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{ "count": 39502, "next": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=9300", "previous": "https://eartharxiv.org/api/articles/?format=api&limit=100&offset=9100", "results": [ { "pk": 17394, "title": "Teaching Palliative Care to Emergency Medicine Residents Using Deliberate Practice-Based Simulation Format: LIVE DIE REPEAT", "subtitle": null, "abstract": "Learning Objectives: 1. Recognize a new format to teach end-of-life care. 2. Review the perception of learners using a serious-game framework to learn rapid discussion about goals of care.\nIntroduction: Emergency departments (ED) care for many patients who are chronically ill and nearing end of life. Establishing goals of care and code status in the ED is an essential skill for Emergency Medicine (EM) residents but is challenging to teach.\nEducational Objectives: To develop EM residents’ ability to: 1) identify patients in need of a goals-of-care discussion; 2) interpret advance care planning documents; 3) efficiently conduct an informed code status discussion; and 4) manage the actively dying patient.\nCurricular Design: High-fidelity simulation was utilized to replicate the experience of caring for a critically-ill patient in the high-stress ED environment. The scenario involved a live standardized patient with stage 4 pancreatic cancer presenting with sepsis due to pneumonia and who had the goal of comfort-focused care. The simulation utilized the Live-Die-Repeat format, which is a serious-game scheme in which learners are allowed infinite opportunities (“lives”) to progress through a single patient scenario. If learners complete the predetermined critical actions, the game is paused and there is a debriefing to reinforce knowledge and skills before resident’s progress to the next stage of the simulation. Conversely, if learners do not complete critical actions, the game is over and learners must undergo remedial debriefing before they repeat the scenario they previously failed.\nImpact/Effectiveness: Eighty percent (16/20) of the residents completed a Simulation Effectiveness Tool-Modified survey and 100% strongly or somewhat agree the simulation improved their skills and confidence at the end of life including: better prepared to respond to changes in condition, more confident in assessment skills, teaching patients, reporting to the medical team, empowered to make clinical decisions, and ability to prioritize care and interventions (Figure). Comments emphasized the impact of simulation on their ability to have a goal of care discussion (Table).", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2m2199sw", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "", "last_name": "Stanich", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Alexander", "middle_name": "", "last_name": "Ginsburd", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Caitlin", "middle_name": "", "last_name": "Loprinzi-Brauer", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Cory", "middle_name": "", "last_name": "Ingram", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Fernanda", "middle_name": "", "last_name": "Bellolio", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Kharmene", "middle_name": "", "last_name": "Sunga", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Daniel", "middle_name": "", "last_name": "Egan", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T06:13:04Z", "date_accepted": "2022-08-30T06:13:04Z", "date_published": "2022-09-07T03:02:39Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17394/galley/8848/download/" } ] }, { "pk": 17393, "title": "Task Trainer Augmented Joint Reduction Training", "subtitle": null, "abstract": "Learning Objectives: To investigate whether augmenting joint reduction education with 3D printed task trainers will offer a learning benefit when paired with traditional teaching methods using lectures and videos. The application is focused on EM residents with potential expansion to surgical subspecialties.\nIntroduction: Prior studies and EM training programs have called for the need for innovation in the realm of orthopedic education. When compared to other core skills developed during EM residency, joint reductions are relatively infrequent. The development of 3D printing technology offers an opportunity for the development of task trainers to supplement resident experience. There are no current 3D printed task trainers available for joint reductions. We developed a series of 3D printed joint models with orthopedic curriculum to supplement exposure to dislocation reductions to improve emergency medicine residents’ preparedness, confidence, and competency in joint dislocation reductions. Models were designed to create tension and tactile feedback upon reduction. The supplemental curriculum summarized patient evaluation, anatomy, and techniques.\nCurricular Design: We utilized the trainers in simulation sessions with reductions taught using Peyton’s 4 step approach, and competency assessed through Miller’s pyramid educational theory. A likert type survey was administered to assess resident learning, preference in teaching style, and confidence in reduction techniques. Baseline experience data was collected to assess prior clinical experience. Learning retention will be assessed during the follow up skill session. Given the variety of joints designed, we divided sessions to include 1-2 joints at a time. This allowed for more focus on specific joints as well as space repetition across multiple sessions throughout the academic year.\nImpact/Effectiveness: The current set of data strongly supports the utilization and integration of 3D models into the education of emergency medicine residents in joint dislocation reductions. The vast majority of resident learners found benefit in the inclusion of 3D printed joint models. Although most learners preferred the 3D printed models compared to traditional teaching methods, we advocate for an integrated teaching model rather than choosing only one teaching technique.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4839d5zf", "frozenauthors": [ { "first_name": "Jeremy", "middle_name": "", "last_name": "Riekena", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Kent", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Justin", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "William", "middle_name": "", "last_name": "Chan", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Richard", "middle_name": "", "last_name": "Shin", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Victor", "middle_name": "", "last_name": "Huang", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T06:10:03Z", "date_accepted": "2022-08-30T06:10:03Z", "date_published": "2022-09-07T03:02:10Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17393/galley/8847/download/" } ] }, { "pk": 17392, "title": "Improving Student Documentation in the Emergency Department", "subtitle": null, "abstract": "Learning Objectives: Demonstrate a curriculum designed to teach medical students how to successfully write the medical decision making portion of the emergency medicine note.\nIntroduction: Documentation is an essential component of patient care in the emergency department (ED). Although students are taught the general rules of note-writing prior to clerkships, the emergency medicine (EM) note differs from most rotations. There is a need to teach the specifics of documentation of the EM note to medical students. The Emergency Medicine Residents’ Association (EMRA) Education Committee created a curriculum to teach formal documentation to medical students.\nEducational Objective: Create a curriculum designed to teach medical students how to successfully write the medical decision making (MDM) portion of the EM note.\nCurricular Design: Our curriculum design assumes that all senior medical students were taught the basics of writing a history and physical. Therefore, we primarily focused on teaching the MDM portion of the EM note. Following IRB approval and consent from the 55 students in our study, each student filled out a survey about their previous experience with documentation in the ED (Image 1). Next, students watched a video of a complete simulated patient encounter in order to assess their baseline ability to document a formal MDM that included the ED course and disposition. These notes were then graded on a rubric (Image 2) by a resident physician at each site who was a member of the curriculum development team to ensure standardization. Students were then given access to the EMRA documentation template and video. After the educational intervention, students documented a new MDM based on a different video encounter and were graded again.\nImpact/Effectiveness: We found that a documentation curriculum significantly improved students’ MDM documentation. Repeated measures ANOVA revealed a strong effect on MDM Documentation scores [F(1, 38) = 72.547, p < .001, ηp2 = .656], demonstrating that MDM documentation statistically improved after the training curriculum and that implementation improves student documentation in the ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/05m997vg", "frozenauthors": [ { "first_name": "Jonathan", "middle_name": "", "last_name": "Brewer", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Gohde", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Justin", "middle_name": "", "last_name": "Doroshenko", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Brooke", "middle_name": "", "last_name": "Atkinson", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Lindsley", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Shannon", "middle_name": "", "last_name": "Burke", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Adaom", "middle_name": "", "last_name": "Goodcoff", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Deena", "middle_name": "", "last_name": "Khamees", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Matt", "middle_name": "", "last_name": "Ledford", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Christine", "middle_name": "", "last_name": "Kulstad", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Mary", "middle_name": "", "last_name": "McHugh", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T06:07:23Z", "date_accepted": "2022-08-30T06:07:23Z", "date_published": "2022-09-07T03:00:42Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17392/galley/8846/download/" } ] }, { "pk": 17391, "title": "Development of a Rigorously Designed Procedural Checklist for Emergent Cricothyrotomy for Assessment of Emergency Medicine Resident Performance", "subtitle": null, "abstract": "Learning Objectives: The objective was to create an assessment tool for emergent cricothyrotomy using best practice checklist development and expert consensus.\nIntroduction/Background: Emergent cricothyrotomy is an infrequently performed, potentially life-saving procedural skill that is essential for emergency physicians to master during residency training. However, opportunities for real-life exposure to perform this procedure during residency is rare and ensuring emergency medicine graduates can perform this procedure correctly is essential. For rare, invasive procedures such as cricothyrotomy, checklist simulation assessments allowing for objective measures are best practice for competency based medical education. However, the literature for performing emergency cricothyrotomy is descriptive, not inclusive of evaluative checklists, and lacking a checklist that allows for multiple cricothyrotomy techniques.\nEducational Objectives: The objective was to create an assessment tool for emergent cricothyrotomy using best practice checklist development and expert consensus.\nCurricular Design: After an initial checklist was created based on literature review, a modified Delphi approach was used to design a final checklist. A multidisciplinary panel of 13 experts, including emergency medicine physicians and trauma surgeons, reviewed the initial checklist. Feedback was reviewed and subsequent iterations of the checklist were reviewed by the same panel of experts until final consensus of a 27 item dichotomous checklist was achieved.\nImpact/Effectiveness: After 3 rounds of revisions, a rigorously developed procedural checklist for emergent cricothyrotomy was created (Figure A). To reach consensus, the checklist included options for several acceptable techniques to correctly perform the procedure. This adds to previously published work by developing a rigorously designed, versatile dichotomous procedure checklist that accounts for various techniques. This checklist can serve as a foundation for the development of a curriculum to ensure graduating residents can correctly perform this critical task prior to graduation.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6ch006vn", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Rogers", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Dana", "middle_name": "", "last_name": "Loke", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Maren", "middle_name": "", "last_name": "Leibowitz", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Stulpin", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Morgan", "middle_name": "", "last_name": "McCarthy", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Salzman", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T06:03:38Z", "date_accepted": "2022-08-30T06:03:38Z", "date_published": "2022-09-07T03:00:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17391/galley/8845/download/" } ] }, { "pk": 17390, "title": "Amazing & Awesome: Incorporating Positive Case-Based Discussion in Emergency Medicine Residency Curriculum to Improve Learning and Team Morale", "subtitle": null, "abstract": "Learning Objectives: 1. Discuss and analyze cases with exemplary team performance using root cause analysis and case reflection. 2. Demonstrate the importance of clinical learning opportunities from successful cases in medical education (Safety-II Thinking). 3. Value positive clinical cases to boost team morale\nIntroduction: While M&M has long been part of residency training, few programs dedicate time to highlight above-and-beyond patient care. With this learning gap identified, the Amazing and Awesome (A&A) didactic series was created and implemented. While Saves-of-the-Month awards recognize exemplary care, A&A provides a deeper inspection of the cases. Literature review of other programs with A&A focused on reframing the culture of medicine from Safety-I thinking (reacting to errors) to Safety-II thinking (learning from resilient systems and successful interventions). Currently, there is no data available to assess its perceived value by residents in their education or its impact on morale.\nObjectives: as above\nCurricular Design: At the Stanford EM residency program, we incorporated a monthly 30-minute session into our didactic curriculum. Two residents present the A&A case chosen as a “Save of the Month,” focusing on the contributions of the entire healthcare team-physicians, nurses, techs, pharmacist, consultants, etc. Each resident describes the case, highlighting key concepts, critical actions by the care team, and other contributing systems processes that led to the “Save” or exemplary performance. The resident shares the framework as clinical pearls for colleagues to apply in similar challenging clinical scenarios. After 6 total sessions, a survey was administered to residents to evaluate their perceived value of the didactics in their education. Ultimately 26/60 residents completed the survey. Unanimously, 100% of respondents reported A&A was a valuable addition to their curriculum, and 96% of respondents voted to keep A&A in the curriculum. Many comments focused on A&A’s positive impact on residency morale.\nImpact/Effectiveness: Our resident response to the Amazing and Awesome didactics in GME helps identify a gap in potential learning opportunity and potential morale improvement, and this series could easily be implemented by other programs.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8kh6n7d0", "frozenauthors": [ { "first_name": "Jessica", "middle_name": "", "last_name": "Smith", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Al’ai", "middle_name": "", "last_name": "Alvarez", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:59:44Z", "date_accepted": "2022-08-30T05:59:44Z", "date_published": "2022-09-07T02:59:25Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17390/galley/8844/download/" } ] }, { "pk": 17388, "title": "White Coat Study: Gender Bias in Emergency Medicine", "subtitle": null, "abstract": "Learning Objectives: Assess the prevalence of self-reported gender bias in EM physicians and strategies in personal care and appearance that are used to overcome them.\nBackground: Female and nonbinary (NB) emergency medicine (EM) physicians experience gender discrimination. We have limited data regarding how female and NB physicians overcome daily workplace barriers. Gender differences in attire and grooming may be part of a physician’s efforts to be appropriately credited as a physician by their patients.\nObjectives: Assess the prevalence of self-reported gender bias in EM physicians and strategies in personal care and appearance that are used to overcome them.\nMethods: This is an ongoing cross-sectional survey study of EM physicians at a representative sample of eight emergency departments across the U.S. Sites have been selected to represent diverse practice environments. An anonymous survey was developed through expert consensus and distributed electronically via email. Survey participants were asked to rate the frequency over the past one month of which they experienced gender-biased behaviors or engaged in activities to mitigate gender bias. Descriptive statistics and Mann-Whitney U test was used to compare across genders.\nResults: Preliminary analysis from a single urban academic center demonstrates an overall 37% response rate (59/159). 51.5% (31/59) of respondents identified as female or NB. 59% (35/59) of respondents were residents and 41% (24/59) attendings. See Table 1 for a detailed description of the frequency of which respondents encountered gender bias or engaged in activities to mitigate bias. Female and NB physicians reported experiencing sexist remarks and/or behavior by patients or their family members more often than male physicians. Additional results will be available at the time of the CORD AA to include data from other sites.\nConclusions: Early results demonstrate that female and NB physicians engage in more activities to reduce gender bias. These activities represent an additional mental burden and time commitment that may contribute to gender disparities in salaries, hiring practices, and retention.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4zn5c0p7", "frozenauthors": [ { "first_name": "Stacey", "middle_name": "", "last_name": "Frisch", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Emily", "middle_name": "", "last_name": "Cen", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Catherine", "middle_name": "", "last_name": "DeGuzman", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Shivani", "middle_name": "", "last_name": "Mody", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Arlene", "middle_name": "", "last_name": "Chung", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:57:25Z", "date_accepted": "2022-08-30T05:57:25Z", "date_published": "2022-09-07T02:58:18Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17388/galley/8842/download/" } ] }, { "pk": 17387, "title": "Towards an Explanatory Framework of Informal and Incidental Learning in Medical Education: A Deductive Analysis of Critical Incidents from Frontline Physicians Working During the COVID-19 Pandemic", "subtitle": null, "abstract": "Learning Objectives: Our study aims to describe how emergency medicine physicians engage in and rely on informal and incidental learning when working through the uncertainty of clinical practice.\nBackground: Informal learning is implicit, organic, and unstructured. Opportunities for informal learning arise in ill-structured, unstable environments where established processes may fail to provide a means of understanding situations or to develop strategies to problem-solve. We examined the Marsick and Watkins Model of Informal and Incidental Learning (IIL) as a framework to describe how physicians learn in the clinical environment, particularly when working through heightened uncertainty.\nObjective: Our study aims to describe how emergency medicine physicians engage in and rely on informal and incidental learning when working through the uncertainty of clinical practice.\nMethods: A qualitative deductive analysis of physicians’ narratives using the critical incident technique was conducted to gain an understanding of the components of IIL. Six frontline emergency medicine and six critical care physicians who worked during the height of the pandemic (March-June 2020) were interviewed. Investigators shortened narratives from recorded, transcribed interviews into cohesive, chronological stories using participants’ words. We applied codes from the IIL Model and engaged in constant comparative analysis to identify categories, patterns, and sequences of IIL.\nResults: Data suggest that the IIL Model and its components serve as an explanatory framework to describe physicians’ learning during uncertainty (Table 1). Consistent with previous research from the non-healthcare sector, the complexity of IIL is captured as cyclical, non-linear, non-sequential and highly intertwined with patient care.\nConclusions: Data from physicians’ critical incidents clarifies understanding of IIL when working through clinical uncertainty. The Marsick and Watkins Model offers an explanatory framework for how IIL may guide educational programming that links to stages of IIL to prime students for the learning they will engage in when in clinical practice.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0x83s0s5", "frozenauthors": [ { "first_name": "Dimitrios", "middle_name": "", "last_name": "Papanagnou", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Urvashi", "middle_name": "", "last_name": "Vaid", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Henriette", "middle_name": "", "last_name": "Lundgren", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Grace", "middle_name": "", "last_name": "Alcid", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Deborah", "middle_name": "", "last_name": "Ziring", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Karen", "middle_name": "", "last_name": "Watkins", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Victoria", "middle_name": "", "last_name": "Marsick", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:51:06Z", "date_accepted": "2022-08-30T05:51:06Z", "date_published": "2022-09-07T02:57:42Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17387/galley/8841/download/" } ] }, { "pk": 17386, "title": "The Leaky Pipeline in Emergency Medicine: Understanding Factors Pushing Women Away and Informing Interventions", "subtitle": null, "abstract": "Learning Objectives: Understand the environmental factors which influence selection of Emergency Medicine as a specialty by women medical students.\nBackground: Women represent 28.3% of EM physicians. There is now gender parity in US medical schools, but women applicants to EM ranges 33-37%. Prior research does not explain these gender differences. There are known differences in resident experiences and assessments based on gender.\nObjectives: We sought to explore how clinical experiences and perceptions of the specialty influence selection of EM by women.\nMethods: Using purposive and convenience sampling to represent diverse learning environments, we conducted semi-structured interviews of men and women US senior medical students who considered EM as a specialty. Interviews were transcribed, de-identified, and coded using constant comparative analysis until saturation. We conducted thematic analysis using a constructivist approach and grounded theory. Reflexivity and credibility activities were performed.\nResults: 25 students from 11 geographically diverse schools completed interviews. 68% (17/25) were women. The majority (21/25) expressed commitment to EM. Four main themes were identified: 1. EM culture was perceived as exclusionary; 2. Beliefs about attributes of EM physicians and the specialty were influenced by gender; 3. Distressing patient encounters and physician/staff behaviors negatively affected students; and 4. Access to mentors, representation and exposure to EM affected interest. Table 1.\nConclusions: The EM gender differential is affected by societal gender roles and an environment that rewards traditional masculine traits. Conflict with behavioral norms may hinder women forming their professional identity as an emergency physician. Potential interventions include recognizing the gendered perception of the field; establishing early, longitudinal mentoring and engagement with the specialty; and building a supportive culture to overcome mistreatment concerns. As for limitations, students hold multiple intersecting identities, and this study primarily focused on gender.