{"count":39150,"next":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=11600","previous":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=11400","results":[{"pk":14231,"title":"First Pass Success Without Adverse Events Is Reduced Equally with Anatomically Difficult Airways and Physiologically Difficult Airways","subtitle":null,"abstract":"Introduction:\n The goal of emergency airway management is first pass success without adverse events (FPS-AE). Anatomically difficult airways are well appreciated to be an obstacle to this goal. However, little is known about the effect of the physiologically difficult airway with regard to FPS-AE. This study evaluates the effects of both anatomically and physiologically difficult airways on FPS-AE in patients undergoing rapid sequence intubation (RSI) in the emergency department (ED).\nMethods:\n We analyzed prospectively recorded intubations in a continuous quality improvement database between July 1, 2014–June 30, 2018. Emergency medicine (EM) or emergency medicine/pediatric (EM-PEDS) residents recorded patient, operator, and procedural characteristics on all consecutive adult RSIs performed using a direct or video laryngoscope. The presence of specific anatomically and physiologically difficult airway characteristics were also documented by the operator. Patients were analyzed in four cohorts: 1) no anatomically or physiologically difficult airway  characteristics; 2) one or more anatomically difficult airway characteristics; 3) one or more physiologically difficult airway characteristics; and 4) both anatomically and physiologically difficult airway characteristics. The primary outcome was FPS-AE. We performed a multivariable logistic regression analysis to determine the association between anatomically difficult airways or physiologically difficult airways and FPS-AE.\nResults:\n A total of 1513 intubations met inclusion criteria and were analyzed. FPS-AE for patients without any difficult airway characteristics was 92.4%, but reduced to 82.1% (difference = - 10.3%, 95% confidence interval (CI), - 14.8% to - 5.6%) with the presence of one or more anatomically difficult airway characteristics, and 81.7% (difference = - 10.7%, 95% CI, - 17.3% to - 4.0%) with the presence of one or more physiologically difficult airway characteristics. FPS-AE was further reduced to 70.9% (difference = - 21.4%, 95% CI, - 27.0% to - 16.0%) with the presence of both anatomically and physiologically difficult airway characteristics. The adjusted odds ratio (aOR) of FPS-AE was 0.37 [95% CI, 0.21 - 0.66] in patients with anatomically difficult airway characteristics and 0.36 [95% CI, 0.19 - 0.67] for patients with physiologically difficult airway characteristics, compared to patients with no difficult airway characteristics. Patients who had both anatomically and physiologically difficult airway characteristics had a further decreased aOR of FPS-AE of 0.19 [95% CI, 0.11 - 0.33].\nConclusion:\n FPS-AE is reduced to a similar degree in patients with anatomically and physiologically difficult airways. Operators should assess and plan for potential physiologic difficulty as is routinely done for anatomically difficulty airways. Optimization strategies to improve FPS-AE for patients with physiologically difficult airways should be studied in randomized controlled 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.\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":"Tracheal intubation"},{"word":"Physiologically Difficult Airway"},{"word":"Anatomically Difficult Airway"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3s41p845","frozenauthors":[{"first_name":"Garrett","middle_name":"S.","last_name":"Pacheco","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona","department":"None"},{"first_name":"Nicholas","middle_name":"B.","last_name":"Hurst","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona","department":"None"},{"first_name":"Asad","middle_name":"E.","last_name":"Patanwala","name_suffix":"","institution":"The University of Sydney School of Pharmacy, Royal Prince Alfred Hospital, NSW, Sydney, Australia","department":"None"},{"first_name":"Cameron","middle_name":"","last_name":"Hypes","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona; University of Arizona College of Medicine, Department of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep, Tucson, Arizona","department":"None"},{"first_name":"Jarrod","middle_name":"M.","last_name":"Mosier","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona; University of Arizona College of Medicine, Department of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep, Tucson, Arizona","department":"None"},{"first_name":"John","middle_name":"C.","last_name":"Sakles","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona","department":"None"}],"date_submitted":"2020-06-27T02:08:15+05:00","date_accepted":"2020-06-27T02:08:15+05:00","date_published":"2021-02-01T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14231/galley/7341/download/"}]},{"pk":991,"title":"CPC-EM Full-Text Issue","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"CPC-EM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/970852bb","frozenauthors":[{"first_name":"Cassandra","middle_name":"","last_name":"Saucedo","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2021-01-30T05:41:15+05:00","date_accepted":"2021-01-30T05:41:15+05:00","date_published":"2021-01-30T05:42:36+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/991/galley/739/download/"}]},{"pk":990,"title":"Case Report: Bilateral Ultrasound-guided Serratus Anterior Plane Blocks for a Chest Wall Burn","subtitle":null,"abstract":"Introduction:\n The serratus anterior plane block (SAPB) has been shown to effectively treat pain following breast surgery, thoracotomies, and rib fractures. We present the first reported case of a bilateral ultrasound-guided SAPB in a multimodal analgesic regimen after an acute large, thoracic, deep partial-thickness burn. \n \nCase Report:\n A 72-year-old male presented in severe pain two days after sustaining a deep partial- thickness burn to his anterior chest wall after his shirt caught on fire while cooking. The area of injury was on bilateral chest walls, and the patient was consented for bilateral SAPBs at the level of the third thoracic ribs (T3). With ultrasound guidance, a mixture of ropivacaine and lidocaine with epinephrine was injected into the fascial plane overlying bilateral serratus muscles at T3. The patient reported complete resolution of pain for approximately 15 hours and required minimal additional intravenous analgesia. \n \nConclusion:\n The ultrasound-guided SAPB may be an excellent addition to the multimodal analgesic regimen in superficial and partial-thickness burns of the anterior chest wall.","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":"serratus anterior plane block"},{"word":"nerve block"},{"word":"burn"},{"word":"pain management"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7xj479fn","frozenauthors":[{"first_name":"Tara","middle_name":"","last_name":"Benesch","name_suffix":"","institution":"Highland General Hospital, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Mantuani","name_suffix":"","institution":"Highland General Hospital, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Arun","middle_name":"","last_name":"Nagdev","name_suffix":"","institution":"Highland General Hospital, Department of Emergency Medicine, Oakland, California","department":"None"}],"date_submitted":"2021-01-30T04:25:48+05:00","date_accepted":"2021-01-30T04:25:48+05:00","date_published":"2021-01-30T04:26:54+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/990/galley/738/download/"}]},{"pk":13899,"title":"Diagnostic Uncertainty in Dyspneic Patients with Cancer in the Emergency Department","subtitle":null,"abstract":"Objective:\n Dyspnea is the second most common symptom experienced by the approximately 4.5 million patients with cancer presenting to emergency departments (ED) each year. Distinguishing pneumonia, the most common reason for presentation, from other causes of dyspnea is challenging. This report characterizes the diagnostic uncertainty in patients with dyspnea and pneumonia presenting to an ED by establishing the rates of co-diagnosis, co-treatment, and misdiagnosis.