{"count":39461,"next":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=10900","previous":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=10700","results":[{"pk":57905,"title":"ARTventures: Art and Life in the Contemporary Pacific","subtitle":null,"abstract":"The unpublished work ARTventures: Art and Life in the Contemporary Pacific is a literary memoir recounting Susan Cochrane’s unorthodox life as a roaming curator of contemporary Pacific art. The narrative intertwines vignettes of the author’s personal life with her experiences as a “poken” (slang  for English-speaking foreigner) in New Caledonia; on fieldwork trips collecting art in remote areas of Papua New Guinea, the Solomon Islands, and Vanuatu; and encountering Māori and Pasifika artists in Aotearoa New Zealand, and Aboriginal Taiwanese in Taiwan. The text is subtly layered with insights into the attitudes and operations of the art world and strategies to establish Indigenous art in its own right.","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":"Memoir, art history, contemporary art, Pacific, Oceania, Pacific art"}],"section":"Research Notes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/18c5p5jv","frozenauthors":[{"first_name":"Susan","middle_name":"","last_name":"Cochrane","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T01:05:46+08:00","date_accepted":"2021-10-18T01:05:46+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57905/galley/44081/download/"}]},{"pk":57904,"title":"Canoe Carvings from Western Solomon Islands: The Operative Efficacy of Simultaneous Visual Presences","subtitle":null,"abstract":"This article considers a group of late nineteenth-century canoe carvings from Western Solomon Islands. They are so stylistically similar that they could have been carved by the same person, although that information is now lost. Functionally, the carvings’ imagery points to cultural parallels in a manner that gives them an operative efficacy, not just to the canoes to which they were lashed, but also to the vessels’ occupants and owners. This connectivity would have prevailed, not only during a war expedition when the canoes were in use, but before and after, when the carvings were put on and taken off the canoes. The carvings were likely stored in the houses of the canoe owners or in mortuary shrines, establishing a spatial-social cyclicity.","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":"Solomon Islands, canoe carvings, operative efficacy"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/89s702ss","frozenauthors":[{"first_name":"Deborah","middle_name":"","last_name":"Waite","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T01:00:44+08:00","date_accepted":"2021-10-18T01:00:44+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57904/galley/44080/download/"}]},{"pk":57903,"title":"“Fijian Islanders preparing for a feast” (1959): The  Influence of Photography on Popular Opinions of the Pacific","subtitle":null,"abstract":"In 1959, a serialised, illustrated encyclopaedia, The Book of Knowledge, published a photograph captioned “Fijian islanders preparing for a feast,” suggesting to readers that butchering a turtle prior to cooking was a common sight in the 1950s and a cultural practice among modern-day Fijians. However, the photograph had been taken around the turn of the century by a British colonial official, Basil Thomson, and published elsewhere by him and others in the intervening fifty years. How much post–World War II illustrative photography of Pacific Islanders in encyclopaedias was misleading in this manner? How much illustrative (particularly photographic) material from an era long past was presented mid-century as being evidence of contemporary life in the Pacific? Or, was preparing a turtle for a feast a long-standing tradition and, therefore, the date of the photograph immaterial? This paper investigates these questions within the context of the creation of The Book of Knowledge and other such compendia, as well as Euro-American stereotypes of Fiji and the Pacific.","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":"Fiji, photography, representation, encyclopaedia, encyclopedia, stereotypes"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2x9448bf","frozenauthors":[{"first_name":"Max","middle_name":"","last_name":"Quanchi","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T00:58:45+08:00","date_accepted":"2021-10-18T00:58:45+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57903/galley/44079/download/"}]},{"pk":57897,"title":"Introduction: Teaching the Future of Pacific Art","subtitle":null,"abstract":"Although a few scholars have examined the training of Indigenous Pacific artists during the period of early contact with Europeans and Americans, as well as the education of Indigenous artists who practice heritage arts in the Pacific today, almost nothing has been written on the instruction of art in modern classroom and workshop settings with regard to Pacific Islanders and Aboriginal Australians. The four Discussion Roundtable articles in this volume focus on teaching art in Oceania—three address art education for Pacific Island students in a variety of settings, while the fourth is concerned with the presentation of Pacific arts and artists to an outside audience made up of American college students. As a departure from the academic articles usually found in these pages, and in contrast to the other contributions to this volume, these four pieces are narratives of personal journeys of discovery.","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":"art, education, Oceania"}],"section":"Discussion Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0nn801px","frozenauthors":[{"first_name":"Anne","middle_name":"E. Guernsey","last_name":"Allen","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T00:42:00+08:00","date_accepted":"2021-10-18T00:42:00+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57897/galley/44073/download/"}]},{"pk":57900,"title":"Learning to Surf (Seʻe) on a Wave, from Island to Urbanesia","subtitle":null,"abstract":"This paper looks at the role of artists and art instruction in New Caledonia, with particular emphasis on workshops used to teach traditional arts in a contemporary Pacific context. It articulates realistic insight into the life of Pacific artists and their work as and with tagata fenua (the Kanaky people of New Caledonia) and Polynesian participants from Uvea, Futuna, Tahiti, and other islands. Workshops at the Siapo Art Centre are designed to find ways to adapt the cultural environment to urban situations with the support of local associations, the government, and social agencies in order to develop long term initiatives. By focusing on the Kupesi Contemporary Artist in Residence program at the University of New Caledonia–Higher School of Teaching and Education (École Supérieure du Professorat et de l’Éducation, UNC ESPE) center, as well as other projects, this essay provides a window into the role of public art education in the Pacific.","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":"New Caledonia, siapo, arts organizations, contemporary Pacific art education and lifestyles, art, education"}],"section":"Discussion Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8x36j9d3","frozenauthors":[{"first_name":"Ela","middle_name":"Toʻomaga","last_name":"Kaikilekofe","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T00:51:14+08:00","date_accepted":"2021-10-18T00:51:14+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57900/galley/44076/download/"}]},{"pk":57894,"title":"Pacific Arts N.S. Vol. 21 No. 1 (2021)","subtitle":null,"abstract":"Guest Edited by Anne E. Guernsey Allen","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4x04r80p","frozenauthors":[{"first_name":"Pacific Arts","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T00:20:29+08:00","date_accepted":"2021-10-18T00:20:29+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57894/galley/44070/download/"}]},{"pk":57895,"title":"Pacific Arts Vol. 21 No. 1 (2021)","subtitle":null,"abstract":"Guest edited by Anne E. Guernsey Allen","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":"art, education, pacific island, oceania"}],"section":"Full Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6p40x83z","frozenauthors":[{"first_name":"Pacific Arts","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T00:29:20+08:00","date_accepted":"2021-10-18T00:29:20+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57895/galley/44071/download/"}]},{"pk":57899,"title":"Singing in Harmony: Reflections on Forty Years of Teaching Art in New Zealand Schools","subtitle":null,"abstract":"This paper presents experiences and personal reflections on teaching art in multicultural secondary schools in New Zealand for over forty years. An educational construct that puts students’ lived realities and cultural experiences at the forefront of their education—primarily through a process of respecting them and their communities—is presented by an art teacher whose career and practice have moved from a monocultural, Eurocentric system to a more equitable, diverse, student-based culture.","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":"art, education, student-based, Pacifica, Māori, inclusive"}],"section":"Discussion Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/20m8c586","frozenauthors":[{"first_name":"Laura","middle_name":"","last_name":"Sunderland","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T00:48:31+08:00","date_accepted":"2021-10-18T00:48:31+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57899/galley/44075/download/"}]},{"pk":57901,"title":"Who Speaks for Sāmoa? Some Reflections by a Pālagi Teacher of Pacific Art and Culture in the American Midwest","subtitle":null,"abstract":"This paper considers some of the pitfalls related to and practical considerations for teaching courses that address cultures to which the instructor does not belong. The primary focus, however, is on ethical matters that may arise in any university classroom, particularly in relation to the exhibition of art. Who, if anyone, has to right to speak for others and why do students assume it is the instructor? Whose voices or narratives are to be included? Who becomes the arbiter of authenticity in these cases? How do we counter stereotypes that arise when only a partial and filtered view of a culture can be presented?","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":"culture, ethics, teaching, art, education, authenticity, stereotypes"}],"section":"Discussion Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7vd5t6st","frozenauthors":[{"first_name":"Anne","middle_name":"E. Guernsey","last_name":"Allen","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-10-18T00:53:19+08:00","date_accepted":"2021-10-18T00:53:19+08:00","date_published":"2021-10-18T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57901/galley/44077/download/"}]},{"pk":25167,"title":"Challenges that rangers must face: Four rangers from Mexico, Costa Rica, Honduras, and Colombia tell their stories of diverse realities across Latin America","subtitle":null,"abstract":"A set of articles in a previous issue of \nParks Stewardship Forum\n (volume 37, number 1, 2021) focused on how to implement the 2019 Chitwan Declaration of the 9th World Ranger Congress covering issues such as rangers’ role in conservation, relationships with communities, and challenges to professionalize the career. Here I build on those articles by collaborating with four Latin American rangers so that they can tell their stories of how they became rangers and what they face. The four represent different park systems, habitat types, educational levels, gender issues, community relationships, and major duties, among other aspects. Their stories lend a human face to the earlier general discussions.","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":[],"section":"New Perspectives (Non-Peer Reviewed)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6d3831j3","frozenauthors":[{"first_name":"Jon","middle_name":"","last_name":"Kohl","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-09-15T01:46:42+08:00","date_accepted":"2021-09-15T01:46:42+08:00","date_published":"2021-10-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25167/galley/14797/download/"}]},{"pk":35498,"title":"Acute Large Bowel Obstruction due to Pelvic Endometriosis: A Case Report","subtitle":null,"abstract":"Endometriosis is one of the most common benign gynecological conditions with a prevalence of 6.6% to 16.2% among women of reproductive age in the United States. It is defined as the occurrence of hormone-responsive endometrial tissue outside of the uterine cavity. However, the pathophysiology of endometriosis is poorly understood. Intestinal endometriosis causing large bowel obstruction is rare despite being the second most common extragenital site of endometriotic implantation. In the adult population, intestinal endometriosis is a clinical challenge because it can be mistaken for other acute obstructive diseases, such as colorectal carcinoma. Computed tomography lacks specificity in the detection of bowel wall abnormalities that cause a large bowel obstruction, and endoscopy does not show an intraluminal mass. The gold standard diagnostic procedures are laparoscopy and biopsy, with laparoscopy used for surgical resection of the abnormal tissue if necessary.","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":"large bowel obstruction"},{"word":"endometriosis"},{"word":"intestinal endometriosis"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0cw9g3pp","frozenauthors":[{"first_name":"Natalie","middle_name":"Ann","last_name":"Cain","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Maitraya","middle_name":"","last_name":"Patel","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2020-01-27T09:20:05+08:00","date_accepted":"2020-01-27T09:20:05+08:00","date_published":"2021-10-15T00:08:50+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35498/galley/26426/download/"}]},{"pk":35499,"title":"Emergency Intravascular Aortic and Iliac Artery Lithotripsy to Facilitate Thoracic Endovascular Aortic Repair of a Ruptured Thoracic Aortic Aneurysm: A Case Report","subtitle":null,"abstract":"Thoracic endovascular aortic repair (TEVAR) is the preferred treatment for ruptured thoracic aortic aneurysms. Poor access vessels are a relative contraindication to TEVAR. Intravascular lithotripsy (IVL) has recently been shown to be effective in treating calcified and stenotic vessels. Prior to the introduction of IVL, plaque modification techniques to increase vessel compliance and luminal diameter were limited to technically complex and risky surgical and interventional radiologic procedures. We present a case demonstrating the use of IVL in the emergency setting to treat severe atherosclerotic stenoses in the abdominal aorta and the iliac artery to facilitate TEVAR of a ruptured thoracic aortic aneurysm.","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":"Intravascular lithotripsy, thoracic endovascular aneurysm repair, thoracic aortic aneurysm, atherosclerosis"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9t22q5fg","frozenauthors":[{"first_name":"Tyler","middle_name":"","last_name":"Callese","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Max","middle_name":"","last_name":"Padgett","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Murray","middle_name":"","last_name":"Kwon","name_suffix":"","institution":"Department of Surgery, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"John","middle_name":"M","last_name":"Moriarty","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2020-01-30T10:48:37+08:00","date_accepted":"2020-01-30T10:48:37+08:00","date_published":"2021-10-15T00:07:38+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35499/galley/26427/download/"}]},{"pk":35506,"title":"Iatrogenic Axillary Pseudoaneurysm Caused by Ultrasound-guided, Vacuum-assisted Biopsy of the Axillary Lymph Node: A Case Report","subtitle":null,"abstract":"Arterial\n \npseudoaneurysms are contained ruptures of the arterial wall that require prompt intervention. Iatrogenic pseudoaneurysms may result from various diagnostic and therapeutic procedures. Iatrogenic axillary pseudoaneurysms are quite rare, with few reported cases in the literature. We report a case of a 45-year-old woman who sustained an axillary pseudoaneurysm after an ultrasound-guided, vacuum-assisted biopsy of the axillary lymph node. An arteriovenous fistula developed concomitantly. Despite two image-guided treatments, thrombin injection and endovascular coil embolization, the pseudoaneurysm had persistent flow and was ultimately surgically resected at the time when the patient underwent mastectomy for breast cancer.","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":"iatrogenic, axillary, pseudoaneurysm, biopsy"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2n01s4rs","frozenauthors":[{"first_name":"Shimwoo","middle_name":"","last_name":"Lee","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Justin","middle_name":"P","last_name":"McWilliams","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Stephanie","middle_name":"A","last_name":"Lee-Felker","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2020-05-12T11:43:13+08:00","date_accepted":"2020-05-12T11:43:13+08:00","date_published":"2021-10-15T00:07:04+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35506/galley/26431/download/"}]},{"pk":35525,"title":"Electronic Integrated Diagnostic Report for Presenting Results of Breast Imaging and Breast Biopsy","subtitle":null,"abstract":"Most breast imaging practices have an organized system for reviewing the results of breast biopsies, assessing radiologic-histologic concordance, and making follow-up management recommendations. Yet, historically, the breast pathology report and radiologic addendum have been separated within the electronic medical record. Having the two entities fused into one integrated diagnostic report (IDR) has provided both a concise summary of the pertinent findings of imaging and histologic examinations related to the patient’s care and clear guidance for treatment and follow-up. Direct correlation between imaging and histologic findings has been shown to decrease discordance between these findings and increase diagnostic accuracy. The IDR is also a useful\n \nsummary for conferences of tumor boards and multidisciplinary clinics. In addition, the software that is used for generating the IDR is capable of identifying patients who may benefit from clinical trials.","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":"Radiology, report, mammography, pathology, breast-imagingintegrated diagnostic report, radiologic-histologic correlation, concordance"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1rt718wq","frozenauthors":[{"first_name":"Laura","middle_name":"","last_name":"Doepke","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Corey","middle_name":"","last_name":"Arnold","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Anne","middle_name":"","last_name":"Hoyt","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Dieter","middle_name":"","last_name":"Enzmann","name_suffix":"","institution":"Department of Radiological Sciences, David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2021-02-18T06:42:50+08:00","date_accepted":"2021-02-18T06:42:50+08:00","date_published":"2021-10-15T00:06:06+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35525/galley/26441/download/"}]},{"pk":1093,"title":"An Uncommon Presentation of Cryptococcal Meningitis in an Immunocompetent Patient: A Case Report","subtitle":null,"abstract":"Introduction:\n Meningitis is a serious and potentially life-threatening infection of the central nervous system. Cryptococcus neoformans is a rare fungal cause of meningitis that commonly presents with atypical symptoms. Although this infection is most common in immunocompromised patients, it also occurs in immunocompetent patients. This case report describes an atypical presentation of cryptococcal meningitis in a seemingly immunocompetent patient.