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6mk1m3hr", "frozenauthors": [ { "first_name": "Nicole", "middle_name": "", "last_name": "Klekowski", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Sarah", "middle_name": "", "last_name": "Balgord", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Rosemarie", "middle_name": "", "last_name": "Diaz", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Alex", "middle_name": "", "last_name": "Farthing", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Sylvia", "middle_name": "", "last_name": "Escolero", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Koryanne", "middle_name": "", "last_name": "DeCloux", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "John", "middle_name": "", "last_name": "Burkhardt", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Mahshid", "middle_name": "", "last_name": "Abir", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Adrianne", "middle_name": "", "last_name": "Haggins", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Laura", "middle_name": "", "last_name": "Hopson", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:46:42Z", "date_accepted": "2022-08-30T05:46:42Z", "date_published": "2022-09-07T02:56:54Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17386/galley/8840/download/" } ] }, { "pk": 17385, "title": "The Impact of On Shift Evidence Based Medicine Activity on Patient Care", "subtitle": null, "abstract": "Learning Objectives: This project seeks to describe how on shift EBM activity by EM residents impacts clinical patient care.\nBackground: Evidence Based Medicine (EBM) skills allow EM providers to obtain and apply new information while on shift in the ED. The impact of using EBM on shift to patient care has not previously been described.\nObjective: This project seeks to describe how EBM activity by EM residents impacts clinical patient care.\nMethods: This IRB approved study was conducted by a PGY 1-4 EM residency. Residents are required to complete logs of on-shift EBM activity in the program’s procedure software system New InnovationsTM. The logs are a convenience sample, with an N of 3-5 per 28-day EM rotation. The logs include a patient description, clinical question, search strategy, information found, and subsequent application. Using qualitative methodology described by MacQueen (CAM 1998), a codebook was created to analyze resident free text to the prompt: “Based on your research, would you have done anything differently”. The coding framework is shown in Table One. Results are analyzed descriptively.\nResults: From June 2013 to May 2020, 11,145 discrete logs were identified. Of these, 571 were excluded (298 incomplete and 273 duplicate), leaving 10,574 logs for analysis. These logs were completed by 137 residents, of which 46 were female (34%). The 10 most utilized log codes (97.5%) are in Table One. The remaining 29 codes were 2.5% of the dataset. A total of 1977 (18.7%) logs affirmed that evidence researched will change their future practices. Of those, 392 (3.7%) explicitly stated their research influenced care while the patient was in the ED.\nConclusions: In this single site cohort, residents were able to successfully link EBM activity to individual patients using the program’s procedure recording software. In almost one fifth of this convenience sample, residents described how the activity changed their individual clinical practice of EM, with one in 27 changing patient care in real time. Logging EBM activity appears to generate ACGME outcomes data.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6q0772mm", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "", "last_name": "Brown", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Jacob", "middle_name": "", "last_name": "Albers", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Ajay", "middle_name": "", "last_name": "Varadhan", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Estelle", "middle_name": "", "last_name": "Cervantes", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Kashyap", "middle_name": "", "last_name": "Kaul", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Shreyas", "middle_name": "", "last_name": "Kudrimoti", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Philip", "middle_name": "", "last_name": "Shobba", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "William", "middle_name": "A", "last_name": "Spinosi", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Joseph", "middle_name": "B", "last_name": "Zackary", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Bryan", "middle_name": "", "last_name": "Kane", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:43:39Z", "date_accepted": "2022-08-30T05:43:39Z", "date_published": "2022-09-07T02:55:57Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17385/galley/8839/download/" } ] }, { "pk": 17384, "title": "Self-Compassion Predicts Intolerance of Uncertainty: A New Construct to Prepare Students for Clinical Uncertainty", "subtitle": null, "abstract": "Learning Objectives: Managing uncertainty represents a significant source of stress for clinicians and trainees. Self-compassion is a strategy to help individuals cope with stress. The objective of this study is to determine the relationship between intolerance of uncertainty and self-compassion in medical students.\nBackground: For clinicians, higher scores on the Intolerance of Uncertainty Scale (IUS) have been linked with failure to comply with evidence-based guidelines and higher likelihood of burnout. In contrast, higher self-compassion scores are correlated with decreased stress and burnout. A negative correlation between self-compassion and intolerance of uncertainty has been demonstrated in college students and general population. This relationship has not been examined in medical students and provides a possible curricular aim for addressing stress as they transition to clinical learning environments during clerkships.\nObjectives: The goal of our study is to determine if there is a correlation between intolerance of uncertainty and self-compassion in medical students.\nMethods: Third-year medical students (n=273) completed the IUS short version and the Self-Compassion Short Form (SCSF) through an online survey. Data was de-identified and a linear regression analysis was conducted to predict IUS based on SCSF. Pearson correlation was also calculated.\nResults: Response rate was 95% (259/273). IUS and SCSF scores were treated as continuous variables and analyzed parametrically. Mean scores for IUS and SCSF in medical students did not differ from previously reported means (p=0.14 and p=0.43 respectively). A significant regression equation was found (F(1,256) = 48.372, p<0.0001) with an R2 of 0.159. Pearson correlation was calculated at r = 0.399 (moderate effect size).\nConclusion: A significant negative correlation was found between intolerance of uncertainty and self-compassion (p<0.0001). While findings suggest that self-compassion predicts intolerance of uncertainty, future studies should examine its implications on the role of curriculum in preparing learners for clinical uncertainty.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7434f02j", "frozenauthors": [ { "first_name": "Maria", "middle_name": "", "last_name": "Poluch", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Dimitrios", "middle_name": "", "last_name": "Papanagnou", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Jordan", "middle_name": "", "last_name": "Feingold-Link", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Jared", "middle_name": "", "last_name": "Kilpatrick", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Deborah", "middle_name": "", "last_name": "Ziring", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Nethra", "middle_name": "", "last_name": "Ankam", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:39:03Z", "date_accepted": "2022-08-30T05:39:03Z", "date_published": "2022-09-07T02:55:03Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17384/galley/8838/download/" } ] }, { "pk": 17383, "title": "Perspectives in Post-Pandemic Employment for Emergency Medicine Trainees", "subtitle": null, "abstract": "Learning Objectives: To survey graduating EM residents on their perceptions of the EM job market and its effect on their desire to pursue fellowship training.\nBackground: The COVID-19 pandemic has resulted in changes to the emergency medicine (EM) workforce which pose challenges to residents graduating from EM training programs. New graduates face increasing uncertainty in the search for their first job. EM graduates in 2020 and 2021 saw a notable decrease in opportunities compared to years prior. ACEP’s Workforce Study (April 2021) predicts a surplus of emergency physicians by 2030. Objectives: To survey graduating EM residents on their perceptions of the EM job market and its effect on their desire to pursue fellowship training.\nMethods: We surveyed senior residents (PGY2 and above) at three- and four-year EM residency programs in the greater NYC area. Paper surveys were mailed out to each of the programs with a return envelope; a virtual link to complete the survey was also made available. Surveys were distributed from August 2021 to November 2021 to 22 EM residency programs (695 residents). Participation was voluntary and anonymous. The only demographic information gathered was program name and PGY level.\nResults: A total of 412 senior residents from the 22 EM residency programs completed the survey. Of the 412 seniors, 183 were PGY2s, 174 were PGY3s, and 55 were PGY4s and 5s (we included responses from residents in combined EM/IM programs). Survey questions and results are summarized in Table 1. Compared to colleagues in previous years, graduating EM residents anticipated broadening their job search. 58% of those considering fellowship after residency stated that their interest in fellowship has increased due to anticipated challenges in the job market (difficulty securing a full-time attending position).\nConclusions: The majority of senior residents expressed concern about the current and future EM job market. How and where EM graduates apply for jobs may be impacted as a result. These data may prove valuable to residency programs, institutions, physician groups, and EM-bound medical students.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/34j9t957", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "", "last_name": "Kaminsky", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Josh", "middle_name": "", "last_name": "Greenstein", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Aron", "middle_name": "", "last_name": "Friedlander", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Summer", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Waqar", "middle_name": "", "last_name": "Khalid", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Dimitri", "middle_name": "", "last_name": "Livshits", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Brenda", "middle_name": "", "last_name": "Sokup", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Benjamin", "middle_name": "", "last_name": "Fombonne", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Jeremy", "middle_name": "", "last_name": "Hardin", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Abbas", "middle_name": "", "last_name": "Husain", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:36:08Z", "date_accepted": "2022-08-30T05:36:08Z", "date_published": "2022-09-07T02:53:57Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17383/galley/8837/download/" } ] }, { "pk": 17381, "title": "Guided Imagery: An adjunct to teaching central venous access", "subtitle": null, "abstract": "Learning Objectives: Introduce guided imagery as a novel approach to education and simulation in graduate medical education.\nBackground: Guided imagery is commonly used in sports psychology for post-injury rehabilitation, rep-max movements, and muscle activation as part of a multifaceted approach to learning. Utilization of guided imagery combined with traditional teaching may provide an innovative and comprehensive approach to graduate medical education.\nObjectives: To show greater proficiency in medical students’ ability to obtain central venous access in simulation trainers following exposure to guided imagery teaching methods in comparison to traditional methods.\nMethods: Auditioning fourth year medical students were offered the opportunity to participate. They were randomly assigned to two groups, traditional teaching or guided imagery teaching. The traditional teaching group watched a video using traditional methods. The guided imagery group watched a video which also incorporated visualization components, and biofeedback. Proctors blinded to student group assignment then observed each student place an intrajugular triple lumen catheter on a simulation trainer and filled out a standardized rubric. Additionally, participants filled out survey questions before and after the video and again after line placement.\nResults: A total of 60 medical students participated; 2 were excluded for having performed 5 or more lines previously. There was no difference in the two groups in self perceived competence prior to watching the video or in the number of lines they had previously performed. The traditional group (n=33) averaged 2.2 errors/need for intervention whereas the guided imagery group (n=25) averaged 1.3 errors/need for intervention (p=.045, 95%CI 0.02 to 1.61). There was no statistical significance in total time or in students’ self-rated confidence post this experience.\nConclusion: The use of guided imagery may be a promising adjunct to traditional teaching methods for procedures in graduate medical education.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/40t823x4", "frozenauthors": [ { "first_name": "Sydney", "middle_name": "", "last_name": "Cryder", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Stephen", "middle_name": "", "last_name": "Jensen", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Hysell", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "McCarthy", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Kristen", "middle_name": "", "last_name": "Whitworth", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:24:44Z", "date_accepted": "2022-08-30T05:24:44Z", "date_published": "2022-09-07T02:52:42Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17381/galley/8835/download/" } ] }, { "pk": 17380, "title": "A National Survey of Emergency Medicine Medical Education Fellowship Directors: Roles, Responsibilities, and Priorities", "subtitle": null, "abstract": "Learning Objectives: The goal of this study is to characterize the roles, responsibilities, and support for MedEd fellowship directors.\nIntroduction: Despite Medical Education (MedEd) Fellowships increasing in number, the position of MedEd fellowship director remains poorly defined.\nMethods: We developed and piloted an anonymous electronic survey, consisting of 32 Likert-type and free response items, that we distributed via the CORD MedEd Fellowship Community of Practice listserv. We used descriptive statistics to analyze data from items with discrete answer choices. Chi-squared testing was used to evaluate differences between programs. Using a constructivist paradigm, we performed a thematic analysis of free response data.\nResults: Thirty-five of 44 MedEd fellowship directors (80%) completed the survey. Thirty-seven percent of respondents were female (13/35). Fifty-one percent earned Master’s degrees in education and 37% completed a MedEd fellowship. Many respondents held other education leadership roles, including program director (PD) (26%), associate/assistant PD (26%), vice chair (23%), and clerkship director (9%). Sixty-three percent (22/35) receive support, including clinical buy-down (18/22, 82%), administrative (11/22, 50%), and salary (1/22, 5%). There was no difference (X2 (2, N=33) = 2.07, p = 0.36) between support and type of hospital (community, academic, or county). Responsibilities of MedEd fellowship directors include education (median 35% of time), administration (25%), research mentorship (20%), and recruitment (14%). Priorities of MedEd fellowship directors fall into three categories, including fellow, fellowship, and institution (Table 1). Factors promoting and inhibiting success of fellowship programs are presented in Table 2.\nConclusions: This study provides insight into the position of the MedEd fellowship director. We hope it will allow for role clarity as well as national and local advocacy as the demand for MedEd fellowship directors increases.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4w78p0r9", "frozenauthors": [ { "first_name": "Andrew", "middle_name": "", "last_name": "Golden", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Diller", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Jeff", "middle_name": "", "last_name": "Ridell", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Jaime", "middle_name": "", "last_name": "Jordan", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Mike", "middle_name": "", "last_name": "Gisondi", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Ahn", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-30T05:21:21Z", "date_accepted": "2022-08-30T05:21:21Z", "date_published": "2022-09-07T02:52:01Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17380/galley/8834/download/" } ] }, { "pk": 17244, "title": "Resident Clinical Exposure Variability at Graduation", "subtitle": null, "abstract": "Learning Objectives: To quantify individual differences in resident clinical exposure during training at a 3-year academic emergency medicine residency.Background: Experiential learning theory suggests that clinical exposures during residency are critical to developing expertise. Research in other specialties has shown significant individual differences in resident clinical exposures during training, but this has not been recently evaluated in emergency medicine (EM).\nObjective: To quantify individual differences in resident clinical exposure during training at a 3-year academic emergency medicine residency.\nMethods: We performed a retrospective review of electronic health records from 2013-2021 at our main clinical site (of four) to quantify the number and type of clinical encounters seen by each resident. Visits were attributed to the first assigned resident. We included data from residents who completed all three years of residency consecutively. We categorized primary patient chief complaints according to the 20 domains of the ABEM Model of Clinical Practice following a published consensus method with EM faculty. We calculated and reported descriptive statistics.\nResults: We collected data from 70 residents. Means and ranges of exposures in the top 10 most commonly identified domains are displayed in Figure 1.\nConclusions: We found variability in resident clinical exposures at our primary training site. Residencies may benefit from examining resident clinical exposures to identify opportunities for individual resident improvements.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Abstracts", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0tc8c4q5", "frozenauthors": [ { "first_name": "Benjamin", "middle_name": "", "last_name": "Schnapp", "name_suffix": "", "institution": "UC Irvine", "department": "None" }, { "first_name": "Lauren", "middle_name": "", "last_name": "McCafferty", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Corlin", "middle_name": "", "last_name": "Jewell", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Dan", "middle_name": "", "last_name": "Hekman", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Aaron", "middle_name": "", "last_name": "Kraut", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-23T18:29:41Z", "date_accepted": "2022-08-23T18:29:41Z", "date_published": "2022-09-07T02:49:29Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/17244/galley/8715/download/" } ] }, { "pk": 54599, "title": "Author Biographies", "subtitle": null, "abstract": "Aleph: Undergraduate Research Journal for the Humanities and Social Sciences", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Author Biographies", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6pv1286p", "frozenauthors": [ { "first_name": "Aleph", "middle_name": "", "last_name": "Aleph", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2022-09-02T17:57:56Z", "date_accepted": "2022-09-02T17:57:56Z", "date_published": "2022-09-02T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alephucla/article/54599/galley/41144/download/" } ] }, { "pk": 54597, "title": "Letter from the Editors", "subtitle": null, "abstract": "Aleph: Undergraduate Research Journal for the Humanities and Social Sciences", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Letter from the Editor", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0845g5xg", "frozenauthors": [ { "first_name": "Marisol and Celena", "middle_name": "", "last_name": "Huerta-Ontiveros and Castelnuovo-Tedesco", "name_suffix": "", "institution": "", "department": "" }, { "first_name": "Marisol", "middle_name": "", "last_name": "Huerta-Ontiveros", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2022-09-02T17:47:57Z", "date_accepted": "2022-09-02T17:47:57Z", "date_published": "2022-09-02T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alephucla/article/54597/galley/41142/download/" } ] }, { "pk": 3914, "title": "Russian Egyptology (1914-1945)", "subtitle": null, "abstract": "The period from 1914 to 1945 in the history of Russia is marked with a number of major shocks: World War I, the revolution of 1917 and the following civil war, the establishment of a totalitarian ideological rule accompanied with terror, and the participation of the USSR in World War II (the Great Patriotic War). They all deeply affected the Russian (Soviet) scholarship including Egyptology. The tradition of the earlier, imperial period continued until the early 1920s in the research of Vladimir Golenischeff outside Russia and, briefly, in the work of Boris Turaev and his students. It so happened that this generation of Russian Egyptologists became actually extinct, and the Egyptological school had to be shaped anew in the time of post-revolutionary reconstruction. This process was influenced in the 1920s with what might be defined as “modernist” trends; but a new standing tradition emerged only in the 1930s, largely due to the efforts of Vassiliy Struve. This scholar of a pre-revolutionary breed luckily combined his good training with a grasp of topical ideology, i.e. the Soviet Marxist historical scheme. This meant a greater shift in research towards socio-economic issues, though other themes were not ignored. At the same time, the 1930s saw the beginning of research by Yuri Perepyolkin, whose specific method was developed further in the works of the Leningrad/St. Petersburg Egyptological school in the second half of the 20th century.", "language": "en", "license": null, "keywords": [], "section": "Egyptology, History of Study", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1bj5037j", "frozenauthors": [ { "first_name": "Ivan", "middle_name": "", "last_name": "Ladynin", "name_suffix": "", "institution": "Lomonosov Moscow State University", "department": "None" } ], "date_submitted": "2020-12-11T16:53:09Z", "date_accepted": "2020-12-11T16:53:09Z", "date_published": "2022-09-02T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/nelc_uee/article/3914/galley/2512/download/" } ] }, { "pk": 54596, "title": "Table of Contents", "subtitle": null, "abstract": "Aleph: Undergraduate Research Journal for the Humanities and Social Sciences", "language": "en", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [], "section": "Table of Contents", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2mw4m3nw", "frozenauthors": [ { "first_name": "Aleph", "middle_name": "", "last_name": "Aleph", "name_suffix": "", "institution": "", "department": "" } ], "date_submitted": "2022-09-02T17:44:28Z", "date_accepted": "2022-09-02T17:44:28Z", "date_published": "2022-09-02T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/alephucla/article/54596/galley/41141/download/" } ] }, { "pk": 41456, "title": "Huanglongbing in Bangladesh: A Pilot Study for Disease Incidence, Pathogen Detection, and its Genetic Diversity", "subtitle": null, "abstract": "Huanglongbing (HLB), also known as citrus greening, is the most serious disease affecting citrus production in Asia, Africa, the Americas, and the Arabian Peninsula. HLB is associated with the α-Proteobacteria “\nCandidatus\nLiberibacter asiaticus” (\nC\nLas), “\nCa.\n L. africanus” (\nC\nLaf), and “\nCa.