\nMethods:\n Visits by individuals ≥18 years old with cancer who presented with a complaint of dyspnea were identified using the National Hospital Ambulatory Medical Care Survey between 2012-2014 and analyzed for rates of co-diagnosis, co-treatment (treatment or diagnosis for >1 of pneumonia, chronic obstructive pulmonary disease [COPD], and heart failure), and misdiagnosis of pneumonia. Additionally, we assessed rates of diagnostic uncertainty (co-diagnosis, co-treatment, or a lone diagnosis of dyspnea not otherwise specified [NOS]) .\nResults:\n Among dyspneic cancer visits (1,593,930), 15.2% (95% confidence interval [CI], 11.1-20.5%) were diagnosed with pneumonia, 22.5% (95% CI, 16.7-29.7%) with COPD, and 7.4% (95% CI 4.7-11.4%) with heart failure. Dyspnea NOS was diagnosed in 32.3% (95% CI, 25.7-39.7%) of visits and as the only diagnosis in 23.1% (95% CI, 16.3-31.6%) of all visits. Co-diagnosis occurred in 4.0% (95% CI, 2.0-7.6%) of dyspneic adults with cancer and co-treatment in 12.1% (95% CI, 7.5-18.9%). Agreement between emergency physician and inpatient documentation for presence of pneumonia was 57.7% (95% CI, 37.0-76.1%).\nConclusion:\n Diagnostic uncertainty remains a significant concern in patients with cancer presenting to the ED with dyspnea. Clinical uncertainty among dyspneic patients results in both misdiagnosis and under-treatment of patients with pneumonia and 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.\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":"pneumonia, dyspnea, patients with cancer, acute care, diagnostic uncertainty"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6zn9c5gh","frozenauthors":[{"first_name":"Katherine","middle_name":"M.","last_name":"Hunold","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Jeffrey","middle_name":"M.","last_name":"Caterino","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Jason","middle_name":"J.","last_name":"Bischof","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"}],"date_submitted":"2020-05-08T20:18:03+05:00","date_accepted":"2020-05-08T20:18:03+05:00","date_published":"2021-01-29T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13899/galley/7227/download/"}]},{"pk":13870,"title":"Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department","subtitle":null,"abstract":"Introduction:\n As physician-performed point-of-care ultrasound (POCUS) becomes more prevalent in the evaluation of patients presenting with various complaints in the emergency department (ED), one application that is significantly less used is breast ultrasound. This study evaluates the utility of POCUS for the assessment of patients with breast complaints who present to the ED and the impact of POCUS on medical decision-making and patient management in the ED.\nMethods:\n This was a retrospective review of ED patients presenting with breast symptoms who received a POCUS examination. An ED POCUS database was reviewed for breast POCUS examinations. We then reviewed electronic health records for demographic characteristics, history, physical examination findings, ED course, additional imaging studies, and impact of the POCUS study on patient care and disposition.\nResults:\n We included a total of 40 subjects (36 females, 4 males) in the final analysis. Most common presenting symptoms were breast pain (57.5%) and a palpable mass (37.5%). “Cobblestoning,” ie, dense bumpy appearance, was the most common finding on breast POCUS, seen in 50% of the patients. Simple fluid collections were found in 37.5% of patients.\nConclusion:\n Our study findings illustrate the utility of POCUS in the evaluation of a varietyof breast complaints in the ED.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Ultrasound, ultrasonography, point-of-care ultrasound, emergency medicine, breast, emergency department"}],"section":"Women's Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7pj8692p","frozenauthors":[{"first_name":"Josie","middle_name":"","last_name":"Acuña","name_suffix":"","institution":"The University of Arizona, Department of Emergency Medicine, Tucson, Arizona","department":"None"},{"first_name":"Cubby","middle_name":"M.","last_name":"Pierre","name_suffix":"","institution":"The University of Arizona, Department of Emergency Medicine, Tucson, Arizona","department":"None"},{"first_name":"Jacob","middle_name":"","last_name":"Sorenson","name_suffix":"","institution":"The University of Arizona, College of Medicine, Tucson, Arizona","department":"None"},{"first_name":"Srikar","middle_name":"","last_name":"Adhikari","name_suffix":"","institution":"The University of Arizona, Department of Emergency Medicine, Tucson, Arizona","department":"None"}],"date_submitted":"2020-05-03T05:15:15+05:00","date_accepted":"2020-05-03T05:15:15+05:00","date_published":"2021-01-29T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13870/galley/7219/download/"}]},{"pk":14290,"title":"The Utility of Pain Scale to Assess Verifiable vs Non- Verifiable Pain in United States Emergency Departments","subtitle":null,"abstract":"Introduction:\n We sought to examine the utility of self-reported pain scale by comparing emergency department (ED) triage pain scores of self-reported but non-verifiable painful conditions with those of verifiable painful conditions using a large, nationally representative sample.\nMethods:\n We analyzed the National Hospital Ambulatory Medical Care Survey (NHAMCS) 2015. Verifiable painful conditions were identified based on the final diagnoses in the five included International Classification of Diseases 9th revision codes. Non-verifiable painful conditions were identified by the five main reasons for visit. Only adults 18 years of age or older were included. The primary outcome variable was the pain scale from 0 to 10 at triage. We performed descriptive and multivariate analyses to investigate the relationships between the pain scale and whether the painful condition was verifiable, controlling for patient characteristics.