\nCase Report:\n A 40-year-old immunocompetent patient with no significant past medical history had visited the emergency department (ED) five times within a span of 30 days reporting dental pain and headache. Throughout each of the visits, no clear symptoms signaling the need for a meningitis workup were observed, as the patient had been afebrile, displayed no nuchal rigidity, and his presenting symptoms subsided within the ED after treatment. A lumbar puncture was performed after emergency medical services brought the patient in for his sixth ED visit, initially for stroke-like symptoms and altered mental status. Spinal fluid was indicative of cryptococcal meningitis.\nConclusion:\n This case highlights the challenge of identifying cryptococcal meningitis in the ED, particularly in immunocompetent patients who do not display classic meningitis symptoms. It also highlights the importance of keeping a broad differential and carefully ruling out diagnoses when patients return to the ED multiple times for the same complaint.","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":"immunocompetent"},{"word":"cryptococcal meningitis"},{"word":"altered mental status"},{"word":"headache"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8xb9v5d5","frozenauthors":[{"first_name":"Kelly","middle_name":"","last_name":"Correa","name_suffix":"","institution":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine and Graduate Medical Education, Wyandotte, Michigan","department":"None"},{"first_name":"Scott","middle_name":"","last_name":"Craver","name_suffix":"","institution":"Ascension St. Vincent Indianapolis Hospital, Department of Emergency Medicine, Indianapolis, Indiana","department":"None"},{"first_name":"Amar","middle_name":"","last_name":"Sandhu","name_suffix":"","institution":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan","department":"None"}],"date_submitted":"2021-10-13T07:09:48+08:00","date_accepted":"2021-10-13T07:09:48+08:00","date_published":"2021-10-13T07:11:34+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1093/galley/834/download/"}]},{"pk":1091,"title":"Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report","subtitle":null,"abstract":"Introduction:\n Acute myocardial infarction (AMI) rarely occurs during pregnancy and presents unique challenges in diagnosis and management. Traditionally, pregnancy has not readily been considered a risk factor for AMI in the emergency department despite the potential for adverse impacts on maternal and fetal health. As cardiovascular risk factors and advanced maternal age become more prevalent in society over time, the incidence will continue to increase. Prior cases with singular gestation have been reported; however, only one previous case during a twin pregnancy was identified in the medical literature.\nCase Report:\n We describe a rare case of acute ST-segment elevation myocardial infarction in a 37-year-old woman at 24 weeks gestation with a dichorionic diamniotic twin pregnancy.\nConclusion:\n It is important for the emergency physician to recognize acute coronary syndrome as a part of the differential diagnosis of chest pain in pregnant patients and be familiar with the diagnostic and management options available for this special population.","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":"acute myocardial infarction"},{"word":"STEMI"},{"word":"twin pregnancy"},{"word":"acute coronary syndrome"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7ms1z86c","frozenauthors":[{"first_name":"Tony","middle_name":"","last_name":"Michaelis","name_suffix":"","institution":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan","department":"None"},{"first_name":"Satheesh","middle_name":"","last_name":"Gunaga","name_suffix":"","institution":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan","department":"None"},{"first_name":"Tyson","middle_name":"","last_name":"McKechnie","name_suffix":"","institution":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan","department":"None"},{"first_name":"Qaiser","middle_name":"","last_name":"Shafiq","name_suffix":"","institution":"Henry Ford Wyandotte Hospital, Department of Medicine/Division of Cardiology, Wyandotte, Michigan","department":"None"}],"date_submitted":"2021-10-06T10:57:24+08:00","date_accepted":"2021-10-06T10:57:24+08:00","date_published":"2021-10-06T10:58:51+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1091/galley/833/download/"}]},{"pk":1090,"title":"Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report","subtitle":null,"abstract":"Introduction:\n Emergency department (ED) visits related to flare-ups of inflammatory bowel disease (IBD) are becoming more prevalent. There are many potentially dangerous complications and sequelae of uncontrolled IBD.\nCase Report:\n We report a case of a middle-aged woman who presented with a few hours of severe abdominal pain, nausea, and vomiting. Given her hemodynamic instability, she was sent urgently for computed tomography, which showed an incomplete small bowel malrotation, mesenteric volvulus, and high-grade small bowel obstruction with evolving ischemia. The patient underwent exploratory laparotomy to resect most of her small intestines. Biopsies later revealed active Crohn’s disease.\nConclusion:\n Patients with flare-ups of IBD are common in the ED, but very few present with a midgut volvulus later in life. Our case is unique and adds to the literature due to the dramatic consequences of undiagnosed Crohn’s disease in a patient with intermittent symptoms and extensive workup spanning over two decades.","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":"Volvulus"},{"word":"small bowel obstruction"},{"word":"mesenteric ischemia"},{"word":"Crohn’s disease"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/550815cr","frozenauthors":[{"first_name":"Minh Thu","middle_name":"T.","last_name":"Nguyen","name_suffix":"","institution":"University of Rochester Medical Center, Department of Internal Medicine, Rochester, New York","department":"None"},{"first_name":"Amir","middle_name":"","last_name":"Ali","name_suffix":"","institution":"University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York","department":"None"},{"first_name":"Ryan","middle_name":"P.","last_name":"Bodkin","name_suffix":"","institution":"University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York","department":"None"}],"date_submitted":"2021-10-06T10:46:30+08:00","date_accepted":"2021-10-06T10:46:30+08:00","date_published":"2021-10-06T10:47:13+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1090/galley/832/download/"}]},{"pk":1089,"title":"Adrenocortical Carcinoma Discovered with Point-of-care Ultrasound","subtitle":null,"abstract":"Case Presentation:\n A 34-year-old woman presented to the emergency department with bilateral lower extremity edema and shortness of breath. She had been seen by her primary care provider. Lab work and a follow-up with endocrinology had been unrevealing. Using point-of-care ultrasound we identified a cystic mass in the right upper quadrant prompting further imaging.\nDiscussion:\n Abdominal and pelvic computed tomography confirmed a mass in the right posterior liver, which was later identified as an adrenocortical carcinoma. Ultrasound is an important diagnostic tool in the setting of lower extremity edema and can be used to assess for heart failure, liver failure, obstructive nephropathy, venous thrombosis, and soft tissue infection. In this case, ultrasound helped expedite the diagnosis and treatment of a rare malignancy.","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":"ultrasound"},{"word":" imaging"},{"word":"malignancy"},{"word":"oncology"},{"word":" adrenocortical carcinoma"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3dp355p2","frozenauthors":[{"first_name":"Mark","middle_name":"","last_name":"McIntyre","name_suffix":"","institution":"Ohio State University College of Medicine, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Michael","middle_name":"I.","last_name":"Prats","name_suffix":"","institution":"Ohio State University College of Medicine, Department of Emergency Medicine, Columbus, Ohio","department":"None"}],"date_submitted":"2021-10-06T10:37:09+08:00","date_accepted":"2021-10-06T10:37:09+08:00","date_published":"2021-10-06T10:37:50+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1089/galley/831/download/"}]},{"pk":1088,"title":"Computed Tomography Appearance of the “Whirlpool Sign” in Ovarian Torsion","subtitle":null,"abstract":"Case Presentation:\n A 28-year-old female presented to the emergency department complaining of right lower abdominal pain. A contrast-enhanced computed tomography (CT) was done, which showed a 15-centimeter right adnexal cyst with adjacent “whirlpool sign” concerning for right ovarian torsion. Transvaginal pelvic ultrasound (US) revealed a hemorrhagic cyst in the right adnexa, with duplex Doppler identifying arterial and venous flow in both ovaries. Laparoscopic surgery confirmed right ovarian torsion with an attached cystic mass, and a right salpingo-oophorectomy was performed given the mass was suspicious for malignancy.\nDiscussion:\n Ultrasound is the test of choice for diagnosis of torsion due to its ability to evaluate anatomy and perfusion. When ovarian pathology is on the patient’s right, appendicitis is high in the differential diagnosis, and CT may be obtained first. Here we describe a case where CT first accurately diagnosed ovarian torsion by demonstrating the whirlpool sign, despite an US that showed arterial flow to the ovary. Future studies should determine whether CT alone is sufficient to diagnose or exclude ovarian torsion.","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":"ovarian torsion"},{"word":"computed tomography"},{"word":"ultrasound"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9n225801","frozenauthors":[{"first_name":"Joshua","middle_name":"K.","last_name":"Livingston","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Savannah","middle_name":"","last_name":"Gonzales","name_suffix":"","institution":"Cedars-Sinai Medical Center, Department of Obstetrics and Gynecology, Los Angeles, California","department":"None"},{"first_name":"Mark","middle_name":"","last_name":"Langdorf","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"}],"date_submitted":"2021-10-06T10:25:50+08:00","date_accepted":"2021-10-06T10:25:50+08:00","date_published":"2021-10-06T10:27:39+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1088/galley/830/download/"}]},{"pk":1087,"title":"Gastric Pneumatosis After Accidental Ingestion of Concentrated Hydrogen Peroxide: A Case Report","subtitle":null,"abstract":"Introduction:\n Hydrogen peroxide is a common oxidizing agent that if ingested may cause injury to the gastrointestinal tract or embolic events. Although therapy is primarily supportive, gastric perforation is a rare but serious complication of corrosive ingestion that may require surgical treatment.\nCase Report:\n We report the case of a 77-year-old male who presented for nausea and vomiting after accidentally ingesting approximately 150 milliliters of 35% hydrogen peroxide. Computed tomography revealed gastric pneumatosis and extensive portal venous air. The patient was admitted for observation with plans for endoscopy; however, due to the limitations of our small community hospital, he was transferred to a tertiary care center due to concern for a potential gastric perforation.\nConclusion:\n The presence of portal venous air as a result of peroxide ingestion may be treated conservatively depending on presenting symptoms; however, severe injury such as gastrointestinal perforation may necessitate surgical intervention.","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":"hydrogen peroxide ingestion"},{"word":"Gastric pneumatosis"},{"word":"caustic injury"},{"word":"portal venous air"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0nw4z2rp","frozenauthors":[{"first_name":"Christine","middle_name":"X.Q.","last_name":"Pham","name_suffix":"","institution":"Rancho Family Medical Group, Temecula, California","department":"None"},{"first_name":"Casey","middle_name":"","last_name":"Graves","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Michelle","middle_name":"","last_name":"Uttaburanont","name_suffix":"","institution":"Rancho Family Medical Group, Temecula, California","department":"None"},{"first_name":"Karan","middle_name":"P.","last_name":"Singh","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California; University of California, Riverside, School of Medicine, Riverside, California","department":"None"},{"first_name":"Maciej","middle_name":"","last_name":"Witkos","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"}],"date_submitted":"2021-10-06T10:15:38+08:00","date_accepted":"2021-10-06T10:15:38+08:00","date_published":"2021-10-06T10:16:43+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1087/galley/829/download/"}]},{"pk":1086,"title":"Rat-bite Fever–A Rare Diagnosis for a Common Pediatric Presentation: Case Report","subtitle":null,"abstract":"Introduction:\n Fever and rash is a common pediatric presentation to the emergency department but can present a diagnostic challenge to the clinician. Here we report the successful identification and treatment of a rare zoonotic exanthem that was facilitated by a thorough history and physical exam.\nCase Report:\n Rat-bite fever is a potentially fatal systemic illness characterized by relapsing fever, rash, and migratory polyarthralgias. Treatment includes antibiotics for Streptobacillus moniliformis, the most common pathogen, as well as appropriate hygiene education and prevention strategies. We report a case of S. moniliformis in the absence of an actual rodent bite.\nConclusion:\n Due to the generally non-specific presentation of the illness, as well as the growing trend of caring for domestic rodents, it is crucial that clinicians ask details related to zoonotic and other exposures while obtaining medical histories.","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":"rat bite fever"},{"word":"rash"},{"word":"pediatric"},{"word":"zoonotic"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7fb870dr","frozenauthors":[{"first_name":"Anthony","middle_name":"","last_name":"Edholm","name_suffix":"","institution":"Hackensack University Medical Center, Department of Emergency Medicine, Hackensack, New Jersey","department":"None"},{"first_name":"Marissa","middle_name":"","last_name":"Heyer","name_suffix":"","institution":"Hackensack Meridian School of Medicine, Nutley, New Jersey","department":"None"},{"first_name":"Sondra","middle_name":"M.","last_name":"Nemetski","name_suffix":"","institution":"Joseph M. Sanzari Children’s Hospital, Hackensack Meridian Health, Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Hackensack, New Jersey; Hackensack Meridian School of Medicine, Department of Pediatrics, Nutley, New Jersey","department":"None"}],"date_submitted":"2021-10-06T10:05:48+08:00","date_accepted":"2021-10-06T10:05:48+08:00","date_published":"2021-10-06T10:06:32+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1086/galley/828/download/"}]},{"pk":1085,"title":"Enterocutaneous Fistula and Abscess Diagnosed with Point-of-care Ultrasound","subtitle":null,"abstract":"Case Presentation:\n A 64-year-old female with history of umbilical hernia repair with mesh 18 years prior, cystocele, and diabetes mellitus presented with 10 days of abdominal and flank pain.  