\n L. americanus” (\nC\nLam). The Bangladesh citrus industry comprises mandarins, sweet oranges, pummelos, limes, and lemons. In 2017-2018, a survey was conducted for two consecutive years in 18 sweet orange growing areas of Bangladesh, and the presence of \nC\nLas in these areas was confirmed by polymerase chain reaction. HLB incidence and severity were assessed based on leaf symptoms. The results unveiled a widespread prevalence of HLB with incidence ranging between 0.08 and 56% and severity between 1.80 and 28.33. Information on the genetic diversity of \nC\nLas Bangladeshi isolates was obtained based on the presence or absence of Type 1 (SC1, NC_019549.1) and Type 2 (SC2, NC_019550.1) prophages. \nIn silico\n phylogenetic analyses based on Type 1 and Type 2 prophage sequences showed the presence of four and three clusters of \nC\nLas isolates, respectively. Combined phylogenetic analyses of Type 1 and Type 2 prophages indicated the existence of four clusters of \nC\nLas isolates. Bangladeshi \nC\nLas isolates were found to harbor multiple copies of prophages. The diversity analysis revealed different \nC\nLas isolates distributed to different citrus growing areas, indicating spread through propagated materials.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Candidatus Liberibacter asiaticus, Citrus, Survey, Severity" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4r1145dk", "frozenauthors": [ { "first_name": "Mohammad", "middle_name": "Rashidul", "last_name": "Islam", "name_suffix": "", "institution": "Department of Plant Pathology, Bangladesh Agricultural University, Mymensingh-2202, Bangladesh", "department": "None" }, { "first_name": "Mohammad", "middle_name": "Mahbubul", "last_name": "Haque", "name_suffix": "", "institution": "Department of Plant Pathology, Bangladesh Agricultural University", "department": "None" }, { "first_name": "Hafsa", "middle_name": "", "last_name": "Khatun", "name_suffix": "", "institution": "Department of Plant Pathology, Bangladesh Agricultural University", "department": "None" }, { "first_name": "Jhutan", "middle_name": "", "last_name": "Sarker", "name_suffix": "", "institution": "Citrus Research Centre, Jaintapur, Sylhet, Bangladesh", "department": "None" }, { "first_name": "Yanjing", "middle_name": "", "last_name": "Wang", "name_suffix": "", "institution": "Department of Entomology, South China Agricultural University, Wushan Road-483, 510642, Guangzhou, Guangdong, China", "department": "None" }, { "first_name": "Weizheng", "middle_name": "", "last_name": "Ke", "name_suffix": "", "institution": "Department of Entomology, South China Agricultural University", "department": "None" }, { "first_name": "Yijing", "middle_name": "", "last_name": "Cen", "name_suffix": "", "institution": "Department of Entomology, South China Agricultural University", "department": "None" }, { "first_name": "Irene", "middle_name": "", "last_name": "Lavagi-Craddock", "name_suffix": "", "institution": "Department of Microbiology and Plant Pathology, University of California Riverside, 900 University Avenue, Riverside, CA, U.S.A.", "department": "None" }, { "first_name": "Xiaoling", "middle_name": "", "last_name": "Deng", "name_suffix": "", "institution": "Key Laboratory of Microbial Signals and Disease Control, South China Agricultural University", "department": "None" } ], "date_submitted": "2021-04-06T16:31:29Z", "date_accepted": "2021-04-06T16:31:29Z", "date_published": "2022-09-01T02:49:36Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41456/galley/31034/download/" } ] }, { "pk": 45530, "title": "Auricular Acupuncture Using Battlefield Acupuncture Protocol Following Total Knee Arthroplasty", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Original Research" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3b22g0sc", "frozenauthors": [ { "first_name": "Christopher", "middle_name": "", "last_name": "Brophy", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Brown", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "Droessler", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Lynn", "middle_name": "", "last_name": "Chang", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Kunal", "middle_name": "", "last_name": "Kamboj", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Johnel", "middle_name": "", "last_name": "Mayberry", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Kim", "middle_name": "", "last_name": "Vu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mojgan", "middle_name": "", "last_name": "Saber", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Rebecca", "middle_name": "", "last_name": "Ovsiowitz", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T19:53:34Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45530/galley/34316/download/" } ] }, { "pk": 45529, "title": "Cyclophosphamide and Acute Hyponatremia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9q574258", "frozenauthors": [ { "first_name": "Susan", "middle_name": "D.", "last_name": "Leondard", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T18:41:16Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45529/galley/34315/download/" } ] }, { "pk": 45528, "title": "A Case of Subacute Dyspnea: Pulmonary Tumor Embolism", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/45f767q6", "frozenauthors": [ { "first_name": "Zerina", "middle_name": "", "last_name": "Hodzic", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T18:40:02Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45528/galley/34314/download/" } ] }, { "pk": 45526, "title": "A Case of Severe Coronary Artery Disease in a Patient with a Coronary Artery Calcium Score of Zero", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/42b983xx", "frozenauthors": [ { "first_name": "Christine", "middle_name": "", "last_name": "Sun", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Alanna", "middle_name": "", "last_name": "Chau", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T18:38:17Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45526/galley/34312/download/" } ] }, { "pk": 45525, "title": "Superior Vena Cava Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9004b42p", "frozenauthors": [ { "first_name": "Adam", "middle_name": "", "last_name": "Solis-Cohen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Farid", "middle_name": "", "last_name": "Abdelmalak", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T18:36:41Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45525/galley/34311/download/" } ] }, { "pk": 45524, "title": "IgG4-Related Esophagitis: 3 Interesting Cases", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/88w402xt", "frozenauthors": [ { "first_name": "Marc", "middle_name": "", "last_name": "Kaneshiro", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mihir", "middle_name": "", "last_name": "Bikhchandani", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Guy", "middle_name": "A.", "last_name": "Weiss", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T18:35:03Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45524/galley/34310/download/" } ] }, { "pk": 45523, "title": "Erythromelalgia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6tc0x0sn", "frozenauthors": [ { "first_name": "Rania", "middle_name": "", "last_name": "Shammas", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T18:30:28Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45523/galley/34309/download/" } ] }, { "pk": 45522, "title": "Hyperinflammation Malnutrition Syndrome in a Patient with DLBCL", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0xh8z780", "frozenauthors": [ { "first_name": "Anita", "middle_name": "", "last_name": "Kaul", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mashid", "middle_name": "", "last_name": "Mosallaei-Benjamin", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-31T18:29:10Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45522/galley/34308/download/" } ] }, { "pk": 90, "title": "Complexity vs. salience of alternatives in implicature: A cross-linguistic investigation", "subtitle": null, "abstract": "Scalar implicature depends on the activation of alternatives. For instance, in English, <i>finger </i>implicates 'not thumb', suggesting that <i>thumb </i>is an activated alternative. Is this because it is more specific (Quantity) and equally short (Manner)? Indeed, <i>toe </i>doesn't imply 'not big toe', perhaps because <i>big toe</i> is longer. As L. Horn points out, this Quantity/Manner explanation predicts that if English had the simplex Latin word <i>pollex </i>meaning 'thumb or big toe', then the asymmetry would disappear. But would it suffice for that word to exist in the language, or would the word also have to be sufficiently salient? We explore this question in four languages that are sometimes said to lack a single-word alternative for thumb: Spanish (which does have <i>pulgar</i> 'thumb or big toe' (< <i>pollex</i>), though it is a non-colloquial form), Russian, Persian, and Arabic. To gauge the salience of various ways of describing digits, we use a fill-in-the-blank production task. We then measure the availability of implicatures using a forced choice comprehension task. We find cross-linguistic differences in implicature, and moreover that implicature calculation tracks production probabilities more closely than structural complexity of the alternatives. A comparison between two Rational Speech Act models—one in which the speaker replicates our production data and a standard one in which the speaker chooses based on a standard cost/accuracy trade-off—shows that comprehension is more closely tied to production probability than to the complexity of alternatives. ", "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/9gh7r8g7", "frozenauthors": [ { "first_name": "Danielle", "middle_name": "", "last_name": "Dionne", "name_suffix": "", "institution": "Boston University", "department": "Linguistics" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Coppock", "name_suffix": "", "institution": "Boston University", "department": "Linguistics" } ], "date_submitted": "2021-10-23T00:32:47.861000Z", "date_accepted": "2022-07-02T18:23:35.215000Z", "date_published": "2022-08-29T14:05:00Z", "render_galley": { "label": "Updated XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/90/galley/28/download/" }, "galleys": [ { "label": "Updated PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/90/galley/27/download/" }, { "label": "Updated XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/90/galley/28/download/" } ] }, { "pk": 39828, "title": "Updates to Szeptycki’s check-list of the Protura of the World", "subtitle": null, "abstract": "After 15 years from its publication, the Szeptycki’s check-list of the Protura of the World has been updated. Five new genera and 98 new species since then were added. New taxonomical combinations have been adopted. Updates to the species distribution were also added. Globally, the new list shows 831 species belonging to 77 genera arranged in seven families and three orders.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Acerentomata, Eosentomata, Sinentomata, global species richness" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1j82p1gq", "frozenauthors": [ { "first_name": "Loris", "middle_name": "", "last_name": "Galli", "name_suffix": "", "institution": "Genoa University", "department": "None" } ], "date_submitted": "2022-07-21T12:58:43Z", "date_accepted": "2022-07-21T12:58:43Z", "date_published": "2022-08-29T13:51:51Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/biogeographia/article/39828/galley/29999/download/" } ] }, { "pk": 57192, "title": "[Solution] End-to-end Scheduling of Real-time Task Pipelines on Multiprocessors", "subtitle": null, "abstract": "Task pipelines are common in today’s embedded systems, as data moves from source to sink in sensing-processing-actuation task chains. A real-time task pipeline is constructed by connecting a series of periodic tasks with data buffers. In a time-critical system, end-to-end timing and data-transfer properties of a task pipeline must be guaranteed. A guarantee could be mathematically expressed by assigning constraints to the tasks of a pipeline. However, deriving task scheduling parameters to meet end-to-end guarantees is an NP-hard constraint optimization problem. Hence, a traditional constraint solver is not a suitable runtime solution.\nIn this paper, we present a heuristic constraint solver algorithm, CoPi, to derive the execution times and periods of pipelined tasks that meet the end-to-end constraints and schedulability requirements. We consider two upper bound constraints on a task pipeline: end-to-end delay and loss-rate. After satisfying these constraints, CoPi schedules a pipeline as a set of asynchronous and data independent periodic tasks, under the rate-monotonic scheduling algorithm. Simulations show that CoPi has a comparable pipeline acceptance ratio and significantly better runtime than open-source MINLPsolvers. Furthermore, we use CoPi to map multiple task pipelines to a multiprocessor system. We demonstrate that a partitioned multiprocessor scheduling algorithm coupled with CoPi accommodates dynamically appearing pipelines, while attempting to minimize task migrations.", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "real-time computing" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2h11n6xj", "frozenauthors": [ { "first_name": "Soham", "middle_name": "", "last_name": "Sinha", "name_suffix": "", "institution": "Department of Computer Science\nBoston University", "department": "" }, { "first_name": "Richard", "middle_name": "", "last_name": "West", "name_suffix": "", "institution": "Department of Computer Science\nBoston University", "department": "" } ], "date_submitted": "2022-08-29T05:36:18Z", "date_accepted": "2022-08-29T05:36:18Z", "date_published": "2022-08-29T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jsys/article/57192/galley/43389/download/" } ] }, { "pk": 16217, "title": "Race and Other Disparate Demographic Variables Identified Among Emergency Department Boarders", "subtitle": null, "abstract": "Introduction:\n Emergency department (ED) boarding, the process of holding patients in the ED due to a lack of inpatient beds after the decision is made to admit, has profound consequences. Increased ED boarding times are associated with adverse patient outcomes, including increased mortality. While previous studies have demonstrated racial disparities with regard to ED boarding, current literature lacks insight into discrepancies that may exist among other demographic groups as it pertains to ED boarding. We sought to review ED boarding times differentiated by demographic characteristics.\nMethods:\n We conducted a retrospective review of all ED admissions from an academic ED in the Southeast from April–September 2019. The primary outcome assessed was boarding time, defined as time from decision to admit to ED departure. Patient demographic data including race, gender, and age were collected and analyzed. We performed descriptive statistics and chi-square analyses. \nResults:\n The study population included 17,606 patients with a mean age of 56.3. Nearly half (49.8%) of the patients were female. Additionally, 43.8% of patients were Black and 48.6% White. For all admissions, there was no difference in mean boarding time among Black and White patients (5.2 ± 8.8 vs 5.2 ± 8.2 hours, P = 0.11). Among Emergency Severity Index (ESI) level I admissions, Black patients boarded longer than White patients (4.1 ± 0.3 vs 2.7 ± 0.3 hours, P = 0.009). Black patients also boarded significantly longer than White patients for psychiatric admissions (22.7 ± 23.7 vs 18.5 ± 19.4 hours, P <0.05). For all admissions, males boarded longer than females (5.5 ± 8.5 vs 4.9 ± 8.2 hours, P <.0001). Patients older than 75 boarded for less time (3.8 ± 6.2 hours) compared to younger groups (15-24: 6.4 ± 10.8 hours; 25-44: 6.6 ± 10.8; 45-64: 5.0 ± 7.6; and 64-75: 4.7 ± 6.7; all P <.05). \nConclusion: \nThis analysis demonstrated significant differences in ED boarding times between races among psychiatric and ESI I admissions, gender, and age. This data provides insight into differences in ED boarding times among demographic groups and provides a focal point for examining possible factors contributing to the observed differences.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "ED Boarding" }, { "word": "racial disparities" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9g61x95x", "frozenauthors": [ { "first_name": "Robert", "middle_name": "C.", "last_name": "Ruffo", "name_suffix": "", "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "Erin", "middle_name": "F.", "last_name": "Shufflebarger", "name_suffix": "", "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "James", "middle_name": "S.", "last_name": "Booth", "name_suffix": "", "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" }, { "first_name": "Lauren", "middle_name": "A.", "last_name": "Walter", "name_suffix": "", "institution": "University of Alabama at Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama", "department": "None" } ], "date_submitted": "2021-12-15T19:32:31Z", "date_accepted": "2021-12-15T19:32:31Z", "date_published": "2022-08-29T01:58:14Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16217/galley/8137/download/" } ] }, { "pk": 16184, "title": "Pain Assessment in the Emergency Department: A Prospective Videotaped Study", "subtitle": null, "abstract": "Introduction:\n Research suggests that pain assessment involves a complex interaction between patients and clinicians. We sought to assess the agreement between pain scores reported by the patients themselves and the clinician’s perception of a patient’s pain in the emergency department (ED). In addition, we attempted to identify patient and physician factors that lead to greater discrepancies in pain assessment.\nMethods: \nWe conducted a prospective observational study in the ED of a tertiary academic medical center. Using a standard protocol, trained research personnel prospectively enrolled adult patients who presented to the ED. The entire triage process was recorded, and triage data were collected. Pain scores were obtained from patients on a numeric rating scale of 0 to 10. Five physician raters provided their perception of pain ratings after reviewing videos. \nResults:\n A total of 279 patients were enrolled. The mean age was 53 years. There were 141 (50.5%) female patients. The median self-reported pain score was 4 (interquartile range 0-6). There was a moderately positive correlation between self-reported pain scores and physician ratings of pain (correlation coefficient, 0.46; P <0.001), with a weighted kappa coefficient of 0.39. Some discrepancies were noted: 102 (37%) patients were rated at a much lower pain score, whereas 52 (19%) patients were given a much higher pain score from physician review. The distributions of chief complaints were different between the two groups. Physician raters tended to provide lower pain scores to younger (P = 0.02) and less ill patients (P = 0.008). Additionally, attending-level physician raters were more likely to provide a higher pain score than resident-level raters (P <0.001).\nConclusion:\n Patients’ self-reported pain scores correlate positively with the pain score provided by physicians, with only a moderate agreement between the two. Under- and over-estimations of pain in ED patients occur in different clinical scenarios. Pain assessment in the ED should consider both patient and physician factors.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "emergency department" }, { "word": "triage" }, { "word": "pain assessment" }, { "word": "agreement" } ], "section": "Emergency Department Operations", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6599j2tv", "frozenauthors": [ { "first_name": "Hao-Ping", "middle_name": "", "last_name": "Hsu", "name_suffix": "", "institution": "National Taiwan University, College of Medicine, Department of Medicine, Taipei, Taiwan", "department": "None" }, { "first_name": "Ming-Tai", "middle_name": "", "last_name": "Cheng", "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": "None" }, { "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": "None" }, { "first_name": "Yun Chang", "middle_name": "", "last_name": "Chen", "name_suffix": "", "institution": "National Taiwan University Hospital Yun-Lin Branch, Department of Emergency Medicine, Hsinchu, Taiwan", "department": "None" }, { "first_name": "Edward Che-Wei", "middle_name": "", "last_name": "Liao", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan", "department": "None" }, { "first_name": "Chih-Wei", "middle_name": "", "last_name": "Sung", "name_suffix": "", "institution": "National Taiwan University Hospital Hsin-Chu Branch, Department of Emergency Medicine, Hsinchu, Taiwan", "department": "None" }, { "first_name": "Chiat Qiao", "middle_name": "", "last_name": "Liew", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan", "department": "None" }, { "first_name": "Dean-An", "middle_name": "", "last_name": "Ling", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan", "department": "None" }, { "first_name": "Chia-Hsin", "middle_name": "", "last_name": "Ko", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan", "department": "None" }, { "first_name": "Nai-Wen", "middle_name": "", "last_name": "Ku", "name_suffix": "", "institution": "National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan", "department": "None" }, { "first_name": "Li-Chen", "middle_name": "", "last_name": "Fu", "name_suffix": "", "institution": "National Taiwan University, Department of Computer Science and Information Engineering, Taipei, Taiwan", "department": "None" }, { "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": "None" }, { "first_name": "Chu-Lin", "middle_name": "", "last_name": "Tsai", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2021-12-05T06:50:04Z", "date_accepted": "2021-12-05T06:50:04Z", "date_published": "2022-08-28T20:30:59Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16184/galley/8115/download/" } ] }, { "pk": 45521, "title": "Urinary Retention as a Cause of Acute Hyponatremia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/09n21936", "frozenauthors": [ { "first_name": "Zerina", "middle_name": "", "last_name": "Hodzic", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T16:06:16Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45521/galley/34306/download/" } ] }, { "pk": 45519, "title": "Chronic Arm Pruritus", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/767259g7", "frozenauthors": [ { "first_name": "Lorraine", "middle_name": "", "last_name": "Anderson", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Samantha", "middle_name": "", "last_name": "Swain", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T16:04:36Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45519/galley/34305/download/" } ] }, { "pk": 45518, "title": "Pruritus in the Older Adult: Diagnostic Approach and Treatment Considerations", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0720v321", "frozenauthors": [ { "first_name": "Nolan", "middle_name": "J.", "last_name": "Maloney", "name_suffix": "BS", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Mary", "middle_name": "B.", "last_name": "White", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Sarah", "middle_name": "A.", "last_name": "Tubbesing", "name_suffix": "MD, MSc", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T16:02:31Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45518/galley/34304/download/" } ] }, { "pk": 45517, "title": "A Hard Pill to Swallow", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2vf5m4pc", "frozenauthors": [ { "first_name": "Maristela", "middle_name": "", "last_name": "Garcia", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Grace", "middle_name": "I.", "last_name": "Chen", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T16:01:01Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45517/galley/34303/download/" } ] }, { "pk": 45516, "title": "Identification of Muir-Torre Syndrome in a Patient with HIV/HBV Coinfection", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0ds7k7mf", "frozenauthors": [ { "first_name": "Ladan", "middle_name": "", "last_name": "Shahabi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Logan", "middle_name": "W.", "last_name": "Thomas", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Makana", "middle_name": "D.", "last_name": "Williams", "name_suffix": "BS", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:59:52Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45516/galley/34302/download/" } ] }, { "pk": 45515, "title": "Vertigo and Headache as an Initial Presentation of Von Hippel-Lindau", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/71m5j8hn", "frozenauthors": [ { "first_name": "Kritika", "middle_name": "", "last_name": "Reddy", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Biayna", "middle_name": "", "last_name": "Zelimkhanian", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:57:41Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45515/galley/34301/download/" } ] }, { "pk": 45514, "title": "A Rare and Interesting Case of Cardiac Amyloidosis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6ws5k698", "frozenauthors": [ { "first_name": "Ramin", "middle_name": "", "last_name": "Assadi", "name_suffix": "MD, FACC", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Ramtin", "middle_name": "", "last_name": "Anousheh", "name_suffix": "MD, MPH", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:53:47Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45514/galley/34300/download/" } ] }, { "pk": 