galley/45334/download/" } ] }, { "pk": 59321, "title": "Masthead", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2wn1s19m", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T00:40:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59321/galley/45326/download/" } ] }, { "pk": 59302, "title": "Cover", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Prefatory", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7wz01370", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-03T00:39:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59302/galley/45315/download/" } ] }, { "pk": 59572, "title": "Patent Semiotics", "subtitle": null, "abstract": "", "language": null, "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2x17s7nc", "frozenauthors": [ { "first_name": "Dan", "middle_name": "L.", "last_name": "Burk", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": null, "date_accepted": null, "date_published": "2025-12-02T20:10:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucilr/article/59572/galley/45554/download/" } ] }, { "pk": 47012, "title": "Floristic diversity of the Nuratau Mountains: a 150-year retrospective analysis", "subtitle": null, "abstract": "<p>The Nuratau Mountains located in the central part of Uzbekistan, in the transitional zone between the Mountain Central Asian and Turan phytogeographical provinces, are recognized as one of Key Biodiversity Areas within the Mountains of Central Asia Global Biodiversity Hotspot. These medium-altitude semiarid mountains are identified as one of centers of endemism and priority areas for conservation of plant diversity. This article provides a retrospective review of a 150-year history of scientific exploration of unique flora of this region, highlighting key publications and findings, herbarium collections and collectors. Overall, 1% of herbarium specimens from the Nuratau Mountains were gathered in the 19th century; 69% of all records were made during the 20th century, and 30% of the data were collected since 2000. An essential source of information on the flora of the Nuratau Mountains and the spatial distribution of species is the National Herbarium of Uzbekistan (TASH), which contains over 6,600 specimens from this region or 59% of all occurrence records. According to the most recent assessment, the flora of the Nuratau Mountains includes 1,283 species of vascular plants belonging to 474 genera and 86 families. Of these, 1,180 species from 444 genera and 81 families are native, 32 species are endemic, and 103 species are alien (occasional or introduced). Nevertheless, the flora of Nuratau Mountains is still insufficiently documented, and an actual checklist remains unpublished to date. Comprehensive botanical studies in this region are crucial because of rapidly increasing rates of biodiversity loss and degradation of ecosystems caused by anthropogenic impact.</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": "bibliography" }, { "word": "biodiversity hotspot" }, { "word": "Central Asia" }, { "word": "Checklist" }, { "word": "collector" }, { "word": "endemic species" }, { "word": "expedition" }, { "word": "flora" }, { "word": "herbarium" }, { "word": "history of research" }, { "word": "nature reserve" }, { "word": "Pamir-Alay" }, { "word": "phytogeography" }, { "word": "Vegetation" }, { "word": "Uzbekistan" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5872r9fm", "frozenauthors": [ { "first_name": "Natalya", "middle_name": "", "last_name": "Beshko", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Bekhruz", "middle_name": "", "last_name": "Khabibullaev", "name_suffix": "", "institution": "Institute of Botany", "department": "Conservation and ecology of Plants" }, { "first_name": "Khabibullo", "middle_name": "", "last_name": "Shomurodov", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-03-13T06:14:12.073000+01:00", "date_accepted": "2025-10-24T17:00:14.240000+02:00", "date_published": "2025-12-02T10:15:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/47012/galley/44425/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/47012/galley/44425/download/" } ] }, { "pk": 41507, "title": "Trends in Proportion of Delirium Among Older Emergency Department Patients in South Korea, 2017-2022", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Delirium is a critical neuropsychiatric condition that surged among older adults during the coronavirus disease 2019 (COVID-19) pandemic, likely due to social isolation resulting from distancing measures. In this study we examined trends in delirium-related emergency department (ED) visits before and during the pandemic using nationwide data from South Korea, with a focus on different phases of social distancing, to inform healthcare strategies for older adults during public health crises.</p>\n<p><strong>Methods:</strong> We obtained data from the National Emergency Department Information System (2017-2022). Changes in ED visits were assessed across pre-pandemic (January 2017–January 2020), early pandemic (February 2020–March 2022), and late pandemic (April 2022–December 2022) phases using interrupted time series analysis.</p>\n<p><strong>Results:</strong> A total of 80,442 delirium-related ED visits among adults ≥ 65 years of age were recorded. The interrupted time series analysis showed a significant step increase in ED visits during the early pandemic phase (relative risk [RR] 1.290, 95% CI 1.201-1.386; 29.0% increase), followed by a decrease in the late pandemic phase (RR 0.922, 95% CI 0.868-0.981; 7.8% decrease). The most substantial increase was for individuals 65-74 year of age during the early pandemic period (RR 1.406, 95% CI 1.264-1.564) reflecting a 40.6% increase in visits to the ED. Indirect ED visits, such as institutional referrals, also notably increased (RR 1.275, 95% CI 1.184-1.373) reflecting a 27.5% increase.</p>\n<p><strong>Conclusion:</strong> Delirium-related ED visits among older adults showed a notable 7.8% decrease during the late pandemic period, with key risk groups identified, particularly adults 65-74 of age (40.6% increase) and those referred from institutions (27.5% increase) during the early pandemic period. These findings may help inform targeted interventions and public health responses in similar healthcare settings. Despite limitations including reliance on diagnostic codes, lack of subgroup analysis by COVID-19 status, potential duplicate visit counts, and limited regional granularity this study offers important insight into delirium care needs during crisis periods. Further research should further explore causal mechanisms and the specific impact of COVID-19 infection on delirium incidence.</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": "COVID-19" }, { "word": "emergency department visits" }, { "word": "Pandemic" }, { "word": "Interrupted Time Series Analysis" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7nk3v8w6", "frozenauthors": [ { "first_name": "Jeongmin", "middle_name": "", "last_name": "Moon", "name_suffix": "", "institution": "Research Institute for Public Healthcare, National Medical Center, Seoul, Republic of Korea", "department": "" }, { "first_name": "Seonji", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Yonsei University College of Medicine, Department of Biomedical Systems Informatics, Seoul, Republic of Korea; Institute for Innovation in Digital Healthcare, Yonsei University, Seoul, Republic of Korea", "department": "" }, { "first_name": "Daesung", "middle_name": "", "last_name": "Lim", "name_suffix": "", "institution": "Seoul Medical Center, Department of Emergency Medicine, Seoul, Republic of Korea", "department": "" }, { "first_name": "Ho Kyung", "middle_name": "", "last_name": "Sung", "name_suffix": "", "institution": "National Medical Center, National Emergency Medical Center, Seoul, Republic of Korea", "department": "" }, { "first_name": "Nami", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Seoul National University Hospital, Department of Public Health, Seoul, Republic of Korea; Seoul National University, College of Medicine, Department of Human Systems Medicine, Seoul, Republic of Korea", "department": "" }, { "first_name": "Kyung-Shin", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Center for Public Healthcare Policy, National Medical Center, Seoul, Republic of Korea", "department": "" } ], "date_submitted": "2024-12-20T04:52:00.390000+01:00", "date_accepted": "2025-05-25T17:24:58.336000+02:00", "date_published": "2025-11-27T07:04:21.374000+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41507/galley/43187/download/" } ] }, { "pk": 47305, "title": "Pursuit of Optimal Vagal Maneuvers in Stable Supraventricular Tachycardia: A Network Meta-Analysis", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Vagal maneuvers are first-line therapy for hemodynamically stable supraventricular tachycardia (SVT), yet the relative efficacy of the standard Valsalva Maneuver (SVM), modified Valsalva maneuver (MVM), carotid-sinus massage (CSM), and head-down deep breathing (HDDB) remains uncertain. We undertook a network meta-analysis (NMA) to define the optimal technique and explore age- and sex-related effect modification.</p>\n<p><strong>Methods:</strong> We searched nine databases from inception to January 2025 for randomized controlled trials involving adults (≥ 18 years of age) with stable SVT treated with at least two of the four maneuvers. Primary outcomes were conversion to sinus rhythm after a single attempt after multiple attempts, and by the end of the trial. Secondary outcomes were the need for rescue intravenous (IV) antiarrhythmic drugs and maneuver-related adverse events (AEs). Bayesian random-effects NMA generated risk ratios (RR) with 95% credible intervals (CrIs); surface under the cumulative ranking curve (SUCRA) quantified hierarchy. We performed consistency, publication bias, and sensitivity analyses, and network meta-regression for mean age and female proportion.</p>\n<p><strong>Results:</strong> Nineteen trials (n = 2,545) formed a connected network. The MVM was more than doubly effective for single-attempt conversion relative to the SVM (RR 2.71, 95% CrI, 2.26-3.31) and outperformed CSM (RR 6.57, 3.33-14.94) and HDDB (RR 1.30, 0.35-4.66); SUCRA = 88.7%. At the end of the trial, the MVM retained superiority over the SVM (RR 1.25, 1.03-1.56) and ranked the highest success rate (SUCRA = 81.3%). The MVM also reduced IV drug use vs the SVM (RR 0.64, 0.55-0.73) and CSM (RR 0.59, 0.37-0.90). No maneuver differed in multiple-attempt success or AEs. The HDDB technique was ranked highest in safety (SUCRA = 82.4%) but was supported only by a single, small study. Meta-regression showed no age or sex interaction. Inconsistency was minimal; the Egger test suggested small-study effects only for the IV-drug endpoint (P = .03).</p>\n<p><strong>Conclusion: </strong>The MVM provides the greatest likelihood of rapid sinus rhythm restoration and the least need for rescue pharmacotherapy without increasing AEs, supporting its adoption as the default vagal strategy for SVT. Larger, standardized trials are warranted to confirm safety differentials and long-term outcomes.</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": "Supraventricular tachycardia" }, { "word": "Vagal maneuvers" }, { "word": "Carotid sinus massage" }, { "word": "head-down deep breathing" }, { "word": "Modified valsalva manoeuvre" }, { "word": "Standard valsalva manoeuvre" }, { "word": "network meta-analysis" }, { "word": "Sinus rhythm" }, { "word": "Randomised controlled trials" } ], "section": "Systematic Review (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5h410262", "frozenauthors": [ { "first_name": "Surya", "middle_name": "Sinaga", "last_name": "Immanuel", "name_suffix": "", "institution": "Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Jakarta, Indonesia", "department": "" }, { "first_name": "Jesslyn", "middle_name": "Ellenia", "last_name": "Gotama", "name_suffix": "", "institution": "Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Jakarta, Indonesia", "department": "" }, { "first_name": "Yeziel", "middle_name": "", "last_name": "Sayogo", "name_suffix": "", "institution": "Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Jakarta, Indonesia", "department": "" }, { "first_name": "Alvin", "middle_name": "", "last_name": "Sunjaya", "name_suffix": "", "institution": "Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Jakarta, Indonesia", "department": "" }, { "first_name": "Gabriel", "middle_name": "", "last_name": "Tandecxi", "name_suffix": "", "institution": "Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Jakarta, Indonesia", "department": "" }, { "first_name": "Clifford", "middle_name": "Peter", "last_name": "Anthony", "name_suffix": "", "institution": "Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Jakarta, Indonesia", "department": "" }, { "first_name": "Stephanie", "middle_name": "Aurelia", "last_name": "Wirawan", "name_suffix": "", "institution": "Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Jakarta, Indonesia", "department": "" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Wibawa", "name_suffix": "", "institution": "Rumah Sakit Hasan Sadikin, Department of Cardiology and Vascular Medicine, Bandung, Indonesia", "department": "" }, { "first_name": "Leonardo", "middle_name": "Paskah", "last_name": "Suciadi", "name_suffix": "", "institution": "Siloam Hospitals Kebon Jeruk, Siloam Heart Institute, Jakarta, Indonesia", "department": "" } ], "date_submitted": "2025-04-25T12:02:27.703000+02:00", "date_accepted": "2025-08-04T23:13:37.636000+02:00", "date_published": "2025-11-27T06:33:29.282000+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47305/galley/43179/download/" } ] }, { "pk": 47097, "title": "Intersectional Analysis of Suicide-related Emergency Department Visits in Youth in California, 2018–2021", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> The COVID-19 pandemic and related anti-Asian political rhetoric had a detrimental impact on the mental health of Asian American and Pacific Islander (AAPI) youth in the United States. Our objective was to quantify trends in suicide-related emergency department (ED) encounters among AAPI youth before and during the COVID-19 pandemic, using an intersectional lens of race and sex and to contextualize these trends on a timeline of political and social events (such as anti-Asian hate crimes) occurring during the same period in California.</p>\n<p><strong>Methods: </strong>Using data from the California State Emergency Department Database (SEDD) from 2018–2021, we evaluated changes in quarterly proportions of suicide-related ED encounters by age, race, and sex subgroups by comparing mean percentage change in proportions before and during the pandemic among patients 8-21 years of age. We evaluated changes in quarterly proportions of suicide-related ED encounters by age, race, and sex subgroups by comparing mean percentage changes as they related to events around the pandemic and spikes in anti-Asian hate crimes. To compare relative disparities during the periods, we used stratified adjusted mixed multilevel logistic regression, with White males as the reference group.</p>\n<p><strong>Results:</strong> The overall increase in suicide-related ED visits for all youth during this period was 49.5% (95% CI 46.7-52.2%), representing 2,637 more suicide-related ED visits in 2021 than 2018. The graphical observational analysis of changes in quarterly proportions of suicide-related ED visits showed some temporal correlation between spikes in rates among AAPI and American Indian and Alaska Native (AI/AN) females and specific events, such as anti-Asian hate crimes and school closings. The largest percentage increase was seen among females of all races, and in particular, AI/AN females (+58.1%, representing 471 more suicide-related ED visits in 2021 than 2018) and AAPI females (+57.5%, representing 1,545 more suicide-related ED visits in 2021 than 2018). During the pandemic, the adjusted odds of a suicide-related ED visit among AAPI females 13-17 years of age compared to White males was 2.01 (95% CI, 1.91-2.13). A total of 131 in-ED deaths occurred during the study period, with no significant year-to-year variation in the number of deaths.</p>\n<p><strong>Conclusion: </strong>Suicide-related ED visits increased for all youth during COVID-19, with the sharpest rise among AAPI and AI/AN females. Asian American and Pacific Islander females 8-12 and 13-17 years of age showed especially large increases. While causality cannot be inferred, patterns aligned with pandemic disruptions and anti-Asian hate crimes. Findings highlight the value of intersectional analysis to identify disproportionately impacted subgroups and inform future, culturally responsive suicide prevention efforts. </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" }, { "word": "Suicide" }, { "word": "intersectional" }, { "word": "gender" }, { "word": "Race" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3pg4f5c5", "frozenauthors": [ { "first_name": "Laura", "middle_name": "M", "last_name": "Prichett", "name_suffix": "", "institution": "Johns Hopkins University School of Medicine, Department of Pediatrics, Division of General Pediatrics, Baltimore, Maryland; Johns Hopkins Bloomberg School of Public Health, Center for Suicide Prevention, Baltimore, Maryland", "department": "" }, { "first_name": "Annie", "middle_name": "", "last_name": "Na", "name_suffix": "", "institution": "Johns Hopkins University School of Medicine, Department of Pediatrics, Division of General Pediatrics, Baltimore, Maryland; Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, Maryland", "department": "" }, { "first_name": "Hanae", "middle_name": "", "last_name": "Fujii-Rios", "name_suffix": "", "institution": "Johns Hopkins Bloomberg School of Public Health, Center for Suicide Prevention, Baltimore, Maryland; Johns Hopkins University School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Emily", "middle_name": "E", "last_name": "Haroz", "name_suffix": "", "institution": "Johns Hopkins Bloomberg School of Public Health, Center for Suicide Prevention, Baltimore, Maryland; Johns Hopkins Bloomberg School of Public Health, Department of International Health, Social and Behavioral Health Program, Center for Indigenous Health, Baltimore, Maryland", "department": "" } ], "date_submitted": "2025-03-28T18:02:40.966000+01:00", "date_accepted": "2025-07-27T15:41:51.708000+02:00", "date_published": "2025-11-27T05:56:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47097/galley/43186/download/" } ] }, { "pk": 46582, "title": "National Survey on Infection Prevention and Control in United States Emergency Departments", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> In the emergency care setting, implementation of infection prevention and control (IPC) practices can be challenging due to numerous factors including emergency department (ED) crowding and boarding of patients, high staff-turnover rates, and acuity of patient needs. Understanding how the unique nature of the ED environment impacts IPC implementation is essential to reducing healthcare-associated infections and to improving patient safety. In this study we aimed to assess ED leaders’ perceptions of IPC practices to identify areas for potential intervention and inform targeted process improvement initiatives.</p>\n<p><strong>Methods:</strong> Between January–July 2023, ED leaders across the United States were queried about their IPC practices using the National Emergency Department Inventories (NEDI)-USA survey, which is administered annually to all EDs in the US. An expanded survey was administered in a subset of EDs to assess healthcare personnel training for IPC, reported adherence to recommended practices and policies related to disinfection of reusable medical equipment and environment, use of personal protective equipment, hand hygiene practices, patient care space cleaning and disinfection, use of transmission-based precautions signage, risk perceptions of how healthcare personnel practice contributes to healthcare-associated infections and barriers to appropriate room cleaning.</p>\n<p><strong>Results:</strong> Of the 289 facilities surveyed, 159 (55%) responded, and among responding EDs, 67 (42%) reported seeing ≥ 40,000 patients in the prior year. Regarding healthcare personnel training, 84% (131/156) of ED leaders reported that ≥80% of their ED healthcare personnel were correctly trained in IPC procedures according to their hospital’s policies. Perception of healthcare personnel compliance with IPC practices, however, was lower. Although 75% (118/157) of EDs reported > 80% compliance with correct N95 respirator use, compliance with transmission-based precaution signage was identified as a significant gap, with 30% (47/159) of EDs reporting that they never, rarely, or only sometimes posted signs for patients who required them. Further, 69% (61/89) of EDs reported that they never, rarely, or only sometimes posted transmission-based precaution signs for patients in hallways or overflow treatment spaces.</p>\n<p><strong>Conclusion: </strong>This national survey found that ED leaders perceive that their healthcare personnel have a high level of knowledge of IPC policies and compliance with some, but not all, IPC policies in the ED. The overall high perceptions of compliance stand in contrast to prior published observations of poor IPC practice in ED settings, suggesting complex relationships between perception and practice that may impact patient safety outcomes. These findings can guide future targeted interventions to improve IPC compliance, reduce healthcare-associated infections, and improve patient safety in emergency settings.</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": "infection prevention and control" }, { "word": "emergency department" }, { "word": "survey" }, { "word": "healthcare-associated infection" }, { "word": "Compliance" }, { "word": "nosocomial" }, { "word": "leadership" }, { "word": "hand hygiene" }, { "word": "portable medical equipment" }, { "word": "transmission-based precautions" }, { "word": "training" }, { "word": "Personal Protective Equipment" }, { "word": "crowding" }, { "word": "hallways" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0kw634fh", "frozenauthors": [ { "first_name": "Laya", "middle_name": "", "last_name": "Dasari", "name_suffix": "", "institution": "Massachusetts General Hospital, Center for Disaster Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Molly", "middle_name": "L", "last_name": "Paras", "name_suffix": "", "institution": "Massachusetts General Hospital, Division of Infectious Diseases, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts", "department": "" }, { "first_name": "Samantha", "middle_name": "L", "last_name": "Pellicane", "name_suffix": "", "institution": "Massachusetts General Hospital, Center for Disaster Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Eileen", "middle_name": "F", "last_name": "Searle", "name_suffix": "", "institution": "Massachusetts General Hospital, Center for Disaster Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Amy", "middle_name": "", "last_name": "Courtney", "name_suffix": "", "institution": "Infection Control, Mass General Brigham, Boston, Massachusetts", "department": "" }, { "first_name": "Julio", "middle_name": "", "last_name": "Ma Shum", "name_suffix": "", "institution": "Massachusetts General Hospital, Center for Disaster Medicine, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Krislyn", "middle_name": "M", "last_name": "Boggs", "name_suffix": "", "institution": "Emergency Medicine Network, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts", "department": "" }, { "first_name": "Janice", "middle_name": "A", "last_name": "Espinola", "name_suffix": "", "institution": "Emergency Medicine Network, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts", "department": "" }, { "first_name": "Ashley", "middle_name": "F", "last_name": "Sullivan", "name_suffix": "", "institution": "Emergency Medicine Network, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts", "department": "" }, { "first_name": "Carlos", "middle_name": "A", "last_name": "Camargo", "name_suffix": "Jr", "institution": "Harvard Medical School, Boston, Massachusetts; Emergency Medicine Network, Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts; Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Jeremiah", "middle_name": "D", "last_name": "Schuur", "name_suffix": "", "institution": "Lawrence General Hospital, Lawrence, Massachusetts; Tufts University School of Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Erica", "middle_name": "S", "last_name": "Shenoy", "name_suffix": "", "institution": "Massachusetts General Hospital, Division of Infectious Diseases, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Infection Control, Mass General Brigham, Boston, Massachusetts", "department": "" }, { "first_name": "Paul", "middle_name": "D", "last_name": "Biddinger", "name_suffix": "", "institution": "Massachusetts General Hospital, Center for Disaster Medicine, Department of Emergency Medicine, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" } ], "date_submitted": "2025-03-07T16:37:26.448000+01:00", "date_accepted": "2025-08-27T16:50:04.933000+02:00", "date_published": "2025-11-27T05:54:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/46582/galley/43185/download/" } ] }, { "pk": 47198, "title": "Optimizing Fluid Resuscitation Strategies: A Network Meta-analysis of Effectiveness and Safety for Hemorrhagic Shock Patients in Emergency Settings", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Hemorrhagic shock is a life-threatening condition and remains a leading cause of death worldwide. Current European guidelines lack recommendations for one fluid type over another in the management of hemorrhagic shock. This study explores the effectiveness and safety of colloids and crystalloids in resuscitation of hemorrhagic shock patients.