The patient was tachycardic, normotensive, afebrile, and had an erythematous, tender, protuberant abdominal wall mass. Point-of-care ultrasound (POCUS) revealed an irregular, heterogeneous extraperitoneal fluid collection with intraperitoneal communication; these findings were consistent with an abscess and infected mesh with evidence for intraperitoneal extension.  The diagnosis of enterocutaneous fistula (ECF) with infected mesh and abdominal wall abscess was confirmed with computed tomography and the patient was admitted for antibiotics and source control.\nDiscussion: \nA rare complication of hernia repair with mesh, ECF typically occurs later than more common complications including cellulitis, hernia recurrence, and bowel obstruction. In the emergency department, POCUS is commonly used to evaluate for abscess; in other settings, comprehensive ultrasound is used to evaluate for complications after hernia repair with mesh. However, to date there is no literature reporting POCUS diagnosis of ECF or mesh infection. This case suggests that distant surgery should not preclude consideration of mesh infection and ECF, and that POCUS may be useful in evaluating for these complications.","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":"ultrasound"},{"word":"fistula"},{"word":"hernia repair"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/18s8d9fj","frozenauthors":[{"first_name":"Sarah","middle_name":"","last_name":"McCuskee","name_suffix":"","institution":"New York University School of Medicine, Department of Emergency Medicine, New York, New York","department":"None"},{"first_name":"Kenton","middle_name":"L.","last_name":"Anderson","name_suffix":"","institution":"Stanford University School of Medicine, Department of Emergency Medicine, Palo Alto, California","department":"None"}],"date_submitted":"2021-10-06T09:55:26+08:00","date_accepted":"2021-10-06T09:55:26+08:00","date_published":"2021-10-06T09:57:11+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1085/galley/827/download/"}]},{"pk":1084,"title":"Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report","subtitle":null,"abstract":"Introduction:\n Stress-induced cardiomyopathy is a rare but serious cause of chest pain, which in recent studies has been shown to carry a similar in-hospital mortality to acute ST-elevation myocardial infarction. The pathophysiology of the disease is thought to be secondary to dysregulated catecholamine effects on myocardium.\nCase Report:\n We present a case of a previously healthy female without known thyroid disease who presented to the emergency department for acute chest pain and was found to have thyroid storm- induced cardiomyopathy in a typical stress-induced cardiomyopathy pattern without evidence of coronary disease on catheterization.\nConclusion:\n Thyrotoxicosis can cause dysregulation of catecholamines and is a rare cause of stress-induced cardiomyopathy. It requires distinct therapies and should be considered by emergency physicians in the workup of acute chest pain with concern for stress-induced cardiomyopathy.","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":"Thyroid storm"},{"word":"Takotsubo"},{"word":"cardiomyopathy"},{"word":"chest pain"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/69d5b9fr","frozenauthors":[{"first_name":"Brayden","middle_name":"","last_name":"Ashdown","name_suffix":"","institution":"Denver Health, Department of Emergency Medicine, Denver, Colorado","department":"None"},{"first_name":"Emilie","middle_name":"","last_name":"Calvello Hynes","name_suffix":"","institution":"University of Colorado School of Medicine, UC Health, Department of Emergency Medicine, Aurora, Colorado","department":"None"}],"date_submitted":"2021-10-06T04:52:07+08:00","date_accepted":"2021-10-06T04:52:07+08:00","date_published":"2021-10-06T04:52:43+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1084/galley/826/download/"}]},{"pk":66067,"title":"La reducción de intususcepción guiada por ultrasonido","subtitle":null,"abstract":"","language":"spa","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Abdomen","is_remote":false,"remote_url":null,"frozenauthors":[],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-03T10:51:33.857821+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66067/galley/50659/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66067/galley/50659/download/"}]},{"pk":66110,"title":"Pneumocistose","subtitle":null,"abstract":"Uma mulher de 28 anos vem por dor torácica rapidamente progressiva e falta de ar nos últimos dois dias. Ela foi a um hospital no sudeste de Uganda, após ter consultado em uma clínica de saúde rural...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). 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Não havia sintomas infecciosos ou dor torácica associados...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Ecocardiografia","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Albert","middle_name":"","last_name":"Mugisa","name_suffix":"","institution":"","department":""},{"first_name":"Deus","middle_name":"","last_name":"Twinomugisha","name_suffix":"ECP","institution":"","department":""},{"first_name":"Tracy","middle_name":"","last_name":"Walczynski","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-03T09:05:40.808795+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66063/galley/50655/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66063/galley/50655/download/"}]},{"pk":66123,"title":"Fibrose Endomiocárdica Tropical","subtitle":null,"abstract":"Um homem de 23 anos com relato de dificuldade para respirar há oito anos deu entrada no Hospital de Referência Regional de Mbale com piora da dispneia, associada a distensão abdominal e perda de peso...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). 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All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Ecocardiografia","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Nikolai","middle_name":"","last_name":"Schnittke","name_suffix":"MD, PhD","institution":"","department":""},{"first_name":"Sarah","middle_name":"","last_name":"Eragu","name_suffix":"MBChB","institution":"","department":""},{"first_name":"Rosalia","middle_name":"","last_name":"Holzman","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-03T08:41:23.283130+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66122/galley/50714/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66122/galley/50714/download/"}]},{"pk":66057,"title":"Piomiosite Tropical","subtitle":null,"abstract":"Um garoto de 6 anos vem a uma emergência no norte do Laos com uma queixa de dor na perna direita há duas semanas. A dor iniciou como uma cãibra, mas piorou progressivamente e agora ele não consegue apoiar-se na perna...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"MUSCULOESQUELÉTICO","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Navneet","middle_name":"","last_name":"Dhillon","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-03T08:35:21.179094+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66057/galley/50649/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66057/galley/50649/download/"}]},{"pk":66054,"title":"Obstrução Intestinal Alta Secundária a Hérnia Umbilical Estrangulada","subtitle":null,"abstract":"Um homem de 22 anos apresenta-se com dor abdominal em um hospital distrital da área rural de Uganda. A dor iniciou esta manhã no sítio de uma hérnia umbilical não operada, piorou gradualmente e agora é difusa por todo o abdome...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Jimmy","middle_name":"","last_name":"Ford","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-03T08:25:50.239235+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66054/galley/50646/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66054/galley/50646/download/"}]},{"pk":66050,"title":"Abscesso hepático amebiano","subtitle":null,"abstract":"Uma mulher de 24 anos vem a uma emergência no sul de Uganda com queixa principal de sudorese noturna há três semanas...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"R.","middle_name":"","last_name":"Wahome","name_suffix":"MD","institution":"","department":""},{"first_name":"D.","middle_name":"","last_name":"Mirsch","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-03T08:18:06.960406+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66050/galley/50642/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66050/galley/50642/download/"}]},{"pk":66055,"title":"Gravidez Ectópica Rota","subtitle":null,"abstract":"Uma mulher de 25 anos, sem história médica pregressa relevante, foi a uma emergência regional de referência em Uganda devido a dor abdominal difusa de início súbito há um dia, pior em abdômen inferior...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"GENITURINÁRIO FEMININO","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Freshta","middle_name":"","last_name":"Sahak","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T14:34:46.462531+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66055/galley/50647/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66055/galley/50647/download/"}]},{"pk":66059,"title":"Perfuração Intestinal por Febre Tifóide","subtitle":null,"abstract":"Um homem de 14 anos que vive na zona rural de Uganda foi ao Hospital Regional de Referência de Masaka com 3 dias de febre alta, constipação e fortes dores abdominais. Sua dor abdominal é mal localizada, constante e progressiva...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Kevin Xerxes","middle_name":"","last_name":"Durgun","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T14:15:14.092859+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66059/galley/50651/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66059/galley/50651/download/"}]},{"pk":66060,"title":"Lesão Pulmonar Cavitária","subtitle":null,"abstract":"Um homem de 25 anos com histórico de HIV vem por falta de ar e febre há três dias. Ele não vem fazendo uso das medicações prescritas...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"PULMONAR","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Christine McBeth","middle_name":"","last_name":"DO","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T14:05:16.113691+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66060/galley/50652/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66060/galley/50652/download/"}]},{"pk":66051,"title":"Filariose Linfática","subtitle":null,"abstract":"Um homem de 30 anos apresenta-se com desconforto testicular bilateral lentamente progressivo há 4 semanas. Ele também queixa-se de discreto aumento no tamanho de ambos os testículos...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"GENITURINÁRIO MASCULINO","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Benjamin","middle_name":"","last_name":"Verseman","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T13:43:59.589790+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66051/galley/50643/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66051/galley/50643/download/"}]},{"pk":66102,"title":"Uso do Ultrassom na Avaliação e Tratamento da Dengue","subtitle":null,"abstract":"Uma menina de 8 meses, sem histórico médico conhecido, foi levada a um pronto-socorro em San Pedro Sula, Honduras, com febre e diminuição da ingesta alimentar. A paciente foi diagnosticada com dengue por sua febre e sintomas, devido ao contexto de uma epidemia de dengue na região, internada e transferida a uma enfermaria pediátrica...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"PATOLOGIAS SISTÊMICAS","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Melissa","middle_name":"","last_name":"Myers","name_suffix":"MD","institution":"","department":""},{"first_name":"Erin","middle_name":"","last_name":"Jacobs","name_suffix":"MS","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T13:25:45.319971+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66102/galley/50694/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66102/galley/50694/download/"}]},{"pk":66042,"title":"Infecção Necrosante de Partes Moles","subtitle":null,"abstract":"Um homem afro-americano de 64 anos com história de diabetes mellitus insulino-dependente e hipertensão apresentou-se ao pronto-socorro por dor atraumática no pé direito, edema e drenagem purulenta há 1 semana...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"TECIDOS MOLES","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Ryan","middle_name":"","last_name":"Gibbons","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T13:01:37.932690+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66042/galley/50634/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66042/galley/50634/download/"}]},{"pk":66011,"title":"Dissecção Aórtica","subtitle":null,"abstract":"Um homem de 66 anos com história prévia de insuficiência cardíaca congestiva (ICC) vem ao Hospital Universitário Komfo Anokye (KATH) para avaliação da piora da falta de ar aos esforços e desconforto abdominal...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Ecocardiografia","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Papa Kojo","middle_name":"","last_name":"Mbroh","name_suffix":"MD","institution":"","department":""},{"first_name":"Chris","middle_name":"","last_name":"Oppong","name_suffix":"MD","institution":"","department":""},{"first_name":"Ideen","middle_name":"","last_name":"Zeinali","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T12:44:47.114334+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66011/galley/50603/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66011/galley/50603/download/"}]},{"pk":66035,"title":"Tromboembolismo Pulmonar","subtitle":null,"abstract":"Uma mulher de 58 anos foi ao Hospital Escola Komfo Anokye em Kumasi, Gana, para avaliação de um edema do membro inferior direito de início recente, dispneia súbita e cansaço...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Ecocardiografia","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Ideen","middle_name":"","last_name":"Zeinali","name_suffix":"MD","institution":"","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Edwards","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-02T12:29:47.048977+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66035/galley/50627/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66035/galley/50627/download/"}]},{"pk":40284,"title":"Medieval Studies and Medievalism: Choosing Good Texts for ESL and General Education Students in Taiwan","subtitle":null,"abstract":"This essay uses Brian Helgeland’s movie A Knight’s Tale (2001) as an example of modern medievalism and of a good choice for ESL and general studies students. Drawing on experiences from a course on films and television shows about the Middle Ages, taught at a technology university in Taiwan, I explore how this kind of class benefits Taiwanese ESL students, arguing in particular that a medievalism course can help both teachers and students to reflect on: (1) the need students have for some knowledge of medieval culture, which, entangled as it is in contemporary pop culture, they will encounter frequently in the films, TV shows, and video games that they enjoy; and (2) the need to think carefully about which texts to choose for ESL study.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7967g6bq","frozenauthors":[{"first_name":"John","middle_name":"Lance","last_name":"Griffith","name_suffix":"","institution":"National Taipei University of Technology","department":"None"}],"date_submitted":"2021-10-02T02:42:01+08:00","date_accepted":"2021-10-02T02:42:01+08:00","date_published":"2021-10-02T02:52:06+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40284/galley/30294/download/"}]},{"pk":40286,"title":"Divided by Flesh and Pen: Teaching Medieval Manuscripts Through Virginia Woolf","subtitle":null,"abstract":"Despite the complexity of her written work, Virginia Woolf occasionally sought to “teach” the reader, as Sheila Heti’s new edition of How Should One Read A Book? reveals. Moreover, Woolf was keenly interested in the Middle Ages. This essay uses an unpublished story of Woolf’s to explore new possibilities in the teaching of medieval English literature. A syllabus, outlined at the center of this essay, details assignments that invite students to read and write across genres, disciplines, and time periods, taking up Woolf’s notion of what this author calls the “mystical manuscript,” or the text that comes alive in the mind. Through the fictional diary of Joan Martyn, Woolf explores the limits of the archive when it comes to access and representation. She guides both instructor and student through vivid scenes of public reading and domestic storytelling, suggesting that the keepers of manuscripts are often located far from the locked library.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6g67t6zb","frozenauthors":[{"first_name":"Stacie","middle_name":"","last_name":"Vos","name_suffix":"","institution":"University of California San Diego","department":"None"}],"date_submitted":"2021-10-02T02:50:22+08:00","date_accepted":"2021-10-02T02:50:22+08:00","date_published":"2021-10-02T02:51:28+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40286/galley/30296/download/"}]},{"pk":40285,"title":"Eating Up the Enemy: Teaching Richard Coer de Lyon and the Misrepresentation of Crusader Ideology in White Nationalist Agendas","subtitle":null,"abstract":"American white nationalist groups, such as the Klu Klux Klan, the American Freedom Party, and the American Nazi Party, capitalize on the fantasy of a white, heteronormative medieval Europe in their anti-Islam agendas, misrepresenting both the history of the Crusades and the “Pork-Eating Crusader” image associated with it. Now a product available for purchase at certain online retail shops, the image of a crusader eating “pork” appears in the popular medieval romance Richard Coer de Lyon (RCL) when an ailing King Richard unwittingly eats a Saracen captive instead of the pork he requested. This article examines how working with students to trace the history of this image through RCL gives needed context to the racial and religious identities represented in Crusader texts. When properly contextualized, the episodes of Richard cannibalizing his Saracen enemies demonstrate that the infamous king is a figure for modern audiences to question rather than to emulate. By teaching students that medieval racial and religious identities were in flux, they are better able to see how the modern fantasy of the medieval period is used by white nationalist activists and how to combat their agendas. Such lessons further articulate how certain positions, like race, gender, and religion are constructed over time, and, more importantly, how they continue to be constructed and changed.