\nResults:\n There were 55 million pain-related adult ED visits in 2015. The average pain scale was 6.49. For verifiable painful diagnoses, which were about 24% of the total visits, the average was 6.27, statistically significantly lower than that for non-verifiable painful conditions, 6.56. Even after controlling for the confounding of patient characteristics and comorbidities, verifiable painful diagnoses still presented less pain than those with non-verifiable painful complaints. Older age, female gender, and urban residents had significantly higher pain scores than their respective counterparts, controlling for other confounding factors. Psychiatric disorders were independently associated with higher pain scores by about a half point. \nConclusion:\n Self-reported pain scales obtained at ED triage likely have a larger psychological component than a physiological one. Close attention to clinical appropriateness and overall patient comfort are more likely to lead to better health outcomes and patient experiences than focusing on self-reported pain alone.","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":"Pain scale, pain management, disease severity, vital signs, ED triage"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/78b8570n","frozenauthors":[{"first_name":"K.","middle_name":"Tom","last_name":"Xu","name_suffix":"","institution":"Texas Tech University Health Sciences Center, Department of Surgery, Division of Emergency Medicine, School of Medicine, Lubbock, Texas","department":"None"},{"first_name":"James","middle_name":"E.","last_name":"Morris","name_suffix":"","institution":"Texas Tech University Health Sciences Center, Department of Surgery, Division of Emergency Medicine, School of Medicine, Lubbock, Texas","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Piel","name_suffix":"","institution":"Texas Tech University Health Sciences Center, Department of Surgery, Division of Emergency Medicine, School of Medicine, Lubbock, Texas","department":"None"}],"date_submitted":"2020-07-10T20:07:47+05:00","date_accepted":"2020-07-10T20:07:47+05:00","date_published":"2021-01-29T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14290/galley/7358/download/"}]},{"pk":13859,"title":"Types and Timing of Teaching During Clinical Shifts in an Academic Emergency Department","subtitle":null,"abstract":"Objectives:\n Academic emergency physicians must find ways to teach residents, medical students, and advanced practice providers amidst the myriad demands on their time during clinical shifts. In this study, we sought to characterize in detail what types of teaching occurred, how often they occurred, and how attending teaching styles differed at one academic emergency department (ED).\nMethods:\n We conducted this observational study in a large, urban, quaternary care, academic Level I trauma center with an emergency medicine (EM) residency. The on-shift activities of EM attending physicians (attendings) were observed and recorded over 42 hours by a fourth-year EM resident with co-observations by an EM education fellow. Teaching categories were identified, developed iteratively, and validated by the study team. We then characterized the distribution of teaching activities during shifts through the coding of attending activities every 30 seconds during observations. Teaching archetypes were then developed through the synthesis of notes taken during observations.\nResults:\n Attendings spent a mean of 25% (standard deviation 7%) of their time engaging in teaching activities during shifts. Of this teaching time 36% consisted of explicit instruction, while the remaining 64% of teaching occurred implicitly through the discussion of cases with learners. The time distribution of on-shift activities varied greatly between attendings, but three archetypes emerged for how attendings coupled patient care and teaching: “in-series”; “in-parallel modeling”; and “in-parallel supervision.”\nConclusions:\n Teaching in this academic ED took many forms, most of which arose organically from patient care. The majority of on-shift teaching occurred through implicit means, rather than explicit instruction. Attendings also spent their time in markedly different ways and embodied distinct teaching archetypes. The impact of this variability on both educational and patient care outcomes warrants further study.","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":"medical education, emergency medicine education, on-shift teaching"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4tj0t64v","frozenauthors":[{"first_name":"Joshua","middle_name":"J.","last_name":"Baugh","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Derek","middle_name":"L.","last_name":"Monette","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"James","middle_name":"K.","last_name":"Takayesu","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Ali","middle_name":"S.","last_name":"Raja","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Brian","middle_name":"J.","last_name":"Yun","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2020-05-01T02:44:53+05:00","date_accepted":"2020-05-01T02:44:53+05:00","date_published":"2021-01-29T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13859/galley/7214/download/"}]},{"pk":989,"title":"Mediastinitis Secondary to Peripherally Inserted Central Catheter Migration and Perforation after Minor Trauma: A Case Report","subtitle":null,"abstract":"Introduction:\n The use of peripherally inserted central catheters (PICC) has been integral to the advancement of medical care in both in-patient and out-patient arenas.1 However, our knowledge of PICC line complications remains incomplete, particularly in regard to venous perforation and extraluminal migration. Utilization of displaced catheters harbors lethal complications and is an infrequently reported phenomenon, with traumatic etiologies only referenced as possible mechanisms; however, to date no formal cases have been reported.5,6 \nCase Report: \nWe report a case of a fall associated with extraluminal PICC migration and perforation causing mediastinitis and severe sepsis after total parenteral nutrition (TPN) infusion in a 54-year-old woman. Our patient required a right-sided PICC for long-term home TPN due to severe malnutrition following gastric bypass surgery. During a routine home care visit our patient was found tachypneic, hypoxic, and short of breath. Computed topography imaging in the emergency department (ED) identified the injury, likely related to the recent fall. The patient experienced a complicated hospital course after removal of the PICC. Although rare, PICC line migrations and perforations cause serious complications that should be considered by emergency physicians evaluating patients with chronic indwelling vascular access. \nConclusion:\n Given the efficacy and widespread use of PICC lines, we present this case as a rarely reported but life-threatening complication that requires particular attention. Emergency physicians should be aware of such PICC line complications when encountering patients with chronic indwelling vascular access.","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":"Peripherally inserted central catheter"},{"word":"catheter migration"},{"word":"catheter perforation"},{"word":"mediastinitis"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0w11c84f","frozenauthors":[{"first_name":"Osvaldo","middle_name":"","last_name":"Martinez","name_suffix":"","institution":"University of Pittsburgh Medical Center, Hamot, Department of Emergency Medicine, Erie, Pennsylvania","department":"None"},{"first_name":"Justin","middle_name":"","last_name":"Puller","name_suffix":"","institution":"University of Pittsburgh Medical Center, Hamot, Department of Emergency Medicine, Erie, Pennsylvania","department":"None"}],"date_submitted":"2021-01-29T04:27:42+05:00","date_accepted":"2021-01-29T04:27:42+05:00","date_published":"2021-01-29T04:28:28+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/989/galley/737/download/"}]},{"pk":988,"title":"Point-of-care Ultrasound for Suspected Pectoralis Major Rupture: A Case Report","subtitle":null,"abstract":"Introduction: \nPectoralis major muscle injuries are relatively uncommon and occur secondary to weightlifting in nearly 50% of cases. Tendon tears occur almost exclusively in males between 20-40 years old and are heavily associated with anabolic androgenic steroid use. While magnetic resonance imaging is often considered the modality of choice, its availability is often limited in the emergency department (ED). In contrast, point-of-care ultrasound (POCUS) is commonly available in the ED and can be used to help confirm the diagnosis and hasten disposition. \nCase Report: \nWe report a case of a 28-year-old male competitive weightlifter with a history of chronic anabolic steroid use who presented to the ED with acute left shoulder pain after weightlifting. History and physical exam were concerning for pectoralis major rupture, and POCUS confirmed the diagnosis.