</p>\n<p><strong>Methods: </strong>We conducted a systematic search in PubMed, Cochrane Cenral Register of Controlled Trials (CENTRAL), Scopus, Web of Science, ProQuest, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) up to January 3, 2024. We performed data analyses using Rstudio v.4.4.1 in Frequentist network meta-analysis with DerSimonian-Laird random-effects model. Subgroup and network meta-regression analyses was also performed in Bayesian methods. We analyzed safety aspects using meta-proportions with generalized linear mixed models models.</p>\n<p><strong>Results:</strong> A total of 3,693 patients from 23 randomized controlled trials were included in this study. Synthetic colloid demonstrated the lowest mortality rate (odds ratio 0.37, 95% CI, 0.15-0.93; P-score = .94) with the lowest fluid input requirement (mean difference -1.02; 95% CI, -1.62 to -0.41; P-score = .75). Subgroup and network meta-regression analysis revealed none of the covariates significantly influenced these two outcomes. Regarding safety aspects, isotonic crystalloid caused the most diverse adverse events, with acute respiratory distress syndrome (prop = 0.067) and overload syndrome (prop = 0.063) being the most common adverse events.</p>\n<p><strong>Conclusion: </strong>This study provides robust evidence favoring the initial use of synthetic colloid in the management of patients with hemorrhagic shock.</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": "colloid" }, { "word": "crystalloid" }, { "word": "hemorrhagic shock" }, { "word": "resuscitation" } ], "section": "Systematic Review (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2276z739", "frozenauthors": [ { "first_name": "Fan", "middle_name": "Maitri", "last_name": "Aldian", "name_suffix": "", "institution": "Universitas Airlangga, Faculty of Medicine, Surabaya, Indonesia", "department": "" }, { "first_name": "Visuddho", "middle_name": "", "last_name": "Visuddho", "name_suffix": "", "institution": "Universitas Airlangga, Faculty of Medicine, Surabaya, Indonesia", "department": "" }, { "first_name": "Michelle", "middle_name": "Vanessa", "last_name": "Anggarkusuma", "name_suffix": "", "institution": "Brawijaya University, Faculty of Medicine, Malang, Indonesia", "department": "" }, { "first_name": "Jesphine", "middle_name": "Arbi", "last_name": "Wijaya", "name_suffix": "", "institution": "Brawijaya University, Faculty of Medicine, Malang, Indonesia", "department": "" }, { "first_name": "Anthony", "middle_name": "Camilo", "last_name": "Lim", "name_suffix": "", "institution": "Universitas Airlangga, Faculty of Medicine, Surabaya, Indonesia", "department": "" }, { "first_name": "Galen", "middle_name": "", "last_name": "Chandrawira", "name_suffix": "", "institution": "Diponegoro University, Faculty of Medicine, Semarang, Indonesia", "department": "" }, { "first_name": "Yan", "middle_name": "Efrata", "last_name": "Sembiring", "name_suffix": "", "institution": "Universitas Airlangga, Department of Thoracic Cardiac and Vascular Surgery, Surabaya, Indonesia; Dr Soetomo General Academic Hospital, Department of Thoracic Cardiac and Vascular Surgery, Surabaya, Indonesia", "department": "" }, { "first_name": "Bambang", "middle_name": "Pujo", "last_name": "Semedi", "name_suffix": "", "institution": "Universitas Airlangga, Department of Anesthesiology and Intensive Care, Surabaya, Indonesia; Dr Soetomo General Academic Hospital, Department of Anesthesiology and Intensive Care, Surabaya, Indonesia", "department": "" }, { "first_name": "Jeswant", "middle_name": "", "last_name": "Dillon", "name_suffix": "", "institution": "Institut Jantung Negara, Department of Cardiology and Department of Cardiothoracic Surgery, Kuala Lumpur, Malaysia", "department": "" } ], "date_submitted": "2025-04-09T03:58:32.029000+02:00", "date_accepted": "2025-08-28T05:29:06.229000+02:00", "date_published": "2025-11-27T05:51:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47198/galley/43184/download/" } ] }, { "pk": 47221, "title": "Differences in Admission Rates of Children with Pneumonia Between Pediatric and Community Emergency Departments", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Pneumonia is the most common cause of pediatric death worldwide. We sought to determine whether the rate of hospital admission of pediatric patients diagnosed with pneumonia at a dedicated pediatric -emergency department (PED) is different than the rate at a community emergency department (CED). This comparison may provide insight into decision-making and factors associated with admission.</p>\n<p><strong>Methods: </strong>In this retrospective cohort study we reviewed patient records from January 1, 2017–December 31, 2019 for pediatric patients diagnosed with pneumonia. We excluded patients who were not prescribed antibiotics, those who did not receive a chest radiograph or had no radiologic signs of pneumonia. In addition, we excluded patients with comorbid conditions such as tracheostomy, supplemental oxygen requirement at baseline, chronic lung disease other than asthma or reactive airway disease, any cancer diagnosis, cystic fibrosis, or congenital heart disease. The primary outcome was the proportion of pneumonia diagnoses that resulted in admission from the PED vs CED. We used logistic regression analyses to evaluate which clinical factors were associated with hospital admission. Significance levels were determined by chi-square test or the Fisher exact test and Cochran-Mantel-Haenszel statistic.</p>\n<p><strong>Results: </strong>We identified 400 pediatric patients with pneumonia, 182 from the PED and 218 from the CED. There was a significant difference in admission rates between the two hospitals: 53 of 182 patients in the PED were admitted (29.1%) vs 27 of 218 patients in the CED (12.4%, P < .001). Patients in the PED were, therefore, 2.35 times more likely to be admitted than those at the CED (odds ratio 5.1, 95% CI, 2.5-10.4). Patients presenting to the PED were more likely to arrive via ambulance (10.7% vs 3.1%, P = .04) and to be hypoxic upon arrival (13.2% vs 3.2%, P < .001). The median age of patients in the PED was significantly higher than the CED (6.0 years vs 2.0 years, P < .001). A significantly greater proportion of patients in the CED identified as Hispanic or Latino (68.6% vs 20.3%, P < .001). Patients in the CED were more likely to be insured (11.0% vs 19.9%, P = .01). There was no significant difference in immunization status between the two groups.</p>\n<p><strong>Conclusion:</strong> Patients presenting to a dedicated pediatric ED had a higher admission rate than did those at a community ED. Patients in the PED were more likely to arrive by ambulance and less likely to have active health insurance coverage. Patients at the PED were more likely to be hypoxic than patients at the CED. These findings highlight important practice differences between PEDs and CEDs that may inform strategies to improve patient outcomes, reduce costs, and promote more effective, evidence-based care. Future studies should further investigate the drivers of these variations and evaluate targeted interventions to optimize care across settings.</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": "Peditrics" }, { "word": "Infectious disease" }, { "word": "emergency" }, { "word": "Bias" }, { "word": "pneumonia" }, { "word": "Community" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1h80q5qs", "frozenauthors": [ { "first_name": "Grace", "middle_name": "", "last_name": "VanGorder", "name_suffix": "", "institution": "Penn State University College of Medicine, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Samuel", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "Penn State University College of Medicine, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Zachary", "middle_name": "", "last_name": "Jensen", "name_suffix": "", "institution": "Penn State University College of Medicine, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Susan", "middle_name": "", "last_name": "Boehmer", "name_suffix": "", "institution": "Penn State University College of Medicine, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Robert", "middle_name": "P", "last_name": "Olympia", "name_suffix": "", "institution": "Penn State University College of Medicine, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" } ], "date_submitted": "2025-04-12T18:23:44.732000+02:00", "date_accepted": "2025-08-26T17:31:59.761000+02:00", "date_published": "2025-11-27T05:43:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47221/galley/43183/download/" } ] }, { "pk": 47312, "title": "Reduced Functional Bed Capacity Due to Inpatient Boarding Is Associated with Increased Rates of Left Without Being Seen in the Emergency Department\n<!--EndFragment-->", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> We evaluated the relationship between inpatient boarding, measured as functional bed capacity, and left-without-being-seen (LWBS) rates. Functional bed capacity is defined as the mean percentage of ED beds available for new and existing patients over a 24-hour period.</p>\n<p><strong>Methods:</strong> We performed quantile regression models examining the association between LWBS and terciles (low, medium, and high) of functional bed capacity, as well as median admit-to-departure times, controlling for other daily operational metrics. We additionally performed an encounter-level analysis to assess the relationship between functional bed capacity at the time of a patient’s arrival and their likelihood of LWBS. Study sites included one academic, one community, and one pediatric ED in a single, urban medical system.</p>\n<p><strong>Results:</strong> Our study included 373,388 visits. In the adjusted regression at the daily level, low functional bed capacity was associated with an increase of 1.59% in LWBS compared to high functional bed capacity, which represented a 26.5% relative increase (about three patients) compared to median LWBS of 6.0% (P < .001). Larger daily census (+ 0.07% for each additional patient, P <.001), resulted in two additional patients LWBS for every 15-patient increase in daily census from the median. Additionally, longer length of stay of discharged patients (+ 0.05% for each minute increase, P < .001), resulted in two additional patients LWBS for every 20-minute increase in length of stay from the median. Weekdays relative to weekend days were associated with a 1.28% decrease in LWBS (P < .001) (approximately three fewer patients who left without being seen relative to the median LWBS of 6.0%). At the encounter level, functional bed capacity in the low and middle tercile was significantly associated with an increased probability of a patient LWBS (91% and 40% increases, respectively, P < .001). Of the patients who LWBS, 9.3% were high acuity, 59.5% medium acuity, and 31.2% low acuity.</p>\n<p><strong>Conclusion: </strong>Functional bed capacity is a new and pragmatic operational metric strongly associated with left-without-being-seen rates and provides an improved way to measure, study, and communicate the impact of inpatient boarding. We propose using functional bed capacity as a metric in future studies of ED operations. Additional studies that incorporate staffing levels to more accurately approximate functional bed capacity and better characterize its true impact on LWBS rates are needed.</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": "boarding" }, { "word": "crowding" }, { "word": "LWBS" }, { "word": "operations" }, { "word": "Patient Safety" }, { "word": "Quality" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2nd6d5b2", "frozenauthors": [ { "first_name": "Yosef", "middle_name": "", "last_name": "Berlyand", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Timmy", "middle_name": "", "last_name": "Lin", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Taylor", "middle_name": "D", "last_name": "Marquis", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Jared", "middle_name": "S", "last_name": "Anderson", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Daniel", "middle_name": "J", "last_name": "Shanin", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Alexis", "middle_name": "C", "last_name": "Lawrence", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Frank", "middle_name": "L", "last_name": "Overly", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "David", "middle_name": "B", "last_name": "Curley", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Janette", "middle_name": "", "last_name": "Baird", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" }, { "first_name": "Anthony", "middle_name": "M", "last_name": "Napoli", "name_suffix": "", "institution": "Department of Emergency Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island", "department": "" } ], "date_submitted": "2025-04-28T16:31:34.145000+02:00", "date_accepted": "2025-08-24T21:42:03.383000+02:00", "date_published": "2025-11-27T05:41:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47312/galley/43182/download/" } ] }, { "pk": 47379, "title": "Triage Temperature and Timeliness of Sepsis Interventions in a Pediatric Emergency Department", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Fever as an indicator of infection is frequently used as an aid in triggering concern for sepsis in the emergency department (ED). Adults with sepsis presenting to the ED with a normal temperature have been shown to have delays in treatment and greater mortality. The association between temperature and timeliness of sepsis-related care in the ED remains poorly characterized in children. Our objective in this study was to measure the association between body temperature at the physiologic onset of sepsis and the time to initiation of antibiotic treatment and fluid bolus among children with clinically defined sepsis.</p>\n<p><strong>Methods: </strong>We conducted a retrospective, cohort study of pediatric patients with sepsis presenting to the ED. Data collected from an existing quality improvement database were supplemented via chart extraction. We assessed body temperature at physiologic onset of sepsis (PO-S), the date and time when a patient first met clinical criteria for sepsis as defined by Goldstein et al.1 Our primary outcomes were time from PO-S and administration of antibiotics and fluid bolus. Secondary outcomes included maximum vasoactive-inotropic scores, need for extracorporeal membrane oxygenation (ECMO) within 30 days of presentation, presence and type of organ dysfunction, 30-day hospital- and intensive care unit (ICU)-free days, and mortality. We summarized and compared data by temperature group. Multivariable quantile regression was used to evaluate adjusted associations between body temperature and time to initiation of antibiotic treatment and fluid bolus.</p>\n<p><strong>Results:</strong> Of 928 patients screened, 385 (41%) met inclusion criteria. Median time to antibiotic treatment did not differ between temperature groups at PO-S—≤ 36.0 °C: median (IQR) 48.5, (41.3-104.8); 36.1-37.9 oC: median, 95.5, (41.3-104.8;), and ≥ 38.0 oC: median 84, 45-151; (P = .24). Median time to fluid bolus administration also did not differ between temperature groups at PO-S—≤ 36.0 °C: median 39, (20.8-65.8); 36.1-37.9 oC: median, 42.5 (21.3-86.3); and ≥ 38.0 oC: median, 54 (29-84); (P =.07). In addition, mortality differed by temperature at PO-S (≤ 36.0 °C: 1/22 (4.5%); 36.1-37.9 oC: 4/80 (5.0%); and ≥. 38.0 oC: 3/283 (1.1%), (P = .04); as did organ dysfunction at 72 hours: ≤. 36.0 °C: 15/22 (68.2%); 36.1-37.9 oC: 43/80 (53.8%), ≥ 38.0 oC: 74/283 (26.1%); (P < .001) and median (IQR) 30-day ICU- and hospital-free days—≤ 36.0 °C: median, 24, (20,-26.8); 36.1-37.9 oC: median, 28 (24.8-30), ≥ 38.0 oC: median, 30 (27-30), (P < .001); and at ≤. 36.0°C: median, 22, (17-25); 36.1-37.9 oC: median, 24 (17.8-27); ≥ 38.0 oC: median, 25 (20, 27), (P = .04), respectively. We did not observe an association between temperature and median time to antibiotic administration (β: 2.5, 95% CI, -4.2 to 9.1, P = .50) or first fluid bolus administration (β: 1.7, 95% CI, -1.4 to 4.8, P = .30).</p>\n<p><strong>Conclusion: </strong>Time to fluid bolus administration and time to antibiotic administration did not differ statistically by temperature from physiological onset of sepsis. Children presenting with hypothermia (≤ 36.0 °C) had worse outcomes.</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 sepsis" }, { "word": "triage" }, { "word": "sepsis intervention" }, { "word": "hypothermia in pediatric sepsis" }, { "word": "clinical outcomes in pediatric sepsis" }, { "word": "clinical intervention in pediatric sepsis" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3jv192hp", "frozenauthors": [ { "first_name": "McKenna", "middle_name": "", "last_name": "Straus", "name_suffix": "", "institution": "Johns Hopkins All Children’s Hospital, Office of Medical Education, St. Petersburg, Florida", "department": "" }, { "first_name": "John", "middle_name": "M", "last_name": "Morrison", "name_suffix": "", "institution": "Johns Hopkins All Children’s Hospital, Office of Medical Education, St. Petersburg, Florida; Johns Hopkins All Children’s Hospital, Division of Hospital Medicine, St. Petersburg, Florida", "department": "" }, { "first_name": "Racha", "middle_name": "", "last_name": "Khalaf", "name_suffix": "", "institution": "University of South Florida Morsani College of Medicine, Department of Gastroenterology, Hepatology and Nutrition, Tampa, Florida", "department": "" }, { "first_name": "Jamie", "middle_name": "", "last_name": "Fierstein", "name_suffix": "", "institution": "Johns Hopkins All Children’s Hospital Institute for Clinical and Translational Research, St. Petersburg, Florida", "department": "" }, { "first_name": "Alexandra", "middle_name": "", "last_name": "Miller", "name_suffix": "", "institution": "Johns Hopkins All Children’s Hospital Institute for Clinical and Translational Research, St. Petersburg, Florida", "department": "" }, { "first_name": "Diana", "middle_name": "", "last_name": "Young", "name_suffix": "", "institution": "Johns Hopkins All Children’s Hospital, Division of Hospital Medicine, St. Petersburg, Florida", "department": "" }, { "first_name": "Elliot", "middle_name": "", "last_name": "Melendez", "name_suffix": "", "institution": "Connecticut Children’s Hospital, Department of Pediatric Critical Care, Hartford, Connecticut", "department": "" } ], "date_submitted": "2025-05-09T19:46:50.445000+02:00", "date_accepted": "2025-08-24T22:21:29.721000+02:00", "date_published": "2025-11-27T05:38:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47379/galley/43181/download/" } ] }, { "pk": 18585, "title": "Completeness and Audibility of Verbal Orders for Medications and Blood Products during Trauma Resuscitation", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Resuscitation of critically injured patients requires effective team leadership. Poor communication is the leading cause of sentinel events. Closed-loop communication reduces error during trauma resuscitations. Nonetheless, previous studies show few verbal orders are audible. Verbal orders during trauma resuscitations have not been studied for completeness. In this project we aimed to assess whether verbal orders for medications and blood products during trauma resuscitations were complete, audible, and used closed-loop communication.</p>\n<p><strong>Methods:</strong> This was an observational assessment of a convenience sample of verbal orders that trauma captains gave for medications and blood products during the primary and secondary survey. It was conducted in an academic emergency department (ED) at an adult Level 1 trauma center. We assessed medication orders for the presence or absence of medication name, dose, and route. Blood orders were evaluated for the presence or absence of blood product (packed cells or whole blood) and type (O- or O+). We recorded orders as audible or inaudible. Closed-loop communication was recorded as present or absent. Orders were considered complete if they included all elements. We used descriptive statistics to analyze data.</p>\n<p><strong>Results:</strong> There were 186 verbal orders enrolled: 165 (88.7%) for medications and 21 (11.3% for blood products. For medication verbal orders, 77.9% (n=127) were audible, 73.6% (n=120) included the name, 62.0% (n=101) included the dose, 17.8% (n=29) included the route, and 73.5% (n=111) used closed-loop communication. Overall, 23 (14.1%) medication verbal orders were complete. Regarding verbal orders for blood, 16 (76.2%) were audible, three (14.3%) included the blood product, seven (33.3%) included the blood type, and 13 (61.9%) used closed-loop communication. Overall, 0% (n=0) of the blood product verbal orders were complete.</p>\n<p><strong>Conclusion:</strong> Audible, complete verbal orders, and closed-loop communication were underused during trauma resuscitations. Interventions to improve communication of verbal orders warrant evaluation in the ED.</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": "Patient Safety" }, { "word": "injury prevention" }, { "word": "Quality Assessment" }, { "word": "Trauma" }, { "word": "resuscitation" }, { "word": "Communication" }, { "word": "Verbal Orders" }, { "word": "Systems of Care" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43v303jz", "frozenauthors": [ { "first_name": "Rebecca", "middle_name": "", "last_name": "Ryan", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin", "department": "" }, { "first_name": "Kathleen", "middle_name": "", "last_name": "Williams", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin", "department": "" }, { "first_name": "Jamie", "middle_name": "", "last_name": "Aranda", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin", "department": "" }, { "first_name": "Nancy", "middle_name": "", "last_name": "Jacobson", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin", "department": "" } ], "date_submitted": "2024-01-05T15:43:39+01:00", "date_accepted": "2025-08-15T11:23:13.346000+02:00", "date_published": "2025-11-27T05:34:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18585/galley/43180/download/" } ] }, { "pk": 48649, "title": "Insect in the Ear- Response and Treatment of an Uncommon Prehospital Emergency: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Foreign bodies in the external auditory canal are an uncommon presentation in emergency settings. Among adults, insects represent a frequent organic foreign body, often causing symptoms such as otalgia, tinnitus, vertigo, and anxiety. Prehospital management of such cases is rarely addressed in the medical literature, with minimal guidance available for emergency medical services (EMS) personnel. In this report we discuss their role in stabilizing patients and reducing discomfort through appropriate interventions.</p>\n<p><strong>Case Report: </strong>A 40-year-old male called EMS after a live insect entered his left ear, causing severe otalgia and distress. Prehospital medical personnel clinically confirmed the presence of the insect and assessed for signs of tympanic membrane perforation. A medical command physician authorized the use of 2% lidocaine to euthanize the insect, which alleviated movement-related discomfort within 20 seconds. Despite initial symptom relief, the patient experienced persistent fullness in the ear and was transported to a tertiary-care hospital. In the emergency department multiple removal attempts were made, with successful extraction using thin dressing forceps. No tympanic membrane perforation was noted, although minor trauma to the external auditory canal was present. The patient was discharged with ciprofloxacin-dexamethasone otic drops and return precautions.</p>\n<p><strong>Conclusion: </strong>Prehospital use of lidocaine for a live insect in the auditory canal may provide significant symptom relief while reducing the risk of further auditory canal trauma. This case underscores the importance of command-based support for EMS personnel to provide safe, evidence-based approaches for managing intra-aural insects in the field.