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8bj267nw","frozenauthors":[{"first_name":"Vanessa","middle_name":"","last_name":"Jaeger","name_suffix":"","institution":"Binghamton University SUNY","department":"None"}],"date_submitted":"2021-10-02T02:44:15+08:00","date_accepted":"2021-10-02T02:44:15+08:00","date_published":"2021-10-02T02:51:03+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40285/galley/30295/download/"}]},{"pk":66040,"title":"Diagnóstico de Obstrução Intestinal Alta & Pneumatose Intestinal com Ultrassonografia à Beira do Leito","subtitle":null,"abstract":"Um homem afro-americano de 54 anos com histórico prévio de cistogastrostomia secundario a pancreatite crônica...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Ryan","middle_name":"","last_name":"Gibbons","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-01T23:18:38.487901+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66040/galley/50632/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66040/galley/50632/download/"}]},{"pk":66039,"title":"Seguido por um caso de Obstrução Intestinal por Ideen Zeinali, MD and Matthew Edwards","subtitle":null,"abstract":"Um homem afro-americano de 54 anos com histórico prévio de cistogastrostomia secundario a pancreatite crônica...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Ryan","middle_name":"","last_name":"Gibbons","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-01T23:18:38.487901+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66039/galley/50631/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66039/galley/50631/download/"}]},{"pk":40283,"title":"Editors' Introduction: Pandemic Experiences and Making the Medieval Relevant","subtitle":null,"abstract":"This issue brings together articles and essays that discuss, from different vantage points, the relevance of teaching medieval literature at a time of increasing global challenges and uncertainties. Marcel Elias and Ardis Butterfield, John Lance Griffith, Vanessa Jaeger, and Stacie Vos focus on different teaching and learning contexts by offering concrete suggestions for the classroom. Our special cluster on “Pandemic Experiences” features nine essays that reflect on what it meant (and means) to be teaching and researching amidst the COVID-19 pandemic, with contributions by Jonathan Fruoco, Kristine Larsen, David Lavinsky, Katrin Rupp, Kara Crawford, Kathy Cawsey, Suzanne Edwards, as well as Sandy Feinstein and Bryan Wang. In our new rubric “Conversations”, we continue discussions from previous issues: in her essay on the Humanities Lab, Patricia Ingham picks up on Carolyn Dinshaw’s call for experimentation, and Emma Margaret Solberg responds to our issue 2.1 on “#MeToo, Medieval Literature, and Trauma-Informed Pedagogy.”","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5ch499gb","frozenauthors":[{"first_name":"Eva","middle_name":"","last_name":"von Contzen","name_suffix":"","institution":"","department":"None"},{"first_name":"Candace","middle_name":"","last_name":"Barrington","name_suffix":"","institution":"","department":"None"},{"first_name":"Lisa","middle_name":"","last_name":"Lampert-Weissig","name_suffix":"","institution":"","department":"None"},{"first_name":"Katherine","middle_name":"","last_name":"Little","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-10-01T21:35:43+08:00","date_accepted":"2021-10-01T21:35:43+08:00","date_published":"2021-10-01T21:38:48+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40283/galley/30293/download/"}]},{"pk":66037,"title":"Cisto Hidático por Echinococcus Granulosus","subtitle":null,"abstract":"Uma mulher de 69 anos buscou atendimento na Emergência por fraqueza, dor abdominal em quadrante superior direito e náusea intermitente há 2 meses, com piora nos últimos três dias...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Danielle","middle_name":"","last_name":"Langan","name_suffix":"DO","institution":"","department":""},{"first_name":"Josh","middle_name":"","last_name":"Greenstein","name_suffix":"MD","institution":"","department":""},{"first_name":"Barry","middle_name":"","last_name":"Hahn","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-01T08:08:28.186198+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66037/galley/50629/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66037/galley/50629/download/"}]},{"pk":66031,"title":"Crise convulsiva focal e o uso do Diâmetro da Bainha do Nervo Óptico","subtitle":null,"abstract":"Uma menina de 7 anos de idade deu entrada no pronto-socorro em estado de mal epiléptico...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"CABEÇA","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Charles","middle_name":"","last_name":"McElyea","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-01T07:59:23.339577+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66031/galley/50623/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66031/galley/50623/download/"}]},{"pk":66120,"title":"Tuberculose Miliar","subtitle":null,"abstract":"Um homem ugandense de 35 anos, previamente hígido, apresenta tosse há 3-4 meses, escarro escurecido e febres intermitentes. A tosse tem sido constante e a produção de escarro está ficando mais espessa...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"PATOLOGIAS SISTÊMICAS","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Jordan","middle_name":"","last_name":"Rode","name_suffix":"MD","institution":"","department":""},{"first_name":"Melony","middle_name":"","last_name":"Chakrabarty","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-10-01T07:46:14.527222+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66120/galley/50712/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66120/galley/50712/download/"}]},{"pk":66105,"title":"Pneumonia Lobar","subtitle":null,"abstract":"Uma menina de 6 anos de idade, parcialmente vacinada, sem história médica pregressa significativa, é trazida a um departamento de emergência distrital na zona rural de Uganda...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"PULMONAR","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Travis","middle_name":"","last_name":"Kling","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T13:40:31.342141+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66105/galley/50697/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66105/galley/50697/download/"}]},{"pk":66041,"title":"Apendicite Perfurada","subtitle":null,"abstract":"Um menino de 5 anos sem história médica pregressa chega à emergência com febre e dor abdominal. Uma semana antes, apresentou um episódio de vômito em grande quantidade e dor periumbilical...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Stephen","middle_name":"","last_name":"Vong","name_suffix":"MD","institution":"","department":""},{"first_name":"Rebecca","middle_name":"","last_name":"Stein-Wexler","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T06:03:30.122319+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66041/galley/50633/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66041/galley/50633/download/"}]},{"pk":66034,"title":"Volvo de Intestino Médio","subtitle":null,"abstract":"Uma menina previamente hígida de 10 meses de idade é trazida por =vômitos biliosos e agitação há um dia. O pai relata um episódio de vômito durante a noite e múltiplos episódios de manhã ao tentar alimentá-la...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Kristopher","middle_name":"de","last_name":"Ga","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T05:56:54.145338+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66034/galley/50626/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66034/galley/50626/download/"}]},{"pk":66095,"title":"Abscesso Subperiosteal","subtitle":null,"abstract":"Um paciente masculino de 15 anos com anemia falciforme queixa-se de dor intensa de início agudo na sua região lombar e nos membros inferiores bilateralmente...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"MUSCULOESQUELÉTICO","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Kristopher","middle_name":"de","last_name":"Ga","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T05:49:49.502672+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66095/galley/50687/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66095/galley/50687/download/"}]},{"pk":66036,"title":"Hidrocefalia","subtitle":null,"abstract":"Lactente nascido a termo por parto cesáreo devido apresentação pélvica e hipoglicemia, com achado de com macrocefalia...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"CABEÇA","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Stephen","middle_name":"","last_name":"Vong","name_suffix":"MD","institution":"","department":""},{"first_name":"Rebecca","middle_name":"","last_name":"Stein-Wexler","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T05:40:56.592044+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66036/galley/50628/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66036/galley/50628/download/"}]},{"pk":66103,"title":"Beribéri Infantil","subtitle":null,"abstract":"Uma menina de 5 meses, do Laos, é levada ao hospital por vômitos refratários. A paciente alimentava-se por amamentação exclusiva e a mãe seguia a dieta restritiva pós parto dos Hmong (grupo étnico), alimentando-se predominantemente de arroz branco polido...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"CABEÇA","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Kirsten","middle_name":"","last_name":"Douglass","name_suffix":"MD","institution":"","department":""},{"first_name":"Rebecca","middle_name":"","last_name":"Stein-Wexler","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T05:25:50.252849+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66103/galley/50695/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66103/galley/50695/download/"}]},{"pk":66025,"title":"Endometrite Necrotizante","subtitle":null,"abstract":"Uma mulher de 18 anos previamente hígida busca consulta por distensão abdominal progressiva, dor, vômitos e fraqueza. Ela estava eliminando flatos...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"GENITURINÁRIO FEMININO","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Vincent","middle_name":"","last_name":"Ndebwanimana","name_suffix":"","institution":"","department":""},{"first_name":"Ling","middle_name":"","last_name":"Jing","name_suffix":"","institution":"","department":""},{"first_name":"Uwamahoro","middle_name":"","last_name":"Doris","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T05:07:43.577717+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66025/galley/50617/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66025/galley/50617/download/"}]},{"pk":66096,"title":"Dirofilariose Humana","subtitle":null,"abstract":"Um homem de 45 anos, HIV positivo, apresenta nódulo subcutâneo indolor em seu antebraço esquerdo há três semanas...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"TECIDOS MOLES","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Amanda","middle_name":"","last_name":"Ferguson","name_suffix":"MD","institution":"","department":""},{"first_name":"Rebecca","middle_name":"","last_name":"Stein-Wexler","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T04:49:26.417805+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66096/galley/50688/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66096/galley/50688/download/"}]},{"pk":66108,"title":"Fratura Supracondilar","subtitle":null,"abstract":"Uma menina de 6 anos previamente hígida queixa-se de dor no braço direito após uma queda testemunhada durante uma corrida. Ela nega outros ferimentos...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"MUSCULOESQUELÉTICO","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Averyl","middle_name":"","last_name":"Shindruk","name_suffix":"MD","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-30T04:41:22.895693+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66108/galley/50700/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66108/galley/50700/download/"}]},{"pk":43068,"title":"About the Contributors","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Contributors","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1z12b2m8","frozenauthors":[{"first_name":"JTAS","middle_name":"","last_name":"Managing Editor","name_suffix":"","institution":"Mainz University","department":"None"}],"date_submitted":"2021-09-30T03:13:42+08:00","date_accepted":"2021-09-30T03:13:42+08:00","date_published":"2021-09-29T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43068/galley/32092/download/"}]},{"pk":66045,"title":"Fratura Craniana Pediátrica","subtitle":null,"abstract":"Uma criança de 18 é trazida por sua mãe a uma emergência rural em Uganda, que relata que o paciente está anormalmente irritado e confuso nas últimas 2-3 horas. Ele entrou em casa chorando e segurando o lado direito de sua cabeça...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"CABEÇA","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Victoria","middle_name":"","last_name":"Shin","name_suffix":"DO","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-29T13:34:34.103231+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66045/galley/50637/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66045/galley/50637/download/"}]},{"pk":66026,"title":"Esplenomegalia Malárica Hiperreativa","subtitle":null,"abstract":"Um homem de 19 anos, que recém emigrou da Papua Nova Guiné para os Estados Unidos, vai a consulta com seu médico de família por dor e distensão abdominal, bem como perda de peso...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Amanda","middle_name":"","last_name":"Ferguson","name_suffix":"MD","institution":"","department":""},{"first_name":"Rebecca","middle_name":"","last_name":"Stein-Wexler","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-29T13:24:48.564866+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66026/galley/50618/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66026/galley/50618/download/"}]},{"pk":66033,"title":"Redução de Intussuscepção Guiada por Ultrassom","subtitle":null,"abstract":"Uma criança de 2 anos do sexo masculino sem história de doenças prévias apresentou-se com dor abdominal. A dor era episódica e havia aumentado de frequência ao longo de um dia...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"LaRoy","name_suffix":"MD","institution":"","department":""},{"first_name":"Rebecca","middle_name":"","last_name":"Stein-Wexler","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-29T13:11:51.651036+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66033/galley/50625/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66033/galley/50625/download/"}]},{"pk":66027,"title":"Intussuscepção Apêndice-Cecocólica","subtitle":null,"abstract":"Um menino de 4 anos apresentou 4 dias de dor abdominal intermitente e vômitos. Não havia história de sangue nas fezes, constipação ou febre. Sem história médica ou cirúrgica pregressa significativa...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Anamika","middle_name":"","last_name":"Jha","name_suffix":"MD","institution":"","department":""},{"first_name":"Sasmita","middle_name":"","last_name":"Tuladhar","name_suffix":"MD","institution":"","department":""},{"first_name":"Bishnu","middle_name":"","last_name":"Gautam","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-29T12:50:31.829392+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66027/galley/50619/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66027/galley/50619/download/"}]},{"pk":66124,"title":"Obstrução Intestinal Alta por Tuberculose Intestinal","subtitle":null,"abstract":"Um homem de 37 anos na fase intensiva de tratamento para tuberculose (TB) vem por dor abdominal difusa e inapetência há três dias. Relato de evacuação de fezes em pequena quantidade, nega febre...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Jonathan F","middle_name":"","last_name":"Swanson","name_suffix":"MD","institution":"","department":""},{"first_name":"Akinniyi E","middle_name":"","last_name":"Fadipe","name_suffix":"MCS (ECSA)","institution":"","department":""},{"first_name":"Samuel L","middle_name":"","last_name":"Burleson","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-29T12:30:21.750420+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66124/galley/50716/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66124/galley/50716/download/"}]},{"pk":66038,"title":"Ascaríase","subtitle":null,"abstract":"Paciente masculino de 7 anos de idade apresentando quadro de febre e diarreia, com dor abdominal difusa progressiva e perda de peso nas últimas 2 semanas, após retorno de viagem à Honduras há 3 semanas...