45513, "title": "Spontaneous Pneumomediastinum (Hamman’s Syndrome): A Rare Cause of Chest Pain During Labor and Delivery", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/64n6v81t", "frozenauthors": [ { "first_name": "Mark", "middle_name": "", "last_name": "Goh", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "David", "middle_name": "", "last_name": "Khandabi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:51:05Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45513/galley/34299/download/" } ] }, { "pk": 45512, "title": "Epiploic Appendagitis: A Mimic of Acute Diverticulitis and Acute Appendicitis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/35x0j9x5", "frozenauthors": [ { "first_name": "Joel", "middle_name": "", "last_name": "Thomas", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:49:19Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45512/galley/34298/download/" } ] }, { "pk": 45511, "title": "Mesenteric Vein Thrombosis in Setting of Oral Contraceptive Use", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5bb9n7q7", "frozenauthors": [ { "first_name": "Joel", "middle_name": "", "last_name": "Thomas", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:47:24Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45511/galley/34296/download/" } ] }, { "pk": 45509, "title": "Alpelisib Induced Hyperglycemia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7hr8x1nv", "frozenauthors": [ { "first_name": "Jeffrey", "middle_name": "", "last_name": "Wei", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Jennifer", "middle_name": "", "last_name": "Fuh", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:12:26Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45509/galley/34295/download/" } ] }, { "pk": 45508, "title": "A Classic Case of Transient Global Amnesia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5164f1vf", "frozenauthors": [ { "first_name": "Elysia", "middle_name": "H.", "last_name": "Chin", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:11:07Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45508/galley/34294/download/" } ] }, { "pk": 45507, "title": "Case Report of an Integrative East-West Approach to Burning Mouth Syndrome", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9sv310xs", "frozenauthors": [ { "first_name": "Aloukika", "middle_name": "", "last_name": "Shah", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Katie", "middle_name": "", "last_name": "Hu", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:09:59Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45507/galley/34293/download/" } ] }, { "pk": 45506, "title": "A Rare Complication of Herpes Simplex Virus Encephalitis", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0wq995gq", "frozenauthors": [ { "first_name": "Esther", "middle_name": "", "last_name": "Joo", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Alexandra", "middle_name": "", "last_name": "Ly", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:08:25Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45506/galley/34292/download/" } ] }, { "pk": 45503, "title": "Anesthetic Considerations in a Patient with Type III Spinal Muscular Atrophy", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8jr459cd", "frozenauthors": [ { "first_name": "Kevin", "middle_name": "", "last_name": "Xu", "name_suffix": "MS4", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Elizabeth", "middle_name": "", "last_name": "Tsai", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Fei", "middle_name": "", "last_name": "Zheng-Ward", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:06:49Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45503/galley/34289/download/" } ] }, { "pk": 45502, "title": "Angioinvasive Mucormycosis Masking as Stroke", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8sc9n1p0", "frozenauthors": [ { "first_name": "Evelyn", "middle_name": "", "last_name": "Shen", "name_suffix": "", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Courtney", "middle_name": "", "last_name": "DeCan", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Brian", "middle_name": "", "last_name": "Van Den Burg", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:03:26Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45502/galley/34288/download/" } ] }, { "pk": 45501, "title": "Extramammary Paget Disease of the Scrotum – Be on the Lookout", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/04t448f5", "frozenauthors": [ { "first_name": "Aldo", "middle_name": "", "last_name": "Ilarde", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-25T15:01:27Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45501/galley/34287/download/" } ] }, { "pk": 43123, "title": "From Radiation Effects to Consanguineous Marriages: American Geneticists and Colonial Science in the Atomic Age", "subtitle": null, "abstract": "In 1947, the US National Academy of Sciences established the Atomic Bomb Casualty Commission (ABCC) and sent American scientists to Hiroshima and Nagasaki to investigate the delayed effects of the atomic bombs among survivors. James Neel, medical professor at the University of Michigan, headed the genetics team of ABCC whose mission was to measure the possible genetic mutations caused by radiation. After the conclusion of the ABCC studies, Neel and his scientific team continued to use the resources and subjects in southern Japan to conduct research on the genetics of consanguineous marriages in Japan. This article explores how both the ABCC genetic studies and consanguinity studies reflected American fears about rising mutations in an apocalyptic atomic age. Studies on inbreeding illuminated the nature and extent of mutations in a “pure” genetic population. Furthermore, the Japanese data were used for genetic counseling back in America, helping to address the American public’s concern about increasing interracial marriages between whites and Asians. Despite the attempts of Neel and other American geneticists to disassociate their work from previous, racist, eugenics studies, postwar genetic studies took on the same practices, institutions, and goals as their predecessors—to ensure the wellbeing of the white race. Neel’s ABCC and subsequent studies, all bankrolled by the US Atomic Energy Commission, exploited American military and financial power to take advantage of the “intimate” relationships with nonwhite, “deviant” subjects.", "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": [ { "word": "US genetics research in Japan" }, { "word": "James Neel" }, { "word": "consanguineous marriage in Japan" }, { "word": "ABCC studies in Japan" }, { "word": "postwar genetic studies" }, { "word": "race and genetics research" }, { "word": "Transnational American Studies" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6g08h8vs", "frozenauthors": [ { "first_name": "Aiko", "middle_name": "", "last_name": "Takeuchi-Demirci", "name_suffix": "", "institution": "Koç University", "department": "None" } ], "date_submitted": "2022-08-24T22:53:38Z", "date_accepted": "2022-08-24T22:53:38Z", "date_published": "2022-08-25T04:11:53Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43123/galley/32127/download/" } ] }, { "pk": 43129, "title": "Preface", "subtitle": null, "abstract": "Short commentary on the the volume \nFamine Pots\n: The Choctaw–Irish Gift Exchange, 1847–Present\n, edited by LeAnne Howe and Padraig Kirwan (Michigan State University Press, 2020).", "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": [ { "word": "JTAS Preface" }, { "word": "Famine Pots: The Choctaw–Irish Gift Exchange, 1847–Present" }, { "word": "Michigan State University Press, Padraig Kirwan" }, { "word": "Shelley Fisher Fishkin Prize 2021" }, { "word": "Transnational American Studies" } ], "section": "SHELLEY FISHER FISHKIN PRIZE for INTERNATIONAL SCHOLARSHIP in TRANSNATIONAL AMERICAN STUDIES", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/04m7v5tc", "frozenauthors": [ { "first_name": "Padraig", "middle_name": "", "last_name": "Kirwan", "name_suffix": "", "institution": "Goldsmiths, University of London", "department": "None" } ], "date_submitted": "2022-08-25T00:35:50Z", "date_accepted": "2022-08-25T00:35:50Z", "date_published": "2022-08-25T00:40:40Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43129/galley/32133/download/" } ] }, { "pk": 43128, "title": "The Materials of Art and the Legacies of Colonization: A Conversation with Beatrice Glow and Sandy Rodriguez", "subtitle": null, "abstract": "A conversation with the artists Beatrice Glow and Sandy Rodriguez, whose work reckons with the imperial and colonial histories that underlie conventional materials of art and aesthetic experience. Glow and Rodriguez share insights about their artistic processes, their experiments with pigment-making, scent production, field research, and collaboration, and how they have reflected on and enacted alternatives to the transnational sourcing of pigments, dyes, scents, and tastes.", "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": [ { "word": "Beatrice Glow" }, { "word": "Sandy Rodriguez" }, { "word": "decolonial art practice" }, { "word": "pigment-making" }, { "word": "sourcing of pigments and dyes" }, { "word": "colonial histories of artistic materials" }, { "word": "scents and imperial histories" }, { "word": "Transnational American Studies" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9pv8w3xm", "frozenauthors": [ { "first_name": "Hsuan", "middle_name": "L.", "last_name": "Hsu", "name_suffix": "", "institution": "UC Davis", "department": "None" }, { "first_name": "David", "middle_name": "J.", "last_name": "Vázquez", "name_suffix": "", "institution": "American University", "department": "None" } ], "date_submitted": "2022-08-24T23:27:03Z", "date_accepted": "2022-08-24T23:27:03Z", "date_published": "2022-08-25T00:18:01Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43128/galley/32132/download/" } ] }, { "pk": 43126, "title": "Visions of Consent Nunavummiut Against the Exploitation of “Resource Frontiers”", "subtitle": null, "abstract": "Despite a long history of colonial, military, and extractive industry imposition on the land, waters, and people of Inuit Nunangat, resistance to such efforts is thriving. Through highlighting the work of The Place Names Program and Arnait Video Productions, I show how \nNunavummiut\n (the people living in Nunavut) employ visual media to publicly wage their place-based knowledge as a mode of creative intervention against military and extractive forces, and the ways in which such forces have permeated Inuit bodies, lands, and waters. So successful are these visual acts of resistance that they compel southerners to reevaluate their approaches to northern development so drastically that projects are abandoned or no longer seen as viable. In putting these strategies into practice, Inuit engage with state-sanctioned systems of law and governance, but ultimately reshape these structures to better suit their own needs and the needs of the Arctic land and sea. The maps produced by the Place Names Program and films produced by Arnait Video Productions resist visions of the Arctic as a wasteland and of Inuit bodies as pollutable, instead putting forward visions of consent and reciprocity. Ultimately, I argue that seeing the Arctic in ways that challenge military and extractive representations and center Inuit epistemologies and voices, plays a significant role in halting the continued molecular and chemical colonization of Inuit lands and bodies. In other words, visual media is a tool for resisting unwanted extractive and military bodily intimacies, and insisting on consent before entry of these toxic presences.", "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": [ { "word": "Inuit place-based knowledge" }, { "word": "Place Names Program" }, { "word": "Arnait Video Productions" }, { "word": "Arctic mapping" }, { "word": "Inuit maps" }, { "word": "visual media" }, { "word": "Nunangat" }, { "word": "Nunavut" }, { "word": "Transnational American Studies" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/29w0x0vp", "frozenauthors": [ { "first_name": "Amber", "middle_name": "", "last_name": "Hickey", "name_suffix": "", "institution": "University of Tennessee at Chattanooga", "department": "None" } ], "date_submitted": "2022-08-24T23:11:57Z", "date_accepted": "2022-08-24T23:11:57Z", "date_published": "2022-08-25T00:12:32Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43126/galley/32130/download/" } ] }, { "pk": 43125, "title": "TGI Fridays In Kandahar: Fast Food, Military Contracting, and Intimacies of Force in the Iraq and Afghanistan Wars", "subtitle": null, "abstract": "During the height of the US wars in Iraq and Afghanistan from 2004 to 2014, US military bases featured an amenity both familiar and unexpected: name-brand fast food (NBFF), such as TGI Friday’s, Burger King, Subway, and Pizza Hut. Drawing on firsthand accounts from soldiers, journalists, and bloggers, as well as academic literatures on critical food studies and cultures of imperialism, this article analyzes the circulation of NBFF in Iraq and Afghanistan as a mechanism by which to sustain US imperialism. It argues that NBFF generates the intimacy of “home” for US soldier-consumers and is deployed as enticing inducement for an all-volunteer military force to perform the necessary labor to maintain US empire across two war zones. NBFF simultaneously provided a profitable opportunity for the expansion of US corporations and capital, as contractors and subcontractors from across the global supply chain were mobilized to provide easy access to these comfort foods. Thus, the article traces the ways in which the chemosensory experience of consumption has served as a way of inducing some bodies to serve—to maim and kill other bodies—while requiring still other bodies to serve in mobilizing and facilitating the logistics of these encounters.", "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": [ { "word": "fast food restaurants on military bases" }, { "word": "NBFF and US military contracting" }, { "word": "chemosensory consumption" }, { "word": "critical food studies" }, { "word": "Transnational American Studies" }, { "word": "US wars in Afghanistan and Iraq and NBFF" }, { "word": "name brand fast food and US military" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7188527q", "frozenauthors": [ { "first_name": "Zaynab", "middle_name": "", "last_name": "Quadri", "name_suffix": "", "institution": "The George Washington University", "department": "None" } ], "date_submitted": "2022-08-24T23:06:14Z", "date_accepted": "2022-08-24T23:06:14Z", "date_published": "2022-08-25T00:08:30Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43125/galley/32129/download/" } ] }, { "pk": 43124, "title": "Viruses, Vaccines, and the Erotics of Risk in Latinx HIV Stories and Covid-19", "subtitle": null, "abstract": "In 2019, I published \nShared Selves: Latinx Memoir and Ethical Alternatives to Humanism \n(University of Illinois Press), in which I discuss contagion as a metaphor for embracing our shared materiality with others. Six months later, during the Covid-19 pandemic, neighbors were crossing streets to avoid each other. Social distancing is, counterintuitively, asking us to view separation and seclusion as forms of solidarity. But how can we be solid if we are oriented against each other? Isolation itself has become contagious: sharing repulsion and rejection, measuring six feet of “social” distance from others. These spaces are made up of a variety of immaterial entities—ideology, fear, caring, and faith—and material ones like invisible microbes. This essay revisits my writings about radical kinship and shared materiality in the works of Tim Dean and John Rechy in light of this emerging ethics of distance. This focus is particularly important today as contagion, following history, is realigned with racism and xenophobia. Latinx communities are disproportionately affected by inadequate healthcare and disproportionately labor in “Covid clusters” such as meat-packing plants and automobile facilities. To rethink my earlier insights about Rechy, I turn to Rafael Campo (whose queer perspective as both poet and physician during the AIDS epidemic has something to teach us about the erotics, aesthetics, and microbiotics of risk) and Julia Álvarez (whose novel \nSaving the World\n shows how care and risk might intersect).", "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": [ { "word": "Latinx HIV stories" }, { "word": "Covid-19 and racialization of risk" }, { "word": "Covid-19 and Latinx HIV stories" }, { "word": "Transnational American Studies" }, { "word": "microbes and transnational circulation" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3ct850gc", "frozenauthors": [ { "first_name": "Suzanne", "middle_name": "", "last_name": "Bost", "name_suffix": "", "institution": "Loyola University Chicago", "department": "None" } ], "date_submitted": "2022-08-24T23:00:22Z", "date_accepted": "2022-08-24T23:00:22Z", "date_published": "2022-08-25T00:03:15Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43124/galley/32128/download/" } ] }, { "pk": 43127, "title": "Affective Chemistries of Care: Slow Activism and the Limits of the Molecular in Ocean Vuong’s On Earth We Are Briefly Gorgeous", "subtitle": null, "abstract": "In this article, I explore care work outlined and performed as emotional and erotic support labor in Ocean Vuong’s novel, \nOn Earth We Are Briefly Gorgeous\n (2019). The illnesses around which Vuong stages salient scenes of care work are not those easily addressed by surgery or a course of antibiotics. Instead, the novel focalizes those who are “[sick] in the brains” (122)— formally diagnosed with a mood disorder like bipolar, observed for behaviors of PTSD, addicted to narcotics, or grieving the loss of a body part. The unique contribution of Vuong’s novel to those interested in health and environmental humanities, disability studies, and reproductive labor, I argue, requires noticing that its portraits of care work come interleaved with its depictions of atmospheric dangers. Those atmospheric dangers include weather effects as well as sequelae from military weapons deployment and the un(der)regulated circulation of slowly violating chemicals. In relation to the theme of molecular intimacies, I introduce several heuristic terms: \nmolecular entreaty\n, \naffective chemistries of care\n, \nhypo-interventions\n and \nintimate\n or \nslow activism\n, the latter two building on the work of science and technology scholars. Drawing out \nOn Earth’\ns focalization of irruptions of care in atmospheres dense with chemistry, this essay both models a humanistic, decolonial and intersectional method that (re)values crip practical knowledge, and limns the novel’s provocation as to the political limits of queer interracial intimacy.", "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": [ { "word": "Care Work" }, { "word": "crip knowledge" }, { "word": "On Earth We are Briefly Gorgeous" }, { "word": "Disability Studies" }, { "word": "affective chemistries of care" }, { "word": "hypo-interventions" }, { "word": "intimate activism" }, { "word": "slow activism" }, { "word": "Ocean Vuong" }, { "word": "Science and Technology Studies" }, { "word": "Transnational American Studies" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8xn505w4", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "", "last_name": "Lee", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2022-08-24T23:19:24Z", "date_accepted": "2022-08-24T23:19:24Z", "date_published": "2022-08-24T23:30:41Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43127/galley/32131/download/" } ] }, { "pk": 15378, "title": "Prospective Case-control Study of Contact Tracing Speed for Emergency Department-based Contact Tracers", "subtitle": null, "abstract": "Introduction:\n In Snohomish County, WA, the time from obtaining a positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test and initiating contact tracing is 4-6 days. We tested whether emergency department (ED)-based contact tracing reduces time to initiation and completion of contact tracing investigations. \nMethods:\n All eligible coronavirus disease 2019 (COVID-19)-positive patients were offered enrollment in this prospective case-control study. Contact tracers were present in the ED from 7 AM to 2 AM for 60 consecutive days. Tracers conducted interviews using the Washington State Department of Health’s extended COVID-19 reporting form, which is also used by the Snohomish Health District (SHD). \nResults:\n Eighty-one eligible SARS-CoV-2 positive patients were identified and 71 (88%) consented for the study. The mean time between positive COVID-19 test result and initiation of contact tracing investigation was 111 minutes with a median of 32 minutes (range: 1-1,203 minutes). The mean time from positive test result and completion of ED-based contact tracing investigation was 244 minutes with a median of 132 minutes (range: 23-1,233 minutes). In 100% of the enrolled cases, contact tracing was completed within 24 hours of a positive COVID-19 test result. For comparison, during this same period, SHD was able to complete contact tracing in 64% of positive cases within 24 hours of notification of a positive test result (P < 0.001). In the ED, each case identified a mean of 2.8 contacts as compared to 1.4 contacts identified by SHD-interviewed cases. There was no statistically significant difference between the percentage of contacts reached through ED contact tracing (82%) when compared to the usual practice (78%) (P = 0.16). \nConclusion:\n When contact tracing investigations occur at the point of diagnoses, the time to initiation and completion are reduced, there is higher enrollment, and more contacts are identified.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Contact Tracing, COVID-19" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7r6538tv", "frozenauthors": [ { "first_name": "Sean", "middle_name": "C.", "last_name": "Weaver", "name_suffix": "", "institution": "Washington State University Elson S. Floyd College of Medicine, Providence Regional Medical Center Everett, Department of Emergency Medicine, Everett, Washington", "department": "None" }, { "first_name": "Samuel", "middle_name": "S.", "last_name": "Byrne", "name_suffix": "", "institution": "University of Washington Environmental Health and Safety Department, Everett, Washington", "department": "None" }, { "first_name": "Hollianne", "middle_name": "", "last_name": "Bruce", "name_suffix": "", "institution": "Snohomish Health District, Everett, Washington", "department": "None" }, { "first_name": "Olivia", "middle_name": "L.", "last_name": "Vargas", "name_suffix": "", "institution": "Washington State University Elson S. Floyd College of Medicine, Providence Regional Medical Center Everett, Department of Emergency Medicine, Everett, Washington", "department": "None" }, { "first_name": "Thomas", "middle_name": "E.", "last_name": "Robey", "name_suffix": "", "institution": "Washington State University Elson S. Floyd College of Medicine, Providence Regional Medical Center Everett, Department of Emergency Medicine, Everett, Washington", "department": "None" } ], "date_submitted": "2021-10-29T22:49:25Z", "date_accepted": "2021-10-29T22:49:25Z", "date_published": "2022-08-24T22:02:18Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15378/galley/7778/download/" } ] }, { "pk": 7068, "title": "Teachers’ Perceptions about Feedback and Their Feedback Practices: Are They in Line?", "subtitle": null, "abstract": "We conducted a qualitative study with 14 Iranian EFL teachers to explore their perceptions about feedback and to investigate the factors that mediated their translation into feedback practices. As our analysis indicated, students’ expectations, teachers’ perceptions, institutional guidelines, and parents' expectations were important constituents of our teachers’ perceptions. Our analysis also suggested that our participants’ perceptions were comprised of a network of variables, and these variables were at times conflicting. For instance, while the teachers valued feedback on content and organization, their students preferred grammar-centered written feedback. These student expectations were also reported to affect English institutions’ guidelines regarding the provision of written feedback. However, our findings showed that students’ expectations were the dominant factors which ultimately determined the translation of our teachers’ perceptions to their feedback practices. Overall, the findings indicate that our teachers’ perceptions are rarely the basis for their practice, primarily because of dominant student perceptions.", "language": "en", "license": null, "keywords": [ { "word": "Corrective Feedback" }, { "word": "teacher perceptions" }, { "word": "Teacher Practices" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9fh9c5q4", "frozenauthors": [ { "first_name": "Hooman", "middle_name": "", "last_name": "Saeli", "name_suffix": "", "institution": "The University of Tennessee, Knoxville", "department": "None" } ], "date_submitted": "2021-03-12T23:15:00Z", "date_accepted": "2021-03-12T23:15:00Z", "date_published": "2022-08-24T19:31:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ial/article/7068/galley/4188/download/" } ] }, { "pk": 43120, "title": "Introduction: The Molecular Intimacies of Empire", "subtitle": null, "abstract": "Special Forum Editors", "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": [ { "word": "molecular intimacies" }, { "word": "racial capitalism" }, { "word": "Transnational American Studies" }, { "word": "Science and Technology Studies" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8v3487h2", "frozenauthors": [ { "first_name": "Hsuan", "middle_name": "L.", "last_name": "Hsu", "name_suffix": "", "institution": "University of California, Davis", "department": "None" }, { "first_name": "David", "middle_name": "J.", "last_name": "Vázquez", "name_suffix": "", "institution": "American University", "department": "None" } ], "date_submitted": "2022-08-23T09:45:54Z", "date_accepted": "2022-08-23T09:45:54Z", "date_published": "2022-08-24T01:40:02Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43120/galley/32124/download/" } ] }, { "pk": 1190, "title": "CPC-EM Full Text Issue", "subtitle": null, "abstract": "N/A", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "CPC-EM Full-Text Issue", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1cc0x04p", "frozenauthors": [ { "first_name": "Rubina", "middle_name": "", "last_name": "Rafi", "name_suffix": "", "institution": "UC Irvine", "department": "None" } ], "date_submitted": "2022-08-22T17:16:38Z", "date_accepted": "2022-08-22T17:16:38Z", "date_published": "2022-08-22T17:17:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1190/galley/929/download/" } ] }, { "pk": 41459, "title": "Investigating the Impact of Huanglongbing in Citrus in Southern Lao PDR", "subtitle": null, "abstract": "Citrus has been promoted in the Lao People’s Democratic Republic (Lao PDR) as a poverty reduction strategy for at least two decades. However, citrus trees have been in widespread decline for no less than ten years. Since 2010, the authors have observed symptoms on citrus trees consistent with the bacterial disease huanglongbing (HLB). These symptoms included asymmetric leaf mottle, small lopsided fruit, poor fruit production and tree decline. The authors then initiated a long-term study on the occurrence of HLB in southern Lao PDR. Samples of leaf mid-ribs were collected from citrus trees in orchards, nurseries, and backyards across four provinces: Champasak, Sekong, Salavan, and Savannakhet. The presence of ‘\nCandidatus\n Liberibacter asiaticus’, the putative causal agent of the Asiatic form of HLB, was confirmed in 59 of 109 samples collected in all four provinces. The Asian citrus psyllid, the vector of ‘\nCa\n. L. asiaticus’, was also observed on citrus trees and tested positive for the pathogen. The implications of these findings for citrus production in Lao PDR are discussed.