</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": "foreign body" }, { "word": "External auditory canal" }, { "word": "prehospital care" }, { "word": "case report" }, { "word": "emergency medical services" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6f29p8pj", "frozenauthors": [ { "first_name": "Colin", "middle_name": "", "last_name": "Bashline", "name_suffix": "", "institution": "Ross/West View EMSA, Pittsburgh, Pennsylvania", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Jester", "name_suffix": "", "institution": "Allegheny General Hospital, Department of Emergency Medicine, Pittsburgh, Pennsylvania", "department": "" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Morris", "name_suffix": "", "institution": "Allegheny General Hospital, Department of Emergency Medicine, Pittsburgh, Pennsylvania", "department": "" } ], "date_submitted": "2025-06-19T02:44:48.773000+02:00", "date_accepted": "2025-08-29T19:58:36.068000+02:00", "date_published": "2025-11-27T05:12:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/48649/galley/48081/download/" } ] }, { "pk": 48882, "title": "“Predictive Factors and Nomogram for 30-Day Mortality in Heatstroke Patients: A Retrospective Cohort Study”", "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/0wx2d29k", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "R", "last_name": "Stowell", "name_suffix": "", "institution": "Creighton University School of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; University of Arizona College of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; Valleywise Health, Department of Emergency Medicine, Phoenix, Arizona", "department": "" }, { "first_name": "Geoff", "middle_name": "", "last_name": "Comp", "name_suffix": "", "institution": "Creighton University School of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; University of Arizona College of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; Valleywise Health, Department of Emergency Medicine, Phoenix, Arizona", "department": "" }, { "first_name": "Paul", "middle_name": "", "last_name": "Pugsley", "name_suffix": "", "institution": "Creighton University School of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; University of Arizona College of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; Valleywise Health, Department of Emergency Medicine, Phoenix, Arizona", "department": "" }, { "first_name": "Megan", "middle_name": "", "last_name": "McElhinny", "name_suffix": "", "institution": "Creighton University School of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; University of Arizona College of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; Valleywise Health, Department of Emergency Medicine, Phoenix, Arizona", "department": "" }, { "first_name": "Murtaza", "middle_name": "", "last_name": "Akhter", "name_suffix": "", "institution": "Creighton University School of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; University of Arizona College of Medicine, Phoenix, Department of Emergency Medicine, Phoenix, Arizona; Valleywise Health, Department of Emergency Medicine, Phoenix, Arizona; Penn State Health Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania; HCA Healthcare, Department of Emergency Medicine, Miami, Florida", "department": "" } ], "date_submitted": "2025-07-15T07:28:56.916000+02:00", "date_accepted": "2025-08-09T05:06:08.336000+02:00", "date_published": "2025-11-27T05:08:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/48882/galley/43178/download/" } ] }, { "pk": 47130, "title": "Anticoagulation Treatment in Patients with Septic Thrombophlebitis of the Internal Jugular Vein", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Septic thrombophlebitis of the internal jugular vein (STIJV), or Lemierre syndrome, is a rare, life-threatening condition. Anticoagulant use for managing STIJV remains unclear due to ambiguous diagnostic criteria and a lack of robust evidence. We evaluated the clinical benefits and risks of anticoagulants in patients with STIJV.</p>\n<p><strong>Methods:</strong> In this retrospective study we used data from over 1,700 hospitals, retrieved from a nationwide Japanese database. We used multivariate logistic regression and propensity score matching to adjust for confounding variables (age, sex, Charlson Comorbidity Index, level of consciousness, use of mechanical ventilation, use of disseminated intravascular coagulation, admission to intensive care unit, history of diabetes, use of noradrenaline, diagnosis of acute renal failure, and diagnosis of cerebral infarction). We also conducted instrumental variable estimation to account for the impact of unmeasured covariates. The primary outcome was in-hospital mortality; the secondary outcomes were 90-day mortality, major bleeding events, and length of stay (LOS) in hospital.</p>\n<p><strong>Results: </strong>Among the 523 patients diagnosed with STIJV between April 1, 2014–March 31, 2022, 343 (65.6%) were excluded due to lack of appropriate treatment initiation for STIJV. Overall, 180 patients (34.4%) met the inclusion criteria; the data of 156 patients (31.1%) were ultimately analysed. Of these, 86 (55.1%) received anticoagulants, which neither significantly improved nor worsened survival outcomes. The in-hospital mortality was 3.39% and 1.69% and 90-day mortality was 2.54% and 1.69%, respectively, in patients who did and did not receive therapy, (P = .56 and .99, respectively). The adjusted odds ratio (AOR) for in-hospital and 90-day mortality was 0.858 (95% CI, 0.126-5.826, P = .88) and .991 (95% CI, .932-1.055, P = .79), respectively. The LOS was longer in those receiving anticoagulants (mean, 29.2 vs 21.8 days, AOR 11.7 days longer, 95% CI, 4.11-19.20, P < .01), potentially due to dose adjustment or clinical decision-making. Subgroup analysis comparing unfractionated heparin and direct Xa inhibitors showed similar in-hospital mortality outcomes: 4.54% in the unfractionated heparin group (AOR 2.361, 95% CI, 0.32-17.40; P = .40) and 3.03% in the direct Xa inhibitor group (AOR 0.444, 95% CI, 0.032-6.23; P = .55), respectively.</p>\n<p><strong>Conclusion:</strong> In the largest study of septic thrombophlebitis of the internal jugular vein to date, we found that early initiation of anticoagulation treatment was not statistically associated with survival. Therefore, anticoagulant use should be determined based on individual patient characteristics. Further research is warranted to improve the quality of evidence for this rare disease. </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": "Lemierre’s Syndrome" }, { "word": "septic thrombophlebitis" }, { "word": "internal jugular vein" }, { "word": "anticoagulation" }, { "word": "Heparin" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/95n8m3k1", "frozenauthors": [ { "first_name": "Atsushi", "middle_name": "", "last_name": "Senda", "name_suffix": "", "institution": "Institute of Science Tokyo, Graduate School of Medical and Dental Sciences, Department of Acute Critical Care and Disaster Medicine, Tokyo, Japan; Toda Chuo General Hospital, Department of Emergency Medicine, Toda, Saitama, Japan", "department": "" }, { "first_name": "Kiyohide", "middle_name": "", "last_name": "Fushimi", "name_suffix": "", "institution": "Institute of Science Tokyo, Graduate School of Medical and Dental Sciences, Department of Health Policy and Informatics, Tokyo, Japan", "department": "" }, { "first_name": "Koji", "middle_name": "", "last_name": "Morishita", "name_suffix": "", "institution": "Institute of Science Tokyo, Graduate School of Medical and Dental Sciences, Department of Acute Critical Care and Disaster Medicine, Tokyo, Japan", "department": "" } ], "date_submitted": "2025-04-02T05:23:04.747000+02:00", "date_accepted": "2025-07-27T01:01:27.580000+02:00", "date_published": "2025-11-27T05:05:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47130/galley/43177/download/" } ] }, { "pk": 56954, "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/0fn2t7q5", "frozenauthors": [ { "first_name": "Cassandra", "middle_name": "", "last_name": "Saucedo", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Isabelle", "middle_name": "", "last_name": "Kawaguchi", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Isabella", "middle_name": "", "last_name": "Choi", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-27T04:34:30.779000+01:00", "date_accepted": "2025-11-27T04:36:38.723000+01:00", "date_published": "2025-11-27T03:43:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/56954/galley/43156/download/" } ] }, { "pk": 47110, "title": "A 30-year History of the Emergency Medicine Standardized Letter of Evaluation", "subtitle": null, "abstract": "<p>Thirty years ago, education leaders in emergency medicine (EM) developed a standardized letter of recommendation to address limitations of narrative letters of recommendation in the residency selection process. Since then, multiple iterations and improvements with specialty-wide adoption have led to this letter being cited as one of the most essential pieces of a residency application. Based on the experience and success in EM, many other specialties have also now adopted standardized letters of their own. In this paper, we detail the 30-year history of the EM standardized letter including form changes and technological innovations, research and validity evidence, and discussion of research and administrative priorities for the future.</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": "Standardized Letter of Evaluation" }, { "word": "Assessment" }, { "word": "Residency selection" } ], "section": "Education Special Issue - Expert Commentary", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7s89p06s", "frozenauthors": [ { "first_name": "Jenna", "middle_name": "S", "last_name": "Hegarty", "name_suffix": "", "institution": "Rosalind Franklin University of Medicine and Science, Chicago, Illinois", "department": "" }, { "first_name": "Cullen", "middle_name": "B", "last_name": "Hegarty", "name_suffix": "", "institution": "University of Minnesota Medical School, HealthPartners Institute/Regions Hospital, Department of Emergency Medicine, St. Paul, Minnesota", "department": "" }, { "first_name": "Jeffrey", "middle_name": "N", "last_name": "Love", "name_suffix": "", "institution": "Georgetown University School of Medicine, Department of Emergency Medicine, Washington, DC", "department": "" }, { "first_name": "Alexis", "middle_name": "", "last_name": "Pelletier-Bui", "name_suffix": "", "institution": "Cooper Medical School of Rowan University/ Cooper University Hospital, Department of Emergency Medicine, Camden, New Jersey", "department": "" }, { "first_name": "Sharon", "middle_name": "", "last_name": "Bord", "name_suffix": "", "institution": "The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Michael", "middle_name": "C", "last_name": "Bond", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Samuel", "middle_name": "M", "last_name": "Keim", "name_suffix": "", "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona", "department": "" }, { "first_name": "Kevin", "middle_name": "", "last_name": "Hamilton", "name_suffix": "", "institution": "University of Maryland Medical System Center for Technology Innovation, Baltimore, Maryland", "department": "" }, { "first_name": "Eric", "middle_name": "F", "last_name": "Shappell", "name_suffix": "", "institution": "Massachusetts General Hospital / Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts", "department": "" } ], "date_submitted": "2025-04-30T17:12:44.668000+02:00", "date_accepted": "2025-11-03T19:55:29.853000+01:00", "date_published": "2025-11-26T19:08:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47110/galley/43153/download/" } ] }, { "pk": 47347, "title": "Emergency Department Disposition and Point-of-Care Ultrasound in Biliary Disease: Propensity-Weighted Cohort Study", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Biliary tract disease is a frequent cause of abdominal pain among emergency department (ED) patients and accounts for a significant portion of hospital admissions and return visits. Our objective was to compare ED outcomes for patients ultimately diagnosed with biliary tract disease based on the use of point-of-care ultrasound (POCUS) during their initial visit. We specifically analyzed patients admitted after an unscheduled return visit within 72 hours vs those admitted directly from the ED.</p>\n<p><strong>Methods:</strong> In this retrospective cohort study we used propensity score weighting and included 1,228 adults admitted for biliary tract disease, either during their initial ED visit (n = 1,120, 91.2%) or following an unscheduled return visit within 72 hours (n = 108, 8.8%) at a tertiary center in Taiwan between 2021–2023. Outcomes included ED length of stay (LOS), costs, hospital LOS, intensive care unit (ICU) admission, and in-hospital mortality. We used multivariable regression models with inverse probability of treatment weighting adjustment to account for baseline differences.</p>\n<p><strong>Results:</strong> Initial discharge followed by admission after an unscheduled return visit was not associated with worse clinical outcomes compared to direct admission. There were no significant differences in in-hospital mortality (0.93% vs 1.16%; odds ratio [OR] 0.59, P = .56) or ICU admission (0.93% vs 0.71%; OR 1.78, P = .61). While the initial ED LOS was shorter (mean: 4 hours vs 15.6 hours; regression-adjusted difference -6.66 hours, P < .001) and the initial ED costs were lower (mean: NT5477 vs NT$16,269, a 66% savings; regression-adjusted difference: -NT$6,548, P < .001), this reflects an expected early discharge. Among patients ultimately requiring admission after an unscheduled return visit, those who received POCUS at their index visit had a significantly shorter initial ED LOS (mean: 2.97 hours vs 4.78 hours; regression-adjusted difference -1.42 hours, P = .006) and lower initial ED costs (mean: NT$3,248 vs NT$7,149; a 55% saving; regression-adjusted difference -NT$3,271, P < .001) compared to those who did not. This initial POCUS use did not increase adverse events; only one of the 108 patients in the unscheduled return visit group required ICU admission (0.9%, 95% CI, 0.02-5.1%), and no deaths occurred (0%, 95% CI, 0-2.78%).</p>\n<p><strong>Conclusion:</strong> Initial discharge following ED assessment appears safe for many low-risk patients ultimately diagnosed with biliary tract disease on repeat visit within 72 hours. Incorporating POCUS during the initial evaluation may shorten ED LOS and reduce costs for patients who later require admission, without apparent measurable negative effects on mortality, hospital, or ICU length of stay.</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": "ultrasonography" }, { "word": "Clinical approach" }, { "word": "Mortality" }, { "word": "intensive care unit" }, { "word": "Return Visit" }, { "word": "decision-making" }, { "word": "Length of Stay" }, { "word": "costs" }, { "word": "ED Crowding" }, { "word": "computed tomography" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/49s3f5rm", "frozenauthors": [ { "first_name": "Yamato", "middle_name": "", "last_name": "Eda", "name_suffix": "", "institution": "China Medical University Hospital, Department of Emergency Medicine, Taichung, Taiwan; China Medical University, College of Medicine, School of Medicine, Taichung, Taiwan", "department": "" }, { "first_name": "Po-sheng", "middle_name": "", "last_name": "Wu", "name_suffix": "", "institution": "China Medical University Hospital, Department of Emergency Medicine, Taichung, Taiwan; China Medical University, College of Medicine, School of Medicine, Taichung, Taiwan", "department": "" }, { "first_name": "Fen-Wei", "middle_name": "", "last_name": "Huang", "name_suffix": "", "institution": "China Medical University Hospital, Department of Emergency Medicine, Taichung, Taiwan", "department": "" }, { "first_name": "Sheng-Yao", "middle_name": "", "last_name": "Hung", "name_suffix": "", "institution": "China Medical University Hospital, Department of Emergency Medicine, Taichung, Taiwan; China Medical University, College of Medicine, School of Medicine, Taichung, Taiwan", "department": "" }, { "first_name": "Ching-Ting", "middle_name": "", "last_name": "Hsu", "name_suffix": "", "institution": "China Medical University Hospital, Department of Emergency Medicine, Taichung, Taiwan; China Medical University, College of Medicine, School of Medicine, Taichung, Taiwan", "department": "" }, { "first_name": "Wei-Kung", "middle_name": "", "last_name": "Chen", "name_suffix": "", "institution": "China Medical University Hospital, Department of Emergency Medicine, Taichung, Taiwan; China Medical University, College of Medicine, School of Medicine, Taichung, Taiwan", "department": "" }, { "first_name": "Shih-Hao", "middle_name": "", "last_name": "Wu", "name_suffix": "", "institution": "China Medical University Hospital, Department of Emergency Medicine, Taichung, Taiwan; China Medical University, College of Medicine, School of Medicine, Taichung, Taiwan", "department": "" } ], "date_submitted": "2025-05-05T04:49:33.744000+02:00", "date_accepted": "2025-07-26T23:18:46.012000+02:00", "date_published": "2025-11-26T18:51:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47347/galley/43154/download/" } ] }, { "pk": 48359, "title": "Program Director Perspectives on the Impact of the Proposed 48-Month Emergency Medicine Residency Requirement: A National Survey", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: In early 2025, the Accreditation Council for Graduate Medical Education (ACGME) announced proposed revisions to emergency medicine (EM) residency training to include substantial changes to the length of training programs, required rotations, and structured experiences. To date, no published national survey has sought to determine how these changes would impact individual programs. </p>\n<p><strong>Methods: </strong>Over a three-week period in April 2025, we anonymously surveyed program directors or their designees online through the Council of Residency Directors in Emergency Medicine listserv. Survey respondents were asked about the impact the changes would have on their programs and their overall opinions of the proposed 48-month minimum requirement. </p>\n<p><strong>Results:</strong> A total of 86 program directors responded to the survey (response rate of 29.9%) with representative samples from current three-year (83.7%, 72/86) and four-year (16.3%, 14/86) programs. Most program directors reported that they would have to make significant revisions in either structured experiences, required rotations, or both. Most survey respondents from three-year programs (52/72) do not support the proposed changes, whereas all respondents from four-year programs (14/14) do support the changes (P<.001). </p>\n<p><strong>Conclusion:</strong> Proposed program requirements may require modifications in both three- and four-year programs; 33 of the 86 program directors surveyed reported that would need more than one year to meet the requirements, if adopted. This raises the concern that programs may not be prepared to implement the revisions within the proposed timeline, potentially impacting resident education and the future EM workforce. The ACGME should consider a staged rollout of requirements to allow them to be thoughtfully implemented in a meaningful way. </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": [], "section": "Education Special Issue - Brief Research Report (Limit 1500 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3265g5vn", "frozenauthors": [ { "first_name": "Richard", "middle_name": "", "last_name": "Austin", "name_suffix": "", "institution": "Southern Illinois University, School of Medicine, Department of Emergency Medicine, Springfield, Illinois", "department": "" }, { "first_name": "Chinmay", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "Baylor Scott & White All Saints Medical Center, Department of Emergency Medicine, Fort Worth, Texas", "department": "" }, { "first_name": "Kristin", "middle_name": "", "last_name": "Delfino", "name_suffix": "", "institution": "Southern Illinois University, School of Medicine, Department of Surgery, Springfield, Illinois", "department": "" }, { "first_name": "Sharon", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "Southern Illinois University, School of Medicine, Department of Emergency Medicine, Springfield, Illinois", "department": "" } ], "date_submitted": "2025-06-02T20:25:11.695000+02:00", "date_accepted": "2025-10-15T17:28:20.271000+02:00", "date_published": "2025-11-26T18:19:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/48359/galley/43151/download/" } ] }, { "pk": 48914, "title": "A Qualitative Study of Senior Residents' Learning Strategies to Prepare for Unsupervised Practice", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>As emergency medicine (EM) residents prepare for the transition into unsupervised practice, their focus shifts from demonstrating competencies within familiar training environments to anticipating their new roles and responsibilities as attending physicians, often in unfamiliar settings. Using the self-regulated learning framework, we explored how senior EM residents proactively identify goals and enact learning strategies leading up to the transition from residency into unsupervised practice.</p>\n<p><strong>Methods:</strong> In this study we used a constructivist grounded theory approach, interviewing EM residents in their final year of training at two residency programs. Using the self-regulated learning framework as a sensitizing concept for analysis, we conducted inductive, line-by-line coding of interview transcripts and grouped codes into categories. Theoretical sufficiency was reached after 12 interviews, with four subsequent interviews producing no divergent or disconfirming examples. </p>\n<p><strong>Results:</strong> We interviewed16 senior residents about their self-regulated learning approaches to preparing for unsupervised practice. Participants identified two types of gaps that they sought to address prior to entering practice: knowledge/skill gaps, and autonomy gaps. We employed specific workplace learning strategies to address each type of gap, which we have termed cherry-picking, case-based hypotheticals, parachuting, and making the call, and reflection on both internal and external sources of feedback to assess the effectiveness of these learning strategies. This study presents participants’ identification of gaps in their residency training, their learning strategies, and reflections as cyclical processes of self-regulated learning. </p>\n<p><strong>Conclusion:</strong> In their final months of training EM residents strategically leverage learning strategies to bridge gaps between their self-assessed capabilities and those they anticipate needing to succeed in unsupervised practice. These findings show that trainees have agency in how they use goal setting, strategic actions, and ongoing reflection to prepare themselves for unsupervised practice. Our findings also suggest tailored approaches whereby programs can support learning experiences that foster senior residents’ agency when preparing for the challenges of future practice. </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": "competency" }, { "word": "Capability" }, { "word": "Graduate Medical Education" }, { "word": "self-regulated learning" } ], "section": "Education Special Issue - Original Research (Limit 3500 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3pj1n9sd", "frozenauthors": [ { "first_name": "Max", "middle_name": "", "last_name": "Griffith", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "" }, { "first_name": "Alexander", "middle_name": "", "last_name": "Garrett", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "" }, { "first_name": "Bjorn", "middle_name": "K", "last_name": "Watsjold", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Jauregui", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "" }, { "first_name": "Mallory", "middle_name": "", "last_name": "Davis", "name_suffix": "", "institution": "University of Michigan, Ann Arbor, Department of Michigan, Ann Arbor, Michigan", "department": "" }, { "first_name": "Jonathan", "middle_name": "S", "last_name": "Ilgen", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "" } ], "date_submitted": "2025-07-11T18:12:13.029000+02:00", "date_accepted": "2025-10-14T03:53:53.004000+02:00", "date_published": "2025-11-26T18:14:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/48914/galley/43150/download/" } ] }, { "pk": 48535, "title": "A Taste of Our Own Medicine: Fostering Empathy in Medical Learners Through Patient Simulation", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Residents and medical students spend thousands of hours of medical education learning the physician’s perspective but rarely find themselves on the other side of the stethoscope. In this study we evaluated whether a brief, novel curriculum of simulating the patient experience could improve medical learners’ reported empathy for patients and ability to explain medical interventions.