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Wayne","middle_name":"","last_name":"Fu","name_suffix":"MD","institution":"","department":""},{"first_name":"Josh","middle_name":"","last_name":"Greenstein","name_suffix":"MD","institution":"","department":""},{"first_name":"Amit","middle_name":"","last_name":"Ramjit","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-29T11:54:46.188950+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66038/galley/50630/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66038/galley/50630/download/"}]},{"pk":66028,"title":"Biopsia Hepática Para Carcinoma Hepatocelular","subtitle":null,"abstract":"Un agricultor de 45 años de la Etiopía rural se presentó con una historia de 5 meses de dolor progresivo en el cuadrante suprior derecho acompañado de una sensación de arrastre y pérdida de apetito...","language":"por","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"ABDOME","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Amir","middle_name":"","last_name":"Sultan","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2021-09-29T11:41:50.488945+08:00","render_galley":{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66028/galley/50620/download/"},"galleys":[{"label":"HTML Galley","type":"html","path":"https://journalpub.escholarship.org/usinrls/article/66028/galley/50620/download/"}]},{"pk":43066,"title":"Strange Fruit","subtitle":null,"abstract":"An analysis of the long history of anti-Black racism, which stretches from George Floyd's trampling death back to the lynching murders which Billie Holiday sang about in \"Strange Fruit.\"","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":"George Floyd"},{"word":"Billie Holiday"},{"word":"\"Strange Fruit\""},{"word":"history of lynching"}],"section":"SPECIAL FORUM: Global Huck: Mapping the Cultural Work of Translations of Mark Twain’s Adventures of Huckleberry Finn","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8wr2q8j5","frozenauthors":[{"first_name":"Mohamad","middle_name":"","last_name":"Goenawan","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-09-29T05:25:38+08:00","date_accepted":"2021-09-29T05:25:38+08:00","date_published":"2021-09-29T06:43:56+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43066/galley/32091/download/"}]},{"pk":43065,"title":"'I can't breathe': Why George Floyd's Words Reverberate Around the World","subtitle":null,"abstract":"Reflections by the Nigerian writer and critic Ben Okri on the worldwide impact of the murder of George Floyd at the hands of Minnepolis police.","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":"Racial justice"},{"word":"social protest"},{"word":"George Floyd"},{"word":"I can't breathe"},{"word":"Ben Okri"},{"word":"Transnational American Studies"}],"section":"SPECIAL FORUM: Global Huck: Mapping the Cultural Work of Translations of Mark Twain’s Adventures of Huckleberry Finn","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7z68z3h2","frozenauthors":[{"first_name":"Ben","middle_name":"","last_name":"Okri","name_suffix":"","institution":"OBE, Fellow of the Royal Society of Literature","department":"None"}],"date_submitted":"2021-09-29T04:19:06+08:00","date_accepted":"2021-09-29T04:19:06+08:00","date_published":"2021-09-29T04:48:14+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43065/galley/32090/download/"}]},{"pk":43064,"title":"Reflections on Ben Okri, Goenawan Mohamad, and the 2020 Global Uprisings","subtitle":null,"abstract":"The global Black Lives Matter uprisings against police violence prompted by Floyd’s murder were connected to a longer history of transnational Black struggles. As Ben Okri and Goenawan Mohamad and others have suggested, the civil rights and Black Power movements from the 1950s to the 1970s were not confined to US terrain; they were part of a global conjuncture. Protests throughout the Western world highlighted the blood-soaked record of the global color line, coalescing around demands for the official repudiation of the continuing legacies of racial oppression, enslavement, segregation, and empire. In the United States, the Black Lives Matter movement transformed the public conversation in the US about police violence. Caught in the act, Derek Chauvin seemed untroubled at being recorded by a courageous 17-year-old Darnella Frazier. We do not know what he was thinking, but still one recalls those members of lynch mobs posing for photographs during the Jim Crow era. Convinced that he would not be held accountable by a system of state-sanctioned violence, Chauvin appears to have believed that his use of deadly force was justifiable, just as similar extrajudicial killings by police officers of Black people have been upheld by juries and the criminal–legal system. BLM linked the crisis of oppressive policing to longstanding racial inequities in health, housing, employment, and income while insisting on the sanctity of the lives of Black poor, queer, and transgender persons, and persons living with disabilities. Republican-authored laws seeking to wrest autocratic control of education by criminalizing the teaching of race in US history are a craven response to the ways that the global reckoning on racism in 2020 has altered the US political landscape.","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":"transnational Black history"},{"word":"Transnational American Studies"},{"word":"Black Lives Matter"},{"word":"George Floyd"},{"word":"Darnella Frazier"},{"word":"Race and Ethnic Studies"},{"word":"Critical Race Theory"},{"word":"Chimamanda Ngozi Adichie"}],"section":"SPECIAL FORUM: Global Huck: Mapping the Cultural Work of Translations of Mark Twain’s Adventures of Huckleberry Finn","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8361f9wq","frozenauthors":[{"first_name":"Kevin","middle_name":"K.","last_name":"Gaines","name_suffix":"","institution":"University of Virginia","department":"None"}],"date_submitted":"2021-09-29T03:21:00+08:00","date_accepted":"2021-09-29T03:21:00+08:00","date_published":"2021-09-29T03:35:08+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43064/galley/32089/download/"}]},{"pk":62840,"title":"Breeding Waterbird Populations Have Declined in South San Francisco Bay: An Assessment Over Two Decades","subtitle":null,"abstract":"In south San Francisco Bay, former salt ponds now managed as wildlife habitat support large populations of breeding waterbirds. In 2006, the South Bay Salt Pond Restoration Project began the process of converting 50% to 90% of these managed pond habitats into tidal marsh. We compared American Avocet (\nRecurvirostra americana\n) and Black-necked Stilt (\nHimantopus mexicanus\n) abundance in south San Francisco Bay before (2001) and after approximately 1,300 ha of managed ponds were breached to tidal action to begin tidal marsh restoration (2019). Over the 18-year period, American Avocet abundance declined 13.5% (2,765 in 2001 vs. 2,391 in 2019), and Black-necked Stilt abundance declined 30.0% (1,184 in 2001 vs. 828 in 2019). Forster’s Tern (\nSterna forsteri\n) abundance was 2,675 birds in 2019. In 2019, managed ponds accounted for only 25.8% of suitable habitats, yet contained 53.9%, 38.6%, and 65.6% American Avocet, Black-necked Stilt, and Forster’s Tern observations, respectively. Conversely, tidal marsh and tidal mudflats accounted for 42.9% of suitable habitats, yet contained only 18.4%, 10.3%, and 19.8% of American Avocet, Black-necked Stilt, and Forster’s Tern observations, respectively. Using a separate nest-monitoring data set, we found that nest abundance in south San Francisco Bay declined for all three species from 2005–2019. Average annual nest abundance during 2017–2019 declined 53%, 71%, and 36%, for American Avocets, Back-necked Stilts, and Forster’s Terns, respectively, compared to 2005–2007. Loss of island nesting habitat as a result of tidal marsh conversion and an increasing population of predatory California Gulls (\nLarus californicus\n) are two potential causes of these declines. All three species established nesting colonies on newly constructed islands within remaining managed ponds; however, these new colonies did not make up for the steep declines observed at other historical nesting sites. For future wetland restoration, retaining more managed ponds that contain islands suitable for nesting may help to limit further declines in breeding waterbird populations.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"American Avocet"},{"word":"Black-necked Stilt"},{"word":"California Gull"},{"word":"Forster’s Tern"},{"word":"habitat use"},{"word":"nesting islands"},{"word":"managed ponds"},{"word":"population change"},{"word":"tidal marsh restoration"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/16n259mc","frozenauthors":[{"first_name":"C.","middle_name":"Alex","last_name":"Hartman","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"Joshua","middle_name":"T.","last_name":"Ackerman","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"Carley","middle_name":"R.","last_name":"Schacter","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"Mark","middle_name":"P.","last_name":"Herzog","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"L.","middle_name":"Max","last_name":"Tarjan","name_suffix":"","institution":"San Francisco Bay Bird Observatory","department":""},{"first_name":"Yiwei","middle_name":"","last_name":"Wang","name_suffix":"","institution":"San Francisco Bay Bird Observatory","department":""},{"first_name":"Cheryl","middle_name":"","last_name":"Strong","name_suffix":"","institution":"US Fish and Wildlife Service","department":""},{"first_name":"Rachel","middle_name":"","last_name":"Tertes","name_suffix":"","institution":"US Fish and Wildlife Service","department":""},{"first_name":"Nils","middle_name":"","last_name":"Warnock","name_suffix":"","institution":"Point Blue Conservation Science, Audubon Canyon Ranch","department":""}],"date_submitted":"2021-09-24T06:50:28+08:00","date_accepted":"2021-09-24T06:50:28+08:00","date_published":"2021-09-28T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62840/galley/48522/download/"}]},{"pk":62838,"title":"Comparison of Length-at-Date Criteria and Genetic Run Assignments for Juvenile Chinook Salmon Caught at Sacramento and Chipps Island in the Sacramento–San Joaquin Delta of California","subtitle":null,"abstract":"There are four distinct runs of Chinook Salmon (\nOncorhynchus tshawytscha\n) in the Central Valley, named after their primary adult return times: fall, late-fall, winter, and spring run. Estimating the run-specific composition of juveniles entering and leaving the Sacramento–San Joaquin Delta is crucial for assessing population status and processes that affect juvenile survival through the Delta. Historically, the run of juvenile Chinook Salmon captured in the field has been determined using length-at-date criteria (LDC); however, LDC run assignments may be inaccurate if there is high overlap in the run-specific timing and size of juveniles entering and leaving the Delta. In this study, we use genetic run assignments to assess the accuracy of LDC at two trawl locations in the Sacramento River (Delta entry) and at Chipps Island (Delta exit). Fin tissues were collected from approximately 7,500 juvenile Chinook Salmon captured in trawl samples between 2007 and 2011. Tissues were analyzed using 21 microsatellites to determine genetic run assignments for individuals, which we compared with LDC run assignments. Across years, there was extensive overlap among the distributions of run-specific fork lengths of genetically identified juveniles, indicating that run compositions based on LDC assignments would tend to underestimate fall-run and especially late-fall-run compositions at both trawl locations, and greatly overestimate spring-run compositions (both locations) and winter-run compositions (Chipps Island). We therefore strongly support ongoing efforts to include tissue sampling and genetic run identification of juvenile Chinook Salmon at key monitoring locations in the Sacramento–San Joaquin River system.","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":"Chinook Salmon"},{"word":"length-at-date criteria"},{"word":"Sacramento–San Joaquin Delta"},{"word":"genetics"},{"word":"microsatellites"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4dw946ww","frozenauthors":[{"first_name":"Patricia","middle_name":"L.","last_name":"Brandes","name_suffix":"","institution":"US Fish and Wildlife Service (retired)","department":""},{"first_name":"Brian","middle_name":"","last_name":"Pyper","name_suffix":"","institution":"Fish Metrics, Inc.","department":""},{"first_name":"Michael","middle_name":"","last_name":"Banks","name_suffix":"","institution":"Oregon State University","department":""},{"first_name":"David","middle_name":"","last_name":"Jacobson","name_suffix":"","institution":"Oregon State University","department":""},{"first_name":"Tommy","middle_name":"","last_name":"Garrison","name_suffix":"","institution":"Cramer Fish Sciences","department":""},{"first_name":"Steve","middle_name":"","last_name":"Cramer","name_suffix":"","institution":"Cramer Emeritus Consulting, LLC","department":""}],"date_submitted":"2021-09-24T06:43:11+08:00","date_accepted":"2021-09-24T06:43:11+08:00","date_published":"2021-09-28T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62838/galley/48520/download/"}]},{"pk":62837,"title":"Food for Thought: Connecting Zooplankton Science to Management in the San Francisco Estuary","subtitle":null,"abstract":"[Abstracts are not associated with Essays. - the \nSFEWS\n Editors]","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"zooplankton, monitoring"},{"word":"food webs"},{"word":"fish"},{"word":"adaptive management"}],"section":"Essay","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1cd385rm","frozenauthors":[{"first_name":"Rosemary","middle_name":"K.","last_name":"Hartman","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Samuel","middle_name":"M.","last_name":"Bashevkin","name_suffix":"","institution":"Delta Stewardship Council, Delta Science Program","department":""},{"first_name":"Arthur","middle_name":"","last_name":"Barros","name_suffix":"","institution":"California Department of Fish and Wildlife","department":""},{"first_name":"Christina","middle_name":"E.","last_name":"Burdi","name_suffix":"","institution":"California Department of Fish and Wildlife","department":""},{"first_name":"Cheryl","middle_name":"","last_name":"Patel","name_suffix":"","institution":"Delta Stewardship Council, Delta Science Program","department":""},{"first_name":"Ted","middle_name":"","last_name":"Sommer","name_suffix":"","institution":"California Department of Water Resources (retired)","department":""}],"date_submitted":"2021-09-24T06:38:08+08:00","date_accepted":"2021-09-24T06:38:08+08:00","date_published":"2021-09-28T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62837/galley/48519/download/"}]},{"pk":62841,"title":"Simulated Fishing to Untangle Catchability and Availability in Fish Abundance Monitoring","subtitle":null,"abstract":"In fisheries monitoring, catch is assumed to be a product of fishing intensity, catchability, and availability, where availability is defined as the number or biomass of fish present and catchability refers to the relationship between catch rate and the true population. Ecological monitoring programs use catch per unit of effort (CPUE) to standardize catch and monitor changes in fish populations; however, CPUE is proportional to the portion of the population that is vulnerable to the type of gear used in sampling, which is not necessarily the entire population. Programs often deal with this problem by assuming that catchability is constant, but if catchability is not constant, it is not possible to separate the effects of catchability and population size using monitoring data alone. This study uses individual-based simulation to separate the effects of changing environmental conditions on catchability and availability in environmental monitoring data. The simulation combines a module for sampling conditions with a module for individual fish behavior to estimate the proportion of available fish that would escape from the sample. The method is applied to the case study of the well monitored fish species Delta Smelt (\nHypomesus transpacificus\n) in the San Francisco Estuary, where it has been hypothesized that changing water clarity may affect catchability for long-term monitoring studies. Results of this study indicate that given constraints on Delta Smelt swimming ability, it is unlikely that the apparent declines in Delta Smelt abundance are the result of changing water clarity affecting catchability.","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":"bias"},{"word":"simulation"},{"word":"behavior-based model"},{"word":"gear avoidance"},{"word":"monitoring"},{"word":"Delta Smelt"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/81r253zg","frozenauthors":[{"first_name":"Vanessa","middle_name":"D.","last_name":"Tobias","name_suffix":"","institution":"US Fish and Wildlife Service","department":""}],"date_submitted":"2021-09-24T06:52:54+08:00","date_accepted":"2021-09-24T06:52:54+08:00","date_published":"2021-09-28T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62841/galley/48523/download/"}]},{"pk":62839,"title":"Use of a Managed Flow Pulse as Food Web Support for Estuarine Habitat","subtitle":null,"abstract":"While freshwater inflow has been a major focus of resource management in estuaries, including the upper San Francisco Estuary, there is a growing interest in using focused flow actions to maximize benefits for specific regions, habitats, and species. As a test of this concept, in summer 2016, we used a managed flow pulse to target an ecologically important region: a freshwater tidal slough complex (Cache Slough Complex–CSC). Our goal was to improve estuarine habitat by increasing net flows through CSC to enhance downstream transport of lower trophic-level resources, an important driver for fishes such as the endangered Delta Smelt \nHypomesus transpacificus\n. We used regional water infrastructure to direct 18.5 million m³ of Sacramento River flow into its adjacent Yolo Bypass floodplain, where the pulse continued through CSC. Simulations using a 3-D hydrodynamic model (UnTRIM) indicated that the managed flow pulse had a large effect on the net flow of water through Yolo Bypass, and between CSC and further downstream. Multiple water quality constituents (specific conductivity, dissolved oxygen, nutrients [NO₃ + NO₂, NH₄, PO₄]) varied across the study region, and showed a strong response to the flow pulse. In addition, the lower Sacramento River had increased phytoplankton biomass and improved food quality indices (estimated from long-chain essential fatty acids) after the flow pulse. The managed flow pulse resulted in increased densities of zooplankton (copepods, cladocerans) demonstrating potential advection from upper floodplain channels into the target CSC and Sacramento River regions. This study was conducted during a single year, which may have had unique characteristics; however, we believe that our study is an instructive example of how a relatively modest change in net flows can generate measurable changes in ecologically relevant metrics, and how an adaptive management action can help inform resource 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.