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "graft-transmissible, Asian citrus psyllid, smallholder" } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5tv0s54r", "frozenauthors": [ { "first_name": "Nerida", "middle_name": "Jane", "last_name": "Donovan", "name_suffix": "", "institution": "Elizabeth MacArthur Agricultural Institute", "department": "None" }, { "first_name": "Anna", "middle_name": "", "last_name": "Englezou", "name_suffix": "", "institution": "Elizabeth MacArthur Agricultural Institute", "department": "None" }, { "first_name": "Sengphet", "middle_name": "", "last_name": "Phanthavong", "name_suffix": "", "institution": "Provincial Agriculture and Forestry Office Pakse", "department": "None" }, { "first_name": "Grant", "middle_name": "Anthony", "last_name": "Chambers", "name_suffix": "", "institution": "Elizabeth MacArthur Agricultural Institute", "department": "None" }, { "first_name": "Hang", "middle_name": "Thi", "last_name": "Dao", "name_suffix": "", "institution": "Plant Protection Research Institute Ha Noi", "department": "None" }, { "first_name": "Panai", "middle_name": "", "last_name": "Phitsanoukane", "name_suffix": "", "institution": "Provincial Agriculture and Forestry Office, Pakse, Lao PDR", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Daly", "name_suffix": "", "institution": "Elizabeth MacArthur Agricultural Institute", "department": "None" }, { "first_name": "Sally", "middle_name": "", "last_name": "Cowan", "name_suffix": "", "institution": "Department of Agriculture, Water and the Environment", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Holford", "name_suffix": "", "institution": "Western Sydney University", "department": "None" }, { "first_name": "George", "middle_name": "Andrew Charles", "last_name": "Beattie", "name_suffix": "", "institution": "Western Sydney University", "department": "None" }, { "first_name": "Somlit", "middle_name": "", "last_name": "Vilavong", "name_suffix": "", "institution": "Provincial Agriculture and Forestry Office Pakse", "department": "None" }, { "first_name": "Lester", "middle_name": "William", "last_name": "Burgess", "name_suffix": "", "institution": "University of Sydney", "department": "None" } ], "date_submitted": "2021-10-10T23:39:36Z", "date_accepted": "2021-10-10T23:39:36Z", "date_published": "2022-08-20T19:51:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41459/galley/31037/download/" } ] }, { "pk": 41441, "title": "Vegetative shoot flush dynamics of ‘Pera’ sweet orange on three rootstock cultivars", "subtitle": null, "abstract": "The dynamics and intensity of new shoot flushes of ‘Pera’ sweet orange scions [\nCitrus\n × \nsinensis\n (L.) Osbeck] grafted onto ‘Rough’ lemon (\nCitrus\n × \nlimonia\n var. \njambhiri\n Lush.), ‘Swingle’ citrumelo [\nCitrus\n × \naurantium\n var. \nparadisi\n x \nPoncirus\n \ntrifoliata\n (L.) Raf.] and ‘Sunki’ mandarin (\nCitrus\n \nreticulata\n ‘Sunki’) rootstocks were evaluated in the field at a citrus farm located in a northern region of the state of Sao Paulo, Brazil. Every 20 days for 16 months, new shoots were counted within a square frame of 0.25 m2 set on the central portion of the canopy and classified based on their phenological stages. Trees on ‘Swingle’ rootstock produced a lower area under the flush shoot dynamics curve (AUFSD) and mean number of new shoots than trees on ‘Rough’ lemon or ‘Sunki’ mandarin. For trees on all three rootstocks, new shoot intensities varied significantly over time with the greatest number of new shoots developing during late spring and early summer. Increases in minimum air temperature and available soil water were important indicators of overall emergence of new shoots.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Citrus spp., graft combination, phenological stages, plant growth." } ], "section": "Articles", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3m38m0h5", "frozenauthors": [ { "first_name": "Everton", "middle_name": "Vieira de", "last_name": "Carvalho", "name_suffix": "", "institution": "São Paulo State University", "department": "None" }, { "first_name": "Juan Camilo", "middle_name": "", "last_name": "Cifuentes-Arenas", "name_suffix": "", "institution": "Fundo de Defesa da Citricultura (Fundecitrus)", "department": "None" }, { "first_name": "Eduardo", "middle_name": "Sanches", "last_name": "Stuchi", "name_suffix": "", "institution": "Embrapa Mandioca e Fruticultura; Estação Experimental de Citricultura de Bebedouro", "department": "None" }, { "first_name": "Eduardo", "middle_name": "Augusto", "last_name": "Girardi", "name_suffix": "", "institution": "Embrapa Mandioca e Fruticultura; Fundo de Defesa da Citricultura (Fundecitrus)", "department": "None" }, { "first_name": "Silvio", "middle_name": "Aparecido", "last_name": "Lopes", "name_suffix": "", "institution": "São Paulo State University; Fundo de Defesa da Citricultura (Fundecitrus)", "department": "None" } ], "date_submitted": "2020-07-23T19:28:00Z", "date_accepted": "2020-07-23T19:28:00Z", "date_published": "2022-08-20T19:27:13Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41441/galley/31025/download/" } ] }, { "pk": 16064, "title": "Evaluation of an Emergency Department Influenza Vaccination Program: Uptake Factors and Opportunities", "subtitle": null, "abstract": "Introduction:\n Influenza vaccines are commonly provided through community health events and primary care appointments. However, acute unscheduled healthcare visits such as emergency department (ED) visits are increasingly viewed as important vaccination opportunities. Emergency departments may be well-positioned to complement broader public health efforts with integrated vaccination programs. \nMethods:\n We studied an ED-based influenza vaccination initiative in an urban hospital and examined patient-level factors associated with screening and vaccination uptake. Our analyses included patient visits to the ED from October 1, 2019-April 1, 2020.\nResults: \nThe influenza screening and vaccination program proved feasible. Of the 20,878 ED visits that occurred within the study period, 3,565 (17.1%) included a screening for influenza vaccine eligibility; a small proportion (11.5%) of the patients seen had multiple screenings. Among the patients screened eligible for the vaccine, 916 ultimately received an influenza vaccination while in the ED (43.7% of eligible patients). There was significant variability in the characteristics of patients who were and were not screened and vaccinated. Age, gender, race, preferred language, and receipt of a flu vaccine in prior years were associated with screening and/or receiving a vaccine in the ED. \nConclusion:\n Vaccination programs in the ED can boost community vaccination rates and play a role in both preventing and treating current and future vaccine-preventable public health crises, although efforts must be made to deliver services equitably.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Vaccination, Influenza, Emergency Department" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5xq4z0t8", "frozenauthors": [ { "first_name": "Canada", "middle_name": "", "last_name": "Parrish", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Crystal", "middle_name": "A.", "last_name": "Phares", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Tim", "middle_name": "", "last_name": "Fredrickson", "name_suffix": "", "institution": "Harborview Medical Center, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "John", "middle_name": "B.", "last_name": "Lynch", "name_suffix": "", "institution": "University of Washington, Division of Allergy and Infectious Disease, Seattle, Washington", "department": "None" }, { "first_name": "Lauren", "middle_name": "K.", "last_name": "Whiteside", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "None" }, { "first_name": "Herbert", "middle_name": "C.", "last_name": "Duber", "name_suffix": "", "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington", "department": "None" } ], "date_submitted": "2021-10-27T03:46:05Z", "date_accepted": "2021-10-27T03:46:05Z", "date_published": "2022-08-19T23:19:05Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16064/galley/8057/download/" } ] }, { "pk": 16181, "title": "Blood Pressure Variability and Outcome in Traumatic Brain Injury: A Propensity Score Matching Study", "subtitle": null, "abstract": "Introduction:\n Patients with tIPH (used here to refer to traumatic intraparenchymal hemorrhagic contusion) or intraparenchymal hemorrhage face high rates of mortality and persistent functional deficits. Prior studies have found an association between blood pressure variability (BPV) and neurologic outcomes in patients with spontaneous IPH. Our study investigated the association between BPV and discharge destination (a proxy for functional outcome) in patients with tIPH.\nMethods:\n We retrospectively reviewed the charts of patients admitted to a Level I trauma center for ≥ 24 hours with tIPH. We examined variability in hourly BP measurements over the first 24 hours of hospitalization. Our outcome of interest was discharge destination (home vs facility). We performed 1:1 propensity score matching and multivariate regressions to identify demographic and clinical factors predictive of discharge home.\nResults: \nWe included 354 patients; 91 were discharged home and 263 to a location other than home. The mean age was 56 (SD 21), 260 (73%) were male, 22 (6%) were on anticoagulation, and 54 (15%) on antiplatelet therapy. Our propensity-matched cohorts included 76 patients who were discharged home and 76 who were discharged to a location other than home. One measure of BPV (successive variation in systolic BP) was identified as an independent predictor of discharge location in our propensity-matched cohorts (odds ratio 0.89, 95% confidence interval 0.8-0.98; P = 0.02). Our model demonstrated good goodness of fit (P-value for Hosmer-Lemeshow test = 0.88) and very good discriminatory capability (AUROC = 0.81). High Glasgow Coma Scale score at 24 hours and treatment with fresh frozen plasma were also associated with discharge home.\nConclusion: \nOur study suggests that increased BPV is associated with lower rates of discharge home after initial hospitalization among patients with tIPH. Additional research is needed to evaluate the impact of BP control on patient outcomes.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Traumatic Brain Injury" }, { "word": "Blood pressure variability" }, { "word": "intraparenchymal contusion" }, { "word": "intraparenchymal hemorrhage" }, { "word": "discharge destination" } ], "section": "Trauma", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2mn4c7xw", "frozenauthors": [ { "first_name": "Quincy", "middle_name": "K.", "last_name": "Tran", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland School of Medicine, The R. Adams Cowley Shock Trauma Center, Baltimore, Maryland", "department": "None" }, { "first_name": "Hannah", "middle_name": "", "last_name": "Frederick", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; University of Maryland School of Medicine, The R. Adams Cowley Shock Trauma Center, Baltimore, Maryland", "department": "None" }, { "first_name": "Cecilia", "middle_name": "", "last_name": "Tran", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Hammad", "middle_name": "", "last_name": "Baqai", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Tucker", "middle_name": "", "last_name": "Lurie", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland; Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania\n\nWellspan York Hospital Department of Emergency Medicine, York PA, USA", "department": "None" }, { "first_name": "Julianna", "middle_name": "", "last_name": "Solomon", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Ayah", "middle_name": "", "last_name": "Aligabi", "name_suffix": "", "institution": "University of Maryland School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland; University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Joshua", "middle_name": "", "last_name": "Olexa", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Neurosurgery, Baltimore, Maryland", "department": "None" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Cardona", "name_suffix": "", "institution": "Mount Sinai Hospital, Department of Critical Care Medicine, York, New York", "department": "None" }, { "first_name": "Uttam", "middle_name": "", "last_name": "Bodanapally", "name_suffix": "", "institution": "University of Maryland School of Medicine, The R. Adams Cowley Shock Trauma Center, Baltimore, Maryland", "department": "None" }, { "first_name": "Gary", "middle_name": "", "last_name": "Schwartzbauer", "name_suffix": "", "institution": "University of Maryland School of Medicine, The R. Adams Cowley Shock Trauma Center, Baltimore, Maryland; University of Maryland School of Medicine, Department of Neurosurgery, Baltimore, Maryland", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Downing", "name_suffix": "", "institution": "University of Maryland School of Medicine, The R. Adams Cowley Shock Trauma Center, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2021-12-05T23:04:06Z", "date_accepted": "2021-12-05T23:04:06Z", "date_published": "2022-08-19T22:58:24Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16181/galley/8112/download/" } ] }, { "pk": 16183, "title": "Direct vs Video Laryngoscopy for Difficult Airway Patients in the Emergency Department: A National Emergency Airway Registry Study", "subtitle": null, "abstract": "Introduction:\n Previous studies suggest improved intubation success using video laryngoscopy (VL) vs direct laryngoscopy (DL), yet recent randomized trials have not shown clear benefit of one method over the other. These studies, however, have generally excluded difficult airways and rapid sequence intubation. In this study we looked to compare first-pass success (FPS) rates between VL and DL in adult emergency department (ED) patients with difficult airways. \nMethods:\n We conducted a secondary analysis of prospectively collected observational data in the National Emergency Airway Registry (NEAR) (January 2016–December 2018). Variables included demographics, indications, methods, medications, devices, difficult airway characteristics, success, and adverse events. We included adult ED patients intubated with VL or DL who had difficult airways identified by gestalt or anatomic predictors. We stratified VL by hyperangulated (HAVL) vs standard geometry VL (SGVL). The primary outcome was FPS, and the secondary outcome was comparison of adverse event rates between groups. Data analyses included descriptive statistics with cluster-adjusted 95% confidence intervals (CI).\nResults:\n Of 18,123 total intubations, 12,853 had a predicted or identified anatomically difficult airway. The FPS for difficult airways was 89.1% (95% CI 85.9-92.3) with VL and 77.7% (95% CI 75.7-79.7) with DL (P <0.00001). The FPS rates were similar between VL subtypes for all difficult airway characteristics except airways with blood or vomit, where SGVL FPS (87.3%; 95% CI 85.8-88.8) was slightly better than HAVL FPS (82.4%; 95% CI, 80.3-84.4). Adverse event rates were similar except for esophageal intubations and vomiting, which were both less common in VL than DL. Esophageal intubations occurred in 0.4% (95% CI 0.1-0.7) of VL attempts and 1.5% (95% CI 1.1-1.9) of DL attempts. Vomiting occurred in 0.6% (95% CI 0.5-0.7) of VL attempts and 1.4% (95% CI 0.9-1.9) of DL attempts.\nConclusion:\n Analysis of the NEAR database demonstrates higher first-pass success with VL compared to DL in patients with predicted or anatomically difficult airways, and reduced rate of esophageal intubations and vomiting.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "intubation, difficult airway, video laryngoscopy, direct laryngoscopy, first-pass success" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/88d648jj", "frozenauthors": [ { "first_name": "Brandon", "middle_name": "T.", "last_name": "Ruderman", "name_suffix": "", "institution": "Duke University Medical Center, Department of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Martina", "middle_name": "", "last_name": "Mali", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Kaji", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Kilgo", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas", "department": "None" }, { "first_name": "Susan", "middle_name": "", "last_name": "Watts", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas", "department": "None" }, { "first_name": "Radosveta", "middle_name": "", "last_name": "Wells", "name_suffix": "", "institution": "Texas Tech University Health Sciences Center, Department of Emergency Medicine, El Paso, Texas", "department": "None" }, { "first_name": "Alexander", "middle_name": "T.", "last_name": "Limkakeng, Jr.", "name_suffix": "", "institution": "Duke University Medical Center, Department of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Joseph", "middle_name": "B.", "last_name": "Borawski", "name_suffix": "", "institution": "Duke University Medical Center, Department of Emergency Medicine, Durham, North Carolina", "department": "None" }, { "first_name": "Andrea", "middle_name": "E.", "last_name": "Fantegrossi", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Ron", "middle_name": "M.", "last_name": "Walls", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Calvin", "middle_name": "A.", "last_name": "Brown, III", "name_suffix": "", "institution": "Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2021-12-07T07:55:41Z", "date_accepted": "2021-12-07T07:55:41Z", "date_published": "2022-08-19T22:33:52Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16183/galley/8114/download/" } ] }, { "pk": 16158, "title": "Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor", "subtitle": null, "abstract": "Introduction:\n Horizontal violence (HV) is defined as “persistent exposure to interpersonal aggression and mistreatment from colleagues.” Our objective in this pilot, single-site study was to identify sources of HV toward emergency medicine (EM) residents, using the Negative Acts Questionnaire-Revised (NAQ-R).\n \nMethods:\n In this investigation we used a descriptive cross-sectional survey design to categorize HV. All voluntary participants were residents in an Accreditation Council for Graduate Medical Education- approved, three-year academic EM residency. Data were collected via electronic survey and occurred six months into an academic year. We collected demographic information and responses to the NAQ-R in 2020. Horizontal violence is subdivided into three categories: work-related; person-related; and physical intimidation. Emergency medicine residents answered questions as they related to their interactions with residents and support staff, which included nursing.\nResults:\n A total of 23 of 26 residents responded (89%). Participants were 56% women, 78% white, 11% Hispanic, and 89% heterosexual. Participant clinical year was 39% first-, 39% second-, and 22% third-year residents. Women reported a higher frequency of HV compared to men (1.3 vs 1.1, P =.01). By category, women indicated higher incidence of work-related violence from other residents (P = .05) and staff (P =.02). There was no difference in reported frequency of violence for interns compared to senior residents. \nConclusion:\n Our pilot study demonstrated horizontal violence toward EM residents exists and is more prevalent in women.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Workplace Bullying" }, { "word": "Resident Physician" }, { "word": "Horizontal Violence" }, { "word": "Emergency Medicine" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/5hg4b4k6", "frozenauthors": [ { "first_name": "Ashley", "middle_name": "A.", "last_name": "Jacobson", "name_suffix": "", "institution": "Mayo Clinic Health System, Department of Emergency Medicine, Eau Claire, Wisconsin", "department": "None" }, { "first_name": "James", "middle_name": "E.", "last_name": "Colletti", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" }, { "first_name": "Neha", "middle_name": "P.", "last_name": "Raukar", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2021-11-25T16:52:05Z", "date_accepted": "2021-11-25T16:52:05Z", "date_published": "2022-08-19T19:16:39Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16158/galley/8104/download/" } ] }, { "pk": 15658, "title": "Traumatic Injuries in Sexual Assault Patients in the Emergency Department", "subtitle": null, "abstract": "Introduction:\n The emergency department (ED) is at the forefront for treatment of sexual assault patients. Many require treatment for injuries sustained during the assault, ranging from mild to severe. Our objective in this study was to characterize types of injuries associated with sexual assault and identify associated factors.\nMethods: \nWe reviewed ED charts from an inner-city trauma center and nearby community hospital from 2019-2020 for patients age ≥13 years with a chief complaint of sexual assault. We used descriptive statistics, chi square, and logistic regression to characterize demographics and identify factors associated with trauma. \nResults:\n A total of 157 patients met inclusion criteria. The mean age was 27.9 years old (range 13-79 years) and 92.4% were female. Adult patients (age >18 years) comprised 77.5% of assaults vs adolescents (age 13-18 years) at 22.3%. Most patients presented to the trauma center compared to the community hospital (69.4% vs 30.6%). The assailants were reported as 61.2% acquaintance, 22.9% stranger, and 15.9% intimate partner. A forensic rape kit was performed in 92 (58.6%) cases. The patient was intoxicated with alcohol in 39 (24.8%) cases, and 22 (14%) patients reported drug-facilitated assault where an unknown substance was given to them. Alcohol (P = 0.95) and drug-facilitated assault (P = 0.64) did not change the occurrence of injuries. Fifty-seven (36.3%) patients exhibited physical trauma on presentation. Forty-five (28.6%) patients had minor injuries of abrasions, lacerations, or contusions. Major trauma was defined as fracture, brain injury, hemorrhage, strangulation, or injury requiring surgical consultation. There were 12 patients with major trauma consisting of fracture injury or nonfatal strangulation. None of the patients required admission. Sexual assault by an intimate partner (odds ratio [OR] 2.6; 95% CI: 1.1-6.5) and being an adult patient compared to adolescent (OR 3.0; 95% CI, 1.1-7.7) was significantly associated with physical trauma. Sexual assault by an intimate partner was also associated with nonfatal strangulation (OR 4.0; 95% CI, 1.1-15.4). \nConclusion:\n Physical injuries that resulted from sexual assault were mostly minor and occurred in 36% of rape victims. Intimate partner violence was found to be associated with physical trauma as well as nonfatal strangulation. Overall, this study helps us to understand key factors associated with sexual violence.