</p>\n<p><strong>Curricular Design:</strong> Fifty-eight medical learners (medical students and resident physicians) participated in a 50-minute didactic session where learners simulated patient experiences such as wearing a patient gown and cervical collar, walking with crutches, and tasting potassium chloride and thickened water. Learners evaluated their perceptions of the curriculum with a survey.</p>\n<p><strong>Impact/Effectiveness:</strong> Participants reported limited experience as patients, with 66.7% never having been hospitalized and 50% not taking any daily medications. Learners rated the curriculum highly on a seven-point Likert scale with 98% expressing it helped them to empathize with patients (90% either agreed or strongly agreed) and 95% expressing that it would help them explain interventions (81% either agreed or strongly agreed). There was no difference between medical students and residents regarding reported effect on empathy (M 6.24 vs 6.44; P = .30) or effect on ability to explain the intervention (M 6.06 vs 6.24; P = .43). This brief curriculum simulating the patient experience was well-received by medical student and resident learners, who overwhelmingly felt it improved their empathy for patients and explanations of common interventions. This approach to fostering empathy could help both medical student and resident learners, many of whom may have limited experience as a patient.</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": "Empathy" }, { "word": "education" }, { "word": "curriculum" }, { "word": "Medical Education" } ], "section": "Education Special Issue - Brief Educational Advances (Limit 1500 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4fg4g4jg", "frozenauthors": [ { "first_name": "Romy", "middle_name": "", "last_name": "Portieles Peña", "name_suffix": "", "institution": "The University of Chicago Medical Center, Department of Internal Medicine, Chicago, Illinois", "department": "" }, { "first_name": "William", "middle_name": "", "last_name": "Weber", "name_suffix": "", "institution": "Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois", "department": "" } ], "date_submitted": "2025-06-11T23:47:36.042000+02:00", "date_accepted": "2025-10-08T15:18:59.613000+02:00", "date_published": "2025-11-26T18:05:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/48535/galley/43149/download/" } ] }, { "pk": 46556, "title": "Grouping of Emergency Department-based Cardiac Arrest Patients According to Clinical Features to Assess Patient Outcomes", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>While research has begun to understand emergency department-based cardiac arrest (EDCA), consensus on what exactly constitutes EDCA remains unknown. In this study we aimed to explore the grouping of EDCA by using an unsupervised machine-learning algorithm and to investigate how these underlying clusters related to patient outcomes.</p>\n<p><strong>Methods: </strong>We retrieved electronic health record data from an ED in a tertiary medical center. The EDCAs were identified via the cardiopulmonary resuscitation log. We used k-means cluster analysis to group EDCAs and t-distributed stochastic neighbor embedding (t-SNE) for visualization. Primary outcomes were ED mortality and ED length of stay (LOS). The analyses were repeated using an independent ED data set, the Medical Information Mart for Intensive Care IV Emergency Department (MIMIC-IV-ED) dataset.</p>\n<p><strong>Results:</strong> From 2019 to 2022, there were 366 EDCA events. Cluster analysis identified three distinct clusters (Cluster 1 or immediate risk, n=54 [15%]; Cluster 2 or early risk, n=274 [75%]; Cluster 3 or late risk, n=38 [10%]). Cluster 1 patients had the shortest median time to EDCA (< 1 hour), followed by Cluster 2 (3 hours) and Cluster 3 (81 hours). Near cardiac arrest at triage was the most common cause of EDCA in Cluster 1, while respiratory illnesses and sepsis were more common in Cluster 3. The causes of EDCA in Cluster 2 were diverse, with predominantly cardiovascular and neurologic emergencies. The t-SNE revealed farther distances from Cluster 1 to the other two clusters, suggesting its most critical nature. Cluster 3 had the highest mortality (58%), followed by Clusters 1 (48%) and 2 (35%) (P = .01). Cluster 1 had the shortest median LOS (median, 4 hours), while Cluster 3 had the longest LOS (81 hours) (P < .001). In the independent data set, Cluster 1 remained, but Clusters 2 and 3 appeared to merge due to a shorter ED LOS overall.</p>\n<p><strong>Conclusion:</strong> We identified three novel clusters (immediate, early, and late risk) with distinct patterns in clinical presentation, putative causes of ED-based cardiac arrest, and ED outcomes. Understanding these clinical phenotypes may help develop cluster-specific interventions to prevent EDCA or intervene most appropriately. Cluster 1 patients may benefit from resuscitation efforts, and Clusters 2 or 3 patients can benefit from timely interventions for cardiac, respiratory, and neurologic emergencies. In addition, for patients with prolonged ED boarding, periodic monitoring with an early warning system may prevent a cardiac arrest event.</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": "emergency department" }, { "word": "cardiac arrest" }, { "word": "cluster; outcome" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1j53x2w9", "frozenauthors": [ { "first_name": "Joshua", "middle_name": "", "last_name": "Leow", "name_suffix": "", "institution": "University of Tennessee Health Science Center, College of Medicine, Department of Emergency Medicine, Memphis, Tennessee", "department": "" }, { "first_name": "Po-Chun", "middle_name": "", "last_name": "Shih", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan", "department": "" }, { "first_name": "Jun-Wan", "middle_name": "", "last_name": "Gao", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan", "department": "" }, { "first_name": "Chih-Hung", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan; National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan", "department": "" }, { "first_name": "Tsung-Chien", "middle_name": "", "last_name": "Lu", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan; National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan", "department": "" }, { "first_name": "Chien-Hua", "middle_name": "", "last_name": "Huang", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan; National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan", "department": "" }, { "first_name": "Chu-Lin", "middle_name": "", "last_name": "Tsai", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan; National Taiwan University, College of Medicine, Department of Emergency Medicine, Taipei, Taiwan", "department": "" } ], "date_submitted": "2025-04-25T03:52:27.394000+02:00", "date_accepted": "2025-08-02T22:43:48.507000+02:00", "date_published": "2025-11-26T17:55:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/46556/galley/43148/download/" } ] }, { "pk": 42477, "title": "Patterns in Duration of Emergency Department Boarding and Variation by Sociodemographic Factors", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Emergency department (ED) boarding negatively affects patient outcomes, increasing length of stay, hallway care, and mortality. Prior research found disparities in capacity metrics like hallway care based on patient race and ethnicity. However, whether boarding differs by demographics is not well characterized. We examined boarding variation by sociodemographic factors in a hospital with a standardized bed-prioritization process. We hypothesized that a structured inpatient assignment method may be associated with reduced boarding inequity.</p>\n<p><strong>Methods:</strong> This single-center, retrospective, cohort study included adult patients boarding in the ED after admission to the non-intensive care inpatient medicine service between February 2020– February 2023 at an urban, academic, tertiary-care hospital with > 110,000 annual ED visits. Primary outcome was time from admission order to inpatient bed transport. Patient demographics (age, sex, race/ethnicity, language, insurance, and housing status), visit characteristics (Emergency Severity Index, time, and day), and bed request features (telemetry, sitter need, and isolation precaution) were obtained via the medical record. We assessed for bivariate relationships between boarding time and demographics with descriptive statistics and analysis of variance using adjusted and unadjusted regression analyses with generalized estimating equations to account for patient-level correlation.</p>\n<p><strong>Results:</strong> In total, 22,291 encounters were included. Average age was 64 (SD ± 19) years, and 47% were female. Approximately 12% identified as Hispanic, 70% as non-Hispanic White, and 10% as non-Hispanic Black. Most (97%) boarded ≥ 120 minutes. In adjusted analyses, patients with Medicaid waited an additional 85 minutes (95% CI 49-121), and patients with Medicare waited an additional 67 minutes (95% CI 32-103) compared to those with commercial coverage (both P < .001, respectively). Non?Hispanic Black patients boarded 14 minutes longer (95% CI 22-51), and non-English primary language speakers boarded 15 minutes longer (95% CI 17-47) than non-Hispanic White patients and English primary language speakers, respectively, although these two findings were not statistically significant. </p>\n<p><strong>Conclusion:</strong> Among adult patients admitted to the inpatient medicine service, non-commercial insurance such as Medicaid and Medicare was significantly associated with longer ED boarding, whereas race/ethnicity and primary language were not. Further study should determine whether these findings are replicated elsewhere, how this impacts patients, and whether targeted intervention can reduce inequities. </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": "boarding" }, { "word": "disparities" }, { "word": "Race" }, { "word": "Medicaid" }, { "word": "Patient Age" }, { "word": "Primary Language" }, { "word": "wait times" }, { "word": "Capacity" }, { "word": "Social Determinants" }, { "word": "Sociodemographics" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3rf0s6kt", "frozenauthors": [ { "first_name": "Christiana", "middle_name": "K", "last_name": "Prucnal", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts; Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Melissa", "middle_name": "A", "last_name": "Meeker", "name_suffix": "", "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Martin", "middle_name": "", "last_name": "Copenhaver", "name_suffix": "", "institution": "Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "" }, { "first_name": "Paul", "middle_name": "S", "last_name": "Jansson", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Rebecca", "middle_name": "E", "last_name": "Cash", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "William", "middle_name": "", "last_name": "Hillmann", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Steven", "middle_name": "", "last_name": "Knuesel", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Wendy", "middle_name": "", "last_name": "Macias-Konstantopoulos", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Jonathan", "middle_name": "D", "last_name": "Sonis", "name_suffix": "", "institution": "Harvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts; Newton Wellesley Hospital, Newton, Massachusetts", "department": "" } ], "date_submitted": "2025-02-06T21:16:50.243000+01:00", "date_accepted": "2025-07-27T17:47:39.485000+02:00", "date_published": "2025-11-26T17:41:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/42477/galley/43146/download/" } ] }, { "pk": 47193, "title": "Comparison of Emergency Physicians’ and Hospitalists’ Attitudes Toward Fecal Occult Blood Testing in Gastrointestinal Bleeding", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> The guaiac fecal occult blood test, originally designed for colorectal cancer screening, is frequently used in emergency departments (ED) to detect occult gastrointestinal (GI) bleeding. However, the test has low sensitivity and specificity, leading to potential false positives and negatives. This study evaluates the current practices and perceptions of emergency physicians and hospitalists regarding the utility of the guaiac test in the setting of suspected GI bleeding in the ED.</p>\n<p><strong>Objective:</strong> Our primary aim in this study was to evaluate the current practice and views of emergency physicians and hospitalists on the utility of the stool guaiac test in the ED.</p>\n<p><strong>Methods:</strong> We conducted a multicenter survey from January 3–April 3, 2024, across four hospital systems, targeting attending physicians in the ED and hospitalists. Participants were asked to rate their agreement with statements about the stool guaiac test on a scale of 1 (strongly disagree) to 5 (strongly agree).</p>\n<p><strong>Results:</strong> Response rates were 47/93 (50.5%) for emergency attendings and 9/18 (50%) for hospitalists. Emergency attendings were significantly less likely than hospitalists to agree that stool guaiac testing is important for evaluating GI bleeding (31% vs 67%, P < .001). More than half of emergency attendings (55%) reported often performing the test, while 44% of hospitalists reported frequently requesting it before accepting a patient. Although 70% of emergency attendings believed that guaiac results influence hospitalists’ admission decisions (P = .02), 67% of hospitalists stated they would accept a patient with suspected GI bleeding even without a result. Despite rating the test as important, only 33% of hospitalists felt that stool guaiac testing frequently changes management during hospitalization. Overall, the groups showed distinct attitudes regarding the utility and impact of stool guaiac testing.</p>\n<p><strong>Conclusion:</strong> The guaiac fecal occult blood test remains widely used despite skepticism among emergency attendings regarding its importance. Hospitalists were more likely to request the test but acknowledged it rarely changes patient management. These findings highlight the need for re-evaluation of guaiac testing in acute care settings and improved communication between ED and inpatient teams. Further research should explore the clinical impact of removing routine stool guaiac testing</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": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9fr579bg", "frozenauthors": [ { "first_name": "Doris", "middle_name": "", "last_name": "Ilic", "name_suffix": "", "institution": "Saint Joseph’s University Medical Center, Department of Emergency Medicine, Paterson, New Jersey", "department": "" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Bove", "name_suffix": "", "institution": "Saint Joseph’s University Medical Center, Department of Emergency Medicine, Paterson, New Jersey", "department": "" } ], "date_submitted": "2025-04-08T04:17:27.878000+02:00", "date_accepted": "2025-07-27T05:49:07.869000+02:00", "date_published": "2025-11-26T17:24:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47193/galley/43145/download/" } ] }, { "pk": 54053, "title": "Ecologies of Memory: Memorializing Militarized Environments of the Vietnam War", "subtitle": null, "abstract": "<p>This essay proposes ecological forms of memory that unsettle dominant processes of remembering war that privilege nationalist narratives of heroism and conquest in mourning the loss of human life. Instead, we theorize an aesthetic relationship between refugee memory and more-than-human witnessing that offers an avenue to remember militarized landscapes differently. While nationalist practices of memory often demand cohesion around a collective identity or a universal humanism, ecologies of memory prioritize diffuse stories of horizontal kinship that open up new possibilities of making community amongst more-than-human denizens caught in the web of imperial war. In this essay, we examine three incomplete aesthetic inquiries into the memorialization of militarized environments: the community curation of The Missing Piece Project Collective, Tiffany Chung’s installation <em>For the Living</em>, and Binh Danh’s chlorophyll prints <em>One Week’s Dead</em>. These interventions respond to the enduring presence of the Vietnam Veterans Memorial in Washington, DC, as a representation of how memories of scarred psyches and environments are consolidated into a national consciousness. In doing so, these artists complicate forms of memorialization by attending to the diasporic, ephemeral, and inconclusive, creating new forms of collective memory that account for communal relationships with each other and with nonhuman environments.</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": [], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2bq6z4r0", "frozenauthors": [ { "first_name": "Heidi", "middle_name": "", "last_name": "Amin-Hong", "name_suffix": "", "institution": "University of California, Santa Barbara", "department": "", "country": "United States" }, { "first_name": "Keva", "middle_name": "X.", "last_name": "Bui", "name_suffix": "", "institution": "Northwestern University", "department": "", "country": "United States" } ], "date_submitted": "2025-11-22T14:40:51.478000+01:00", "date_accepted": "2025-11-22T16:34:52.779000+01:00", "date_published": "2025-11-25T20:06:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54053/galley/40868/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54053/galley/40868/download/" } ] }, { "pk": 54049, "title": "Introduction: Thinking with and Beyond “Vietnam”: 50 Years after the US Wars in Southeast Asia ", "subtitle": null, "abstract": "<p>Coeditors' introduction to the JTAS Special Forum \"Thinking with and Beyond 'Vietnam': 50 Years after the US Wars in Southeast Asia\"</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": [], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/694834gq", "frozenauthors": [ { "first_name": "Christina", "middle_name": "", "last_name": "Hughes", "name_suffix": "", "institution": "Macalester College", "department": "", "country": "United States" }, { "first_name": "Karín", "middle_name": "", "last_name": "Aguilar-San Juan", "name_suffix": "", "institution": "Macalester College", "department": "", "country": "United States" } ], "date_submitted": "2025-11-22T13:28:45.272000+01:00", "date_accepted": "2025-11-22T18:48:50.857000+01:00", "date_published": "2025-11-25T19:02:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54049/galley/40874/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54049/galley/40874/download/" } ] }, { "pk": 54071, "title": "The \"Vietnam\" Corona-Quagmire: Rescripting Forever Wars in a Time of Chronic Crisis", "subtitle": null, "abstract": "<p>This essay considers the legacies of the Viet Nam-American War through the lens of contemporary events of global scale such as the COVID-19 pandemic. The fiftieth anniversary since the end of that conflict occurs right after the cessation (but not end) of the worst socio-health crisis facing the planet and humanity in recent times. As a frame for remembering militarized Cold War histories in the face of ongoing crises and political quagmires, I consider how the Cold War specter of Viet Nam has been marshalled against biopolitical threats in the twenty-first century. That cultural and ideological rescripting reinforces racial, colonial, capitalist, and imperialist logics of control that simultaneously invite us to revisit and refashion that infamous war’s meaning. I approach the “war on coronavirus” through the prism of “Vietnam” to conceptualize what I am designating as “corona-quagmire.” By looping conflicts of the past into the cascading crises of the present future, corona-quagmire presents critical opportunities for rethinking the fraught global relations among society, self, subjects and states. From the spread of disinformation to America’s mishandling of the new coronavirus to Viet Nam’s martial response to the problem, the “Vietnam-sized” language mobilized against COVID-19 presents a means to analyze the dialectics of permanent wars, as they are reproduced within an era of endless violence. Corona-quagmire in the end shines light for scholars seeking to disentangle ongoing processes of militarization, nationalism, and empire.</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": [], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0xz0737v", "frozenauthors": [ { "first_name": "Long", "middle_name": "T.", "last_name": "Bui", "name_suffix": "", "institution": "University of California, Irvine", "department": "" } ], "date_submitted": "2025-11-23T03:53:38.489000+01:00", "date_accepted": "2025-11-23T03:54:39.629000+01:00", "date_published": "2025-11-25T17:39:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54071/galley/40901/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54071/galley/40901/download/" } ] }, { "pk": 54377, "title": "Polea Loca", "subtitle": null, "abstract": "<p>Short story by Horacio Quiroga (1878–1937).</p>", "language": "spa", "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": "Horacio Quiroga" }, { "word": "\"Polea Loca\"" }, { "word": "Spanish literature" } ], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/84t9588t", "frozenauthors": [ { "first_name": "Horacio", "middle_name": "", "last_name": "Quiroga", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-25T13:10:43.469000+01:00", "date_accepted": "2025-11-25T13:13:37.450000+01:00", "date_published": "2025-11-25T13:24:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54377/galley/41065/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54377/galley/41065/download/" } ] }, { "pk": 43526, "title": "Diagnosing Temporal Lobe Epilepsy in the Emergency Department: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Temporal lobe epilepsy is a form of focal epilepsy that originates in the temporal lobes, often presenting with a variety of symptoms including altered consciousness, automatisms, and focal seizures with or without impaired awareness. Given such a diversity of manifesting symptoms, recognizing temporal lobe epilepsy in the emergency department (ED) can be challenging. Early identification is crucial for appropriate management, including timely initiation of antiepileptic therapy and differentiation from other neurological emergencies.</p>\n<p><strong>Case Report: </strong>A 50-year-old male with no prior history of seizures or neurological conditions presented to the ED after experiencing unusual sensations that had begun three days earlier. The patient described an intermittent sensation of warmth rising from his pelvis to his head, accompanied by an experiential déjà vu-like feeling he described as “dream reenactment.” His episodes had become progressively more frequent, occurring approximately once every 90 minutes within the first 24 hours, with two instances of brief loss of consciousness. Diagnostic workup, including neurology consultation and an electroencephalogram in the ED, revealed a 19-second, non-motor focal seizure originating from the left anterior temporal region, consistent with temporal lobe epilepsy. Magnetic resonance imaging showed no acute structural abnormalities. The patient was diagnosed with temporal lobe epilepsy, started on lacosamide, and discharged from the ED.</p>\n<p><strong>Conclusion</strong>: This case underscores the importance of recognizing temporal lobe epilepsy in the ED, particularly in patients with recurrent episodes of altered consciousness or unusual sensory experiences. Prompt diagnosis and treatment are critical to preventing further seizures and improving quality of life.</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": "Seizure" }, { "word": "focal seizure" }, { "word": "temporal lobe epilepsy" }, { "word": "neurological emergency" }, { "word": "electroencephalogram" }, { "word": "déjà vu" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3pm5r47t", "frozenauthors": [ { "first_name": "Ashlynn", "middle_name": "Alexandria", "last_name": "Felker", "name_suffix": "", "institution": "University of Utah Health, Department of Emergency Medicine, Salt Lake City, Utah", "department": "" }, { "first_name": "Jason", "middle_name": "", "last_name": "Tanner", "name_suffix": "", "institution": "University of Utah Health, Department of Emergency Medicine, Salt Lake City, Utah", "department": "" } ], "date_submitted": "2025-02-27T05:26:17.137000+01:00", "date_accepted": "2025-07-29T21:32:52.068000+02:00", "date_published": "2025-11-23T05:07:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/43526/galley/48078/download/" } ] }, { "pk": 50558, "title": "Notes on the Contributors", "subtitle": null, "abstract": "<p>Author biographies </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": [], "section": "Contributors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2zz9x86c", "frozenauthors": [ { "first_name": "Managing", "middle_name": "", "last_name": "Editor", "name_suffix": "", "institution": "University of Mainz", "department": "", "country": "Germany" } ], "date_submitted": "2025-08-03T22:05:53.143000+02:00", "date_accepted": "2025-11-23T01:40:30.698000+01:00", "date_published": "2025-11-23T05:06:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/50558/galley/40909/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/50558/galley/40909/download/" } ] }, { "pk": 54070, "title": "<em>Reprise</em> Introduction--Non-English American Short Stories: A Transnational Anatomy ", "subtitle": null, "abstract": "<p>Reprise is a curated section of important previous work in the field of transnational American studies, brought together in a new constellation.