\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":"Yolo Bypass"},{"word":"flow pulse"},{"word":"food subsidy"},{"word":"plankton"},{"word":"water quality"},{"word":"management action"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/73847082","frozenauthors":[{"first_name":"Jared","middle_name":"","last_name":"Frantzich","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Brittany","middle_name":"E.","last_name":"Davis","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Michael","middle_name":"","last_name":"MacWilliams","name_suffix":"","institution":"Anchor QEA, LLC","department":""},{"first_name":"Aaron","middle_name":"","last_name":"Bever","name_suffix":"","institution":"Anchor QEA, LLC","department":""},{"first_name":"Ted","middle_name":"","last_name":"Sommer","name_suffix":"","institution":"California Department of Water Resources (retired)","department":""}],"date_submitted":"2021-09-24T06:47:15+08:00","date_accepted":"2021-09-24T06:47:15+08:00","date_published":"2021-09-28T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62839/galley/48521/download/"}]},{"pk":62842,"title":"Wetland Availability and Salinity Concentrations for Breeding Waterfowl in Suisun Marsh, California","subtitle":null,"abstract":"Availability of wetlands with low salinities during the breeding season can influence waterfowl reproductive success and population recruitment. Salinities as low as 2 ppt (3.6 mScm–1) can impair duckling growth and influence behavior, with mortality occurring above 9 ppt (14.8 mScm–1). We used satellite imagery to quantify the amount of available water, and sampled surface water salinity at Grizzly Island, in the brackish Suisun Marsh, at three time-periods during waterfowl breeding (April, May, July) over 4 years (2016–2019). More water was available and salinity was lower during wetter years (2017, 2019) than during drier years (2016, 2018), and the amount of water in wetlands decreased 73%–86% from April to July. Across all time-periods and years, the majority (64%–100%) of wetland habitat area had salinities above what has been shown to negatively affect ducklings (> 2 ppt), and up to 42% of wetland area had salinities associated with duckling mortality (> 9 ppt). During peak duckling production in May, 81%–95% of available water had salinity above 2 ppt, and 5%–21% was above 9 ppt. In May of the driest year (2016), only 0.5 km2 of low-salinity water (< 2 ppt) was available to ducklings in the study area, compared to 2.6 km2 in May of the wettest year (2017). Private duck clubs own the majority of wetland habitat at Grizzly Island and consistently had a greater percentage of land flooded during summer than did publicly owned wetlands, but private wetlands generally had higher salinities than public wetlands, likely because they draw from higher-salinity water sources. By July, few wetlands remained flooded, and most had salinities high enough to impair duckling growth and survival. Local waterfowl populations would benefit from management practices that provide fresher water during peak duckling production in May and retain more water through July.","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":"seasonal wetland"},{"word":"canal, salinity"},{"word":"waterfowl"},{"word":"duck"},{"word":"duckling"},{"word":"brood habitat"},{"word":"water management"},{"word":"Grizzly Island"},{"word":"conductivity"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/77g3b02c","frozenauthors":[{"first_name":"Carley","middle_name":"R.","last_name":"Schacter","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"Sarah","middle_name":"H.","last_name":"Peterson","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"Mark","middle_name":"P.","last_name":"Herzog","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"C.","middle_name":"Alex","last_name":"Hartman","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"Michael","middle_name":"L.","last_name":"Casazza","name_suffix":"","institution":"US Geological Survey","department":""},{"first_name":"Joshua","middle_name":"T.","last_name":"Ackerman","name_suffix":"","institution":"US Geological Survey","department":""}],"date_submitted":"2021-09-24T08:17:14+08:00","date_accepted":"2021-09-24T08:17:14+08:00","date_published":"2021-09-28T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62842/galley/48524/download/"}]},{"pk":1083,"title":"The Tired Pregnant Woman","subtitle":null,"abstract":"Introduction:\n Many pregnant women develop hyperemesis gravidarum. There are numerous gastrointestinal, genitourinary, neurologic, and metabolic causes to consider in this patient population.\nCase Presentation:\n This clinicopathological case presentation details the initial assessment and management of an 18-year-old pregnant patient who presented to the emergency department with a complaint of nausea, vomiting, fatigue, and intermittent bleeding.\nDiscussion:\n This case takes the reader through the differential diagnosis and evaluation of the patient and the signs and symptoms, including her agitation and tachycardia, that led us to the correct diagnosis.","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":"CPC"},{"word":"pregnancy"},{"word":"hyperemesis gravidarum"}],"section":"ACOEP Clinicopathological Cases (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6sr4m94x","frozenauthors":[{"first_name":"Katie","middle_name":"","last_name":"VanNatta","name_suffix":"","institution":"Midwestern University, Franciscan Health, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Nicole","middle_name":"","last_name":"Yuzuk","name_suffix":"","institution":"Saint Joseph’s University Medical Center, Department of Emergency Medicine, Paterson, New Jersey","department":"None"},{"first_name":"David","middle_name":"","last_name":"Trotter","name_suffix":"","institution":"Franciscan Health Olympia Fields, Department of Emergency Medicine, Olympia Fields, Illinois","department":"None"},{"first_name":"Brandon","middle_name":"","last_name":"Wisinski","name_suffix":"","institution":"Midwestern University, Franciscan Physician Network Olympia Fields Clinic, Department of Emergency Medicine, Olympia Fields, Illinois","department":"None"}],"date_submitted":"2021-09-28T12:04:13+08:00","date_accepted":"2021-09-28T12:04:13+08:00","date_published":"2021-09-28T12:05:36+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1083/galley/825/download/"}]},{"pk":43063,"title":"Introduction: Hello from the Other Side","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Transnational American Studies"},{"word":"Journal of Transnational American Studies"}],"section":"Editor in Chief's Note","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5h2905ck","frozenauthors":[{"first_name":"Alfred","middle_name":"","last_name":"Hornung","name_suffix":"","institution":"Mainz University","department":"None"}],"date_submitted":"2021-09-27T21:07:05+08:00","date_accepted":"2021-09-27T21:07:05+08:00","date_published":"2021-09-27T21:10:15+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43063/galley/32088/download/"}]},{"pk":43062,"title":"Pluralism, Transition, and the Anglophone; and Just an American Darker than the Rest: On Queer Brown Exile","subtitle":null,"abstract":"This excerpt from \nTransitive Cultures: Anglophone Literature of the Transpacific\n asks how South East Asian writing in English can be analyzed in conjunction with texts from its North American diasporas to reread forms of global multiculturalism within\n \na longer genealogy of “pluralist governmentality:” an art of government that expects individuals to visibly express their difference via given group identities, and in doing so, to represent imperial state power as neutral, universal, or benevolent. Patterson asks how South East Asian migrant narratives deracinate the optics of pluralist governmentality by emphasizing forms of transitivity that Patterson dubs “transitive cultures,” the sets of camouflaged and shifting cultural practices tactically mobilized in contexts where identity is defined as fixed and authentic. To read across ethnicized genres and identities, Patterson reframes Asian migrant texts as transpacific Anglophone texts—a category that stresses encounter and exchange—and shines a spotlight on works that trouble a global multiculturalist reading because they are deemed “inauthentic” to both nationalist literatures, global literatures, and American ethnic literatures. Chapter 4, \nJust an American Darker than the Rest: On Queer Brown Exile,\n extends the inquiries of transitivity by reading texts of queer brown migrancy. It pairs Lawrence Chua’s 1998 novel, \nGold by the Inch\n, with R. Zamora Linmark’s 2011 novel, \nLeche\n. Both novels consider queer of color travel as a rejection of American senses of brownness and homonormativity.","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":"Asian American Studies"},{"word":"queer theory"},{"word":"Race and Ethnic Studies"},{"word":"South East Asian Literature"},{"word":"migrant writing"},{"word":"transpacific literature"},{"word":"global multiculturalism"},{"word":"pluralist governmentally"},{"word":"Lawrence Chua"},{"word":"R. Zamora Linmark"},{"word":"Gold by the Inch"},{"word":"Leche"}],"section":"SHELLEY FISHER FISHKIN PRIZE for INTERNATIONAL SCHOLARSHIP in TRANSNATIONAL AMERICAN STUDIES","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2vz1n12v","frozenauthors":[{"first_name":"Christopher","middle_name":"B.","last_name":"Patterson","name_suffix":"","institution":"University of British Columbia","department":"None"}],"date_submitted":"2021-09-27T20:46:34+08:00","date_accepted":"2021-09-27T20:46:34+08:00","date_published":"2021-09-27T20:51:22+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43062/galley/32087/download/"}]},{"pk":41458,"title":"In situ localization of citrus exocortis viroid RNA using an optimized RNAscope™ assay","subtitle":null,"abstract":"Due to their small size, locating pathogenic RNAs, such as viroids, in plant tissue and cell organelles has been difficult. Viroids are small circular single-stranded RNA plant pathogens that reduce plant growth, vigor, and yield in economically important crops such as potato, tomato, hops and citrus. Viroid infections in plants are largely diagnosed by dot blot hybridization, polyacrylamide gel electrophoresis (PAGE) or gels, or real-time quantitative polymerase chain reaction (qPCR). Because traditional plant \nin situ\n hybridization studies for viroids are often limited by the lack of signal amplification and binding specificity due to the small target sequence, we examined the use of RNAscope™ (Advanced Cell Diagnostics Inc., Newark, CA). This\n in situ\n hybridization method increases the detection by amplifying the signal of a single target, to detect the cellular distribution of citrus exocortis viroid (CEVd) with higher sensitivity and specificity. We found that after optimization, CEVd was localized in nuclei of infected cells as clearly distinguishable punctate red dots visible with light microscopy at low magnification, suggesting that the RNAscope™ can be used to study viroids \nin situ\n.","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":"Viroid, Exocortis, CEVd, RNAscope, Citrus, Plant Pathogen"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/93h2n20h","frozenauthors":[{"first_name":"Daniel","middle_name":"","last_name":"Stanton","name_suffix":"","institution":"Citrus Research and Education Center, University of Florida, Lake Alfred, FL, USA","department":"None"},{"first_name":"Scott","middle_name":"J.","last_name":"Harper","name_suffix":"","institution":"Department of Plant Pathology, Washington State University, Prosser, WA, USA.","department":"None"},{"first_name":"Sarah","middle_name":"J.","last_name":"Cowell","name_suffix":"","institution":"Department of Plant Pathology, Washington State University, Prosser, WA, USA.","department":"None"},{"first_name":"Ron","middle_name":"","last_name":"Brlansky","name_suffix":"","institution":"Citrus Research and Education Center, University of Florida, Lake Alfred, FL, USA","department":"None"}],"date_submitted":"2021-05-15T11:50:16+08:00","date_accepted":"2021-05-15T11:50:16+08:00","date_published":"2021-09-27T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41458/galley/31036/download/"}]},{"pk":15096,"title":"Retrospective Analysis of Adult Patients Presenting to the Acute Care Setting Requesting Prescriptions","subtitle":null,"abstract":"Introduction:\n Patient visits to the emergency department (ED) or urgent care centre (UCC) for the sole purpose of requesting prescriptions are challenging for the patient, the physician, and the department. The primary objective of this study was to determine the characteristics of these patients, the nature of their requests, and the response to these requests. Our secondary objective was to determine the proportion of these medication requests that had street value. \nMethods:\n This was a retrospective, electronic chart review of all adult patients requesting a prescription from a two-site ED and/or an UCC in a medium-sized Canadian city between April 1, 2014–June 30, 2017. Recorded outcomes included patient demographic data and access to a family doctor, medication requested, whether or not a prescription was given, and ED length of stay. Medication street value was determined using a local police service listing. \nResults:\n A total of 2,265 prescriptions were requested by 1,495 patients. The patient median [interquartile range] age was 43 [32-54] years. A family doctor was documented by 55.4% (939/1,694) of patients. The two most commonly requested categories of medications were opioid analgesics 21.2% (481/2,265) and benzodiazepine anxiolytics 11.7% (266/2,265). Of patients requesting medication, 50.5% (755/1,495) requested medications without street value including some with potential to cause serious adverse health effects if discontinued. The requested prescription was received by 19.9% (298/1,495) of patients; 15.3% (173/1,134) returned for further prescription requests. The 90th percentile length of stay was 3.2 and 5.6 hours at the UCC and ED, respectively.