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Sexual assault, Sexual violence, Intimate partner violence, Drug facilitated sexual assault" } ], "section": "Women's Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0qd57532", "frozenauthors": [ { "first_name": "Denise", "middle_name": "", "last_name": "McCormack", "name_suffix": "", "institution": "Albert Einstein College of Medicine, Department of Emergency Medicine, Bronx, New York; Jacobi Medical Center and North Central Bronx Hospital, Department of Emergency Medicine, Bronx, New York", "department": "None" }, { "first_name": "Sushi", "middle_name": "", "last_name": "Subburamu", "name_suffix": "", "institution": "Jacobi Medical Center and North Central Bronx Hospital, Department of Emergency Medicine, Bronx, New York; Montefiore and Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York", "department": "None" }, { "first_name": "Glenda", "middle_name": "", "last_name": "Guzman", "name_suffix": "", "institution": "Jacobi Medical Center and North Central Bronx Hospital, Department of Emergency Medicine, Bronx, New York", "department": "None" }, { "first_name": "Carmen", "middle_name": "", "last_name": "Calderon", "name_suffix": "", "institution": "North Central Bronx Hospital, Department of Social Work, Bronx, New York", "department": "None" }, { "first_name": "Ruchika", "middle_name": "", "last_name": "Darapaneni", "name_suffix": "", "institution": "Albert Einstein College of Medicine, Office of Medical Student Research, Bronx, New York", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Lis", "name_suffix": "", "institution": "Albert Einstein College of Medicine, Office of Medical Student Research, Bronx, New York", "department": "None" }, { "first_name": "Niloofar", "middle_name": "", "last_name": "Sima", "name_suffix": "", "institution": "Albert Einstein College of Medicine, Office of Medical Student Research, Bronx, New York", "department": "None" }, { "first_name": "Jeremy", "middle_name": "", "last_name": "Sperling", "name_suffix": "", "institution": "Albert Einstein College of Medicine, Department of Emergency Medicine, Bronx, New York; Jacobi Medical Center and North Central Bronx Hospital, Department of Emergency Medicine, Bronx, New York", "department": "None" }, { "first_name": "Jill", "middle_name": "", "last_name": "Corbo", "name_suffix": "", "institution": "Albert Einstein College of Medicine, Department of Emergency Medicine, Bronx, New York; Jacobi Medical Center and North Central Bronx Hospital, Department of Emergency Medicine, Bronx, New York", "department": "None" } ], "date_submitted": "2021-07-01T17:33:47Z", "date_accepted": "2021-07-01T17:33:47Z", "date_published": "2022-08-19T19:06:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15658/galley/7863/download/" } ] }, { "pk": 16068, "title": "More Accessible COVID-19 Treatment Through Monoclonal Antibody Infusion in the Emergency Department", "subtitle": null, "abstract": "Introduction: \nMonoclonal antibody (MAB) infusion is the first treatment to manage coronavirus 2019 (COVID-19) in an outpatient setting. Yet increased risk of severe COVID-19 illness may occur from inequities in social determinants of health including access to quality healthcare. Given the safety-net nature of emergency departments (ED), a model that puts them at the center of MAB infusion may better reach underserved patients than models that require physician referral and distribute MAB at outpatient infusion centers. We examined characteristics of two groups of patients who received MAB infusion in the Robert Wood Johnson University Hospital (RWJUH) ED in New Brunswick, New Jersey: 1) patients who tested positive for COVID-19 in the ED and received ED infusion; and 2) patients who tested positive elsewhere and were referred to the ED for infusion. The process for the latter group was similar to the more common national model of patients testing COVID-19 positive in the community and then being referred to an infusion center for MAB therapy. \nMethods: \nWe performed a cross-sectional retrospective health record review of all adult patients presenting to the ED from November 20, 2020–March 15, 2021 who received MAB infusion at RWJUH ED (N = 486). Patients were identified through the electronic health record system by an administrative query, with manual chart review for any additional characteristics not available through the query. We compared the two groups using chi-squared tests for categorical variables and t-tests for continuous variables.\nResults:\n We found higher proportions of Black (18% vs 6% P < 0.001, statistically significant), Hispanic (19% vs 11% P = 0.02), Medicaid (12% vs 9% P = 0.01), and uninsured (17% vs 8% P = 0.01) patients who tested positive for COVID-19 in their ED visit and then received MAB therapy during their visit than patients tested elsewhere in the community and referred to the ED for MAB therapy.\nConclusion:\n These findings suggest that providing MAB infusion in the ED allows increased access for patients traditionally marginalized from the healthcare system, who may be at risk of longer disease duration and complications from COVID-19.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID-19" }, { "word": "emergency department" }, { "word": "access to care" }, { "word": "monoclonal antibody infusion" }, { "word": "underserved populations" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9t43n0h3", "frozenauthors": [ { "first_name": "Sara", "middle_name": "W.", "last_name": "Heinert", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Jonathan", "middle_name": "", "last_name": "McCoy", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Pamela", "middle_name": "", "last_name": "Ohman Strickland", "name_suffix": "", "institution": "Rutgers School of Public Health, Department of Biostatistics and Epidemiology, Piscataway, New Jersey", "department": "None" }, { "first_name": "Renee", "middle_name": "", "last_name": "Riggs", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" }, { "first_name": "Robert", "middle_name": "", "last_name": "Eisenstein", "name_suffix": "", "institution": "Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey", "department": "None" } ], "date_submitted": "2021-10-28T17:49:03Z", "date_accepted": "2021-10-28T17:49:03Z", "date_published": "2022-08-19T18:53:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16068/galley/8061/download/" } ] }, { "pk": 15959, "title": "Can Urinalysis and Past Medical History of Kidney Stones Predict Urine Antibiotic Resistance?", "subtitle": null, "abstract": "Introduction:\n Urinary tract infections (UTI) are one of the most common infections encountered in the emergency department (ED) with an estimated 2-3 million annual visits. Commonly prescribed antibiotics for UTIs have shown growing rates of resistance. Previous studies lack direction on improving UTI treatment based on the labs available to the bedside clinician. \nMethods:\n We sought to determine if antibiotic resistance in UTIs was related to demographics, urinalysis, and history of renal failure or kidney stones. We conducted an analysis of 892 women ≥18 years of age discharged from the ED with a UTI diagnosis. We assessed predictors of nitrofurantoin resistance, cefazolin resistance, ciprofloxacin resistance, and trimethoprim-sulfamethoxazole resistance using unadjusted and multivariable logistic regression models.\nResults:\n Antibiotic resistance was 13.6% for nitrofurantoin, 11.9% for cefazolin, 12.8% for ciprofloxacin, and 17.1% for trimethoprim-sulfamethoxazole. In multivariable analysis, significant independent associations with an increased likelihood of resistance to nitrofurantoin were observed for less urine blood (OR [per 1 category increase of score] 0.81; P = 0.02); greater mucous (OR [per 1 category increase of score] 1.22; P = 0.02); less specific gravity urine (OR [per 1 category increase] 0.87; P = 0.04), and presence of any history of kidney stones (OR 3.24; P = 0.01). There were no significant predictors for cefazolin resistance (all P ≥0.06); age was the only significant predictor of ciprofloxacin resistance (OR per 10 year increase] 1.10, P = 0.05), and lower specific gravity urine was significantly associated with an increased risk of resistance to trimethoprim- sulfamethoxazole (OR [per 1 category increase] 0.88, P = 0.04).\nConclusion:\n Women with any history of kidney stones may have bacteriuria resistant to nitrofurantoin, suggesting that providers might consider alternative antibiotic therapies in this scenario.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "UTI" }, { "word": "Resistance" }, { "word": "emergency department" }, { "word": "nitrofurantoin" }, { "word": "cefazolin" }, { "word": "ciprofloxacin" }, { "word": "Trimethoprim-Sulfamethoxazole" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/98t1z3hr", "frozenauthors": [ { "first_name": "Michael", "middle_name": "", "last_name": "Mohseni", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" }, { "first_name": "Emily", "middle_name": "C.", "last_name": "Craver", "name_suffix": "", "institution": "Mayo Clinic, Division of Clinical Trials and Biostatistics, Jacksonville, Florida", "department": "None" }, { "first_name": "Michael", "middle_name": "G.", "last_name": "Heckman", "name_suffix": "", "institution": "Mayo Clinic, Division of Clinical Trials and Biostatistics, Jacksonville, Florida", "department": "None" }, { "first_name": "Johnathan", "middle_name": "M.", "last_name": "Sheele", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Jacksonville, Florida", "department": "None" } ], "date_submitted": "2021-09-25T18:20:47Z", "date_accepted": "2021-09-25T18:20:47Z", "date_published": "2022-08-19T18:18:22Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15959/galley/7997/download/" } ] }, { "pk": 45500, "title": "Solid Pseudopapillary Tumor of the Pancreas in a 30-Year-Old Male Patient", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/31j5j6b9", "frozenauthors": [ { "first_name": "Spencer", "middle_name": "", "last_name": "Flynn", "name_suffix": "BA", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Russell", "middle_name": "", "last_name": "Kerbel", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-16T18:46:18Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45500/galley/34286/download/" } ] }, { "pk": 45498, "title": "Knee Orthosis for Femoral Neuropathy", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2k51c2xd", "frozenauthors": [ { "first_name": "Resa", "middle_name": "L.", "last_name": "Oshiro", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-16T18:45:06Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45498/galley/34284/download/" } ] }, { "pk": 45497, "title": "Sarcoidosis Presenting as Syncope in a Middle-aged Man", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8nk121ps", "frozenauthors": [ { "first_name": "Abdul Elah", "middle_name": "H.", "last_name": "Assi", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Melkon", "middle_name": "", "last_name": "Hacobian", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Asim", "middle_name": "M.", "last_name": "Rafique", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-16T18:43:38Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45497/galley/34283/download/" } ] }, { "pk": 45496, "title": "Blues Toes: An Unusual Presentation After COVID-19 Vaccination", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4d2696qg", "frozenauthors": [ { "first_name": "Yaqoot", "middle_name": "", "last_name": "Khan", "name_suffix": "DO", "institution": "University of California, Los Angeles", "department": "Medicine" }, { "first_name": "Thanda", "middle_name": "", "last_name": "Aung", "name_suffix": "MD, MS", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-16T18:41:58Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45496/galley/34282/download/" } ] }, { "pk": 45495, "title": "Resistant Hypertension and STEMI as a Presentation of Fibromuscular Dysplasia", "subtitle": null, "abstract": "", "language": "eng", "license": { "name": "", "short_name": "", "text": null, "url": "" }, "keywords": [ { "word": "Clinical Vignette" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/68g6p08v", "frozenauthors": [ { "first_name": "Kritika", "middle_name": "", "last_name": "Reddy", "name_suffix": "MD", "institution": "University of California, Los Angeles", "department": "Medicine" } ], "date_submitted": null, "date_accepted": null, "date_published": "2022-08-16T18:38:08Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/ucladom_proceedings/article/45495/galley/34281/download/" } ] }, { "pk": 131, "title": "Comparing infrared and webcam eye tracking in the Visual World Paradigm", "subtitle": null, "abstract": "Visual World eye tracking is a temporally fine-grained method of monitoring attention, making it a popular tool in the study of online sentence processing. Recently, while infrared eye tracking was mostly unavailable, various web-based experiment platforms have rapidly developed webcam eye tracking functionalities, which are now in urgent need of testing and evaluation. We replicated a recent Visual World study on the incremental processing of verb aspect in English using ‘out of the box’ webcam eye tracking software (jsPsych; de Leeuw, 2015) and crowdsourced participants, and fully replicated both the offline and online results of the original study. We furthermore discuss factors influencing the quality and interpretability of webcam eye tracking data, particularly with regards to temporal and spatial resolution; and conclude that remote webcam eye tracking can serve as an affordable and accessible alternative to lab-based infrared eye tracking, even for questions probing the time-course of language processing.", "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/3r28x18w", "frozenauthors": [ { "first_name": "Myrte", "middle_name": "", "last_name": "Vos", "name_suffix": "", "institution": "UiT the Arctic university of Norway", "department": "" }, { "first_name": "Serge", "middle_name": "", "last_name": "Minor", "name_suffix": "", "institution": "UiT the Arctic university of Norway", "department": "" }, { "first_name": "Gillian", "middle_name": "Catriona", "last_name": "Ramchand", "name_suffix": "", "institution": "UiT the Arctic university of Norway", "department": "" } ], "date_submitted": "2022-03-01T23:41:02.544000Z", "date_accepted": "2022-07-14T22:53:49.510000Z", "date_published": "2022-08-15T19:30:00Z", "render_galley": { "label": "Updated XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/131/galley/30/download/" }, "galleys": [ { "label": "Updated PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/131/galley/29/download/" }, { "label": "Updated XML", "type": "xml", "path": "https://journalpub.escholarship.org/glossapsycholinguistics/article/131/galley/30/download/" } ] }, { "pk": 1189, "title": "Point-of-care Ultrasound to Distinguish Retinal Detachment and Ruptured Arterial Microaneurysm", "subtitle": null, "abstract": "Case presentation: \nWe present the case of an older male with point-of-care-ultrasound (POCUS) imaging consistent with retinal detachment who was instead found by ophthalmology to have a ruptured arterial microaneurysm with vitreous and preretinal hemorrhage. The patient later had complete resolution of his symptoms. We discuss this retinal detachment “mimic.”\nDiscussion:\n Preretinal hemorrhage is an uncommon condition that can be mistaken for ophthalmologic emergencies such as retinal detachment. The images and videos shown here add to the body of evidence that POCUS is useful in diagnosing pre-retinal hemorrhage but must be differ-entiated from retinal detachment. These images also emphasize the need for further research and application of POCUS for the identification of preretinal hemorrhage.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "point-of-care ultrasound" }, { "word": "preretinal hemorrhage" }, { "word": "retinal detachment." } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8tv9t7t0", "frozenauthors": [ { "first_name": "Rachel", "middle_name": "", "last_name": "Kester", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington", "department": "None" }, { "first_name": "Scott", "middle_name": "", "last_name": "Szymanski", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington", "department": "None" }, { "first_name": "Michael", "middle_name": "", "last_name": "Perreault", "name_suffix": "", "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington", "department": "None" } ], "date_submitted": "2022-08-12T18:28:07Z", "date_accepted": "2022-08-12T18:28:07Z", "date_published": "2022-08-12T18:58:07Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1189/galley/928/download/" } ] }, { "pk": 16003, "title": "Discharge Navigator: Implementation and Cross-Sectional Evaluation of a Digital Decision Tool for Social Resources upon Emergency Department Discharge", "subtitle": null, "abstract": "Introduction:\n Many patients have unaddressed social needs that significantly impact their health, yet navigating the landscape of available resources and eligibility requirements is complex for both patients and clinicians. \n \nMethods:\n Using an iterative design-thinking approach, our multidisciplinary team built, tested, and deployed a digital decision tool called “Discharge Navigator” (edrive.ucsf.edu/dcnav) that helps emergency clinicians identify targeted social resources for patients upon discharge from the acute care setting. The tool uses each patient’s clinical and demographic information to tailor recommended community resources, providing the clinician with action items, pandemic restrictions, and patient handouts for relevant resources in five languages. We implemented two modules at our urban, academic, Level I trauma center. \n \nResults:\n Over the 10-week period following product launch, between 4-81 on-shift emergency clinicians used our tool each week. Anonymously surveyed clinicians (n = 53) reported a significant increase in awareness of homelessness resources (33% pre to 70% post, P<0.0001) and substance use resources (17% to 65%, P<0.0001); confidence in accessing resources (22% to 74%, P<0.0001); knowledge of eligibility criteria (13% to 75%, P<0.0001); and ability to refer patients always or most of the time (11% to 43%, P<0.0001). The average likelihood to recommend the tool was 7.8 of 10. \n \nConclusion:\n Our design process and low-cost tool may be replicated at other institutions to improve knowledge and referrals to local community resources.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine, Social Determinants of Health, Innovation, Public Health, Design Thinking" } ], "section": "Health Equity", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/6th2r8qj", "frozenauthors": [ { "first_name": "Madeline", "middle_name": "", "last_name": "Grade", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California; University of California San Francisco, Acute Care Innovation Center, San Francisco, California", "department": "None" }, { "first_name": "Nicholas", "middle_name": "", "last_name": "Stark", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California; University of California San Francisco, Acute Care Innovation Center, San Francisco, California", "department": "None" }, { "first_name": "David", "middle_name": "", "last_name": "Emanuels", "name_suffix": "", "institution": "University of California San Francisco School of Medicine, San Francisco, California", "department": "None" }, { "first_name": "Alice", "middle_name": "", "last_name": "Lu", "name_suffix": "", "institution": "University of California San Francisco School of Medicine, San Francisco, California", "department": "None" }, { "first_name": "Jay", "middle_name": "", "last_name": "Doshi", "name_suffix": "", "institution": "Cornell University, Ithaca, New York", "department": "None" }, { "first_name": "Sherman", "middle_name": "", "last_name": "Leung", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, New York City, New York", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Peabody", "name_suffix": "", "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California; University of California San Francisco, Acute Care Innovation Center, San Francisco, California", "department": "None" } ], "date_submitted": "2021-10-09T10:22:11Z", "date_accepted": "2021-10-09T10:22:11Z", "date_published": "2022-08-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16003/galley/8022/download/" } ] }, { "pk": 41755, "title": "First record of the chancelloriid Allonnia from the middle Cambrian Wheeler Formation (Drumian, Miaolingian) of western Utah", "subtitle": null, "abstract": "A newly described specimen of chancelloriid represents the first occurrence of \nAllonnia\n in the middle Cambrian Wheeler Formation of Utah. This occurrence fills a geographic gap in the genus’s distribution from the Burgess Shale Formation (British Columbia) to the El Gavilán Formation (Sonora). It is also the geologically youngest occurrence of the genus in North America.", "language": "en", "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": "Chancelloriida, Allonnia, Wheeler Formation, Cambrian" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/03b3j605", "frozenauthors": [ { "first_name": "John", "middle_name": "R.", "last_name": "Foster", "name_suffix": "", "institution": "Utah Field House of Natural History State Park Museum", "department": "None" }, { "first_name": "Thomas", "middle_name": "F.", "last_name": "Howells", "name_suffix": "", "institution": "Utah Field House of Natural History State Park Museum", "department": "None" }, { "first_name": "Steven", "middle_name": "D.", "last_name": "Sroka", "name_suffix": "", "institution": "Utah Field House of Natural History State Park Museum", "department": "None" } ], "date_submitted": "2021-12-11T19:40:31Z", "date_accepted": "2021-12-11T19:40:31Z", "date_published": "2022-08-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/ucmp_paleobios/article/41755/galley/31223/download/" } ] }, { "pk": 16115, "title": "Low Rates of Lung and Colorectal Cancer Screening Uptake Among a Safety-net Emergency Department Population", "subtitle": null, "abstract": "Introduction: \nA suspected diagnosis of cancer through an emergency department (ED) visit is associated with poor clinical outcomes. The purpose of this study was to explore the rate at which ED patients attend cancer screenings for lung, colorectal (CRC), and breast cancers based on national guidelines set forth by the United States Preventive Services Task Force (USPSTF).\n \nMethods: \nThis was a prospective cohort study. Patients were randomly approached in the Eskenazi Hospital ED between August 2019–February 2020 and were surveyed to determine whether they would be eligible and had attended lung, CRC, and breast cancer screenings, as well as their awareness of lung cancer screening with low-dose computed tomography (LDCT). Patients who were English-speaking and ≥18 years old, and who were not critically ill or intoxicated or being seen for acute decompensated psychiatric illness were offered enrollment. Enrolled subjects were surveyed to determine eligibility for lung, colorectal, and breast cancer screenings based on guidelines set by the USPSTF. No cancer screenings were actually done during the ED visit.\n \nResults:\n A total of 500 patients were enrolled in this study. More participants were female (54.4%), and a majority were Black (53.0%). Most participants had both insurance (80.2%) and access to primary care (62.8%). Among the entire cohort, 63.0% identified as smokers, and 62.2% (140/225) of the 50- to 80-year-old participants qualified for lung cancer screening. No patients were screened for lung cancer in this cohort (0/225). Only 0.6% (3/500) were aware that LDCT was the preferred method for screening. Based on pack years, 35.5% (32/90) of the patients who were 40-49 years old and 6.7% (6/90) of those 30–39 years old would eventually qualify for screening. Regarding CRC screening, 43.6% (218/500) of the entire cohort was eligible. However, of those patients only 54% (118/218) had been screened. Comparatively, 77.7% (87/112) of the eligible females had been screened for breast cancer, but only 54.5% (61/112) had been screened in the prior two years.\n \nConclusion:\n Many ED patients are not screened for lung/colorectal/breast cancers even though many are eligible and have reported access to primary care. This study demonstrates an opportunity and a need to address cancer screening in the ED.