\nConclusion: \nPrompt evaluation and radiographic confirmation is key in ensuring good patient outcomes in pectoralis major tears. Therefore, proficiency of emergency physicians in musculoskeletal POCUS as an adjunct to estimate the extent of injury is important for expediting disposition and and promptly involving orthopedic surgery evaluation.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"point-of-care ultrasound"},{"word":"POCUS"},{"word":"pectoralis major injury"},{"word":"pectoralis major rupture"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6f02h7fh","frozenauthors":[{"first_name":"Nathanael","middle_name":"","last_name":"Franks","name_suffix":"","institution":"Long School of Medicine, UT Health San Antonio, San Antonio, Texas","department":"None"},{"first_name":"Jeremiah","middle_name":"","last_name":"Gress","name_suffix":"","institution":"Long School of Medicine, UT Health San Antonio, San Antonio, Texas","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Joseph","name_suffix":"","institution":"UT Health San Antonio, Department of Emergency Medicine, San Antonio, Texas","department":"None"}],"date_submitted":"2021-01-29T04:10:51+05:00","date_accepted":"2021-01-29T04:10:51+05:00","date_published":"2021-01-29T04:11:33+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/988/galley/736/download/"}]},{"pk":41903,"title":"Choreographing Tolerance: Narendra Modi, Hindu Nationalism, and International Yoga Day","subtitle":null,"abstract":"This essay considers the significance of Narendra Modi’s yoga agenda against the backdrop of increasingly violent right-wing Hindu nationalist policies and interventions under his administration. One of Modi’s first official acts after being elected Prime Minister of India in 2014 was to urge the United Nations member states to declare June 21st International Yoga Day. In his speech, he argued that yoga has the capacity to unite both the self and the world. Though Modi espouses unity through yoga, he has arguably been one of the most divisive Indian leaders in recent memory. How do we reconcile the contradiction between “Modi the yogi” who proposes to unify the country and “Modi the Hindu nationalist” who has been actively responsible for dividing it along sectarian lines? What is the function of International Yoga Day within the broader context of Modi’s anti-Muslim politics, both past and present? Why has yoga, in particular, become a central tenet of Modi’s Hindu nationalist agenda? Drawing on Wendy Brown’s (2006) theorization of “tolerance,” I consider how Modi’s yoga agenda has further entrenched the binary of the tolerant, “civilized” Hindu and the intolerant, “irrational” Muslim Other within the Indian national imaginary. In contrast to the notion of Muslims as militant, ideologically rigid, and intolerant (of difference), yoga performs the Hindu nation as flexible, yielding, open, and tolerant. With its benign, benevolent associations with health and well-being, mind-body harmony, and peace, Modi has mobilized yoga to obfuscate the increasing violence, inflexibility, and intolerance of difference under his administration. This essay concludes by thinking about the complicity of the liberal Hindu citizen in the rise of Hindu nationalism and the Hindu supremacist state.","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":"Choreography"},{"word":"Hindu Nationalism"},{"word":"tolerance"},{"word":"Yoga"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4vz5j2cq","frozenauthors":[{"first_name":"Anusha","middle_name":"","last_name":"Lakshmi","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2020-02-16T13:38:25+05:00","date_accepted":"2020-02-16T13:38:25+05:00","date_published":"2021-01-27T23:14:10+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/raceandyoga/article/41903/galley/31303/download/"}]},{"pk":987,"title":"A Case Report of Pediatric Ovarian Torsion: The Importance of Diagnostic Laparoscopy","subtitle":null,"abstract":"Introduction:\n Pediatric ovarian torsion (OT) is a relatively rare occurrence with chances of significant morbidity and possible mortality if not treated emergently.  \n \nCase Report:\n In this report, we review a case of pediatric ovarian torsion in a nine-year oldthat was difficult to diagnose on initial presentation to the hospital due to various factors, which inevitably led to delayed resolution.  \n \nConclusion:\n We discuss the diagnosis of pediatric ovarian torsion including risk factors, symptoms, imaging modalities, and surgical diagnostics. To improve diagnosis and shorten time to treatment, this case supports the use of laparoscopy for diagnosis of ovarian torsion if indicated by clinical suspicion and supplemental imaging studies.","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":"pediatric"},{"word":"ovarian torsion"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6bb0r31w","frozenauthors":[{"first_name":"Alana","middle_name":"","last_name":"Corre","name_suffix":"","institution":"California Northstate University College of Medicine, Elk Grove, California","department":"None"},{"first_name":"Shebani","middle_name":"","last_name":"Dandekar","name_suffix":"","institution":"California Northstate University College of Medicine, Elk Grove, California","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Lau","name_suffix":"","institution":"Kaiser Permanente, Department of Emergency Medicine, Modesto, California","department":"None"},{"first_name":"Leonard","middle_name":"","last_name":"Ranasinghe","name_suffix":"","institution":"California Northstate University College of Medicine, Elk Grove, California","department":"None"}],"date_submitted":"2021-01-27T11:04:34+05:00","date_accepted":"2021-01-27T11:04:34+05:00","date_published":"2021-01-27T11:05:22+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/987/galley/735/download/"}]},{"pk":986,"title":"Hyperhemolysis Syndrome in a Patient with Sickle Cell Disease: A Case Report","subtitle":null,"abstract":"Introduction: \nHyperhemolysis syndrome (HHS) is a rare complication of repeat blood transfusions in sickle cell disease (SCD). This can occur acutely or have a delayed presentation and often goes unrecognized in the emergency department (ED) due to its rapid progression and similarity to acute chest syndrome and other common complications of SCD. \n \nCase Report: \nWe present a case of a 20-year-old male with SCD who presented to the ED with pain and tenderness in his lower extremities one day after discharge for a crisis. Unbeknownst to the ED team, during his admission he had received a blood transfusion. On presentation he was noted to have hyperkalemia, hyperbilirubinemia, anemia, and uncontrolled pain, and was admitted for sickle cell pain crisis. Over the next 36 hours, his hemoglobin dropped precipitously from 8.9 grams per deciliter (g/dL) to 4.2 g/dL (reference range: 11.5-14.5 g/dL), reticulocyte count from 11.7 % to 3.8% (0.4-2.2%), and platelets from 318,000 per cubic centimeter (K/cm3) to 65 K/cm3 (140-350 K/cm3). He also developed a fever, hypoxia, transaminitis, a deteriorating mental status, and severe lactic acidosis. Hematology was consulted and he was treated with methylprednisolone, intravenous immunoglobulin, two units of antigen-matched red blood cells, fresh frozen plasma, and cryoprecipitate. He was transferred to an outside hospital for exchange transfusion and remained hospitalized for 26 days with acute liver failure, bone marrow necrosis, and a fever of unknown origin.