\nConclusion:\n Patients who presented to the ED or UCC sought medications with and without street value in almost equal measure. A more robust understanding of these patients and their requests illustrates why a ‘one-size-fits-all’ response to these requests is inappropriate and signals some fault lines within our local healthcare system.","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 service, prescriptions, vulnerable populations, social determinants of health"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/96c9r4b9","frozenauthors":[{"first_name":"Lisa","middle_name":"","last_name":"Shepherd","name_suffix":"","institution":"Schulich School of Medicine and Dentistry, Western University, Department of Medicine, Division of Emergency Medicine, London, Ontario","department":"None"},{"first_name":"Meagan","middle_name":"","last_name":"Mucciaccio","name_suffix":"","institution":"Schulich School of Medicine and Dentistry, Western University, Department of Medicine, Division of Emergency Medicine, London, Ontario","department":"None"},{"first_name":"Kristine","middle_name":"","last_name":"VanAarsen","name_suffix":"","institution":"London Health Sciences Centre, Department of Emergency Medicine, London, Ontario","department":"None"}],"date_submitted":"2021-02-06T02:17:46+08:00","date_accepted":"2021-02-06T02:17:46+08:00","date_published":"2021-09-25T05:45:29+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15096/galley/7703/download/"}]},{"pk":14847,"title":"Healthcare Use After Buprenorphine Prescription in a Community Emergency Department: A Cohort Study","subtitle":null,"abstract":"Introduction:\n Recent studies from urban academic centers have shown the promise of emergency physician-initiated buprenorphine for improving outcomes in opioid use disorder (OUD) patients. We investigated whether emergency physician-initiated buprenorphine in a rural, community setting decreases subsequent healthcare utilization for OUD patients. \nMethods:\n We performed a retrospective chart review of patients presenting to a community hospital emergency department (ED) who received a prescription for buprenorphine from June 15, 2018–June 15, 2019. Demographic and opioid-related International Classification of Diseases, 10th Revision, (ICD-10) codes were documented and used to create a case-matched control cohort of demographically matched patients who presented in a similar time frame with similar ICD-10 codes but did not receive buprenorphine. We recorded 12-month rates of ED visits, all-cause hospitalizations, and opioid overdoses. Differences in event occurrences between groups were assessed with Poisson regression. \nResults:\n Overall 117 patients were included in the study: 59 who received buprenorphine vs 58 controls. The groups were well matched, both roughly 90% White and 60% male, with an average age of 33.4 years for both groups. Controls had a median two ED visits (range 0-33), median 0.5 hospitalizations (range 0-8), and 0 overdoses (range 0-3), vs median one ED visit (range 0-8), median 0 hospitalizations (range 0-4), and median 0 overdoses (range 0-3) in the treatment group. The incidence rate ratio (IRR) for counts of ED visits was 0.61, 95% confidence interval (CI), 0.49, 0.75, favoring medication-assisted treatment (MAT). For hospitalizations, IRR was 0.34, 95% CI, 0.22, 0.52 favoring MAT, and for overdoses was 1.04, 95% CI, 0.53, 2.07. \nConclusion:\n Initiation of buprenorphine by ED providers was associated with lower 12-month ED visit and all-cause hospitalization rates with comparable overdose rates compared to controls. These findings show the ED’s potential as an initiation point for medication-assisted treatment in OUD patients.","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":"Drug Abuse, Medication Assisted Treatment, Health Care Utilization"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2242b26v","frozenauthors":[{"first_name":"Tinh","middle_name":"","last_name":"Le","name_suffix":"","institution":"Case Western Reserve University School of Medicine, Cleveland, Ohio","department":"None"},{"first_name":"Parker","middle_name":"","last_name":"Cordial","name_suffix":"","institution":"The Ohio State University College of Medicine, Columbus, Ohio","department":"None"},{"first_name":"Mackenzie","middle_name":"","last_name":"Sankoe","name_suffix":"","institution":"Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio","department":"None"},{"first_name":"Charlotte","middle_name":"","last_name":"Purnode","name_suffix":"","institution":"Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio","department":"None"},{"first_name":"Ankur","middle_name":"","last_name":"Parekh","name_suffix":"","institution":"The Ohio State University, Columbus, Ohio","department":"None"},{"first_name":"Thomas","middle_name":"","last_name":"Baker","name_suffix":"","institution":"Genesis Healthcare System, Department of Emergency Medicine, Zanesville, Ohio","department":"None"},{"first_name":"Brian","middle_name":"","last_name":"Hiestand","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"W.F.","middle_name":"","last_name":"Peacock","name_suffix":"","institution":"Baylor College of Medicine, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"James","middle_name":"","last_name":"Neuenschwander","name_suffix":"","institution":"The Ohio State University College of Medicine, Columbus, Ohio; Genesis Healthcare System, Department of Emergency Medicine, Zanesville, Ohio","department":"None"}],"date_submitted":"2020-12-24T23:33:33+08:00","date_accepted":"2020-12-24T23:33:33+08:00","date_published":"2021-09-25T04:17:20+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14847/galley/7542/download/"}]},{"pk":14829,"title":"United States Emergency Department Use of Medications with Pharmacogenetic Recommendations","subtitle":null,"abstract":"Introduction:\n Emergency departments (ED) use many medications with a range of therapeutic efficacy and potential significant side effects, and many medications have dosage adjustment recommendations based on the patient’s specific genotype. How frequently medications with such pharmaco-genetic recommendations are used in United States (US) EDs has not been studied. \n \nMethods:\n We conducted a cross-sectional analysis of the 2010–2015 National Hospital Ambulatory Medical Care Survey (NHAMCS). We reported the proportion of ED visits in which at least one medication with Clinical Pharmacogenetics Implementation Consortium (CPIC) recommendation of Level A or B evidence was ordered. Secondary comparisons included distributions and 95% confidence intervals of age, gender, race/ethnicity, ED disposition, geographical region, immediacy, and insurance status between all ED visits and those involving a CPIC medication.\nResults:\n From 165,155 entries representing 805,726,000 US ED visits in the 2010–2015 NHAMCS, 148,243,000 ED visits (18.4%) led to orders of CPIC medications. The most common CPIC medication was tramadol (6.3%). Visits involving CPIC medications had higher proportions of patients who were female, had private insurance and self-pay, and were discharged from the ED. They also involved lower proportions of patients with Medicare and Medicaid. \nConclusion:\n Almost one fifth of US ED visits involve a medication with a pharmacogenetic recommendation that may impact the efficacy and toxicity for individual patients. While direct application of genotyping is still in development, it is important for emergency care providers to understand and support this technology given its potential to improve individualized, patient- centered care.","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 Departments, pharmacogenomics, medications"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4wx1n4gf","frozenauthors":[{"first_name":"Alexander","middle_name":"T.","last_name":"Limkakeng","name_suffix":"","institution":"Duke University School of Medicine, Division of Emergency Medicine, Durham, North Carolina","department":"None"},{"first_name":"Pratik","middle_name":"","last_name":"Manandhar","name_suffix":"","institution":"Duke University School of Medicine, Department of Biostatistics and Bioinformatics, Durham, North Carolina","department":"None"},{"first_name":"Alaatin","middle_name":"","last_name":"Erkanli","name_suffix":"","institution":"Duke University School of Medicine, Department of Biostatistics and Bioinformatics, Durham, North Carolina","department":"None"},{"first_name":"Stephanie","middle_name":"A.","last_name":"Eucker","name_suffix":"","institution":"Duke University School of Medicine, Division of Emergency Medicine, Durham, North Carolina; Duke University School of Medicine, Department of Orthopedics, Durham, North Carolina","department":"None"},{"first_name":"Adam","middle_name":"","last_name":"Root","name_suffix":"","institution":"Duke University Hospital, Department of Pharmacy, Durham, North Carolina","department":"None"},{"first_name":"Deepak","middle_name":"","last_name":"Voora","name_suffix":"","institution":"Duke University School of Medicine, Division of Cardiology, Durham, North Carolina","department":"None"}],"date_submitted":"2020-12-18T22:37:59+08:00","date_accepted":"2020-12-18T22:37:59+08:00","date_published":"2021-09-24T09:01:55+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14829/galley/7536/download/"}]},{"pk":15333,"title":"A Scoping Review of Emergency Department Discharge Risk Stratification","subtitle":null,"abstract":"Introduction:\n Although emergency department (ED) discharge presents patient-safety challenges and opportunities, the ways in which EDs address discharge risk in the general ED population remains disparate and largely uncharacterized. In this study our goal was to conduct a review of how EDs identify and target patients at increased risk at time of discharge. \n \nMethods:\n We conducted a literature search to explore how EDs assess patient risk upon discharge, including a review of PubMed and gray literature. After independently screening articles for inclusion, we recorded study characteristics including outcome measures, patient risk factors, and tool descriptions. Based on this review and discussion among collaborators, major themes were identified.\nResults:\n PubMed search yielded 384 potentially eligible articles. After title and abstract review, we screened 235 for potential inclusion. After full text and reference review, supplemented by Google Scholar and gray literature reviews, we included 30 articles for full review. Three major themes were elucidated: 1) Multiple studies include retrospective risk assessment, whereas the use of point-of-care risk assessment tools appears limited; 2) of the point-of-care tools that exist, inputs and outcome measures varied, and few were applicable to the general ED population; and 3) while many studies describe initiatives to improve the discharge process, few describe assessment of post-discharge resource needs.\nConclusion:\n Numerous studies describe factors associated with an increased risk of readmission and adverse events after ED discharge, but few describe point-of-care tools used by physicians for the general ED population. Future work is needed to investigate standardized tools that assess ED discharge risk and patients’ needs upon ED discharge.","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":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/33w8n8mb","frozenauthors":[{"first_name":"Todd","middle_name":"A.","last_name":"Jaffe","name_suffix":"","institution":"Massachusetts General Hospital and Brigham and Women’s Hospital, Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Wang","name_suffix":"","institution":"Kansas City University School of Medicine, Kansas City, Missouri","department":"None"},{"first_name":"Bosten","middle_name":"","last_name":"Loveless","name_suffix":"","institution":"Rocky Vista University College of Osteopathic Medicine, Ivins, Utah","department":"None"},{"first_name":"Debbie","middle_name":"","last_name":"Lai","name_suffix":"","institution":"University College of London, Division of Psychology and Language Sciences, London, England","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Loesche","name_suffix":"","institution":"Massachusetts General Hospital and Brigham and Women’s Hospital, Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts","department":"None"},{"first_name":"Benjamin","middle_name":"","last_name":"White","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts; Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Ali","middle_name":"S.","last_name":"Raja","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts; Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Shuhan","middle_name":"","last_name":"He","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts; Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2021-04-28T00:33:14+08:00","date_accepted":"2021-04-28T00:33:14+08:00","date_published":"2021-09-24T08:40:08+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15333/galley/7766/download/"}]},{"pk":39802,"title":"Using citizen science to monitor non-native species: the case of Lethocerus patruelis (Stål, 1855) (Hemiptera: Belostomatidae) in Italy","subtitle":null,"abstract":"Findings of \nLethocerus patruelis \n(Stål, 1855) in Southern Italy have become frequent in the last decades. We collected records of \nLethocerus patruelis \nobservations in Italy using scientific literature, citizen science programs, and social networks as data sources to create a complete and up-to-date dataset. This dataset is made of 59 \nLethocerus patruelis \nobservations from the Apulia, Basilicata, Calabria, and Abruzzi regions, 32 of which were previously unpublished, spanning from 1997 to 2020. Half of these records comes from biodiversity dedicated Facebook groups, citizen science programs and online forums, underlining the usefulness of unconventional data sources to gather data on species with poorly known distributions. The existence of \nLethocerus patruelis \nviable populations in Italy remains unclear.","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":"citizen science"},{"word":"Lethocerus patruelis"},{"word":"Distribution"},{"word":"aquatic insects"}],"section":"Special Section: Citizen Science in Biogeography","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4v27z99f","frozenauthors":[{"first_name":"Elia","middle_name":"","last_name":"Lo Parrino","name_suffix":"","institution":"University of Milan","department":"None"},{"first_name":"Filippo","middle_name":"","last_name":"Tomasi","name_suffix":"","institution":"Museo di Storia Naturale del Salento, SP Calimera-Borgagne km 1, 73021 Calimera (Lecce)","department":"None"}],"date_submitted":"2021-06-11T21:24:32+08:00","date_accepted":"2021-06-11T21:24:32+08:00","date_published":"2021-09-22T21:27:44+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/39802/galley/29977/download/"}]},{"pk":40269,"title":"Lament during the Pandemic","subtitle":null,"abstract":"A personal essay about reading Old English laments during a global pandemic.","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":"Old English"},{"word":"Lament"},{"word":"Pandemic"},{"word":"COVID-19"},{"word":"Beowulf"},{"word":"The Wanderer"},{"word":"Elegies"},{"word":"Wulf and Eadwacer"},{"word":"Wife's Lament"}],"section":"Cluster: Pandemic Experiences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2cz733hs","frozenauthors":[{"first_name":"Kathy","middle_name":"","last_name":"Cawsey","name_suffix":"","institution":"Dalhousie University","department":"None"}],"date_submitted":"2021-07-03T01:56:24+08:00","date_accepted":"2021-07-03T01:56:24+08:00","date_published":"2021-09-20T17:12:09+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40269/galley/30286/download/"}]},{"pk":40267,"title":"Reframing the Past: Reflections on Teaching Secondary Students during the Pandemic","subtitle":null,"abstract":"Teaching secondary students amid the Covid-19 pandemic and intensified national concern over racial injustice offered an opportunity for reflection about how we frame the past and approaches to curriculum moving forward.","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":"Pandemic"},{"word":"Teaching"},{"word":"Secondary school"}],"section":"Cluster: Pandemic Experiences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/05f7j73g","frozenauthors":[{"first_name":"Kara","middle_name":"N.","last_name":"Crawford","name_suffix":"","institution":"The Bishop's School, La Jolla","department":"None"}],"date_submitted":"2021-05-18T23:00:51+08:00","date_accepted":"2021-05-18T23:00:51+08:00","date_published":"2021-09-20T17:11:45+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40267/galley/30284/download/"}]},{"pk":40268,"title":"Graveside Singing: Medieval Debate Poetry and the COVID-19 Pandemic","subtitle":null,"abstract":"This essay explores the distinctive value of arts and humanities collaborations in the context of the global COVID pandemic. Between 2019 and 2021, the author (a literary critic) worked with composer Mark Volker, performance ensemble Chatterbird, and visual artist Christine Rogers to write and perform a chamber music based on two medieval body-soul debate poems, \"Als I lay in a winteris nyt\" and \"In a thestri stude I stod.\" That creative project highlights how the body-soul debate poems resonate with representations of COVID deaths in contemporary popular media, exploring the psychological and social barriers to reckoning with mortality in ways that can transform community for the living.","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":"Debate Poetry"},{"word":"Public Humanities"},{"word":"COVID"},{"word":"Middle Ages"}],"section":"Cluster: Pandemic Experiences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/36p1n96k","frozenauthors":[{"first_name":"Suzanne","middle_name":"M.","last_name":"Edwards","name_suffix":"","institution":"Lehigh University","department":"None"}],"date_submitted":"2021-05-31T22:34:08+08:00","date_accepted":"2021-05-31T22:34:08+08:00","date_published":"2021-09-20T17:11:20+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40268/galley/30285/download/"}]},{"pk":40266,"title":"The Consolation of Literature: Giovanni Boccaccio’s Decameron and the Covid-19 Pandemic","subtitle":null,"abstract":"Engaging with plague literature such as Giovanni Boccaccio’s Decameron during the COVID-19 pandemic arguably enhances our understanding of medieval depictions of the plague. At the same time, medieval descriptions of the pestilence reflect on our current situation. Indeed, reading the Decameron with my MA students in a virtual classroom in the spring of 2021 showed that the human experience of fear and loss in the face of a potentially lethal disease has not fundamentally changed in seven hundred centuries. Furthermore, we all brought our individual experiences with the pandemic to the text, which enabled us to identify with the plague situation of Boccaccio’s time in a way that would not have been possible before the COVID-19 pandemic.","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":"Boccaccio, Decameron, Covid-19"}],"section":"Cluster: Pandemic Experiences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0jn4d62m","frozenauthors":[{"first_name":"Katrin","middle_name":"","last_name":"Rupp","name_suffix":"","institution":"Other","department":"None"}],"date_submitted":"2021-05-11T17:43:49+08:00","date_accepted":"2021-05-11T17:43:49+08:00","date_published":"2021-09-20T17:11:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40266/galley/30283/download/"}]},{"pk":40263,"title":"Screen Time--Or, Awaiting the Worst, Remotely","subtitle":null,"abstract":"A reflection on the author’s experience with remote teaching and scholarship during the pandemic, and their implications for recent disciplinary formations within medieval studies.