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "accident &" }, { "word": "emergency medicine, oncology, cancer, cancer screening, disparities" } ], "section": "Health Outcomes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7zm427gn", "frozenauthors": [ { "first_name": "Nicholas", "middle_name": "", "last_name": "Pettit", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "DuyKhanh", "middle_name": "", "last_name": "Ceppa", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" }, { "first_name": "Patrick", "middle_name": "", "last_name": "Monahan", "name_suffix": "", "institution": "Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana", "department": "None" } ], "date_submitted": "2021-11-10T19:46:40Z", "date_accepted": "2021-11-10T19:46:40Z", "date_published": "2022-08-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16115/galley/8084/download/" } ] }, { "pk": 15358, "title": "Racial and Ethnic Disparities in Hospitalization and Clinical Outcomes Among Patients with COVID-19", "subtitle": null, "abstract": "Introduction: The recent spread of coronavirus disease 2019 (COVID-19) has disproportionately impacted racial and ethnic minority groups; however, the impact of healthcare utilization on outcome disparities remains unexplored. Our study examines racial and ethnic disparities in hospitalization, medication usage, intensive care unit (ICU) admission and in-hospital mortality for COVID-19 patients.Methods: In this retrospective cohort study, we analyzed data for adult patients within an integrated healthcare system in New York City between February 28–August 28, 2020, who had a lab-confirmed COVID-19 diagnosis. Primary outcome was likelihood of inpatient admission. Secondary outcomes were differences in medication administration, ICU admission, and in-hospital mortality.Results: Of 4717 adult patients evaluated in the emergency department (ED), 3219 (68.2%) were admitted to an inpatient setting. Black patients were the largest group (29.1%), followed by Hispanic/Latinx (29.0%), White (22.9%), Asian (3.86%), and patients who reported “other” race-ethnicity (19.0%). After adjusting for demographic, clinical factors, time, and hospital site, Hispanic/Latinx patients had a significantly lower adjusted rate of admission compared to White patients (odds ratio [OR] 0.51; 95% confidence interval [CI] 0.34-0.76). Black (OR 0.60; 95% CI 0.43-0.84) and Asian patients (OR 0.47; 95% CI 0.25 - 0.89) were less likely to be admitted to the ICU. We observed higher rates of ICU admission (OR 2.96; 95% CI 1.43-6.15, and OR 1.83; 95% CI 1.26-2.65) and in-hospital mortality (OR 4.38; 95% CI 2.66-7.24; and OR 2.96; 95% CI 2.12-4.14) at two community-based academic affiliate sites relative to the primary academic site.Conclusion: Non-White patients accounted for a disproportionate share of COVID-19 patients seeking care in the ED but were less likely to be admitted. Hospitals serving the highest proportion of minority patients experienced the worst outcomes, even within an integrated health system with shared resources. Limited capacity during the COVID-19 pandemic likely exacerbated pre-existing health disparities across racial and ethnic minority groups.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "COVID-19" }, { "word": "SARS-CoV-2" }, { "word": "racial disparities" }, { "word": "Race" }, { "word": "Ethnicity" }, { "word": "Emergency Medicine" }, { "word": "emergency department" }, { "word": "Hospital admission" }, { "word": "New York City" } ], "section": "Endemic Infections", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3h09c75d", "frozenauthors": [ { "first_name": "Felipe", "middle_name": "", "last_name": "Serrano", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Erik", "middle_name": "J", "last_name": "Blutinger", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Carmen", "middle_name": "", "last_name": "Vargas-Torres", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Saadiyah", "middle_name": "", "last_name": "Bilal", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "Counts", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Straight", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York", "department": "None" }, { "first_name": "Michelle", "middle_name": "P", "last_name": "Lin", "name_suffix": "", "institution": "Icahn School of Medicine at Mount Sinai, Department of Population Health Science and Policy, New York, New York", "department": "None" } ], "date_submitted": "2021-05-06T17:02:14Z", "date_accepted": "2021-05-06T17:02:14Z", "date_published": "2022-08-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15358/galley/7773/download/" } ] }, { "pk": 16659, "title": "The Accuracy of Sepsis Screening Score for Mortality Prediction at Emergency Department Triage", "subtitle": null, "abstract": "Introduction:\n Sepsis has a mortality rate of 10-40% worldwide. Many screening tools for sepsis prediction and for emergency department (ED) triage are controversial. This study compared the accuracy of the scores for predicting 28-day mortality in adult patients with sepsis in the triage area of the ED.\n \nMethods: \nAdult patients who presented to the ED of a tertiary-care university hospital from January–December 2019 with an initial diagnosis of sepsis or other infection-related conditions were enrolled. We calculated predictive scores using information collected in the ED triage area. Prognostic accuracy was measured by the area under the receiver operating characteristic curve (AUROC) for predicting 28-day mortality as a primary outcome. The secondary outcomes included mechanical ventilation usage and vasopressor usage for 28 days.\n \nResults:\n We analyzed a total of 550 patients. The 28-day mortality rate was 12.4% (n = 68). The 28-day mortality rate was best detected by the National Early Warning Score (NEWS) (AUROC = 0.770; 95% confidence interval [CI]: 0.705-0.835), followed by the quick Sequential Organ Failure Assessment (qSOFA) score (AUROC = 0.7473; 95% CI: 0.688-0.806), Search Out Severity (SOS) score (AUROC = 0.749; 95% CI: 0.685-0.815), Emergency Severity Index (ESI) triage (AUROC = 0.599; 95% CI: 0.542-0.656, and the Systemic Inflammatory Response System (SIRS) criteria (AUROC = 0.588; 95% CI: 0.522-0.654]). The NEWS also provided a higher AUROC and outperformed for 28-day mechanical ventilator usage and 28-day vasopressor usage.\n \nConclusion:\n The NEWS outperforms qSOFA, SOS, SIRS, and ESI triage in predicting 28-day mortality, mechanical ventilator, and vasopressor usage of a patient with sepsis who is seen at ED triage.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "sepsis" }, { "word": "emergency" }, { "word": "triage" }, { "word": "screening" }, { "word": "News" }, { "word": "qSOFA" } ], "section": "Critical Care", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0mx1j2tb", "frozenauthors": [ { "first_name": "Karn", "middle_name": "", "last_name": "Suttapanit", "name_suffix": "", "institution": "Mahidol University, Faculty of Medicine Ramathibodi Hospital, Department of Emergency Medicine, Bangkok, Thailand", "department": "None" }, { "first_name": "Sirasit", "middle_name": "", "last_name": "Satiracharoenkul", "name_suffix": "", "institution": "Mahidol University, Faculty of Medicine Ramathibodi Hospital, Department of Emergency Medicine, Bangkok, Thailand", "department": "None" }, { "first_name": "Pitsucha", "middle_name": "", "last_name": "Sanguanwit", "name_suffix": "", "institution": "Mahidol University, Faculty of Medicine Ramathibodi Hospital, Department of Emergency Medicine, Bangkok, Thailand", "department": "None" }, { "first_name": "Thidathit", "middle_name": "", "last_name": "Prachanukool", "name_suffix": "", "institution": "Mahidol University, Faculty of Medicine Ramathibodi Hospital, Department of Emergency Medicine, Bangkok, Thailand", "department": "None" } ], "date_submitted": "2022-03-14T19:15:25Z", "date_accepted": "2022-03-14T19:15:25Z", "date_published": "2022-08-11T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16659/galley/8432/download/" } ] }, { "pk": 15956, "title": "COVID-19 and Serious Bacterial Infection in Febrile Infants Less Than 60 Days Old", "subtitle": null, "abstract": "Introduction:\n The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to the coronavirus disease 2019 (COVID-19) pandemic that drastically impacted the United States. The evidence was not clear on how SARS-CoV-2 infection impacted children, given the high prevalence of SAR-CoV-2 infection. Febrile infants less than 60 days old are an ongoing challenge to risk-stratify for serious bacterial infection (SBI), including urinary tract infection (UTI), bacteremia, and meningitis. We hypothesized there would be a lower rate of SBI in SARS-CoV-2 positive febrile infants compared to those SARS-CoV-2 negative. \n \nMethods:\n This was a retrospective chart review with a nested, age-matched, case-control study performed from March 2020–June 2021. Infants less than 60 days old presenting with fever were assigned groups based on SARS-CoV-2 infection. Blood, urine, and cerebrospinal fluid cultures were used as the gold standard to diagnose SBI. We compared overall rate of SBI as well as individual rates of SBI between each group. We performed a subgroup analysis evaluating the age group 29-60 days old. \n \nResults:\n A total of 164 subjects met criteria for analysis: 30 COVID-19 positive and 134 COVID-19 negative subjects. Rate of SBI was 17.9% (95% confidence interval [CI]: 11.8-25.5%) in the COVID-19 negative group compared to 0% (95% CI: 0.0%-11.1%) in the COVID-19 group, which demonstrated statistical significance (p = 0.008). In the age-matched data, we found statistical significance for any SBI (p = <0.001). For individual rates of SBI, we found statistical significance for UTI (p = <0.001) and bacteremia (p = <0.001). The 29- 60 days-old subgroup analysis did not achieve statistical significance (p = 0.11).\n \nConclusion:\n This study demonstrated the utility of including SARS-CoV-2 infection as part of the risk stratification of febrile infants less than 60 days old. While overall there is a low incidence of bacteremia and meningitis in this age group, these results can contribute to existing literature and potentially help decrease invasive testing and exposure to broad-spectrum antibiotics.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Febrile infants, COVID-19, serious bacterial infection, febrile neonate" } ], "section": "Pediatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/46d5q6rw", "frozenauthors": [ { "first_name": "David", "middle_name": "", "last_name": "Guernsey III", "name_suffix": "", "institution": "Maimonides Medical Center", "department": "None" }, { "first_name": "Matthew", "middle_name": "", "last_name": "Pfeffer", "name_suffix": "", "institution": "Maimonides Medical Center", "department": "None" }, { "first_name": "James", "middle_name": "", "last_name": "Kimpo", "name_suffix": "", "institution": "Maimoindes Medical Center", "department": "None" }, { "first_name": "Hector", "middle_name": "", "last_name": "Vazquez", "name_suffix": "", "institution": "Maimonides Medical Center", "department": "None" }, { "first_name": "Jessica", "middle_name": "", "last_name": "Zerzan", "name_suffix": "", "institution": "Maimonides Medical Center", "department": "None" } ], "date_submitted": "2021-09-24T22:48:37Z", "date_accepted": "2021-09-24T22:48:37Z", "date_published": "2022-08-10T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/15956/galley/7995/download/" } ] }, { "pk": 16256, "title": "#WhyIDoIt: A Multidisciplinary Wellness Initiative in an Academic Emergency Department", "subtitle": null, "abstract": "Introduction:\n Healthcare clinicians in critical care settings such as the emergency department (ED) experience workplace stressors and are at high risk for burnout. This correlates with substance abuse, suicidality, career dissatisfaction, early retirement, and suboptimal patient care. Therefore, recognizing, and mitigating, burnout is critical to a healthcare worker’s health and wellbeing. While gratitude and positive psychology are shown to increase resilience and decrease burnout, no prior studies have examined specific ED care team motivators for continued career satisfaction and workplace engagement. To increase the wellness in our ED, we implemented a wellness initiative titled #WhyIDoIt. Our goal was to have all care team members share what motivates them to work in our ED. \n \nMethods:\n Participants were asked what motivates them in the workplace. We gathered responses each February for three consecutive years, 2017-2019, at our academic Level I trauma center. Emergency department clinicians, nurses, and staff were recruited to participate at grand rounds, nursing huddles, and sign out. Participants self-selected to contribute by writing their response on a sticky note and posting it in the department. After three years of implementing this initiative, we analyzed the collected qualitative data using thematic analysis based on grounded theory. Submissions were subjectively categorized into initial themes and then reconciled into three overarching classifications.\n \nResults:\n In total, we collected 149 responses. Themes included team work (35, 23.5%), pride in a unique skill set (26, 17.4%), helping patients in a time of need (26, 17.4%), teaching/learning opportunities (15,10.1%), humor and levity (14, 9.4%), building relationships with patients (11,7.4%), financial motivation (9, 6.0%), patient gratitude (7, 4.7%), and philosophical and moral motivators (6, 4.0%). These themes were reconciled into three overarching classifications including team-centered motivators \n(76, 51%), patient-centered motivators (37, 24.8%), and reward-centered motivators (36, 24.2%). \n \nConclusion:\n Responses that showed the greatest motivator for ED clinicians and nurses were team-centered. This highlights the importance of relationship building and a sense of shared purpose and suggests that future workplace well-being initiatives should include strengthening and maintaining professional team relationships. [West J Emerg Med. 2022;22(X)X–X.]", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Wellness" }, { "word": "physician wellness" }, { "word": "burnout" }, { "word": "resilience" }, { "word": "Workplace Motivators" }, { "word": "Team-Centered" } ], "section": "Behavioral Health", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3ms2c1z7", "frozenauthors": [ { "first_name": "Nancy", "middle_name": "", "last_name": "Jacobson MD", "name_suffix": "", "institution": "Medical College of Wisconsin", "department": "None" }, { "first_name": "Riley", "middle_name": "", "last_name": "Westein MD", "name_suffix": "", "institution": "Medical College of Wisconsin", "department": "None" }, { "first_name": "Rachel", "middle_name": "", "last_name": "Nordstrom MD", "name_suffix": "", "institution": "Medical College of Wisconsin", "department": "None" }, { "first_name": "Alicia", "middle_name": "", "last_name": "Pilarski DO", "name_suffix": "", "institution": "Medical College of Wisconsin", "department": "None" } ], "date_submitted": "2021-12-28T18:50:38Z", "date_accepted": "2021-12-28T18:50:38Z", "date_published": "2022-08-10T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16256/galley/8157/download/" } ] }, { "pk": 3833, "title": "Editors' Note", "subtitle": null, "abstract": "", "language": "en", "license": null, "keywords": [], "section": "Editorial Notes", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9kn3s04m", "frozenauthors": [ { "first_name": "Tyler", "middle_name": "", "last_name": "Pullen", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Liubing", "middle_name": "", "last_name": "Xie", "name_suffix": "", "institution": "", "department": "None" }, { "first_name": "Irene", "middle_name": "", "last_name": "Farah", "name_suffix": "", "institution": "", "department": "None" } ], "date_submitted": "2022-08-10T03:00:26Z", "date_accepted": "2022-08-10T03:00:26Z", "date_published": "2022-08-10T03:02:20Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3833/galley/2488/download/" } ] }, { "pk": 3832, "title": "COVID-19 and the Future of Urban Life", "subtitle": null, "abstract": "The COVID-19 pandemic has caused unimaginable adversity, with nations across the globe devising ways to cope with the loss of life, economic productivity, and social fabric. Due to the agnostic nature of the virus, no facet of society, whether in the Global North or South, has been left untouched. As beacons of economic and social agglomeration, the pre-pandemic city, in particular, has seen a rapid transformation, in often unforeseen directions. Local businesses have shuttered, while large technology companies have thrived; offices have closed, while their adjacent streets have been opened for active mobility and social activities; apartment rents have decreased, while single-family home prices have increased; the underprivileged have been adversely affected by both the virus as well as the economic reality of the pandemic, while the affluent have been largely untouched in both health and economy. Responses to COVID-19 in various nations have only exacerbated existing socioeconomic inequities, and, expectedly, not all federal, state, or local responses have been beneficial to all strata of society. This white paper focuses on several core themes that have evolved over the course of the pandemic and have behaved differently across geographies: (1) urban economics and equity (2) social and economic power dynamics, and (3) strategies to preserve urban social and economic systems.", "language": "en", "license": null, "keywords": [], "section": "Essays", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9db7h28x", "frozenauthors": [ { "first_name": "Meiqing", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Pavan", "middle_name": "", "last_name": "Yedavalli", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Liubing", "middle_name": "", "last_name": "Xie", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Sai", "middle_name": "", "last_name": "Balakrishnan", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Zachary", "middle_name": "", "last_name": "Lamb", "name_suffix": "", "institution": "UC Berkeley", "department": "None" }, { "first_name": "Karen", "middle_name": "", "last_name": "Chapple", "name_suffix": "", "institution": "UC Berkeley", "department": "None" } ], "date_submitted": "2022-08-10T02:10:55Z", "date_accepted": "2022-08-10T02:10:55Z", "date_published": "2022-08-10T02:15:01Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3832/galley/2487/download/" } ] }, { "pk": 3814, "title": "Decolonising Myself: Navigating the Researcher-Activist Identity in the Urban South Pacific", "subtitle": null, "abstract": "This paper charts my path from observer to action researcher – and my \nex post\n realisation that a transition had happened in my work. This transition happened on the fly, in the field, without me critically reflecting on it at the time, while I was studying evictions in Port Vila, Vanuatu, South Pacific. My ethics came into direct conflict with my research approach, and I chose to change my approach. I theorise my transformation in the modernity/coloniality literature and close by offering strategies to students and other researchers who are looking for ways to engage more deeply with, and give something back to, the communities they study.", "language": "en", "license": null, "keywords": [ { "word": "Pacific, urban, action research, participation, activism, Vanuatu" } ], "section": "Journal Submissions", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8dv7x526", "frozenauthors": [ { "first_name": "Jennifer", "middle_name": "Eve", "last_name": "Day", "name_suffix": "", "institution": "Other", "department": "None" } ], "date_submitted": "2020-12-27T21:36:08Z", "date_accepted": "2020-12-27T21:36:08Z", "date_published": "2022-08-10T01:45:50Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3814/galley/2472/download/" } ] }, { "pk": 3815, "title": "How to Save Chinatown: Preserving affordability and community service through ethnic retail", "subtitle": null, "abstract": "Chinatowns in North America have been especially hit hard by COVID-19, a reality of anti-Asian racist and xenophobic sentiment exacerbated by the global pandemic. The factors contributing to increased business closures, commercial vacancy, and gentrification in Chinatowns have existed before the pandemic and have only been exacerbated. In order to preserve Chinatowns, municipalities have enacted historic preservation and small business support measures, such as historic designations, technical assistance for businesses, increased permit scrutiny, and legacy business programs. This study investigates the difference in retail changes across three Chinatowns in Vancouver, San Francisco and Los Angeles both prior and during the COVID-19 pandemic. Concurrently, this study also examines the impact of retaining a legacy business program and other preservation measures on the retail landscape. Interviews with city officials, organizers, community institutions, and members of the business community were conducted along with an analysis of existing local programs, policies and reports. This study finds that measures taken through historic preservation, small business support, and pandemic relief have not significantly addressed core needs within Chinatown communities. The most effective forms of relief and preservation was affordable housing, community-ownership of commercial businesses, and direct assistance for commercial rent. This study also acknowledges that some Chinatowns are faring better than others due to the ability of the Chinese community to fight against to historic discriminatory planning practices such as urban renewal, slum clearance, and highway building. The impact of these histories is deeply intertwined with the survivability of ethnic retail within each distinct Chinatown, and depending on the strength of existing community ties that remain will inform how preservation policies should be enacted.", "language": "en", "license": null, "keywords": [ { "word": "chinatown, ethnic retail, historic preservation, economic development, COVID-19" } ], "section": "Journal Submissions", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3p5213jd", "frozenauthors": [ { "first_name": "Collyn", "middle_name": "", "last_name": "Chan", "name_suffix": "", "institution": "Massachusetts Institute of Technology", "department": "None" }, { "first_name": "Amy", "middle_name": "", "last_name": "Zhou", "name_suffix": "", "institution": "UCLA", "department": "None" } ], "date_submitted": "2021-04-16T08:21:18Z", "date_accepted": "2021-04-16T08:21:18Z", "date_published": "2022-08-09T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/ucb_crp_bpj/article/3815/galley/2473/download/" } ] }, { "pk": 1188, "title": "Level I Hyperglycemia Alert: A Case Report", "subtitle": null, "abstract": "Introduction: \nNonketotic hyperglycemia-associated chorea is a rare condition that upon presentation to the emergency department can be easily misdiagnosed as a seizure or a stroke. Although uncommon, identification of this condition can aid emergency physicians in avoiding unnecessary and potentially harmful treatments for other neurological pathology. Furthermore, prompt hyperglycemic control can result in reversal of symptoms within days.\nCase Report:\n We present a case of nonketotic hyperglycemia-associated chorea where the patient was transferred to our facility as a hemorrhagic stroke alert, based on a false-positive interpretation of head computed tomography (CT) imaging.\nConclusion:\n Nonketotic hyperglycemia on CT imaging and clinical presentation can mimic stroke presentations. Prompt recognition of key features can lead to appropriate treatment.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "hyperglycemia" }, { "word": "stroke mimic" }, { "word": "nonketotic hyperglycemia" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1qk603h5", "frozenauthors": [ { "first_name": "Michelle", "middle_name": "", "last_name": "Nassal", "name_suffix": "", "institution": "The Ohio State University, Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio", "department": "None" }, { "first_name": "Christopher", "middle_name": "", "last_name": "San Miguel", "name_suffix": "", "institution": "The Ohio State University, Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio", "department": "None" } ], "date_submitted": "2022-08-08T19:10:38Z", "date_accepted": "2022-08-08T19:10:38Z", "date_published": "2022-08-08T19:14:17Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1188/galley/927/download/" } ] }, { "pk": 1187, "title": "Real-time Ultrasound-Guided Manual Testicular Detorsion: A Case Report", "subtitle": null, "abstract": "Introduction: \nAcute testicular torsion is a surgical emergency due to acute testicular ischemia. Manual testicular detorsion is a testis-saving, bedside therapeutic when performed correctly and in a timely fashion. This procedure is most commonly performed blindly with pain relief as the endpoint for detorsion. However, up to one-third of patients continued to show signs of residual torsion in the operating room even using pain relief as the stopping point for the procedure.