</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": "Werner Sollors" }, { "word": "Literary translation" }, { "word": "non-English US fiction" }, { "word": "Mochtar Lubis" }, { "word": "Edgar Allan Poe" }, { "word": "Ester del Toro" }, { "word": "Horacio Quiroga" } ], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3b3423mj", "frozenauthors": [ { "first_name": "Brian", "middle_name": "Russell", "last_name": "Roberts", "name_suffix": "", "institution": "Brigham Young University", "department": "" } ], "date_submitted": "2025-11-23T03:42:31.312000+01:00", "date_accepted": "2025-11-23T03:44:09.193000+01:00", "date_published": "2025-11-23T03:47:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54070/galley/40900/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54070/galley/40900/download/" } ] }, { "pk": 54069, "title": "\"Angin Musim Gugur,\" by Mochtar Lubis", "subtitle": null, "abstract": "<p>Short story by Mochtar Lubis (1922–2004), one of Indonesia's most influential journalists and fiercest advocates of press freedom.</p>", "language": "ind", "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": [], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3nw5f7b1", "frozenauthors": [ { "first_name": "Mochtar", "middle_name": "", "last_name": "Lubis", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-23T03:26:24.123000+01:00", "date_accepted": "2025-11-23T03:28:28.410000+01:00", "date_published": "2025-11-23T03:32:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54069/galley/40898/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54069/galley/40898/download/" } ] }, { "pk": 54068, "title": "Pembunuhan Aneh di Rue Morgue, by Edgar Allan Poe", "subtitle": null, "abstract": "<p>Edgard Allan Poe's \"The Murder in the Rue Morgue\" (1841–1845) in Indonesian translation.</p>", "language": "ind", "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": [], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1nv497h0", "frozenauthors": [ { "first_name": "Edgar", "middle_name": "Allan", "last_name": "Poe", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-23T03:08:34.647000+01:00", "date_accepted": "2025-11-23T03:10:16.920000+01:00", "date_published": "2025-11-23T03:16:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54068/galley/40897/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54068/galley/40897/download/" } ] }, { "pk": 54054, "title": "Thinking With and Beyond the Vietnam Antiwar Movement: An Interview with Frank Joyce, Rebel for Peace ", "subtitle": null, "abstract": "<p>The fiftieth anniversary of the Vietnam War’s end provides a valuable occasion to examine the Vietnam antiwar movement and to elevate themes of friendship and peace that connect the mid-1970s to the contemporary moment. Elder Frank Joyce presents a worthwhile example of a white “veteran” of the civil rights and antiwar movements who senses new realities on the horizon and continuously reflects on the past to understand what is possible in the present and future. Having participated firsthand as an invited delegate in the April 30, 2025 commemorative events for “Reunification and Liberation” in Viet Nam, Joyce offers poignant comparisons between efforts to heal the wounds of war in Viet Nam and a proliferating “culture of peace” in the United States. Joyce’s example of firsthand involvement and continuous reflection allows the Vietnam antiwar movement, far from being frozen in a snapshot of protest and defiance, to emerge as a dynamic setting for envisioning a future beyond war.</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": [], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/27q9k42n", "frozenauthors": [ { "first_name": "Karín", "middle_name": "", "last_name": "Aguilar-San Juan", "name_suffix": "", "institution": "Macalester College", "department": "", "country": "United States" }, { "first_name": "Frank", "middle_name": "", "last_name": "Joyce", "name_suffix": "", "institution": "National Council of Elders", "department": "", "country": "United States" } ], "date_submitted": "2025-11-22T14:52:59.700000+01:00", "date_accepted": "2025-11-22T17:09:51.610000+01:00", "date_published": "2025-11-23T02:43:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54054/galley/40896/download/" } ] }, { "pk": 54066, "title": "\"The Murders in the Rue Morgue,\" by Edgar Allan Poe", "subtitle": null, "abstract": "<p>Short story. </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": [], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6f74k98c", "frozenauthors": [ { "first_name": "Edgar", "middle_name": "Allan", "last_name": "Poe", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-23T01:55:14.840000+01:00", "date_accepted": "2025-11-23T01:56:38.064000+01:00", "date_published": "2025-11-23T02:30:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54066/galley/40893/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54066/galley/40893/download/" } ] }, { "pk": 54062, "title": "The Woman with the Red Tresses ", "subtitle": null, "abstract": "<p>Ester del Toro's short story \"Mujer de la Cabellera Roja,\" in English translation.</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": [], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7r416256", "frozenauthors": [ { "first_name": "John", "middle_name": "Alba", "last_name": "Cutler", "name_suffix": "", "institution": "University of California, Berkeley", "department": "English" } ], "date_submitted": "2025-11-22T20:29:02.559000+01:00", "date_accepted": "2025-11-23T01:32:01.935000+01:00", "date_published": "2025-11-23T01:37:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54062/galley/40883/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54062/galley/40883/download/" } ] }, { "pk": 54065, "title": "Review of Julie Greene's <em>Box 25: Archival Secrets, Caribbean Workers, and the Panama Canal</em>", "subtitle": null, "abstract": "<p>Book review of <em>Box 25: Archival Secrets, Caribbean Workers, and the Panama Canal</em>, by Julie Greene, University of North Carolina Press, 2025.</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": [], "section": "BOOK REVIEWS", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3vm2s9z1", "frozenauthors": [ { "first_name": "Katherine", "middle_name": "", "last_name": "Zien", "name_suffix": "", "institution": "McGill University", "department": "" } ], "date_submitted": "2025-11-23T01:18:10.070000+01:00", "date_accepted": "2025-11-23T01:22:24.448000+01:00", "date_published": "2025-11-23T01:27:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54065/galley/40882/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54065/galley/40882/download/" } ] }, { "pk": 54064, "title": "Review of Natalie Koch's <em>Arid Empire</em>", "subtitle": null, "abstract": "<p> Book review of <em>Arid Empire: The Entangled Fates of Arizona and Arabia</em>, by Natalie Koch (Verso, 2023).</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": "Arid Empire" }, { "word": "book review" }, { "word": "Transnational American Studies" } ], "section": "BOOK REVIEWS", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6bw5t8x7", "frozenauthors": [ { "first_name": "James", "middle_name": "", "last_name": "Nisbet", "name_suffix": "", "institution": "UC Irvine", "department": "" } ], "date_submitted": "2025-11-23T01:04:09.248000+01:00", "date_accepted": "2025-11-23T01:05:33.905000+01:00", "date_published": "2025-11-23T01:11:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54064/galley/40881/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54064/galley/40881/download/" } ] }, { "pk": 54061, "title": "Mujer de la Cabellera Roja ", "subtitle": null, "abstract": "<p>Short story by Ester del Toro.</p>", "language": "spa", "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": [], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9q20d24w", "frozenauthors": [ { "first_name": "Ester", "middle_name": "", "last_name": "del Toro", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-22T20:21:30.964000+01:00", "date_accepted": "2025-11-22T20:22:26.710000+01:00", "date_published": "2025-11-23T00:20:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54061/galley/40880/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54061/galley/40880/download/" } ] }, { "pk": 54056, "title": "The Refugee Carceral Condition under Racial Capitalism: Histories of Intracommunity Policing across French Indochina, Cold War Southeast Asia, and US Resettlement Contexts", "subtitle": null, "abstract": "<p>Citing contemporary examples of Southeast Asian police officers within the refugee diaspora, this essay traces a genealogy of “refugee cops” as they emerged vis-à-vis increased criminalization of growing Southeast Asian communities in the resettlement context. Locating their emergence from a deeper historical lineage of indigène officer cultivation across French Indochina and American Cold War intervention in the transpacific circuit between Southeast Asia and the United States, the genealogy weaves critical refugee studies’s accounts of the refugee as key to understanding international relations into a political economic arc across the timeline of racial capitalism to ultimately discuss what I term the refugee carceral condition. Southeast Asian cops, from this view, emerged from racial capitalism’s ongoing carceral reliance on confinement and the operation of sites that normalize “bare life” to securitize racialized space for the purposes of dispossession, exploitation, accumulation, and disposal. Closing by turning to the writings of Cedric Robinson and H. L. T. Quan to help imagine old and new refugee ways of living and being free beyond carceral imperialism, the essay ends by taking up the notion of preserving the ontological totality as has been elaborated in the Black Radical Tradition, considering how an embrace of refugee ontological wholeness might work to dematerialize and divest from the global prison-border apparatus.</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": [], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2dv6s7sm", "frozenauthors": [ { "first_name": "Christina", "middle_name": "", "last_name": "Hughes", "name_suffix": "", "institution": "Macalester College", "department": "", "country": "United States" } ], "date_submitted": "2025-11-22T15:05:44.745000+01:00", "date_accepted": "2025-11-22T18:15:07.409000+01:00", "date_published": "2025-11-23T00:19:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54056/galley/40873/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54056/galley/40873/download/" } ] }, { "pk": 54055, "title": "Beyond Kinh(ship): The Making of Vietnamese Settler Refugeeism Through Land and Dispossession", "subtitle": null, "abstract": "<p>In 1954, the US expanded its military presence in South Viet Nam following decolonization from France, claiming to help refugees escape communism. However, Vietnamese people rarely use the term “refugee,” seeing themselves as internally displaced people who never crossed international borders. I examine how the concept of “refugee” functions as a settler colonial technology that fosters Vietnamese settler refugeeism, serving both the US empire and Vietnamese ethnonationalist goals. The article explores two key points: first, how refugee resettlement in the Cái Sắn canals consolidated Kinh dominance and dispossessed Indigenous Khmer Krom in the Mekong Delta; second, what it means to engage with the land as a form of relationship-building. Centering internally displaced Vietnamese within the land's history, this work offers a counternarrative to US state-sponsored historiography. Grounded in migration and settler colonial studies and engaging with Vietnamese studies, I posit that internal refugees should not be treated solely as pathological or juridical object, but rather as an analytical category linked to broader practices of domination and exploitation.</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": [], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0fs7f574", "frozenauthors": [ { "first_name": "Khoi", "middle_name": "", "last_name": "Nguyen", "name_suffix": "", "institution": "University of Pennsylvania", "department": "", "country": "United States" } ], "date_submitted": "2025-11-22T15:00:33.550000+01:00", "date_accepted": "2025-11-22T16:53:48.057000+01:00", "date_published": "2025-11-23T00:18:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54055/galley/40869/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54055/galley/40869/download/" } ] }, { "pk": 54051, "title": "Postwar, Relational, and Other Memories", "subtitle": null, "abstract": "<p>This essay contemplates the multiscalar perspectives on memory and forgetting regarding the Vietnam War. It travels through the “country of memory,” a space materialized through multiple state narratives, personal experiences, representational images, activists’ history and constructed vignettes of their absences, to confront the political implication of enunciated forgetting in postwar Vietnam, in the refugee diaspora, and under the US’s order of/to forget(ting). Highlighting new cultural and literary voices from the postwar generation in Vietnam, specifically Mai Huyền Chi’s documentary 50 Years of Forgetting, and the significance of their locality, this essay delineates the complex relationship to silence among Vietnamese war survivors. Arranged in proses that are “bursts of remembering,” the essay interrogates various contexts and forms of state-sanctioned amnesia and official memory through a postwar generational critique. In a blend of cultural and historical analysis and autobiographical offering informed by the Third World radical traditions of ethnic studies, women of color feminism, and critical refugee studies, the essay gestures toward enunciating a relational memory—a framework more capacious than existing national lexicons and designations—that continues to dream toward collective liberation and decolonized landscapes.</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": [], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/91t667c3", "frozenauthors": [ { "first_name": "Ly", "middle_name": "Thuy", "last_name": "Nguyen", "name_suffix": "", "institution": "Augsburg University", "department": "", "country": "United States" } ], "date_submitted": "2025-11-22T14:24:00.810000+01:00", "date_accepted": "2025-11-22T15:17:27.791000+01:00", "date_published": "2025-11-23T00:14:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54051/galley/40867/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54051/galley/40867/download/" } ] }, { "pk": 53077, "title": "Autumn Gales, By Mochtar Lubis", "subtitle": null, "abstract": "<p>Translation from Indonesian into English. A short story by one of Indonesia's most influential journalists and fiercest advocates for press freedom. Translated for the <em>Journal of Transnational American Studies</em>.</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": "Mochtar Lubis" }, { "word": "Literary translation" }, { "word": "Indonesian writer" }, { "word": "Angin Musim Gugur" }, { "word": "Indonesian short story" } ], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3057w8f9", "frozenauthors": [ { "first_name": "Brian", "middle_name": "Russell", "last_name": "Roberts", "name_suffix": "", "institution": "Brigham Young University", "department": "" } ], "date_submitted": "2025-10-08T03:51:21.398000+02:00", "date_accepted": "2025-10-08T14:11:31.977000+02:00", "date_published": "2025-11-22T23:16:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53077/galley/40864/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53077/galley/40864/download/" } ] }, { "pk": 53241, "title": "Review of <em>Settler Militarism</em>", "subtitle": null, "abstract": "<p><em>Settler Militarism: WWII in Hawai‘i and the Making of US Empire</em> (Duke University Press, 2024) by Juliet Nebolon | Reviewed by Mariko Whitenack (New York University)</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": "Militarism" }, { "word": "Settler colonialism" }, { "word": "Hawaiʻi" }, { "word": "World War II" }, { "word": "Biopolitics" }, { "word": "Juliet Nebolon" }, { "word": "book review" }, { "word": "Transnational American Studies" } ], "section": "BOOK REVIEWS", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/974595vs", "frozenauthors": [ { "first_name": "Mariko", "middle_name": "", "last_name": "Whitenack", "name_suffix": "", "institution": "New York University", "department": "Social and Cultural Analysis" } ], "date_submitted": "2025-10-25T02:22:11.072000+02:00", "date_accepted": "2025-10-25T13:23:02.328000+02:00", "date_published": "2025-11-22T23:10:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53241/galley/40860/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53241/galley/40860/download/" } ] }, { "pk": 53075, "title": "Idle Pulleys; or, the Art of Becoming a Good Public Servant By Horacio Quiroga", "subtitle": null, "abstract": "<p>Translation</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": "Horacio Quiroga" }, { "word": "Uruguay" }, { "word": "short fiction" }, { "word": "Uruguaian literature in translation" } ], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4gs4j0g0", "frozenauthors": [ { "first_name": "Washington", "middle_name": "C", "last_name": "Pearce", "name_suffix": "", "institution": "Brigham Young University", "department": "English and Spanish Studies" } ], "date_submitted": "2025-10-08T02:09:30.669000+02:00", "date_accepted": "2025-10-08T02:22:28.602000+02:00", "date_published": "2025-11-22T22:53:00+01:00", "render_galley": { "label": "PDF draft", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53075/galley/40162/download/" }, "galleys": [ { "label": "PDF draft", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53075/galley/40162/download/" } ] }, { "pk": 54050, "title": "War’s Returns: Refugee Archiving, Living, Refusing", "subtitle": null, "abstract": "<p>This essay draws on the framework of countercommemoration to reflect on the fiftieth anniversary of Hmong presence in the US as a legacy of unresolved contradictions that highlights Hmong acts of archiving, living, and refusing. It approaches the analysis through an examination of community archiving at an organization called Hmong Museum, refugee testimonies, queer mentorship, and performance, and grassroots organizing to center how these acts of refusal can offer anti-imperialist frameworks and subjectivities in today’s precarious present. These acts of living are important sites of analysis because they reflect the ways Hmong refugee knowledge and ideas are rooted in actions that challenge imperialist paradigms of interpreting history and navigating contemporary politics while maintaining an embodied politics of relationality with others. Drawing from critical refugee studies and queer and feminist critiques, this essay investigates how queer and refugee livability asserts the bravery of survival and persistence in fashioning joyous lifeworlds outside the contemporary moment of fear induced through anti-queer and -trans violence and refugee deportations during President Donald Trump’s first and second administrations. Building on the potential of critical refugee studies to push back against state violence, we suggest that by reframing Hmong’s historical entanglements with the US state through acts of resistance against rather than soldiering for empire, a unique Hmong refugee anti-imperial politics and subjectivity can emerge.</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": "Hmong" }, { "word": "Hmong Museum" }, { "word": "refugees" }, { "word": "Critical Refugee Studies" }, { "word": "critical ethnic studies" }, { "word": "Hmong Americans" }, { "word": "Twin Cities Pride Fest" } ], "section": "JTAS SPECIAL FORUM Thinking With and Beyond \"Vietnam\": 50 Years After the US Wars in Southeast Asia", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/28r325k0", "frozenauthors": [ { "first_name": "Kong", "middle_name": "Pheng", "last_name": "Pha", "name_suffix": "", "institution": "University of Wisconsin–Madison", "department": "", "country": "United States" }, { "first_name": "Ma", "middle_name": "", "last_name": "Vang", "name_suffix": "", "institution": "UC Merced", "department": "", "country": "United States" } ], "date_submitted": "2025-11-22T14:17:25.445000+01:00", "date_accepted": "2025-11-22T19:28:33.851000+01:00", "date_published": "2025-11-22T20:39:35.631000+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54050/galley/40878/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54050/galley/40878/download/" } ] }, { "pk": 43216, "title": "Transpacific Exceptionalism: The Making of Japan-US Militarist Interimperiality", "subtitle": null, "abstract": "<p>This essay shows how Japan and the United States, the two competing imperial powers during the Asia Pacific War, preserved, modified, and reinforced both empires’ exceptionalist ideologies, building a new interimperial hegemony across the Asia Pacific. The “demilitarize and democratize” policy of the American occupation forces soon morphed into an effort to sanction Japan to refashion and redefine its militarism, racism, and neocolonialism to enable these imperialist apparatuses to persist in the decolonizing Cold War world. American exceptionalism and Japanese exceptionalism, I argue, have mutually constituted and dialectically reproduced one another throughout the long Cold War era. I term this interimperial complicity “transpacific exceptionalism,” which enables us to address how such nationalistic myths can converge and operate complicitly in the international political arena.</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": "Japan" }, { "word": "Transpacific" }, { "word": "Asia Pacific War" }, { "word": "Exceptionalism" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5mn177gq", "frozenauthors": [ { "first_name": "Kodai", "middle_name": "", "last_name": "Abe", "name_suffix": "", "institution": "Other", "department": "" } ], "date_submitted": "2023-11-13T11:12:53+01:00", "date_accepted": "2025-11-12T15:22:24.428000+01:00", "date_published": "2025-11-22T20:35:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43216/galley/40863/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43216/galley/40863/download/" } ] }, { "pk": 43245, "title": "Racial Performance at Sea: Race, Region, and Empire on the <em>Empress of Australia</em>", "subtitle": null, "abstract": "<p>This article examines the 1928–1929 world cruise of the <em>Empress of Australia</em>, a ship owned by the Canadian Pacific Railway Company. Drawing upon concert programs, passenger accounts, Canadian Pacific official publications, and historical newspapers, it focuses on a concert that happened while the ship was at sea. It examines three songs—“Ol’ Man River,” “Hawaiian Memories,” and “Chu Chin Chow”—to show how nostalgia for the American South found purchase beyond US borders next to representations of a mysterious “Orient” and tropical Pacific. Situating this voyage within the larger context of Canadian nationhood and the Canadian Pacific’s investment in the British empire, I argue that the combination of these songs on a ship bound for sites of white empire did two things. One, it reassured white passengers that the racial order of the southern past would continue in the present. Second, it reinforced their experiences in China, Hawai'i, and other stops during the cruise. Through their depiction of Blacks and Asians as submissive and alien, these songs collectively romanticized and exoticized people of color and the places they inhabited—whether living in the wake of slavery in the American South or under US and British imperialism in the Pacific. Ultimately, this article demonstrates the importance of the transnational for understanding the export of nostalgic representations of the American South and how they adopted new meaning outside of a US context.