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Cluster: Pandemic Experiences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8zb0t2pg","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Lavinsky","name_suffix":"","institution":"Yeshiva University","department":"None"}],"date_submitted":"2021-05-07T22:07:06+08:00","date_accepted":"2021-05-07T22:07:06+08:00","date_published":"2021-09-20T17:10:39+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40263/galley/30281/download/"}]},{"pk":40272,"title":"Approaches to Teaching the \"Multicultural Middle Ages\"","subtitle":null,"abstract":"This essay discusses approaches to and strategies for teaching the “Multicultural Middle Ages” at undergraduate level based on a lecture course that we co-taught online in Fall 2020. We outline a few of our lectures (on “Modern Appropriations of the Crusades: Politics, Myths, and Reality”; “Trade, Commerce, and Cultural Exchange”; and “Multicultural Song”) before presenting some ideas for teaching comparatively across cultures. By way of conclusion, we showcase a selection of our students’ “blog post” responses to the course.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8b87c2nb","frozenauthors":[{"first_name":"Marcel","middle_name":"","last_name":"Elias","name_suffix":"","institution":"Yale University","department":"None"},{"first_name":"Ardis","middle_name":"","last_name":"Butterfield","name_suffix":"","institution":"Yale University","department":"None"}],"date_submitted":"2021-07-09T22:56:58+08:00","date_accepted":"2021-07-09T22:56:58+08:00","date_published":"2021-09-20T17:04:52+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40272/galley/30287/download/"}]},{"pk":57186,"title":"SoK: A Generalized Multi-Leader State Machine Replication Tutorial","subtitle":null,"abstract":"MultiPaxos and Raft are the two most popular and widely deployed state machine replication protocols. There is a more sophisticated family of generalized multi-leader state machine replication protocols like EPaxos, Caesar, and Atlas that have better performance, but they are extremely complicated and hard to understand. Due to their complexity, they have seen little to no industry adoption, and academically there has been a lack of clarity in analyzing, comparing, and extending the protocols. This paper is a tutorial on generalized multi-leader protocols. We explain why the protocols work the way they do, what they have in common, where they differ, which parts of the protocols are straightforward, which are more subtle than they appear, and so on. In doing so, we present four new generalized multi-leader protocols, identify key insights into existing protocols, and taxonomize the space.","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":"paxos"},{"word":"state-machine replication"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9w79h2jg","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Whittaker","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Neil","middle_name":"","last_name":"Giridharan","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Adriana","middle_name":"","last_name":"Szekeres","name_suffix":"","institution":"VMware Research","department":""},{"first_name":"Joseph","middle_name":"","last_name":"Hellerstein","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Ion","middle_name":"","last_name":"Stoica","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2021-09-21T09:09:28+08:00","date_accepted":"2021-09-21T09:09:28+08:00","date_published":"2021-09-20T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jsys/article/57186/galley/43383/download/"}]},{"pk":57185,"title":"SoK: Function-As-A-Service: From An Application Developer’s Perspective","subtitle":null,"abstract":"In the past few years, FaaS has gained significant popularity and became a go-to choice for deploying cloud applications and micro-services. FaaS with its unique ‘pay as you go’ pricing model and key performance benefits over other cloud services, offers an easy and intuitive programming model to build cloud applications. In this model, a developer focuses on writing the code of the application while infrastructure management is left to the cloud provider who is responsible for the underlying resources, security, isolation, and scaling of the application. Recently, a number of commercial and open-source FaaS platforms have emerged, offering a wide range of features to application developers. In this paper, first, we present measurement studies demystifying various fea- tures and performance of commercial and open-source FaaS platforms that can help developers with deploying and con- figuring their serverless applications. Second, we discuss the distinct performance and cost benefits of FaaS and interesting use cases that leverage the performance, cost, or both aspects of FaaS. Lastly, we discuss challenges a developer may face while developing or deploying a serverless application. We also discuss state of the art solutions and open problems.","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":"serverless"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1wg7h0qf","frozenauthors":[{"first_name":"Ali","middle_name":"","last_name":"Raza","name_suffix":"","institution":"Boston University","department":""},{"first_name":"Ibrahim","middle_name":"","last_name":"Matta","name_suffix":"","institution":"Boston University","department":""},{"first_name":"Nabeel","middle_name":"","last_name":"Akhtar","name_suffix":"","institution":"Akamai Technologies Inc.","department":""},{"first_name":"Vasiliki","middle_name":"","last_name":"Kalavri","name_suffix":"","institution":"Boston University","department":""},{"first_name":"Vatche","middle_name":"","last_name":"Isahagian","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-09-21T08:02:19+08:00","date_accepted":"2021-09-21T08:02:19+08:00","date_published":"2021-09-20T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jsys/article/57185/galley/43382/download/"}]},{"pk":57187,"title":"[Solution] Matchmaker Paxos: A Reconfigurable Consensus Protocol","subtitle":null,"abstract":"State machine replication protocols, like MultiPaxos and Raft, are at the heart of numerous distributed systems. To tol- erate machine failures, these protocols must replace failed machines with new machines, a process known as reconfigu- ration. Reconfiguration has become increasingly important over time as the need for frequent reconfiguration has grown. Despite this, reconfiguration has largely been neglected in the literature. In this paper, we present Matchmaker Paxos and Matchmaker MultiPaxos, a reconfigurable consensus and state machine replication protocol respectively. Our protocols can perform a reconfiguration with little to no impact on the latency or throughput of command processing; they can per- form a reconfiguration in a few milliseconds; and they present a framework that can be generalized to other replication pro- tocols in a way that previous reconfiguration techniques can not. We provide proofs of correctness for the protocols and optimizations, and present empirical results from an open source implementation showing that throughput and latency do not change significantly during a reconfiguration.","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":"paxos"},{"word":"state-machine replication"},{"word":"reconfiguration"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8wk3343k","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Whittaker","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Neil","middle_name":"","last_name":"Giridharan","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Adriana","middle_name":"","last_name":"Szekeres","name_suffix":"","institution":"VMware Research","department":""},{"first_name":"Joseph","middle_name":"","last_name":"Hellerstein","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Heidi","middle_name":"","last_name":"Howard","name_suffix":"","institution":"University of Cambridge","department":""},{"first_name":"Faisal","middle_name":"","last_name":"Nawab","name_suffix":"","institution":"UC Santa Cruz","department":""},{"first_name":"Ion","middle_name":"","last_name":"Stoica","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2021-09-23T12:39:56+08:00","date_accepted":"2021-09-23T12:39:56+08:00","date_published":"2021-09-20T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jsys/article/57187/galley/43384/download/"}]},{"pk":14768,"title":"Epidemiology of Patients with Head Injury at a Tertiary Hospital in Rwanda","subtitle":null,"abstract":"Introduction:\n Traumatic injuries disproportionately affect populations in low and middle-income countries (LMIC) where head injuries predominate. The Rwandan Ministry of Health (MOH) has dramatically improved access to emergency services by rebuilding its health infrastructure. The MOH has strengthened the nation’s acute emergency response by renovating emergency departments (ED), developing the field of emergency medicine as a specialty, and establishing a prehospital care service: Service d’Aide Medicale Urgente (SAMU). Despite the prevalence of traumatic injury in LMIC and the evolving emergency service in Rwanda, data regarding head trauma epidemiology is lacking.\nMethods:\n We conducted this retrospective cohort study at the University Teaching Hospital of Kigali (UTH-K) and used a linked prehospital database to investigate the demographics, mechanism, and degree of acute medical interventions amongst prehospital patients with head injury. \n \nResults:\n Of the 2,426 patients transported by SAMU during the study period, 1,669 were found to have traumatic injuries. Data from 945 prehospital patients were accrued, with 534 (56.5%) of these patients diagnosed with a head injury. The median age was 30 years, with most patients being male (80.3%). Motor vehicle collisions accounted for almost 78% of all head injuries. One in six head injuries were due to a pedestrian struck by a vehicle. Emergency department interventions included intubations (6.7%), intravenous fluids (2.4%), and oxygen administration (4.9%). Alcohol use was not evaluated or could not be confirmed in 81.3% of head injury cases. The median length of stay (LOS) in the ED was two days (interquartile range: 1,3). A total of 184 patients were admitted, with 13% requiring craniotomies; their median in-hospital care duration was 13 days.\n \nConclusion:\n In this cohort of Rwandan trauma patients, head injury was most prevalent amongst males and pedestrians. Alcohol use was not evaluated in the majority of patients.  These traumatic patterns were predominantly due to road traffic injury, suggesting that interventions addressing the prevention of this mechanism, and treatment of head injury, may be beneficial in the Rwandan setting.","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":"Rwanda"},{"word":"EMS"},{"word":"head trauma"},{"word":"Epidemiology"}],"section":"International Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7z5588cn","frozenauthors":[{"first_name":"Naz","middle_name":"","last_name":"Karim","name_suffix":"","institution":"","department":"None"},{"first_name":"Lise","middle_name":"","last_name":"Mumporeze","name_suffix":"","institution":"University of Rwanda, College of Medicine and Health Sciences, Department of Anesthesia, Critical Care, and Emergency Medicine, Kigali, Rwanda","department":"None"},{"first_name":"Vizir","middle_name":"J.P.","last_name":"Nsengimana","name_suffix":"","institution":"University of Rwanda, College of Medicine and Health Sciences, Department of Anesthesia, Critical Care, and Emergency Medicine, Kigali, Rwanda","department":"None"},{"first_name":"Ashley","middle_name":"","last_name":"Gray","name_suffix":"","institution":"Warren Alpert School of Medicine, Brown University, Department of Emergency Medicine, Providence, Rhode Island, United States of America","department":"None"},{"first_name":"Alexis","middle_name":"","last_name":"Kearney","name_suffix":"","institution":"Warren Alpert School of Medicine, Brown University, Department of Emergency Medicine, Providence, Rhode Island, United States of America","department":"None"},{"first_name":"Adam","middle_name":"R.","last_name":"Aluisio","name_suffix":"","institution":"Warren Alpert School of Medicine, Brown University, Department of Emergency Medicine, Providence, Rhode Island, United States of America","department":"None"},{"first_name":"Zeta","middle_name":"","last_name":"Mutabazi","name_suffix":"","institution":"University Teaching Hospital-Kigali (UTH-K), Department of Accident & Emergency Medicine, Kigali, Rwanda","department":"None"},{"first_name":"Janette","middle_name":"","last_name":"Baird","name_suffix":"","institution":"Warren Alpert School of Medicine, Brown University, Department of Emergency Medicine, Providence, Rhode Island, United States of America","department":"None"},{"first_name":"Camille","middle_name":"M.","last_name":"Clancy","name_suffix":"","institution":"Warren Alpert School of Medicine, Brown University, Department of Emergency Medicine, Providence, Rhode Island, United States of America","department":"None"},{"first_name":"Derek","middle_name":"","last_name":"Lubetkin","name_suffix":"","institution":"Warren Alpert School of Medicine, Brown University, Department of Emergency Medicine, Providence, Rhode Island, United States of America","department":"None"},{"first_name":"Jeanne","middle_name":"D’Arc","last_name":"Nyinawankusi","name_suffix":"","institution":"Service d’Aide Médicale Urgente (SAMU), Rwanda Ministry of Health, Kigali Rwanda","department":"None"},{"first_name":"Jean Claude","middle_name":"","last_name":"Byiringiro","name_suffix":"","institution":"University Teaching Hospital-Kigali (UTH-K), Division of Clinical Education and Research, Kigali, Rwanda","department":"None"},{"first_name":"Adam","middle_name":"C.","last_name":"Levine","name_suffix":"","institution":"Warren Alpert School of Medicine, Brown University, Department of Emergency Medicine, Providence, Rhode Island, United States of America","department":"None"},{"first_name":"Jean","middle_name":"Eric","last_name":"Uwitonze","name_suffix":"","institution":"Service d’Aide Médicale Urgente (SAMU), Rwanda Ministry of Health, Kigali Rwanda","department":"None"},{"first_name":"Menelas","middle_name":"","last_name":"Nkeshimana","name_suffix":"","institution":"University Teaching Hospital-Kigali (UTH-K), Department of Accident & Emergency Medicine, Kigali, Rwanda","department":"None"}],"date_submitted":"2020-12-06T16:12:30+08:00","date_accepted":"2020-12-06T16:12:30+08:00","date_published":"2021-09-17T06:03:46+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14768/galley/7514/download/"}]},{"pk":42877,"title":"Hasty Departures: The Evacuation of American Citizens from Europe at the Outbreak of World War II","subtitle":null,"abstract":"When World War II began in September 1939, upwards of one hundred thousand American citizens were residing and traveling throughout Europe. Over the next three months, nearly seventy-five thousand of these individuals would be returned to the United States on crowded passenger ships and merchant vessels. This evacuation, organized and facili­tated by the US government, shipping representatives, and labor organizers, proved to be difficult. Besides contending with logistical obstacles, officials leading the operations had to assist evacuees with bookings and other personal matters, contend with rowdy ship crews, and ensure that the vessels traveling across the Atlantic Ocean were safe from Ger­man U-boats. This article offers insight into the Americans who were assisted, the US government officials who orchestrated the repatriation efforts, and the ships that were involved in the transatlantic crossings. It also provides a unique glimpse into the activities of American consular staff in France, Britain, and Ireland during the early days of the inter­national conflict.","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":"World War II"},{"word":"evacuation"},{"word":"United States evacuees from UK"},{"word":"Europe"},{"word":"diplomats"},{"word":"Department of State policy on war evacuation"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9jk269dd","frozenauthors":[{"first_name":"Gavin","middle_name":"","last_name":"Wilk","name_suffix":"","institution":"Independent Scholar","department":"None"}],"date_submitted":"2018-05-24T16:50:47+08:00","date_accepted":"2018-05-24T16:50:47+08:00","date_published":"2021-09-16T19:52:47+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42877/galley/31960/download/"}]},{"pk":25158,"title":"Advancing marine conservation through ecological connectivity: Building better connections for better protection","subtitle":null,"abstract":"The incorporation of ecological connectivity, the unimpeded movement of species and the flow of natural processes that sustain life on Earth, into protected area design and management is critical to achieving conservation outcomes. However, the understanding and implementation of ecological connectivity in marine protected areas (MPAs) lags behind that of their terrestrial counterparts. Here, we highlight the important role of ecological connectivity in the design and management of MPA networks through an introduction to marine connectivity and the challenges and benefits of incorporating it into management. The paper also provides guidance for policy and practice, including “rules of thumb” for incorporating connectivity into MPA design and management, and case studies. MPA managers have the potential to increase the effectiveness, adaptability, and resilience of the resources under their stewardship through the purposeful incorporation of ecological connectivity into MPA design and management.","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":[],"section":"Theme Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3rb0q0fr","frozenauthors":[{"first_name":"Zachary","middle_name":"J.","last_name":"Cannizzo","name_suffix":"","institution":"","department":"None"},{"first_name":"Barbara","middle_name":"","last_name":"Lausche","name_suffix":"","institution":"","department":"None"},{"first_name":"Lauren","middle_name":"","last_name":"Wenzel","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-09-15T00:35:26+08:00","date_accepted":"2021-09-15T00:35:26+08:00","date_published":"2021-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25158/galley/14788/download/"}]}]}