\n \n \nConclusion: \nBecause of the untoward outcomes associated with delay in HHS diagnosis and the need for early initiation of steroids, it is important for emergency providers to screen patients with hemoglobinopathies for recent transfusion at ED presentation. Asking the simple question about when a patient’s last transfusion occurred can lead an emergency physician to include HHS in the differential and work-up of patients with sickle cell disease 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":"Hyperhemolysis"},{"word":"Sickle Cell Disease"},{"word":"disseminated intravascular coagulation"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/58f497nw","frozenauthors":[{"first_name":"Joshua","middle_name":"A.","last_name":"Kalter","name_suffix":"","institution":"USF Morsani College of Medicine, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania","department":"None"},{"first_name":"Gupta","middle_name":"","last_name":"Ranju","name_suffix":"","institution":"USF Morsani College of Medicine, Lehigh Valley Health Network, Division of Hematology Oncology, Allentown, Pennsylvania","department":"None"},{"first_name":"Marna","middle_name":"Rayl","last_name":"Greenberg","name_suffix":"","institution":"USF Morsani College of Medicine, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania","department":"None"},{"first_name":"Andrew","middle_name":"J.","last_name":"Miller","name_suffix":"","institution":"USF Morsani College of Medicine, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania","department":"None"},{"first_name":"Jamie","middle_name":"","last_name":"Allen","name_suffix":"","institution":"USF Morsani College of Medicine, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania","department":"None"}],"date_submitted":"2021-01-27T10:41:17+05:00","date_accepted":"2021-01-27T10:41:17+05:00","date_published":"2021-01-27T10:45:28+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/986/galley/734/download/"}]},{"pk":984,"title":"COVID-19 Presenting as Encephalopathy in the Emergency Department: A Case Report","subtitle":null,"abstract":"Introduction: \nThe severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the etiology of the coronavirus disease 2019 (COVID-19) pandemic, has proven to be an era-defining illness with profound impact on patients and healthcare providers alike. By nearly all measures, daily cases and deaths are growing on a global scale despite conscious infection control efforts. As the medical community strives to better understand the pathogenesis of COVID-19, it has become increasingly appreciated that this “respiratory virus” can present clinically with a wide range of signs and symptoms not necessarily confined to the respiratory system.\n \nCase Report: \nSpecifically, the central nervous system has been described as the presenting complaint of COVID-19, including anosmia and headaches and, more rarely, meningitis. This clinical case highlights the presentation of a 52-year-old male who presented to the emergency department with altered mental status and fever, ultimately attributed to COVID-19 infection.\n \nConclusion: \nThis case serves to add to the growing body of evidence surrounding the potentially severe neuropathologic capabilities of the novel SARS-CoV-2 virus.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"COVID-19"},{"word":"encephalopathy"},{"word":"neuropathic"},{"word":"fever"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/16v7r7rk","frozenauthors":[{"first_name":"Travis","middle_name":"B.","last_name":"Goodloe III","name_suffix":"","institution":"University of Alabama Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Lauren","middle_name":"A.","last_name":"Walter","name_suffix":"","institution":"University of Alabama Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"}],"date_submitted":"2021-01-27T10:26:11+05:00","date_accepted":"2021-01-27T10:26:11+05:00","date_published":"2021-01-27T10:27:32+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/984/galley/732/download/"}]},{"pk":982,"title":"Don’t Forget the Flu – Determining the Etiology of Infective Myositis in a Child: A Case Report","subtitle":null,"abstract":"Introduction:\n Infective myositis is an acute, self-limited condition, rarely occurring in children with recent viral infections. The condition is often overlooked by emergency physicians when endeavoring to exclude other diagnoses included in the differential. Diagnosis of the condition can be difficult when based purely on clinical presentation because it shares symptoms with much more concerning neurological illnesses. A few simple laboratory tests are indicated to reach the correct diagnosis. \n \nCase Report:\n The following case report describes a three-year-old female diagnosed with a recent upper respiratory tract infection presenting to the emergency department with complaints of fatigue and inability to walk. She was diagnosed with an influenza-like illness three days prior by her pediatrician, the symptoms of which had mostly resolved by the time of presentation.\n \nConclusion:\n Muscle weakness and abnormal, uncoordinated gait with an acute upper respiratory tract infection in a child may be cause for concern, prompting unnecessary work-up. Emergency physicians should be aware of the signs and symptoms of influenza-associated infective myositis in children, especially during influenza season.","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":"Infective myositis"},{"word":"influenza A"},{"word":"upper respiratory tract infection"},{"word":"pediatrics"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/39r8c7zd","frozenauthors":[{"first_name":"Lauren","middle_name":"M.","last_name":"Crowley","name_suffix":"","institution":"University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania","department":"None"},{"first_name":"Richard","middle_name":"J.","last_name":"Mazzaccaro","name_suffix":"","institution":"University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Lehigh Valley Health Network, Department of Pediatrics, Allentown, Pennsylvania","department":"None"},{"first_name":"Amy","middle_name":"Lewis","last_name":"Dunn","name_suffix":"","institution":"University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Division of Pediatric Emergency Medicine, Allenton, Pennsylvania","department":"None"},{"first_name":"Sarah","middle_name":"E.","last_name":"Bauch","name_suffix":"","institution":"University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania","department":"None"},{"first_name":"Marna","middle_name":"Rayl","last_name":"Greenberg","name_suffix":"","institution":"University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Lehigh Valley Health Network, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania","department":"None"}],"date_submitted":"2021-01-27T10:08:48+05:00","date_accepted":"2021-01-27T10:08:48+05:00","date_published":"2021-01-27T10:09:32+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/982/galley/730/download/"}]},{"pk":59327,"title":"Quantifying Within-Day Abstract Skill Learning and Exploring its Neural Correlates","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/79m4r2p1","frozenauthors":[{"first_name":"Gabrielle","middle_name":"","last_name":"Shvartsman","name_suffix":"","institution":"","department":""},{"first_name":"Ellen","middle_name":"","last_name":"Zippi","name_suffix":"","institution":"","department":""},{"first_name":"Jose","middle_name":"","last_name":"Carmena","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-27T07:27:07+05:00","date_accepted":"2021-01-27T07:27:07+05:00","date_published":"2021-01-27T07:27:19+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59327/galley/45331/download/"}]},{"pk":59326,"title":"mRNA: The Next Frontier in Vaccine Science","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3bz923cn","frozenauthors":[{"first_name":"Nachiket","middle_name":"","last_name":"Girish","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-27T07:25:20+05:00","date_accepted":"2021-01-27T07:25:20+05:00","date_published":"2021-01-27T07:25:33+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59326/galley/45330/download/"}]},{"pk":59325,"title":"Table of Contents","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4n42s37v","frozenauthors":[{"first_name":"UCB","middle_name":"","last_name":"BSJ","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-27T07:23:28+05:00","date_accepted":"2021-01-27T07:23:28+05:00","date_published":"2021-01-27T07:23:42+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59325/galley/45329/download/"}]},{"pk":985,"title":"A Piercing Diagnosis – Occult Foreign Body as the Cause of Acute Inguinal Pain","subtitle":null,"abstract":"Case Presentation:\n A 35-year-old woman presented to the emergency department with severe right inguinal pain. Her medical history was non-contributory and there was no known trauma or injury to the region. Amid concern for an incarcerated inguinal hernia, a computed tomography was obtained revealing a linear foreign body (FB) lateral to the femoral vessels. The FB was removed without complication at bedside and found to be a beading needle likely occultly lodged three days prior. \n \nDiscussion:\n Occult inguinal FBs are rare but can lead to deep venous thrombosis or pulmonary embolism if in or near vessels. By nature of being occult, an absence of ingestion, insertion, or penetrative history should not preclude consideration of a FB etiology. Computed tomography imaging is crucial in determining the urgency of, and approach to, inguinal foreign body removal.","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":"Occult foreign body"},{"word":"inguinal pain"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/863662fd","frozenauthors":[{"first_name":"Coral","middle_name":"","last_name":"Bays-Muchmore","name_suffix":"","institution":"University of Washington School of Medicine, Seattle, Washington","department":"None"},{"first_name":"Deion","middle_name":"T.","last_name":"Sims","name_suffix":"","institution":"University of Washington School of Medicine, Seattle, Washington","department":"None"},{"first_name":"Joel","middle_name":"A.","last_name":"Gross","name_suffix":"","institution":"University of Washington School of Medicine, Department of Radiology, Seattle, Washington","department":"None"},{"first_name":"Jonathan","middle_name":"S.","last_name":"Ilgen","name_suffix":"","institution":"University of Washington School of Medicine, Department of Emergency Medicine, Seattle, Washington","department":"None"}],"date_submitted":"2021-01-27T10:32:51+05:00","date_accepted":"2021-01-27T10:32:51+05:00","date_published":"2021-01-26T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/985/galley/733/download/"}]},{"pk":983,"title":"Male with Altered Mental Status","subtitle":null,"abstract":"Case Presentation:\n A 62-year-old male presented to the emergency department with altered mental status and fever. Computed tomography of the head showed enlargement of the left lateral ventricle. Magnetic resonance imaging demonstrated debris and purulence in the ventricle along with edema and transependymal flow of cerebrospinal fluid surrounding both ventricles.\nDiscussion:\n The patient was diagnosed with ventriculitis. Ventriculitis is an uncommon but serious disease. Early recognition and treatment are essential.","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":"confusion"},{"word":"magnetic resonance imaging"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2dw2h3mg","frozenauthors":[{"first_name":"Jason","middle_name":"","last_name":"Kondrat","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York; Staten Island University Hospital, Department of Radiology, Staten Island, New York","department":"None"},{"first_name":"Ben","middle_name":"","last_name":"Ilyaguyev","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York; Staten Island University Hospital, Department of Radiology, Staten Island, New York","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Stern","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York; Staten Island University Hospital, Department of Radiology, Staten Island, New York","department":"None"},{"first_name":"Teresa","middle_name":"","last_name":"Choe","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York; Staten Island University Hospital, Department of Radiology, Staten Island, New York","department":"None"},{"first_name":"Josh","middle_name":"","last_name":"Greenstein","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York; Staten Island University Hospital, Department of Radiology, Staten Island, New York","department":"None"},{"first_name":"Barry","middle_name":"","last_name":"Hahn","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York; Staten Island University Hospital, Department of Radiology, Staten Island, New York","department":"None"}],"date_submitted":"2021-01-27T10:15:55+05:00","date_accepted":"2021-01-27T10:15:55+05:00","date_published":"2021-01-26T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/983/galley/731/download/"}]},{"pk":59324,"title":"Editorial Note","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3521n6rd","frozenauthors":[{"first_name":"Rosa","middle_name":"","last_name":"Lee","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T08:55:10+05:00","date_accepted":"2021-01-26T08:55:10+05:00","date_published":"2021-01-26T08:55:27+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59324/galley/45328/download/"}]},{"pk":59323,"title":"Coral Cover and Algae Growth Along a Water Quality Gradient in Moorea, French Polynesia","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/58g7k2br","frozenauthors":[{"first_name":"Savannah","middle_name":"","last_name":"Sturla","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T08:48:13+05:00","date_accepted":"2021-01-26T08:48:13+05:00","date_published":"2021-01-26T08:48:25+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59323/galley/45327/download/"}]},{"pk":59322,"title":"Quantifying Within-Day Abstract Skill Learning and Exploring its Neural Correlates","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/77z488dh","frozenauthors":[{"first_name":"Gabrielle","middle_name":"","last_name":"Shvartsman","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T08:44:14+05:00","date_accepted":"2021-01-26T08:44:14+05:00","date_published":"2021-01-26T08:45:34+05:00","render_galley":null,"galleys":[]},{"pk":59320,"title":"Applications of Materials Science: From Modeling to Medical Use","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3t9558hv","frozenauthors":[{"first_name":"Esther","middle_name":"","last_name":"Lim","name_suffix":"","institution":"","department":""},{"first_name":"Alexander","middle_name":"","last_name":"Peterson","name_suffix":"","institution":"","department":""},{"first_name":"Sabrina","middle_name":"","last_name":"Wu","name_suffix":"","institution":"","department":""},{"first_name":"Ananya","middle_name":"","last_name":"Krishnapura","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T08:38:19+05:00","date_accepted":"2021-01-26T08:38:19+05:00","date_published":"2021-01-26T08:38:31+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59320/galley/45325/download/"}]},{"pk":59319,"title":"Darwin: Chimp or Chump?","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7fh5m0kd","frozenauthors":[{"first_name":"Lilian","middle_name":"","last_name":"Eloyan","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:56:00+05:00","date_accepted":"2021-01-26T07:56:00+05:00","date_published":"2021-01-26T07:56:11+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59319/galley/45324/download/"}]},{"pk":59318,"title":"Machine Learning and Design Optimization for Molecular Biology and Beyond","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3p69w239","frozenauthors":[{"first_name":"Bryan","middle_name":"","last_name":"Hsu","name_suffix":"","institution":"","department":""},{"first_name":"Natasha","middle_name":"","last_name":"Raut","name_suffix":"","institution":"","department":""},{"first_name":"Kaitlyn","middle_name":"","last_name":"Wang","name_suffix":"","institution":"","department":""},{"first_name":"Elettra","middle_name":"","last_name":"Preosti","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:53:42+05:00","date_accepted":"2021-01-26T07:53:42+05:00","date_published":"2021-01-26T07:53:53+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59318/galley/45323/download/"}]},{"pk":59317,"title":"Schizophrenia Through The Years","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7f991041","frozenauthors":[{"first_name":"Anisha","middle_name":"","last_name":"Iyer","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:51:24+05:00","date_accepted":"2021-01-26T07:51:24+05:00","date_published":"2021-01-26T07:51:36+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59317/galley/45322/download/"}]},{"pk":59316,"title":"Exploring Cancer Metastasis Outside the Genome","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/66x0d43t","frozenauthors":[{"first_name":"Timothy","middle_name":"","last_name":"Jang","name_suffix":"","institution":"","department":""},{"first_name":"Ananya","middle_name":"","last_name":"Krishnapura","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:49:52+05:00","date_accepted":"2021-01-26T07:49:52+05:00","date_published":"2021-01-26T07:50:06+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59316/galley/45321/download/"}]},{"pk":59315,"title":"Unlocking Peto's Paradox","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1fj293bk","frozenauthors":[{"first_name":"Chris","middle_name":"","last_name":"Zhan","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:47:37+05:00","date_accepted":"2021-01-26T07:47:37+05:00","date_published":"2021-01-26T07:47:49+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59315/galley/45320/download/"}]},{"pk":59314,"title":"The 'King of Poisons' Journeys Underground in Search of Water","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4042963q","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Jen","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:45:52+05:00","date_accepted":"2021-01-26T07:45:52+05:00","date_published":"2021-01-26T07:46:03+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59314/galley/45319/download/"}]},{"pk":59313,"title":"Beyond the Racetrack: The Perfect Formula for a Ventilator","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1mz5c9s8","frozenauthors":[{"first_name":"Elettra","middle_name":"","last_name":"Preosti","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:42:17+05:00","date_accepted":"2021-01-26T07:42:17+05:00","date_published":"2021-01-26T07:42:32+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59313/galley/45318/download/"}]},{"pk":59312,"title":"Microrobots: Bridging the Neuronal Gap, One Micron at a Time","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0wd841xm","frozenauthors":[{"first_name":"Natalie","middle_name":"","last_name":"Slosar","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:40:19+05:00","date_accepted":"2021-01-26T07:40:19+05:00","date_published":"2021-01-26T07:40:34+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59312/galley/45317/download/"}]},{"pk":59311,"title":"Why are we here? A Journey Into the Quantum Universe","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6bt2t9nx","frozenauthors":[{"first_name":"Amar","middle_name":"","last_name":"Shah","name_suffix":"","institution":"","department":""},{"first_name":"Michelle","middle_name":"","last_name":"Yang","name_suffix":"","institution":"","department":""},{"first_name":"Elettra","middle_name":"","last_name":"Preosti","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:38:26+05:00","date_accepted":"2021-01-26T07:38:26+05:00","date_published":"2021-01-26T07:38:39+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59311/galley/45316/download/"}]},{"pk":59309,"title":"mRNA: The Next Frontier in Vaccine Science","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1cp9g8hv","frozenauthors":[{"first_name":"Nachiket","middle_name":"","last_name":"Girish","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:32:25+05:00","date_accepted":"2021-01-26T07:32:25+05:00","date_published":"2021-01-26T07:33:39+05:00","render_galley":null,"galleys":[]},{"pk":59308,"title":"Table of Contents","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/35t489b0","frozenauthors":[{"first_name":"UCB","middle_name":"","last_name":"BSJ","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:26:45+05:00","date_accepted":"2021-01-26T07:26:45+05:00","date_published":"2021-01-26T07:26:59+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59308/galley/45313/download/"}]},{"pk":59305,"title":"Cover","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Cover","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0w4569gf","frozenauthors":[{"first_name":"UCB","middle_name":"","last_name":"BSJ","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T06:18:35+05:00","date_accepted":"2021-01-26T06:18:35+05:00","date_published":"2021-01-26T07:21:43+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59305/galley/45310/download/"}]},{"pk":59310,"title":"Plastic: It's What's For Dinner","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4c62f6wg","frozenauthors":[{"first_name":"Emily","middle_name":"","last_name":"Pearlman","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-26T07:35:32+05:00","date_accepted":"2021-01-26T07:35:32+05:00","date_published":"2021-01-25T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59310/galley/45314/download/"}]},{"pk":980,"title":"Testicular Torsion in Monorchism Diagnosed with Point-of-care Ultrasound: A Case Report","subtitle":null,"abstract":"Introduction: \nEmergency department physicians should incorporate point-of-care-ultrasound (POCUS) in the assessment of patients presenting with acute scrotal pain for rapid identification of the time sensitive urologic emergency, testicular torsion.\nCase Report: \nA 20-year-old otherwise healthy male, with a history of monorchism, presented to the emergency department with vague testicular pain. A POCUS was performed, which demonstrated attenuated arterial flow of the patient’s single testicle as well as twisting (“whirlpool sign”) of the spermatic cord, both highly specific ultrasonographic findings of testicular torsion. \nConclusion: \nThese findings expedited definitive management resulting in the salvage of the single ischemic testicle.