</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": "Race" }, { "word": "empire" }, { "word": "cruise ships" }, { "word": "performance" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6dd9v8qt", "frozenauthors": [ { "first_name": "Felicia", "middle_name": "", "last_name": "Bevel", "name_suffix": "", "institution": "Other", "department": "" } ], "date_submitted": "2025-01-15T19:21:46+01:00", "date_accepted": "2025-10-09T16:37:46.777000+02:00", "date_published": "2025-11-22T20:34:24.486000+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43245/galley/40866/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43245/galley/40866/download/" } ] }, { "pk": 43084, "title": "Practices of Resilience: Nahuatl and Nahua Online Cultural Initiatives in Mexico City and Los Angeles During COVID-19", "subtitle": null, "abstract": "<p>This article introduces the concept of cyber-resilience as a pathway to urban Indigenous empowerment through digital media. Building on Karina Korostelina and Jocelyn Barrett’s (2023) framework of “practices of resilience,” I extend these ideas to cyberspace, examining how Indigenous content producers in urban areas used digital platforms to navigate challenges during the COVID-19 pandemic of 2020-2023. The focus is on Mexico City and Los Angeles, designated sister cities in 1969, whose shared Spanish colonial histories and transnational migration networks are further connected by Nahuatl as a living Indigenous language. The analysis examines social media content from two organizations in Mexico City – Conformidad Ollinkan and Resistencia Tenochtitlan – and cultural initiatives in Los Angeles by the Anahuacalmecac University Preparatory School and Nahuatl instructor Cuitlahuac Martínez. Using qualitative methods, including multimodal content analysis (images, video, text) and interviews, this study highlights how these groups leveraged digital tools to sustain Mesoamerican memory, promote Indigenous heritage, and foster community engagement. My analysis of these materials contributes to literature on digital content production and Mesoamerican identity, emphasizing how online initiatives in urban diasporic contexts strengthen Indigenous cultural knowledge and language preservation.</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": "Language Revitalization" }, { "word": "digital diaspora" }, { "word": "cyber resilience" }, { "word": "nahuatl" }, { "word": "Mesoamerican knowledge" }, { "word": "Conformidad Ollinkan" }, { "word": "Resistencia Tenochtitlan" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/80d847hh", "frozenauthors": [ { "first_name": "Ezekiel", "middle_name": "", "last_name": "Stear", "name_suffix": "", "institution": "Other", "department": "" } ], "date_submitted": "2021-12-16T20:42:55+01:00", "date_accepted": "2025-08-01T21:32:46.192000+02:00", "date_published": "2025-11-22T20:34:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43084/galley/40859/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43084/galley/40859/download/" } ] }, { "pk": 53136, "title": "Introduction: Transpacific Connections and Transnational American Studies", "subtitle": null, "abstract": "<p>Issue introduction by the editor in chief</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": "Transnational American Studies" } ], "section": "Editor in Chief's Introduction", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0c41v0vr", "frozenauthors": [ { "first_name": "Alfred", "middle_name": "", "last_name": "Hornung", "name_suffix": "", "institution": "Johannes Gutenberg Universitat, Mainz", "department": "" } ], "date_submitted": "2025-11-22T10:09:09.602000+01:00", "date_accepted": "2025-11-22T10:10:29.442000+01:00", "date_published": "2025-11-22T20:29:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53136/galley/40894/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/53136/galley/40894/download/" } ] }, { "pk": 54060, "title": "Non-English American Short Stories ", "subtitle": null, "abstract": "<p>Non-English American Short Stories </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": [], "section": "Reprise", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/82z3r8cj", "frozenauthors": [ { "first_name": "Werner", "middle_name": "", "last_name": "Sollors", "name_suffix": "", "institution": "Harvard University", "department": "" } ], "date_submitted": "2025-11-22T20:12:45.870000+01:00", "date_accepted": "2025-11-22T20:13:33.611000+01:00", "date_published": "2025-11-22T20:16:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54060/galley/40879/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/54060/galley/40879/download/" } ] }, { "pk": 47304, "title": "Language Differences by Race in the Narrative Section of the Emergency Medicine Standardized Letter of Evaluation", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Discrimination and bias based on race/ethnicity permeate the medical education system. Racial disparities in assessment measures can ultimately impact applicants’ Match results. Few studies to date have examined the narrative portion of the emergency medicine (EM) Standardized Letter of Evaluation (SLOE) for language differences by race. In this study we aimed to determine whether there were language differences by race in the narrative portion of the EM SLOE.</p>\n<p><strong>Methods:</strong> This study is an analysis of word category frequencies in the narrative portion of the SLOE for applicants applying to EM residency. The sample was drawn from the students who applied to the study institution in 2022. The narrative portion of the SLOE and other applicant factors were collected from the Electronic Residency Application Service (ERAS) applications and de?identified. We compared the number of SLOEs containing predefined keywords by race using chi2 analysis. Keywords were identified in six thematic word categories: agency; standout traits; ability; grindstone habits; achievement; and compassion. We performed logistic regression to determine whether any differences remained after controlling for other factors in the application. </p>\n<p><strong>Results: </strong>Of 1,104 applicants to the institution, 2,288 SLOEs with self-identified race/ethnicity were available for analysis. Black and Hispanic applicants had higher proportions of SLOEs that contained a compassion word than White applicants (24.9% and 22.4% vs 16.9%, respectively). This finding persisted after controlling for other factors in the application for Black applicants (odds ratio 1.61, 95% CI 1.1-2.36]). There was no evidence of difference in word use by race across other thematic categories.</p>\n<p><strong>Conclusion:</strong> We found differences in the proportion of SLOEs containing compassion words in the narrative portion of the EM SLOE between Black and White applicants, with Black applicants being described with compassion language more frequently. However, we found no difference in any other word category, indicating less overall disparity than other narrative assessment studies.</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": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8fg8z671", "frozenauthors": [ { "first_name": "Symphony", "middle_name": "", "last_name": "Fletcher", "name_suffix": "", "institution": "University of Chicago, Pritzker School of Medicine, Chicago, Illinois", "department": "" }, { "first_name": "Keme", "middle_name": "", "last_name": "Carter", "name_suffix": "", "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "" }, { "first_name": "James", "middle_name": "", "last_name": "Ahn", "name_suffix": "", "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "" }, { "first_name": "Paul", "middle_name": "", "last_name": "Kukulski", "name_suffix": "", "institution": "University of Chicago, Department of Emergency Medicine, Chicago, Illinois", "department": "" } ], "date_submitted": "2025-04-25T07:11:31.963000+02:00", "date_accepted": "2025-07-28T14:52:38.953000+02:00", "date_published": "2025-11-20T05:37:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47304/galley/43159/download/" } ] }, { "pk": 47200, "title": "Interfacility Transfers from the Emergency Department for Non-Contracted Insurance Status Disproportionately Affect Minority Patients", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Transfers between emergency departments (ED) can have an important impact on patient care and experience. We examined interfacility transfers from an academic ED due to insurance status to determine whether they disproportionately affected minority demographics.</p>\n<p><strong> Objective: </strong>Our objective was to determine whether interfacility transfers for non-contracted insurance status disproportionately affected minority patients in our hospital ED.</p>\n<p><strong>Methods:</strong> We extracted data from the hospital’s electronic health record system. Records for patients who underwent facility transfer were reviewed to determine which transfers were due to insurance contracting status. We compared the number of patients transferred for insurance incompatibility with the number admitted to the same hospital as initially seen in the ED, either to observation or inpatient status, for groups with socioeconomic minority status including Hispanic, Hispanic non-White, Black, Native American, and non-English speaking.</p>\n<p><strong>Results:</strong> We identified 2,031 total interfacility transfers. Of these, 735 (36.2%) met inclusion criteria, and 49.7 % (366/735) of these transfers were due to insurance incompatibility. The total transfer rate for all patients was .93% (366/39,299). Increased transfer rates due to insurance incompatibility were observed for all minority demographics queried. The most severe disparity in effect size was for non-English speakers (2.06% compared to 0.90% for English-speakers; 2.32 odds ratio [OR], P < .001). Patients with Hispanic ethnicity experience insurance transfer in 1.31% of cases compared to 0.87% for non-Hispanic whites (OR 1.52, P < .001). The insurance transfer rate for all non-White patients was elevated at 1.11%, but this did not rise to the level of statistical significance (OR 1.28, P = .06).</p>\n<p><strong>Conclusion:</strong> In our single-center ED study, minority patient populations were disproportionately impacted by interfacility transfers for non-contracted insurance status. We found increased transfer rates due to insurance incompatibility for all minority demographics queried. The most severe disparity was found for non-English speakers and patients with Hispanic ethnicity.</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": "inter facility transfer; inter hospital transfer; emergency department transfers; health equity; health policy" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2kv9b4zg", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Holzman", "name_suffix": "", "institution": "Alix School of Medicine, Mayo Clinic, Phoenix, Arizona", "department": "" }, { "first_name": "Malik", "middle_name": "", "last_name": "Aaron", "name_suffix": "", "institution": "Alix School of Medicine, Mayo Clinic, Phoenix, Arizona", "department": "" }, { "first_name": "Krish", "middle_name": "", "last_name": "Nayar", "name_suffix": "", "institution": "Alix School of Medicine, Mayo Clinic, Phoenix, Arizona", "department": "" }, { "first_name": "Will", "middle_name": "", "last_name": "Rankin", "name_suffix": "", "institution": "Alix School of Medicine, Mayo Clinic, Phoenix, Arizona", "department": "" }, { "first_name": "Melissa", "middle_name": "", "last_name": "Tapia", "name_suffix": "", "institution": "Mayo Clinic Hospital, Rochester, Department of Care Management, Phoenix, Arizona", "department": "" }, { "first_name": "Douglas", "middle_name": "", "last_name": "Rappaport", "name_suffix": "", "institution": "Mayo Clinic Hospital, Department of Emergency Medicine, Phoenix, Arizona", "department": "" } ], "date_submitted": "2025-04-09T18:12:33.012000+02:00", "date_accepted": "2025-07-26T23:09:33.869000+02:00", "date_published": "2025-11-18T23:26:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47200/galley/43176/download/" } ] }, { "pk": 47030, "title": "Limiting Albuterol Use by EMS at the Start of the COVID-19 Pandemic: A Retrospective Analysis of Rapid Deimplementation", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Deimplementation is the process through which an existing practice, procedure, or protocol is discontinued. Past deimplementation efforts in emergency medical services (EMS), such as reduction of liberal oxygen administration, backboard use, and lights and sirens responses, have been slow in rates of change and had varying levels of adoption. Our objective in this study was to analyze the deimplementation of albuterol administration in the beginning of the 2019 novel coronavirus (COVID-19) pandemic for the adoption of deimplementation guidelines, rate of change, and factors leading to this change in EMS practice.</p>\n<p><strong>Methods: </strong>Using the 2020 National Emergency Medical Services Information System (NEMSIS) dataset, we analyzed the change in EMS calls with albuterol administration following the US Centers for Disease Control and Prevention (CDC) advisory recommending limiting aerosol-generating procedures in response to the COVID-19 pandemic.</p>\n<p><strong>Results: </strong>The 2020 NEMSIS dataset included 43,488,767 total records, and 449,290 (1.0%) records included at least one albuterol administration. Calls with albuterol administration dropped 61.7% in a near-linear fashion in the six weeks following the publication of the CDC’s guidance (from March 8–April 18, 10,426 absolute reduction; from 16,891 to 6,465, in average calls per week with albuterol administration). In the period before the guidance, there were on average 16,891 calls with albuterol administration of 640,597 (2.6%) calls per week. In the period after the guidance, there were, on average, 6,465 calls with albuterol administration of 601,943 (1.1%) calls per week. Therefore, while total EMS calls declined by 6% during the transition period, the proportion of albuterol calls within this decline went down by 1.5% (2.6% to 1.1%), reflecting rapid deimplementation.</p>\n<p><strong>Conclusion:</strong> Deimplementation of albuterol administration in the beginning of the COVID-19 pandemic was significant in its rate and success in adherence to guidelines when compared to other changes in EMS policies, procedures, and protocols. A better understanding of deimplementation can guide future EMS efforts to phase out ineffective practices while minimizing disruption to 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": "deimplementation" }, { "word": "albuterol" }, { "word": "COVID-19" }, { "word": "emergency medical services" } ], "section": "Brief Research Report (Limit 1500 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7m23c3tb", "frozenauthors": [ { "first_name": "Renoj", "middle_name": "", "last_name": "Varughese", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York", "department": "" }, { "first_name": "Susan", "middle_name": "J.", "last_name": "Burnett", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York", "department": "" }, { "first_name": "Hilary", "middle_name": "", "last_name": "Kirk", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York", "department": "" }, { "first_name": "Ian", "middle_name": "", "last_name": "Wallis", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York", "department": "" }, { "first_name": "Nan", "middle_name": "", "last_name": "Nan", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, School of Public Health and Health and Health Professions, Department of Biostatistics, Buffalo, New York", "department": "" }, { "first_name": "Chang-Xing", "middle_name": "", "last_name": "Ma", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, School of Public Health and Health and Health Professions, Department of Biostatistics, Buffalo, New York", "department": "" }, { "first_name": "David", "middle_name": "", "last_name": "Hostler", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York; University of Buffalo, The State University of New York, School of Public Health and Health and Health Professions, Department of Exercise and Nutrition Sciences, Buffalo, New York", "department": "" }, { "first_name": "Brian", "middle_name": "M.", "last_name": "Clemency", "name_suffix": "", "institution": "University of Buffalo, The State University of New York, Jacobs School of Medicine and Biomedical Sciences, Department of Emergency Medicine, Buffalo, New York; University of Buffalo, The State University of New York, School of Public Health and Health and Health Professions, Department of Exercise and Nutrition Sciences, Buffalo, New York", "department": "" } ], "date_submitted": "2025-03-15T23:45:01.511000+01:00", "date_accepted": "2025-07-27T01:04:19.153000+02:00", "date_published": "2025-11-18T23:09:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47030/galley/43175/download/" } ] }, { "pk": 54001, "title": "Formalizing two types of mixed A/Ā movement", "subtitle": null, "abstract": "<p>Many scholars have argued that some instances of Ā movement include an interaction with some A feature, e.g., D (Aldridge 2004, 2008; Bossi and Diercks 2019; Coon, Baier, and Levin 2021; Branan and Erlewine 2024) or ϕ (van Urk 2015, Colley and Privoznov 2020). However, the interaction between the A and Ā features is not the same in every case. Assuming that Ā movement is predicated on an Agree relationship, I analyze two types of mixed A/Ā Agreement. In the first type, one probe searches for the A and Ā features conjunctively, such that both features must be found together. With novel fieldwork data, I illustrate that this pattern is found in Ndengeleko (Bantu). The conjunctive pattern is challenging to capture from a standard, two-probe perspective on mixed positions (following Chomsky 2001). Building on work on probes’ satisfaction conditions (Deal 2015, 2021), I show that the Ndengeleko pattern is best captured by a probe with a conjunctive satisfaction condition. In the second type of A/Ā movement, one syntactic head happens to host two probes (one A and one Ā). This pattern is found in Kipsigis (Bossi and Diercks 2019). The notion of conjunctive satisfaction allows us to capture agreement patterns that target two features, which extends beyond mixed A/Ā agreement. What emerges is a typology of mixed Agree operations in which features can be sought conjunctively, disjunctively, or independently. The empirical landscape places both conjunctive and disjunctive satisfaction as central to the Agree operation.</p>", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "agree" }, { "word": "interaction/satisfaction" }, { "word": "Ā movement" }, { "word": "composite probes" }, { "word": "conjunctive satisfaction" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4vc1z6w2", "frozenauthors": [ { "first_name": "Tessa", "middle_name": "", "last_name": "Scott", "name_suffix": "", "institution": "University of California, Berkeley", "department": "" } ], "date_submitted": "2025-11-18T05:55:53.720000+01:00", "date_accepted": "2025-11-18T21:02:43.827000+01:00", "date_published": "2025-11-18T23:00:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/bling_formal_linguistics/article/54001/galley/40842/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/bling_formal_linguistics/article/54001/galley/40842/download/" }, { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/bling_formal_linguistics/article/54001/galley/40851/download/" } ] }, { "pk": 43593, "title": "Resource Utilization and Throughput in Pediatric Abdominal Pain Among Attendings, Residents, and Advanced Practice Clinicians", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Our goal was to assess the impact of emergency department (ED) clinician category on length of stay (LOS) and resource utilization in children presenting with abdominal pain.</p>\n<p><strong>Methods:</strong> We conducted a retrospective chart review of all subjects 4-18 years of age at a quaternary-care pediatric ED between May 2021–April 2022 presenting with a chief complaint of abdominal pain. Collected data included demographics, LOS, disposition, 72-hour return visits, lab tests and radiology studies, consults, and emergency clinician category. We defined clinician categories as attending only, advanced practice clinician (APC) only, or supervised resident encounters. Medically complex and high-acuity cases were excluded. We performed statistical comparisons with ANOVA, chi-squared, and Kruskall-Wallis tests. Binomial logistic regression addressed the effects of the covariates age, sex, race, and acuity level. </p>\n<p><strong>Results:</strong> We included 3,874 episodes. Of these, 622 (16%) visits were seen by an attending only, 1,018 (26%) by APCs, and 2,234 (58%) by supervised residents. Controlling for covariates, the average APC encounter lasted 17 minutes longer than the average attending encounter (293 minutes vs 276 minutes, P < .005, 95% CI -29.9, -4.0) and 21 minutes longer than the average resident encounter (293 minutes vs 272 minutes, P <.001, 95% CI 11.4-30.6). There were no significant differences in admission rates (attending: 128/622 [20.6%]; APC: 226/1,018 [22.2%]; resident: 477/2,234 [21.4%]; P = .63), or 72-hour return rates (attending: 30/622 [4.8%]; APC: 41/1,018 [4.0%]; resident: 99/2,234 [4.4%]; P = .61). Compared to attending-only encounters, APC encounters were more likely to include a consult (127/622 [20.4%] vs 292/1,018 [28.7%]; adjusted odds ratio (aOR) 1.51, 95% CI 1.18-1.93); less likely to include a computed tomography (CT) (13/622 [2.1%] vs 7/1,018 [0.7%]; aOR 0.31, 95% CI 0.12-0.79); more likely to include a radiology study (484/622 [77.8%] vs 873/1,018 [85.8%], aOR 1.64, 95% CI 1.26-2.14); and more likely to include lab testing (329/622 [52.9%] vs 669/1,018 [65.7%], aOR 1.62, 95% CI 1.30-2.00). Compared to supervised resident encounters, APC encounters were more likely to include a consult (518/2,234 [23.2%] vs 292/1,018 [28.7%], aOR 1.35, 95% CI 1.14-1.61); less likely to include a CT (36/2,234 [1.6%] vs 7/1,018 [0.7%], aOR 0.43, 95% CI 0.19-0.98); more likely to include a radiology study (1603/2,234 [71.8%] vs 873/1,018 [85.8%], aOR 2.41, 95% CI 1.97-2.96); and more likely to include lab testing (1,230/2,234 [55.1%] vs 669/1,018 [65.7%], aOR 1.63, 95% CI 1.39-1.92). Attending-only encounters were more likely to include radiology studies compared to resident encounters (484/622 [77.8%] vs 1,603/2,234 [71.8%], aOR 1.47, 95% CI 1.18-1.83), but they were otherwise similar in diagnostic utilization.</p>\n<p><strong>Conclusion:</strong> In our study of pediatric patients with abdominal pain, APC encounters had longer length of stay and were more likely to include lab testing, radiology studies, and consults than resident or attending-only encounters. This suggests that emergency clinician category may be associated with resource utilization, and further research could help optimize healthcare utilization.</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": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1p82d57v", "frozenauthors": [ { "first_name": "AG Nuwan", "middle_name": "", "last_name": "Perera", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania", "department": "" }, { "first_name": "Robert", "middle_name": "", "last_name": "Tisherman", "name_suffix": "", "institution": "Duke University School of Medicine, Department of Orthopedic Surgery, Division of Sports Medicine, Durham, North Carolina", "department": "" }, { "first_name": "Raymond", "middle_name": "", "last_name": "Pitetti", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania", "department": "" }, { "first_name": "Kavitha", "middle_name": "", "last_name": "Conti", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania", "department": "" }, { "first_name": "Samantha", "middle_name": "A", "last_name": "Ohl", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania", "department": "" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Dunnick", "name_suffix": "", "institution": "University of Pittsburgh School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania; Duke University School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Durham, North Carolina", "department": "" } ], "date_submitted": "2025-02-26T17:49:51.291000+01:00", "date_accepted": "2025-07-25T01:51:18.536000+02:00", "date_published": "2025-11-18T23:00:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/43593/galley/43174/download/" } ] }, { "pk": 48699, "title": "Teaching for Social Justice: Incorporating Gender-Inclusive Language in World Language Classrooms", "subtitle": null, "abstract": "<p>From the perspective of two instructors of Chinese in US postsecondary education, this article provides insights into integrating social justice education in intermediate-level world language classrooms. Guided by the multiliteracies pedagogy framework for language education (Paesani et al., 2023) and the Center for Advanced Research on Language Acquisition’s (CARLA) “Social Justice Lesson Plan Template” (2024), we introduced new text types—including a movie trailer and dating app profiles—for a lesson on the topic of dating and scaffolded social justice content for language learning. Instructors worked with students to identify existing stereotypes of gender and sexuality. Together, we challenged the hegemonic norms represented in the textbook and created new materials for gender-inclusive language. To empower student voices, we invited them to adapt the dating stories and design a dating profile. After presenting their work in small groups, students further engaged in critical reflection by writing an individual essay on their design. This article not only demonstrates ways to utilize multimodal texts, but also illustrates strategies to engage language students critically, creatively, and collaboratively in social justice content. By sharing our theoretical framework and teaching experience, we aim to foster more pedagogical transformation that integrates social justice education into intermediate-level language 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": "Social Justice Education" }, { "word": "Gender-inclusive language" }, { "word": "world language education" }, { "word": "Multiliteracies pedagogy" }, { "word": "critical pedagogies" }, { "word": "Chinese language education" } ], "section": "Teachers' Forum", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6tk8r7b2", "frozenauthors": [ { "first_name": "Charlize Hsiang-Ling", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "The Ohio State University", "department": "Teaching and Learning" }, { "first_name": "Hsiang-Lin", "middle_name": "", "last_name": "Shih", "name_suffix": "", "institution": "St. Olaf College", "department": "" } ], "date_submitted": "2025-06-19T16:29:52.244000+02:00", "date_accepted": "2025-09-22T03:07:04.563000+02:00", "date_published": "2025-11-18T22:45:00+01:00", "render_galley": { "label": "Galley final ", "type": "pdf", "path": "https://journalpub.escholarship.org/l2/article/48699/galley/40843/download/" }, "galleys": [ { "label": "Galley v1", "type": "other", "path": "https://journalpub.escholarship.org/l2/article/48699/galley/40705/download/" }, { "label": "Galley final ", "type": "pdf", "path": "https://journalpub.escholarship.org/l2/article/48699/galley/40843/download/" } ] }, { "pk": 47064, "title": "Factors Associated with Survival to Hospital Discharge in Cardiac Arrest by Poisoning: WAIVOR Score", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Poisoning-induced out-of-hospital cardiac arrest (P-OHCA) is a leading mortality cause; however, no specific prognostic model exists for P-OHCA. In this study we aimed to develop and validate a novel scoring system, the WAIVOR score, which identifies factors associated with survival to hospital discharge in patients with P-OHCA, including the nature of the toxic agent.