\nCase Report:\n We present a case demonstrating the utility of color Doppler ultrasound to confirm complete manual detorsion in a 14-year-old male with acute testicular torsion. The patient underwent 360-degree detorsion and had relief of pain; however, color Doppler demonstrated incomplete return of flow to the testis. After an additional 180-degree turn was made, color Doppler demonstrated complete return of normal vascular flow to the torsed testis.\nConclusion:\n When it comes to testicular viability, timely restoration of blood flow to the testicle is of utmost importance. Manual detorsion is a non-invasive intervention that can be quickly and effectively performed at the bedside. Moreover, using color Doppler ultrasound guidance can ensure that physicians detorse in the proper direction and to completion, by providing instant visualization of restorative flow and ensuring reperfusion of the testis while awaiting definitive surgical management.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Testicular torsion" }, { "word": "detorsion" }, { "word": "ultrasound" }, { "word": "color Doppler" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0zh5h8r0", "frozenauthors": [ { "first_name": "Wilson", "middle_name": "T.", "last_name": "Smith", "name_suffix": "", "institution": "Vassar Brothers Medical Center, Department of Emergency Medicine, Poughkeepsie, New York", "department": "None" }, { "first_name": "Stephanie", "middle_name": "", "last_name": "Midgley", "name_suffix": "", "institution": "Vassar Brothers Medical Center, Department of Emergency Medicine, Poughkeepsie, New York", "department": "None" }, { "first_name": "Tobias", "middle_name": "", "last_name": "Kummer", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "None" } ], "date_submitted": "2022-08-08T18:35:06Z", "date_accepted": "2022-08-08T18:35:06Z", "date_published": "2022-08-08T18:35:57Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1187/galley/926/download/" } ] }, { "pk": 1186, "title": "60-year-old Female with Edema", "subtitle": null, "abstract": "Introduction: \nMany patients present to the emergency department (ED) with nonspecific, acute-on-chronic complaints. It requires a thorough diagnostic approach and broad differential diagnosis to determine whether there is serious, undiagnosed pathology.\nCase Presentation:\n A 60-year-old female presented to the ED for gradually worsening bilateral lower extremity swelling with associated abdominal distension, ascites, diarrhea, vomiting, and weight loss.\nDiscussion: \nThis case takes the reader through the evaluation of a patient with acute-on-chronic complaints who presented in a decompensated state.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Emergency Medicine" }, { "word": "clinicopathological conference" }, { "word": "case reports" }, { "word": "edema" }, { "word": "carcinoid tumor" }, { "word": "malignant carcinoid syndrome" }, { "word": "carcinoid heart disease" } ], "section": "Clinicopathological Cases from the University of Maryland", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8256p81k", "frozenauthors": [ { "first_name": "Nikki", "middle_name": "A.", "last_name": "Cali", "name_suffix": "", "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Cheyenne", "middle_name": "", "last_name": "Falat", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "Laura", "middle_name": "J.", "last_name": "Bontempo", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" }, { "first_name": "J.", "middle_name": "David", "last_name": "Gatz", "name_suffix": "", "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland", "department": "None" } ], "date_submitted": "2022-08-08T18:30:42Z", "date_accepted": "2022-08-08T18:30:42Z", "date_published": "2022-08-08T18:31:31Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1186/galley/925/download/" } ] }, { "pk": 1185, "title": "Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction", "subtitle": null, "abstract": "Case Presentation:\n A 41-year-old otherwise healthy male presented to the emergency department with recurrent exertional near-syncope. He was eventually found to have a large pericardial cyst causing an outflow obstruction. After resection of the cyst by cardiothoracic surgery, he had an uneventful hospital course and was discharged seven days later with no recurrent syncopal episodes.\nDiscussion:\n We describe an otherwise healthy patient who exhibited symptomatic left ventricular outflow obstruction from a pericardial cyst. These cysts are usually benign and asymptomatic, although they can progress to cause significant morbidity or mortality. Surveillance is recommended if no hemodynamic compromise is present. Patients who are symptomatic or have hemodynamic compromise may undergo needle aspiration or thoracoscopy with resection.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "pericardial cyst" }, { "word": "near-syncope" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9g50d716", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "", "last_name": "Offman", "name_suffix": "", "institution": "Michigan State University College of Osteopathic Medicine, Mercy Health – Muskegon, Department of Emergency Medicine, Muskegon, Michigan", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Skopek", "name_suffix": "", "institution": "Michigan State University College of Osteopathic Medicine, Mercy Health – Muskegon, Department of Emergency Medicine, Muskegon, Michigan", "department": "None" } ], "date_submitted": "2022-08-08T18:25:20Z", "date_accepted": "2022-08-08T18:25:20Z", "date_published": "2022-08-08T18:26:06Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1185/galley/924/download/" } ] }, { "pk": 1184, "title": "Infant with Groin Swelling", "subtitle": null, "abstract": "Case Presentation:\n A 21-day-old female presented to the pediatric emergency department with swelling of the left groin. Physical examination revealed a soft, nontender abdomen and a two- centimeter firm and fixed mass on the left aspect of her mons pubis. Point-of-care ultrasound revealed a left inguinal hernia with incarcerated ovary.\nDiscussion: \nInguinal hernias are common in the pediatric population. In female patients, particularly those less than one year old, inguinal hernias most frequently contain an ovary rather than bowel; so they require careful evaluation to protect future reproductive function.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "hernia" }, { "word": "groin" }, { "word": "ovary" }, { "word": "infant" }, { "word": "ultrasound" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/12j1m5wq", "frozenauthors": [ { "first_name": "Nisha", "middle_name": "", "last_name": "Polavarapu", "name_suffix": "", "institution": "Hackensack Meridian School of Medicine, Hackensack University Medical Center, Department of Pediatric Emergency Medicine, Hackensack, New Jersey", "department": "None" }, { "first_name": "Brendan", "middle_name": "", "last_name": "Kilbane", "name_suffix": "", "institution": "Rainbow Babies and Children’s Hospital, Department of Pediatric Emergency Medicine, Cleveland, Ohio", "department": "None" } ], "date_submitted": "2022-08-08T18:20:47Z", "date_accepted": "2022-08-08T18:20:47Z", "date_published": "2022-08-08T18:21:49Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1184/galley/923/download/" } ] }, { "pk": 1183, "title": "When a Headache Is More than the Flu: A Case Report", "subtitle": null, "abstract": "Introduction:\n When influenza (flu) season arrives, it is easy for emergency department clinicians to anchor on the diagnosis of flu, sending patients on their way with or without anti-influenza medication. It is important not to miss the outlier – the patient who seems to have typical symptoms of influenza but with certain subtleties that should make one consider expanding the differential diagnosis.\nCase Report:\n We describe an 11-year-old previously healthy male who presented with eight days of fever, myalgias, cough, congestion, and headache in the context of positive influenza exposure. The length and severity of his symptoms prompted laboratory and imaging investigation. He was positive for influenza type B with elevated inflammatory markers but otherwise normal laboratory workup and normal chest radiograph. He complained of a headache and was given fluids and antipyretics, and was admitted for overnight observation. He specifically did not have any forehead swelling. The next day during his inpatient stay he developed right frontal forehead edema and appeared ill. He was taken for a sinus computed tomography, which showed changes consistent with frontal bone osteomyelitis. Even after drainage by neurosurgery and otolaryngology, the patient subsequently developed repeat abscesses and ultimately a superior sagittal sinus thrombosis.\nConclusion:\n Other sources of infection should be considered in patients who have flu-like symptoms that last longer than expected, present with focality, or appear ill.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Pott’s puffy tumor" }, { "word": "frontal bone osteomyelitis" }, { "word": "influenza" }, { "word": "case report" }, { "word": "sinusitis" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/8w32k9qw", "frozenauthors": [ { "first_name": "Abigail", "middle_name": "E.", "last_name": "Russ", "name_suffix": "", "institution": "University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Department of Pediatric Emergency Medicine, Little Rock, Arkansas", "department": "None" }, { "first_name": "Amber", "middle_name": "M.", "last_name": "Morse", "name_suffix": "", "institution": "University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Department of Pediatric Emergency Medicine, Little Rock, Arkansas", "department": "None" }, { "first_name": "David", "middle_name": "M.", "last_name": "Spiro", "name_suffix": "", "institution": "University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Department of Pediatric Emergency Medicine, Little Rock, Arkansas", "department": "None" } ], "date_submitted": "2022-08-08T18:16:39Z", "date_accepted": "2022-08-08T18:16:39Z", "date_published": "2022-08-08T18:17:16Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1183/galley/922/download/" } ] }, { "pk": 1182, "title": "Snocross “Shark-bite” Laceration", "subtitle": null, "abstract": "Case Presentation: \nA snowmobile racer fell from his sled and was run over by another, sustaining “shark bite” to his hand and leg. He was evacuated to a trackside medical trailer where the characteristic wounds were felt to require further exploration at a hospital.\nDiscussion:\n “Shark bite” is a colloquial term for lacerations sustained from metal studs attached to a snowmobile’s track. “Shark-bite” lacerations may be more prone to complications than other lacerations commonly sustained in motorsports events.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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": "Snocross" }, { "word": "laceration" }, { "word": "shark bite" }, { "word": "motorsport" }, { "word": "Wound" } ], "section": "Images in Emergency Medicine", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/1g33396g", "frozenauthors": [ { "first_name": "Wyatt", "middle_name": "", "last_name": "Telken", "name_suffix": "", "institution": "University of North Dakota School of Medicine and Health Sciences, Department of Emergency Medicine, Bismarck, North Dakota", "department": "None" }, { "first_name": "Jon", "middle_name": "", "last_name": "Solberg", "name_suffix": "", "institution": "University of North Dakota School of Medicine and Health Sciences, Department of Emergency Medicine, Bismarck, North Dakota", "department": "None" }, { "first_name": "Mark", "middle_name": "", "last_name": "Raymond", "name_suffix": "", "institution": "University of North Dakota School of Medicine and Health Sciences, Department of Emergency Medicine, Bismarck, North Dakota", "department": "None" } ], "date_submitted": "2022-08-08T17:56:48Z", "date_accepted": "2022-08-08T17:56:48Z", "date_published": "2022-08-08T17:57:51Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1182/galley/921/download/" } ] }, { "pk": 1181, "title": "Hyperaldosteronism and Renal Artery Stenosis in a Post-Abdominal Aortic Aneurysm Patient: A Case Report", "subtitle": null, "abstract": "Introduction: \nPatients with history of abdominal aortic aneurysm (AAA) undergoing surgical repair can have a myriad of surgical complications including compromise to large arteries branching from the aorta. Secondary hyperaldosteronism, characterized by high levels of aldosterone and renin, can be due to a multitude of causes, including renal artery stenosis, and presents with nonspecific symptoms of fatigue, increased thirst, and muscle spasms. While it can initially be difficult to diagnose given its multitude of metabolic abnormalities, secondary hyperaldosteronism is important to consider in patients presenting with uncontrolled hypertension, hypokalemia, and metabolic alkalosis.\nCase Report: \nThis report explores the case of a 65-year-old male with a complicated medical history presenting to the emergency department with hypokalemia and hypertension six months after undergoing endovascular repair for an AAA and was found to have metabolic abnormalities including hypokalemia and metabolic alkalosis consistent with secondary hyperaldosteronism, likely secondary to renal artery stent stenosis. He was admitted to the hospital for four days and made a full recovery.\nConclusion:\n This case highlights the need to understand, identify, and accurately diagnose hyperaldosteronism and recognize post-AAA repair complications of renal artery stenosis as a cause of this metabolic derangement.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "abdominal aorta aneurysm" }, { "word": "AAA" }, { "word": "hyperaldosteronism" }, { "word": "stent" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7sp554b3", "frozenauthors": [ { "first_name": "Konnor", "middle_name": "", "last_name": "Davis", "name_suffix": "", "institution": "University of California, Irvine, School of Medicine, Irvine, California", "department": "None" }, { "first_name": "Christopher", "middle_name": "J.", "last_name": "Gilani", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" }, { "first_name": "Gabriel", "middle_name": "", "last_name": "Sudario", "name_suffix": "", "institution": "University of California, Irvine, Department of Emergency Medicine, Orange, California", "department": "None" } ], "date_submitted": "2022-08-08T17:51:22Z", "date_accepted": "2022-08-08T17:51:22Z", "date_published": "2022-08-08T17:52:24Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1181/galley/920/download/" } ] }, { "pk": 1180, "title": "Delayed Recognition of Severe Systemic Envenomation after Copperhead Bite: A Case Report", "subtitle": null, "abstract": "Introduction:\n We report a case of severe systemic copperhead, Agkistrodon contortrix, envenomation that resulted in long-term sequelae.\nCase Report:\n A 72-year-old man presented to the emergency department after suffering a copperhead snakebite. He developed severe systemic toxicity before local tissue injury developed. Clinicians did not initially recognize his envenomation syndrome and sought alternative explanations for his systemic symptoms before polyvalent immune fab (ovine) antivenom was administered. Although the patient improved, he was discharged with new stage three chronic kidney disease.\nConclusion:\n Although rare, copperhead envenomation can cause severe systemic toxicity. Envenomation should be promptly treated with antivenom.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "case report" }, { "word": "snakebite" }, { "word": "copperhead" }, { "word": "Agkistrodon contortrix" }, { "word": "antivenin" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/35d726b2", "frozenauthors": [ { "first_name": "Patrick", "middle_name": "E.", "last_name": "Kelly", "name_suffix": "", "institution": "Duke University Hospital, Department of Surgery, Durham, North Carolina", "department": "None" }, { "first_name": "Charles", "middle_name": "J.", "last_name": "Gerardo", "name_suffix": "", "institution": "Duke University Hospital, Department of Surgery, Durham, North Carolina", "department": "None" } ], "date_submitted": "2022-08-08T17:45:37Z", "date_accepted": "2022-08-08T17:45:37Z", "date_published": "2022-08-08T17:46:26Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1180/galley/919/download/" } ] }, { "pk": 63807, "title": "Cover Art", "subtitle": null, "abstract": "This cover art is by Norweigian photographer Stein Egil Liland.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Mixed Race in Nordic Europe" } ], "section": "Front Matter", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0c10f6dt", "frozenauthors": [ { "first_name": "G.", "middle_name": "Reginald", "last_name": "Daniel", "name_suffix": "", "institution": "University of California, Santa Barbara", "department": "" } ], "date_submitted": "2022-08-09T07:06:18Z", "date_accepted": "2022-08-09T07:06:18Z", "date_published": "2022-08-08T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jcmrs/article/63807/galley/48992/download/" } ] }, { "pk": 43119, "title": "Consider the Coconut: Scientific Agriculture and the Racialization of Risk in the American Colonial Philippines", "subtitle": null, "abstract": "This article invokes the “molecular intimacies of empire” to illuminate the links between the superfood status of coconut oil and plantation labor in the American colonial Philippines. Prior to the American occupation in 1898, coconuts were a local crop that offered small growers a degree of protection from capitalist agriculture. A mere two decades later, coconut plantations occupied more than two million acres of land; copra – the dried kernels from which oil is pressed – was the archipelago’s third major export industry; and the industry employed at least four million people along a commodity chain that included prisoners, landed planters, and oil refiners. Transimperial tropical research stations, economic botany, and penal farms propelled this change. US-run prison plantations in the southern Philippines served as living laboratories for the racial management of labor and the bioengineering of trees bearing fruit all year. Though the copra trade comprised production of modern extractive capitalism, American dairy farmers and vegetable oil producers racialized copra imports as a tropical threat to the white body politic during the global Great Depression. Yet this conflation of coconut oil and the imagined tropical primitive positioned coconut oil for its rerendering as an unrefined natural health food. By connecting the colonial planation to the coconut’s superfood status, the article shows how discourses of risk are racialized and consumed. Indeed, is not the body of the laborer who risks exposure to fertilizers and pesticides nor the loss of biodiversity that North American consumers consider when asked if coconuts are a health food.", "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": [ { "word": "Philippines and colonial agriculture" }, { "word": "coconut plantation" }, { "word": "plantation labor" }, { "word": "Transnational American Studies" } ], "section": "Special Forum on The Molecular Intimacies of Empire", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3x8054pt", "frozenauthors": [ { "first_name": "Theresa", "middle_name": "", "last_name": "Ventura", "name_suffix": "", "institution": "Concordia University", "department": "None" } ], "date_submitted": "2022-07-23T10:19:41Z", "date_accepted": "2022-07-23T10:19:41Z", "date_published": "2022-08-07T03:02:58Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/jtas/article/43119/galley/32123/download/" } ] }, { "pk": 1178, "title": "Atypical Presentation of Traumatic Pediatric Carotid Artery Dissection: A Case Report", "subtitle": null, "abstract": "Introduction:\n Carotid artery dissection is a rare but serious condition manifesting with signs and symptoms that closely overlap with other more benign medical diagnoses. This vascular injury, however, can result in debilitating sequelae, including thromboembolic cerebrovascular accidents.\nCase Report:\n We describe the atypical presentation of a healthy eight-year-old male who presented to the emergency department (ED) with generalized abdominal pain and non-bloody, non-bilious emesis. These symptoms occurred nine days after he sustained blunt head trauma after a non-syncopal fall from standing while playing hockey. He was initially diagnosed with gastroesophageal reflux disease and constipation and was discharged home. The following day he developed an acute headache followed shortly by gait ataxia, prompting a return visit to the ED. Imaging of the head and neck revealed a left internal carotid artery dissection. The patient was started on intravenous unfractionated heparin and admitted to the hospital. He was later discharged symptom-free on therapeutic enoxaparin for eight weeks, followed by daily aspirin therapy.\nConclusion: \nPediatric trauma patients, especially those sustaining insult to the head and cervical spine, are at risk for craniocervical arterial injuries. This rare but dangerous pathology often manifests in a non-specific, delayed fashion making it a challenging diagnosis for physicians to make on the initial medical encounter.1,2 Maintaining a high clinical suspicion for carotid artery dissection is required to make this diagnosis and should guide a thorough history, physical examination, and appropriate imaging in orderto improve patient morbidity and mortality. This case emphasizes key clinical features and risk factors of this disease that may help emergency clinicians promptly recognize and treat this entity.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Carotid Artery Dissection" }, { "word": "craniocervical artery dissection" }, { "word": "pediatric trauma" }, { "word": "ataxia" }, { "word": "Emergency Medicine" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/9qz6f8d6", "frozenauthors": [ { "first_name": "Duncan", "middle_name": "", "last_name": "McGuire", "name_suffix": "", "institution": "Beaumont Hospital, Department of Emergency Medicine, Royal Oak, Michigan", "department": "None" }, { "first_name": "Nicholas", "middle_name": "", "last_name": "Mielke", "name_suffix": "", "institution": "Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan", "department": "None" }, { "first_name": "Amit", "middle_name": "", "last_name": "Bahl", "name_suffix": "", "institution": "Beaumont Hospital, Department of Emergency Medicine, Royal Oak, Michigan", "department": "None" } ], "date_submitted": "2022-08-06T18:49:49Z", "date_accepted": "2022-08-06T18:49:49Z", "date_published": "2022-08-06T18:55:26Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1178/galley/917/download/" } ] }, { "pk": 1179, "title": "A Case Report of a Lebanon Viper (Montivipera bornmuelleri) Envenomation in a Child", "subtitle": null, "abstract": "Introduction:\n Snake envenomation is a serious public health concern. In the Middle East little is known about snakebite envenomation, which raises several challenges for emergency physicians caring for these patients.\nCase report: \nWe report the case of a five-year-old boy bitten by a rare snake, Montivipera bornmuelleri, who presented to an emergency department in Lebanon. We also discuss the proper management of snake envenomation.\nConclusion: \nThis case is unique as snakebites in Lebanon are poorly studied, and little is known about the epidemiology and clinical manifestations of local snakebites.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Lebanon viper" }, { "word": "Montivipera bornmuelleri" }, { "word": "Envenomation" }, { "word": "case report" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/0sv5q1kn", "frozenauthors": [ { "first_name": "Faysal", "middle_name": "", "last_name": "Tabbara", "name_suffix": "", "institution": "American University of Beirut, Department of Emergency Medicine, Beirut, Lebanon", "department": "None" }, { "first_name": "Sarah", "middle_name": "S", "last_name": "Abdul Nabi", "name_suffix": "", "institution": "American University of Beirut, Department of Emergency Medicine, Beirut, Lebanon", "department": "None" }, { "first_name": "Riad", "middle_name": "", "last_name": "Sadek", "name_suffix": "", "institution": "American University of Beirut, Department of Biology, Beirut, Lebanon", "department": "None" }, { "first_name": "Ziad", "middle_name": "", "last_name": "Kazzi", "name_suffix": "", "institution": "Emory University, Department of Emergency Medicine, Atlanta, Georgia", "department": "None" }, { "first_name": "Tharwat", "middle_name": "", "last_name": "El Zahran", "name_suffix": "", "institution": "American University of Beirut, Department of Emergency Medicine, Beirut, Lebanon", "department": "None" } ], "date_submitted": "2022-08-06T19:13:57Z", "date_accepted": "2022-08-06T19:13:57Z", "date_published": "2022-08-06T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1179/galley/918/download/" } ] } ] }