</p>\n<p><strong>Methods:</strong> In this retrospective nationwide observational study we analyzed 4,252 South Korean adult P-OHCA cases from 2013–2023. The study population was randomly stratified into derivation (n = 2,834) and validation (n = 1,418) cohorts. Independent factors associated with survival to hospital discharge were identified through multivariable logistic regression analysis, yielding adjusted odds ratios (aOR) and 95% confidence intervals (CI). We assessed the scoring system’s discriminative performance using the receiver operating characteristic curve and area under the curve (AUC) analysis, with optimal threshold determination via the Youden index.</p>\n<p><strong>Results: </strong>Among all patients, 291 (6.8%) survived to hospital discharge. The most frequent poisoning substances were gases/vapors (45.3%), pesticides (31.5%), and medically prescribed drugs (12.0%). Six independent factors associated with survival to hospital discharge were incorporated into the WAIVOR score (maximum 11 points): pre-hospital return of spontaneous circulation, four points (aOR 16.11, 95% CI 10.16-25.64); witnessed arrest, two points (aOR 3.86, 95% CI 2.61-5.71); age < 65 years, two points (aOR 3.34, 95% CI 2.20-5.15); female sex, one point (aOR 1.54, 95% CI 1.09-2.16); and arrest-to-emergency department intervals ≤ 30 minutes, two points (aOR 3.44, 95% CI 2.00-6.09; 31-60 minutes, one point (aOR 1.77, 95% CI 1.08-3.02); and poisoning by non-gas/non-vapor substances, one point (aOR 0.54, 95% CI 0.33-0.89). The WAIVOR score demonstrated robust discriminative performance (AUC: 0.823 and 0.739 in derivation and validation cohorts, respectively). At the optimal threshold of five points, the score demonstrated 53.6% sensitivity, 84.4% specificity, 19.8% positive predictive value, and 96.2% negative predictive value (NPV).</p>\n<p><strong>Conclusion:</strong> The WAIVOR score represents a practical tool whose associated factors may help assess potential for survival to hospital discharge in patients with P-OHCA. Its high NPV renders it valuable for identifying poor prognostic outcomes. However, further external validation studies are required before this score can be broadly used in decisions regarding resuscitation termination in clinical practice.</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": "poisoning" }, { "word": "toxicology" }, { "word": "drug overdose" }, { "word": "resuscitation" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/73f8b2dg", "frozenauthors": [ { "first_name": "Min-su", "middle_name": "", "last_name": "Cha", "name_suffix": "", "institution": "International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Department of Emergency Medicine, Incheon Metropolitan City, Korea", "department": "" }, { "first_name": "Myoung-Je", "middle_name": "", "last_name": "Song", "name_suffix": "", "institution": "International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Department of Emergency Medicine, Incheon Metropolitan City, Korea", "department": "" }, { "first_name": "Jong-sun", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Department of Emergency Medicine, Incheon Metropolitan City, Korea", "department": "" } ], "date_submitted": "2025-03-22T14:40:49.795000+01:00", "date_accepted": "2025-07-19T02:56:18.329000+02:00", "date_published": "2025-11-18T22:44:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47064/galley/43173/download/" } ] }, { "pk": 47054, "title": "A Geriatric Nurse-led Callback System to Reduce Emergency Department Revisits in Older Adults", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Emergency departments (ED) present unique challenges for elderly patients who often experience higher revisit rates, increased number of complications, and worse health outcomes. This study examines the impact of implementing a combined automated screening callback and Geriatric Emergency Nurse Initiative Expert (GENIE)-led callback system on reducing ED revisit rates among elderly patients.</p>\n<p><strong>Methods:</strong> We conducted a retrospective analysis that compared revisit rates before and after the implementation of a GENIE callback system in the ED of a large, Level 1 trauma academic center. The study cohort included 23,664 patients, and the primary outcome was revisits at three, seven, and 30 days post-discharge from the ED. Data were adjusted for the Emergency Severity Index (ESI), age group, and sex. The cost of this initiative came from a three-year grant of $650,000 from the Gary and Mary West Foundation, which included the salary for a GENIE nurse. </p>\n<p><strong>Results:</strong> Revisit ratios in the pre-intervention period were 4.8%, 8.9%, and 17.2% at three, seven, and 30 days after discharge, respectively. Following implementation of the callback system, those ratios decreased to 3.9%, 7.6%, and 15.2% at the corresponding time points. All reductions were statistically significant (P < .001) and remained significant after adjusting for ESI, age group, and sex.</p>\n<p><strong>Conclusion:</strong> The GENIE callback system effectively reduced ED revisits among elderly patients, highlighting the importance of structured follow-up communication and care. These findings support the expansion of such programs to improve patient outcomes and reduce healthcare costs.</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": "geriatric" }, { "word": "callback system" }, { "word": "Emergency Departments" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0qg2b2ck", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Roh", "name_suffix": "", "institution": "Harbor-UCLA Medical Center, Department of Emergency Medicine, West Carson, California", "department": "" }, { "first_name": "Luke", "middle_name": "", "last_name": "Walls-Smith", "name_suffix": "", "institution": "University of California Irvine Health, Department of Emergency Medicine, Orange, California", "department": "" }, { "first_name": "Salman", "middle_name": "", "last_name": "Mushtaq", "name_suffix": "", "institution": "University of California Irvine Health, Department of Emergency Medicine, Orange, California", "department": "" }, { "first_name": "Luis", "middle_name": "", "last_name": "Gonzalez", "name_suffix": "", "institution": "University of California Irvine Health, Department of Emergency Medicine, Orange, California", "department": "" }, { "first_name": "Valencia", "middle_name": "", "last_name": "Giles", "name_suffix": "", "institution": "University of California, Irvine Medical Center, Orange, California", "department": "" }, { "first_name": "Lindsey", "middle_name": "", "last_name": "Spiegelman", "name_suffix": "", "institution": "University of California Irvine Health, Department of Emergency Medicine, Orange, California", "department": "" }, { "first_name": "Soheil", "middle_name": "", "last_name": "Saadat", "name_suffix": "", "institution": "University of California Irvine Health, Department of Emergency Medicine, Orange, California", "department": "" } ], "date_submitted": "2025-03-20T22:58:47.111000+01:00", "date_accepted": "2025-07-12T02:18:32.920000+02:00", "date_published": "2025-11-18T17:26:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47054/galley/43171/download/" } ] }, { "pk": 47387, "title": "Development of a Low-Barrier, Reimbursable Take-Home Naloxone Program at a Regional Health System", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Take-home naloxone (THN) programs in emergency departments (ED) can reduce opioid overdose deaths by providing naloxone directly to at-risk patients before discharge. However, sustainable models that integrate reimbursement and workflow alignment remain limited.</p>\n<p><strong>Methods:</strong> A reimbursable ED-led THN program was developed across a large regional health system. The program used electronic health record (EHR)–integrated ordering, on-site kit dispensing, and third-party insurance billing when available. Kits were stocked in automated medication dispensing systems and supplemented by city-provided stock for uninsured patients. Pilot outcomes included kits dispensed and reimbursement rates across eight participating EDs.</p>\n<p><strong>Results:</strong> A total of 2,520 naloxone kits were dispensed across eight EDs between January 2019–December 2024, with a total of 6,551 encounters with decision support prompting naloxone ordering (31.6% of eligible). The proportion of kits reimbursed by insurance rose from 46% in 2019 to 95% by 2025. In total, 89.9% of kits were reimbursed either by insurance or public supply (the rest paid by the hospital system). Kit distribution grew from 99 in 2019 to 702 in 2024, reflecting expanded site participation, improved workflows, and greater staff engagement.</p>\n<p><strong>Conclusion: </strong>A reimbursable ED-led naloxone program can increase access to life-saving medication for patients at risk of opioid overdose. Integrating take-home naloxone distribution into EHR workflows, leveraging insurance billing, and partnering with public health agencies offers a sustainable, low-barrier model that other health systems can adopt.</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": "naloxone" }, { "word": "take home naloxone" }, { "word": "Harm reduction" }, { "word": "opioid overdose" }, { "word": "Low Barrier Care" }, { "word": "Medication Dispensing from ED" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/00c1120v", "frozenauthors": [ { "first_name": "Kory", "middle_name": "S.", "last_name": "London", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Sejal", "middle_name": "", "last_name": "Patel", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Pharmacy, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Drew", "middle_name": "", "last_name": "Lockstein", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Pharmacy, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Jamal", "middle_name": "", "last_name": "Rashid", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Pharmacy, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Richard", "middle_name": "", "last_name": "Pacitti", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Pharmacy, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "TaReva", "middle_name": "", "last_name": "Warrick-Stone", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Hospital Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Frederick", "middle_name": "", "last_name": "Randolph", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Alan", "middle_name": "", "last_name": "Cherney", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Karen", "middle_name": "", "last_name": "Alexander", "name_suffix": "", "institution": "Thomas Jefferson University, College of Nursing, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Megan", "middle_name": "", "last_name": "Reed", "name_suffix": "", "institution": "Thomas Jefferson University, College of Nursing, Philadelphia, Pennsylvania", "department": "" } ], "date_submitted": "2025-05-10T05:44:25.845000+02:00", "date_accepted": "2025-07-24T23:36:56.441000+02:00", "date_published": "2025-11-18T15:51:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47387/galley/43165/download/" } ] }, { "pk": 47058, "title": "Unveiling Humility in Emergency Medicine Chief Residents: A Thematic Exploration of Standard Letters of Evaluation", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Although humility is a key leadership trait linked to collaboration and trust, current residency application processes lack methods to identify it. By examining whether themes of humility appear in the Standardized Letters of Evaluation (SLOE) of medical students who later became emergency medicine (EM) chief residents, we sought to determine the presence of humility-related traits in SLOEs and explore their potential to inform the identification of applicants with leadership potential during residency selection. </p>\n<p><strong>Methods: </strong>Two independent reviewers examined 104 SLOEs (52 chief, 52 non-chief) from 2015–2021, representing 43 students (21 who later assumed chief resident positions and 22 who did not) between 2018–2024 at a single academic EM residency program. A third reviewer resolved all coding disagreements. Reviewers deductively analyzed all written comments, targeting elements associated with humility as conceptualized by Tangney (2000) and Gruppen (2015). A SLOE was categorized as containing elements of humility if at least one clearly defined construct (such as openness to feedback, recognition of limitations, or concern for others) was identified. Sections of the data displaying the most convergence of humility elements underwent open coding, revealing emerging themes.</p>\n<p><strong>Results: </strong>Nineteen of 21 (90.5%) chief residents had letters encompassing elements of humility compared to only 10 of 22 (45.5%) non-chief residents (P < .01). Openness was the most prominent element noted, followed by the need to make changes in performance, concern for others, and confidence. Further analysis of comments that highlighted humility uncovered several other themes including commitment and advocacy, eagerness to learn and improve, and maturity and responsibility.</p>\n<p><strong>Conclusion: </strong>This study highlights specific humility-related traits noted in the Standard Letters of Evaluation of fourth-year medical students who later became chief residents in emergency medicine, offering preliminary insights into how qualitative evaluation tools may capture characteristics associated with future leadership roles. </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": "humility" }, { "word": "leadership" }, { "word": "chief resident" }, { "word": "SLOE" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0mp5n03p", "frozenauthors": [ { "first_name": "Abagayle", "middle_name": "", "last_name": "Bierowski", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Ridhima", "middle_name": "", "last_name": "Ghei", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" }, { "first_name": "Casey", "middle_name": "", "last_name": "Morrone", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, 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": "" }, { "first_name": "Dimitrios", "middle_name": "", "last_name": "Papanagnou", "name_suffix": "", "institution": "Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania", "department": "" } ], "date_submitted": "2025-03-21T22:28:31.121000+01:00", "date_accepted": "2025-07-16T04:56:31.934000+02:00", "date_published": "2025-11-18T13:04:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47058/galley/43172/download/" } ] }, { "pk": 47400, "title": "Pediatric Pisiform Dislocation: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Dislocations of the pisiform bone are rare, and literature on this injury is sparse. The uncommon nature of this condition, as well as limited data, makes recognition and diagnosis difficult, increasing the chances these injuries may be overlooked. Missing this diagnosis can lead to pain, reduced joint function, and nerve damage.</p>\n<p><strong>Case Report</strong>: We present a case of pediatric pisiform dislocation and discuss the diagnosis and treatment in an emergency department setting.</p>\n<p><strong>Conclusion</strong>: Prompt diagnosis and treatment of pisiform dislocations are vital to ensure favorable outcomes.</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": "Pisiform bone" }, { "word": "Pisiform dislocation" }, { "word": "Wrist Injuries" }, { "word": "pediatrics" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0g21p50z", "frozenauthors": [ { "first_name": "John", "middle_name": "", "last_name": "Wahhab", "name_suffix": "", "institution": "Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois", "department": "" }, { "first_name": "Iswarya", "middle_name": "", "last_name": "Vimalan Jeya", "name_suffix": "", "institution": "Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois", "department": "" }, { "first_name": "Jackson", "middle_name": "Robert", "last_name": "Huttner", "name_suffix": "", "institution": "Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois", "department": "" } ], "date_submitted": "2025-05-13T03:58:49.102000+02:00", "date_accepted": "2025-08-29T21:19:39.268000+02:00", "date_published": "2025-11-17T23:20:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47400/galley/48080/download/" } ] }, { "pk": 47934, "title": "Sonographic Evaluation of an Inguinal Bubo from<em> Bartonella henselae</em>: A Case Report", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Emergency physicians can use point-of-care ultrasound (POCUS) to identify lymph nodes in certain clinical scenarios, and advanced users can determine significant information (such as concerns for malignancy or differentiating them from abscesses for incision and drainage) based on a large volume of literature and images associated with those pathologies. However, current literature does not contain a similar volume of images and cases of suppurative lymph nodes, or buboes, limiting the ability to make the diagnosis sonographically at the bedside.</p>\n<p><strong>Case Report: </strong>We report on a man who presented to the emergency department (ED) with a worsening inguinal mass that changed size with positioning, as well as a 20-pound weight loss occurring over the course of a month. Point-of-care ultrasound of the mass was concerning for a necrotic suppurative lymph node, which was further evaluated with cross-sectional imaging. The patient was admitted for a biopsy to rule out malignancy. He was discharged with serologies for <em>Bartonella henselae </em>pending, which later returned positive. The patient was then switched to azithromycin with significant improvement of his symptoms.</p>\n<p><strong>Conclusion</strong>: As POCUS becomes the modality of choice for rapid assessment of soft tissue masses in the ED, familiarity with less common variants of soft tissue infections such as buboes can help with medical decision-making, risk stratification, and further workup. This sonographic description of a bubo caused by a common zoonotic infection will enable clinicians to familiarize themselves with their appearance.</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": "ultrasound" }, { "word": "Emergency Medicine" }, { "word": "bartonella" }, { "word": "bubo" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6mb946wd", "frozenauthors": [ { "first_name": "Julian", "middle_name": "", "last_name": "Campillo Luna", "name_suffix": "", "institution": "University of Michigan, Emergency Department, Ann Arbor, Michigan", "department": "" }, { "first_name": "Robert", "middle_name": "Woodworth", "last_name": "Shaffer", "name_suffix": "", "institution": "University of Michigan, Emergency Department, Ann Arbor, Michigan", "department": "" } ], "date_submitted": "2025-05-26T05:54:52.936000+02:00", "date_accepted": "2025-08-04T16:36:52.199000+02:00", "date_published": "2025-11-17T23:10:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47934/galley/48077/download/" } ] }, { "pk": 47259, "title": "Heed The Warning: A Case Report on Capsular Warning Syndrome", "subtitle": null, "abstract": "<p><strong>Introduction</strong>: Evaluating patients with acute neurologic deficits is a regular occurrence in the emergency department (ED), but some presentations warrant increased concern. This case highlights the importance of repeat evaluations and how resolution of symptoms does not rule out a more ominous underlying pathology.</p>\n<p><strong>Case Report</strong>: A 59-year-old male with a past medical history of coronary artery disease and Human immunodeficiency viruses (HIV) presented to a Level II trauma and comprehensive stroke center for left-sided facial droop and left- sided hemiparesis. Computed tomography of the brain including angiography and perfusion was performed revealing no hemorrhage or large vessel occlusion. Given his National Institutes of Health Stroke Scale score of 11, he received alteplase and subsequently experienced several episodes of resolution and recurrence of his symptoms while in the ED. Magnetic resonance imaging revealed an acute ischemic infarct in the right basal ganglia and insular region, which along with his clinical presentation was consistent with capsular warning syndrome.</p>\n<p><strong>Conclusion</strong>: Capsular warning syndrome is a rare clinical entity with an incidence ranging from1.5-5% in stroke patients. Its recognition is crucial when making decisions concerning management,<br>as resolution of symptoms should still garner a high level of attention given that the the increased risk of stroke with permanent neurological disability is highest within the first 48 hours. The role of<br>thrombolysis continues to be an area of focus as its benefit has not yet been determined but continues to be the mainstay therapy in the correct clinical setting. This is especially true in the cases of recurrent episodes post thrombolysis, which does not preclude the diagnosis of capsular warning syndrome but should heighten the need for acute management of these patients and close monitoring. This case illustrates its unique presentation and the need for increased recognition and understanding within the field of emergency medicine.</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": "capsular warning syndrome" }, { "word": "Lacunar stroke" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5s53776r", "frozenauthors": [ { "first_name": "Targol", "middle_name": "", "last_name": "Tarahomi", "name_suffix": "", "institution": "HCA Florida Aventura Hospital, Department of Emergency Medicine, Aventura, Florida", "department": "" }, { "first_name": "Sean", "middle_name": "", "last_name": "Serio", "name_suffix": "", "institution": "HCA Florida Aventura Hospital, Department of Emergency Medicine, Aventura, Florida; Baptist Health Baptist Hospital, Department of Emergency Medicine, Miami, Florida", "department": "" }, { "first_name": "Alexander", "middle_name": "John", "last_name": "Scumpia", "name_suffix": "", "institution": "HCA Florida Aventura Hospital, Department of Emergency Medicine, Aventura, Florida", "department": "" } ], "date_submitted": "2025-04-17T08:30:25.738000+02:00", "date_accepted": "2025-07-28T16:49:32.021000+02:00", "date_published": "2025-11-17T22:50:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47259/galley/48075/download/" } ] }, { "pk": 47368, "title": "Comparison of Perspectives on Cannabis Use Between Emergency Department Patients Who Are Users and Non-users", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Many states have legalized the use of cannabis for medical or recreational purposes. Cannabis is commonly used both recreationally and medicinally, with therapeutic applications for conditions including chronic pain, seizure disorders, multiple sclerosis, anxiety, and depression. The purpose of this study was to compare emergency department (ED) patient knowledge of the short- and long-term effects of cannabis between users and non-users, and to understand perspectives and knowledge of cannabis use, to assist in development of public health interventions.</p>\n<p><strong>Methods: </strong>We conducted this prospective survey study at Penn State Health – Milton S. Hershey Medical Center. Inclusion criteria included adult ED patients, ≥ 18 years of age, who had used cannabis in the most recent 30 days, between May to August 2024. The control group consisted of adult ED patients, ≥ 18 years of age, who had not used cannabis in the most recent 30 days. We conducted thematic analysis to identify subjects’ knowledge of positive and negative effects of cannabis use. </p>\n<p><strong>Results:</strong> Of 258 eligible subjects, 169 consented to participate (65.5%). Most identified as female (54.4%) and White (68.1%), with a mean age of 40 years. Most participants reported cannabis use in their lifetime (75.7%). Participants reported a myriad of reasons for using cannabis, including to treat anxiety (N = 67; 40%); pain (N = 65; 38%); recreational use (N = 62; 37%); sleep (N = 48; 28%); and depression (N = 34; 20%). Commonly perceived positive effects of cannabis use included relaxation (18%), pain relief (16%), and improved mental health symptoms (13%). Commonly perceived negative effects of cannabis use included cognitive impairment (11%), addictive potential (7%), pulmonary effects (8%), and worsened mental health symptoms (6%). Cannabis users were less likely to correctly identify negative short-term and long-term consequences of cannabis use, compared to non-users. Cannabis users scored mean 2.51/5 (95% CI 2.11-2.92) for correctness of negative short-term effects, compared to 3.28/5 (95% CI 2.96-3.6) for non-users (P = .004). Cannabis users scored mean 1.78/5 (95% CI 1.44-2.12) for correctness of negative long-term effects, compared to 2.38/5 (95% CI 2-2.76) for non-users (P = .002).</p>\n<p><strong>Conclusion: </strong>Among ED patients who reported using cannabis, reasons cited for its use included recreation, anxiety, pain, depression, and sleep. Emergency department patients had significant knowledge gaps regarding the effects of cannabis use, and these knowledge gaps were higher among cannabis users. Cannabis users were less likely to correctly identify negative short-term and long-term consequences of cannabis use, compared to non-users.</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": "cannabis" }, { "word": "emergency" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0n23q6n4", "frozenauthors": [ { "first_name": "Catherine", "middle_name": "A.", "last_name": "Marco", "name_suffix": "", "institution": "Penn State Health, Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Lena", "middle_name": "", "last_name": "Becker", "name_suffix": "", "institution": "Penn State College of Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Egner", "name_suffix": "", "institution": "Penn State College of Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Quincy", "middle_name": "", "last_name": "Erturk", "name_suffix": "", "institution": "Penn State College of Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Ayush", "middle_name": "", "last_name": "Sharma", "name_suffix": "", "institution": "Penn State College of Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Taylor", "middle_name": "", "last_name": "Vail", "name_suffix": "", "institution": "Penn State College of Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Caroline", "middle_name": "", "last_name": "Soderman", "name_suffix": "", "institution": "Penn State College of Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Nathan", "middle_name": "", "last_name": "Morrison", "name_suffix": "", "institution": "Penn State Health, Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Sandelich", "name_suffix": "", "institution": "Penn State Health, Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania", "department": "" } ], "date_submitted": "2025-05-08T17:57:55.754000+02:00", "date_accepted": "2025-07-23T23:26:27.727000+02:00", "date_published": "2025-11-17T19:28:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/47368/galley/43164/download/" } ] }, { "pk": 25025, "title": "Housing Insecurity Among Emergency Department Patients with Opioid Use Disorder", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Emergency departments (ED) have increasingly engaged in screening and treatment initiation for patients with opioid use disorder (OUD). Patients with OUD, however, may also be impacted by significant social need, including housing insecurity. We sought to consider the incidence of homelessness and housing insecurity in patients engaged in an ED-initiated medication for opioid use disorder (MOUD) program.</p>\n<p><strong>Methods:</strong> We performed a secondary analysis, with specific consideration of housing status, on data obtained from a prospective, ED-initiated MOUD study conducted at an urban, academic hospital, inclusive of enrollments from July 2019–February 2022. We obtained data from participant interviews conducted at study intake and at three months to include the question: “In the past 30 days, where have you been living most of the time?” We used descriptive statistics and Pearson chi-square analyses to assess the data.</p>\n<p><strong>Results: </strong>Of 315 participants, most were White (79.4 %), male (64.4 %), and between the ages of 25-44 (74.6%). At intake, 66 (20.9%) reported active homelessness, including 44 (14.0%) unsheltered. An additional 157 (49.8%) met criteria for housing insecurity. Men were more likely to be experiencing homelessness (25.1% men reported homelessness vs 13.4% women, P = .01). In contrast, women trended toward housing insecurity more than their male counterparts (45.8% men with housing insecurity vs 57.1% women, P = .05). At three-month follow-up, 141 were able to be reached, with a predominance of housed individuals (118 housed; 46.8%); in contrast only 34.8% of persons experiencing homelessness) (23 participants) were able to follow up at three months (P = .07). Significant differences between sexes noted at intake resolved. No significant differences were found at intake or three months when considering race or age comparisons. </p>\n<p><strong>Conclusion: </strong>Patients in the ED who are engaged in care for OUD are disproportionately (70.8%) impacted by homelessness and housing insecurity; further, sex may play an exacerbating role. Emergency department-initiated MOUD treatment may have a positive impact on housing status, suggested by this study; however, the study was limited due to large loss to follow-up, especially among those with housing insecurity.</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": "Opioid Epidemic" }, { "word": "opioid use disorder" }, { "word": "medication for opioid use disorder" }, { "word": "homelessness" }, { "word": "housing insecurity" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5763z1d2", "frozenauthors": [ { "first_name": "Christine", "middle_name": "M.", "last_name": "Shaw", "name_suffix": "", "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Walter", "name_suffix": "", "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "" }, { "first_name": "Whitney", "middle_name": "A.", "last_name": "Covington", "name_suffix": "", "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama", "department": "" } ], "date_submitted": "2024-07-02T01:35:32.087000+02:00", "date_accepted": "2025-05-25T17:18:18.322000+02:00", "date_published": "2025-11-17T18:24:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/25025/galley/43163/download/" } ] }, { "pk": 47306, "title": "Dog Button Communication: Training Experiences and Educational Implications", "subtitle": null, "abstract": "<p>This paper reviews the effectiveness and application of communication buttons as a means of interaction with domestic dogs (Canis familiaris), based on the personal experiences of users. The results showed that dogs are capable of communicating through buttons, expressing their needs, and forming multi-word phrases. The highest success rate was observed in medium and large breeds between the ages of 6 months and 5 years. Nearly half of the dogs learned to use their first button within a week, although button spamming behavior was also observed in some individuals. Statistical analysis revealed that dogs preferred specific word categories (particularly activity/place and reward), although differences in the intensity of usage between categories were not statistically significant due to high variability within groups. The ability to combine words into more complex expressions was observed in approximately half of the dogs. The findings also suggest that independent button use can sometimes lead to less purposeful patterns, such as repeatedly pressing buttons (\"spamming\"). </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": "button communication" }, { "word": "dog training" }, { "word": "interspecies interaction" }, { "word": "soundboard learning" }, { "word": "teaching demonstration" } ], "section": "Research Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5ds627kp", "frozenauthors": [ { "first_name": "Ivan", "middle_name": "", "last_name": "Iľko", "name_suffix": "", "institution": "Trnava University in Trnava", "department": "Department of Biology" }, { "first_name": "Viera", "middle_name": "", "last_name": "Peterková", "name_suffix": "", "institution": "Trnava University in Trnava", "department": "Department of Biology" }, { "first_name": "Alfréd", "middle_name": "", "last_name": "Trnka", "name_suffix": "", "institution": "Trnava University in Trnava", "department": "Department of Biology" }, { "first_name": "Valentína", "middle_name": "", "last_name": "Bachratá", "name_suffix": "", "institution": "Trnava University in Trnava", "department": "Department of Biology" } ], "date_submitted": "2025-04-25T22:28:56.357000+02:00", "date_accepted": "2025-09-11T03:06:07.780000+02:00", "date_published": "2025-11-17T16:42:00+01:00", "render_galley": { "label": "Il'ko Final", "type": "pdf", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/47306/galley/40830/download/" }, "galleys": [ { "label": "Il'ko Final", "type": "pdf", "path": "https://journalpub.escholarship.org/uclapsych_ijcp/article/47306/galley/40830/download/" } ] }, { "pk": 41812, "title": "The Effect of Dictation on Emergency Medicine Resident Time to Note Completion", "subtitle": null, "abstract": "<p><strong>Introduction:</strong> Timely documentation of a patient encounter is a necessary component for delivering high-quality healthcare as it has direct impacts on continuity of care. The use of voice recognition software has been integrated into the electronic health record (EHR) to increase efficiency of documentation. We aimed to investigate the impact of dictation use on emergency medicine (EM) residents’ time to note completion. </p>\n<p><strong>Methods:</strong> We conducted this study in a three-year EM residency program at an academic emergency department. Notes written in the EHR by EM residents were included for analysis. We split notes into two cohorts based on academic year: 2018-19 academic year (AY18-19); and 2021-22 academic year (AY21-22). We analyzed approximately 37,000 notes per cohort. Dictation was available to all residents in each cohort. The length of the note (measured by character count) and time to note completion (less than or greater than 24 hours) was analyzed. </p>\n<p><strong>Results:</strong> For both the AY18-19 and AY21-22, the rate of note completion within 24 hours was higher when using dictation compared to typing (odds ratio [OR] 1.3 and OR 2.9, respectively). Aggregated data of both cohorts showed 77.9% of dictated notes were completed within 24 hours compared to 70.9% of typed notes (P < .001). In both cohorts, the average number of characters per note was larger if the note was dictated. For AY18-19, the average was 6,628 characters for dictated notes vs 6,136 for typed notes (P < .05). Similarly, for AY21-22, the average was 6,531 vs 6,347 (P < .05). </p>\n<p><strong>Conclusion: </strong>The use of dictation by EM residents for note completion resulted in a higher likelihood of the note being completed within 24 hours.</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": "Dictation" }, { "word": "Wellness" }, { "word": "resident" } ], "section": "Original Research (Limit 4000 words)", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5189t7zc", "frozenauthors": [ { "first_name": "Lauren", "middle_name": "R.", "last_name": "Willoughby", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Daniel", "middle_name": "J.", "last_name": "Hekman", "name_suffix": "", "institution": "Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin", "department": "" }, { "first_name": "Benjamin", "middle_name": "H.", "last_name": "Schnapp", "name_suffix": "", "institution": "University of Wisconsin, Department of Emergency Medicine, Madison, Wisconsin", "department": "" } ], "date_submitted": "2025-01-11T04:58:07.842000+01:00", "date_accepted": "2025-06-09T18:37:49.615000+02:00", "date_published": "2025-11-17T14:08:00+01:00", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/41812/galley/43157/download/" } ] }, { "pk": 53990, "title": "Announcing UCLA Department of Medicine Clinical Insights, a companion to Proceedings of the UCLA Department of Medicine", "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.\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": [], "section": "Editorial", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5zk7b002", "frozenauthors": [], "date_submitted": null, "date_accepted": null, "date_published": "2025-11-17T08:18:00+01:00", "render_galley": { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_clinicalinsights/article/53990/galley/40829/download/" }, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_clinicalinsights/article/53990/galley/40829/download/" } ] }, { "pk": 50774, "title": "Exploring the Timing of Online Processing of Locative Constructions With Spanish Copulas <em>Ser</em> and <em>Estar</em>", "subtitle": null, "abstract": "<p>This study investigates how the semantic restrictions of Spanish copulas (ser and estar) impact the online processing of locative constructions. The choice of copula depends on the eventiveness of the subject noun: <em>ser</em> is used with event nouns (e.g., <em>La reunión es en la biblioteca </em>/ The meeting isser in the library), while <em>estar</em> is used with object nouns (e.g., <em>El libro está en la biblioteca</em> / The book is<sub>ESTAR</sub> in the library). By manipulating copula type (<em>ser</em> vs. <em>estar</em>) and noun type (event vs. object), we created compatible (<em>ser</em> + event, <em>estar</em> + object) and incompatible combinations. The results from a self-paced reading task and an eye-tracking experiment converge in showing that event nouns were read faster after <em>ser</em>, and object nouns were read faster after <em>estar</em>. These findings suggest that readers rapidly use the copula’s semantic restrictions to anticipate the eventiveness of upcoming nouns during sentence processing.</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": "Regular Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31q9z60k", "frozenauthors": [ { "first_name": "Miriam", "middle_name": "", "last_name": "Aguilar", "name_suffix": "", "institution": "Universidad Complutense de Madrid, Instituto Pluridisciplinar", "department": "Universitat Rovira i Virgili, Department of Psychology;", "country": "Spain" }, { "first_name": "Natalia", "middle_name": "", "last_name": "López-Cortés", "name_suffix": "", "institution": "Universidad de Zaragoza", "department": "", "country": "Spain" }, { "first_name": "Josep", "middle_name": "", "last_name": "Demestre", "name_suffix": "", "institution": "Universitat Rovira i Virgili", "department": "Department of Psychology, Research Center for Behaviour Assessment (CRAMC)", "country": "Spain" } ], "date_submitted": "2025-08-28T11:21:20.262000+02:00", "date_accepted": "2025-10-09T16:03:24.166000+02:00", "date_published": "2025-11-13T16:00:00+01:00", "render_galley": { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/50774/galley/40724/download/" }, "galleys": [ { "label": "XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/50774/galley/40724/download/" }, { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/50774/galley/40725/download/" } ] }, { "pk": 59567, "title": "Chimera: Cover", "subtitle": null, "abstract": "", "language": "en", "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": [], "section": "Cover", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3w19g1qr", "frozenauthors": [ { "first_name": "Angeni", "middle_name": "", "last_name": "Lieben", "name_suffix": "", "institution": "UC Berkeley", "department": "" } ], "date_submitted": "2025-11-12T21:37:06+01:00", "date_accepted": "2025-11-12T21:37:06+01:00", "date_published": "2025-11-13T09:02:58+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "image", "path": "https://journalpub.escholarship.org/our_bsj/article/59567/galley/45549/download/" } ] }, { "pk": 59566, "title": "Chimera: Back Cover", "subtitle": null, "abstract": "", "language": "en", "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": [], "section": "Back Cover", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/55d8w452", "frozenauthors": [ { "first_name": "Angeni", "middle_name": "", "last_name": "Lieben", "name_suffix": "", "institution": "UC Berkeley", "department": "" } ], "date_submitted": "2025-11-12T21:36:08+01:00", "date_accepted": "2025-11-12T21:36:08+01:00", "date_published": "2025-11-13T09:02:47+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59566/galley/45548/download/" } ] }, { "pk": 59565, "title": "Thank You to Our Donors", "subtitle": null, "abstract": "List of donors from Fall 2025 crowdfunding campaign", "language": "en", "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": [], "section": "Donors", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6xb816sg", "frozenauthors": [ { "first_name": "Varun", "middle_name": "", "last_name": "Upadhyay", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Delaney", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:34:43+01:00", "date_accepted": "2025-11-12T21:34:43+01:00", "date_published": "2025-11-13T09:02:27+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59565/galley/45547/download/" } ] }, { "pk": 59564, "title": "Tactics To Combat Visual Predators: Cryptic Coloration in Christmas Tree Worms", "subtitle": null, "abstract": "", "language": "en", "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": [], "section": "Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/81n4d12v", "frozenauthors": [ { "first_name": "Sofia", "middle_name": "", "last_name": "Alocer", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Jonathon", "middle_name": "", "last_name": "Stilman", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:32:04+01:00", "date_accepted": "2025-11-12T21:32:04+01:00", "date_published": "2025-11-13T09:02:15+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59564/galley/45546/download/" } ] }, { "pk": 59563, "title": "Comparative Efficacy of Psilocybin and MDMA in PTSD Treatment: A Systematic Review of Long-Term Outcomes", "subtitle": null, "abstract": "", "language": "en", "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": [], "section": "Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2rr4q8bq", "frozenauthors": [ { "first_name": "Aspen", "middle_name": "", "last_name": "Kim", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Presley", "middle_name": "", "last_name": "Pham", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Mitchell", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:30:15+01:00", "date_accepted": "2025-11-12T21:30:15+01:00", "date_published": "2025-11-13T09:01:53+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59563/galley/45545/download/" } ] }, { "pk": 59562, "title": "Flooding Treatment Effects on Sap Flow of Deciduous Trees in the Chesapeake Bay", "subtitle": null, "abstract": "", "language": "en", "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": [], "section": "Research", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1n17q7q6", "frozenauthors": [ { "first_name": "Radha", "middle_name": "", "last_name": "Srinivasan", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Kendalynn", "middle_name": "", "last_name": "Morris", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:27:56+01:00", "date_accepted": "2025-11-12T21:27:56+01:00", "date_published": "2025-11-13T09:01:39+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59562/galley/45544/download/" } ] }, { "pk": 59561, "title": "Between Science and Spirit: Rethinking Mental Health with Psychedelic Therapy", "subtitle": null, "abstract": "Interview with Dr. Brian Anderson", "language": "en", "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": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3rp4t8zp", "frozenauthors": [ { "first_name": "Isabella", "middle_name": "", "last_name": "Mendoza", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Alma", "middle_name": "", "last_name": "Razavillar", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Aneesa", "middle_name": "", "last_name": "Mustafa", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Sania", "middle_name": "", "last_name": "Choudhary", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:09:27+01:00", "date_accepted": "2025-11-12T21:09:27+01:00", "date_published": "2025-11-13T09:01:25+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59561/galley/45543/download/" } ] }, { "pk": 59560, "title": "From Trash to Treasure: The Lysosome’s Role in Cancer, Aging, and Neurodegenerative Disorders", "subtitle": null, "abstract": "Interview with Dr. Robert Zoncu", "language": "en", "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": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/11j479g2", "frozenauthors": [ { "first_name": "Samika", "middle_name": "", "last_name": "Arun", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Grace", "middle_name": "", "last_name": "Zhou", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Brandon", "middle_name": "", "last_name": "Bosch", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Sania", "middle_name": "", "last_name": "Choudhary", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:07:22+01:00", "date_accepted": "2025-11-12T21:07:22+01:00", "date_published": "2025-11-13T09:01:07+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59560/galley/45542/download/" } ] }, { "pk": 59559, "title": "Reduce, Reuse, Recycle: Recovering 100% of Your Plastics by Refining Polymer Synthesis", "subtitle": null, "abstract": "Interview with Brooks Abel", "language": "en", "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": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/17n6g0dt", "frozenauthors": [ { "first_name": "Rian", "middle_name": "", "last_name": "Grant", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Rohit", "middle_name": "", "last_name": "Divekar", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Sania", "middle_name": "", "last_name": "Choudhary", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:05:07+01:00", "date_accepted": "2025-11-12T21:05:07+01:00", "date_published": "2025-11-13T09:00:49+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59559/galley/45541/download/" } ] }, { "pk": 59558, "title": "Frozen Chemistry and Fantastic Origins: Molecular Reactions and the Chemical Tapestry of Planet-Building Disks", "subtitle": null, "abstract": "Interview with Dr. Jennifer Bergner", "language": "en", "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": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9vv3t00j", "frozenauthors": [ { "first_name": "Rian", "middle_name": "", "last_name": "Grant", "name_suffix": "", "institution": "UC Berkeley", "department": "" }, { "first_name": "Lara", "middle_name": "", "last_name": "Potgeiter", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Catherine", "middle_name": "", "last_name": "Tran", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Tanya", "middle_name": "", "last_name": "Sanghal", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2025-11-12T21:02:07+01:00", "date_accepted": "2025-11-12T21:02:07+01:00", "date_published": "2025-11-13T09:00:34+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59558/galley/45540/download/" } ] }, { "pk": 59557, "title": "Molecules, Memory, and the Mind: Psychedelics and the Future of Neuroplasticity", "subtitle": null, "abstract": "Interview with Dr. Andrea Gomez", "language": "en", "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": [], "section": "Interviews", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8c4207kb", "frozenauthors": [ { "first_name": "Ana Sofia", "middle_name": "", "last_name": "Brito", "name_suffix": "", "institution": "UC Berkeley", "department": "" } ], "date_submitted": "2025-11-12T20:59:28+01:00", "date_accepted": "2025-11-12T20:59:28+01:00", "date_published": "2025-11-13T09:00:14+01:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/our_bsj/article/59557/galley/45539/download/" } ] } ] }