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Testicular torsion"},{"word":"point-of-care ultrasound"},{"word":"testicular ultrasound"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3964772j","frozenauthors":[{"first_name":"Chad","middle_name":"","last_name":"Correa","name_suffix":"","institution":"Kaiser Permanente San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"So","middle_name":"","last_name":"Onishi","name_suffix":"","institution":"Kaiser Permanente San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Eric","middle_name":"","last_name":"Abrams","name_suffix":"","institution":"Kaiser Permanente San Diego, Department of Emergency Medicine, San Diego, California","department":"None"}],"date_submitted":"2021-01-23T03:33:07+05:00","date_accepted":"2021-01-23T03:33:07+05:00","date_published":"2021-01-23T03:34:09+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/980/galley/728/download/"}]},{"pk":979,"title":"Moyamoya as a Cause of Altered Mental Status in the Emergency Department: A Case Report","subtitle":null,"abstract":"Introduction: \nThis case reviews a patient with moyamoya disease, a rare cause of altered mental status. It highlights the importance of maintaining clinical suspicion for uncommon causes of common presentations.\nCase Report: \nA 64-year-old male presented with seizures and persistent altered mental status. Computed tomography demonstrated findings consistent with bilateral ischemia. Cerebral angiography was performed with no thrombus identified but moyamoya disease present.\nConclusion: \nAlthough rare, moyamoya should be considered as a potential cause of patients presenting with altered mental status. The case presented also highlights the importance of avoiding common diagnostic biases.","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":"Seizure"},{"word":"stroke"},{"word":"diagnostic bias"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/87t6f564","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"West","name_suffix":"","institution":"The George Washington University Hospital, Department of Emergency Medicine, Washington, District of Columbia","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Dearing","name_suffix":"","institution":"The George Washington University Hospital, Department of Emergency Medicine, Washington, District of Columbia","department":"None"}],"date_submitted":"2021-01-23T03:21:38+05:00","date_accepted":"2021-01-23T03:21:38+05:00","date_published":"2021-01-23T03:22:57+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/979/galley/727/download/"}]},{"pk":978,"title":"Case Report: Using Point-of-care Ultrasound as a Tool to Identify a Urethral Foreign Body","subtitle":null,"abstract":"Introduction:\n When patients present to the emergency department with retained urethral foreign objects, imaging is crucial for identifying and further describing the object(s). Imaging is also important to plan the management and to assess the potential complications of foreign object removal. Ultrasonography is sometimes used for this purpose and can often provide more information on the object and its location and characteristics than plain radiographs. \nCase Report:\n This case report discusses the identification and characterization of a retained urethral foreign object that was not seen on plain radiography. \nConclusion:\n While ultrasonography has its own limitations, in the cases of retained foreign objects, it can provide preferable imaging and can help guide the management of these 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":"point-of-care ultrasound"},{"word":"genitourinal"},{"word":"foreign body"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8823w2ph","frozenauthors":[{"first_name":"Jacob","middle_name":"","last_name":"Frier","name_suffix":"","institution":"SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Nicholas","name_suffix":"","institution":"SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":"None"},{"first_name":"Paul","middle_name":"","last_name":"Klawitter","name_suffix":"","institution":"SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":"None"}],"date_submitted":"2021-01-23T03:11:59+05:00","date_accepted":"2021-01-23T03:11:59+05:00","date_published":"2021-01-23T03:12:53+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/978/galley/726/download/"}]},{"pk":39781,"title":"Towards a new flora of Liguria: the usefulness of citizen science through the Wikiplantbase floristic surveys","subtitle":null,"abstract":"The current understanding of the richness and distribution of plant species on a national scale, achieved by the recent checklists of Italian flora, is largely based on the quality and thoroughness of the data provided by regional floristic studies. This knowledge benefits from regional databases, such as the Wikiplantbase #Liguria project, which offers an online platform where thousands of geo-referenced floristic records from Liguria (north-western Italy) are stored and freely accessible. In 2019, adopting a citizen science approach, a floristic survey program consisting of 11 excursions opened to the public was implemented, with the aim of deepening the floristic knowledge of some poorly investigated areas of the region. The active collaboration between scientists and volunteers led to the collection of about 4000 floristic data corresponding to more than 800 taxa, including 13 taxa unknown or no longer recorded for Liguria. These results suggest that citizen science can be a useful tool to address the knowledge gaps of regional floras. In particular, collaboration between experts and non-professional botanists allows to collect reliable data even for hardly-to-recognize taxa, contributing to fix some gaps occurring in the Wikiplantbase #Liguria project.","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":"floristic checklist"},{"word":"herbarium"},{"word":"Italy"},{"word":"online database"},{"word":"heritage species"}],"section":"Special Section: Citizen Science in Biogeography","is_remote":true,"remote_url":"https://escholarship.org/uc/item/13q8j571","frozenauthors":[{"first_name":"Ian","middle_name":"","last_name":"Briozzo","name_suffix":"","institution":"Dipartimento di Scienze della Terra, dell’Ambiente e della Vita (DISTAV), Università di Genova, Corso Europa 26, I-16132, Genova (Italy)","department":"None"},{"first_name":"Giuseppina","middle_name":"","last_name":"Barberis","name_suffix":"","institution":"Dipartimento di Scienze della Terra, dell’Ambiente e della Vita (DISTAV), Università di Genova, Corso Europa 26, I-16132, Genova (Italy)","department":"None"},{"first_name":"Carlo","middle_name":"","last_name":"Cibei","name_suffix":"","institution":"Dipartimento di Scienze della Terra, dell’Ambiente e della Vita (DISTAV), Università di Genova, Corso Europa 26, I-16132, Genova (Italy)","department":"None"},{"first_name":"Daniela","middle_name":"","last_name":"Longo","name_suffix":"","institution":"Dipartimento di Scienze della Terra, dell’Ambiente e della Vita (DISTAV), Università di Genova, Corso Europa 26, I-16132, Genova (Italy)","department":"None"},{"first_name":"Simonetta","middle_name":"","last_name":"Peccenini","name_suffix":"","institution":"Dipartimento di Scienze della Terra, dell’Ambiente e della Vita (DISTAV), Università di Genova, Corso Europa 26, I-16132, Genova (Italy)","department":"None"},{"first_name":"Davide","middle_name":"","last_name":"Dagnino","name_suffix":"","institution":"Dipartimento di Scienze della Terra, dell’Ambiente e della Vita (DISTAV), Università di Genova, Corso Europa 26, I-16132, Genova (Italy)","department":"None"}],"date_submitted":"2020-07-31T16:49:41+05:00","date_accepted":"2020-07-31T16:49:41+05:00","date_published":"2021-01-22T23:17:33+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/39781/galley/29962/download/"}]},{"pk":39796,"title":"Biogeographia, the journal after the first five years online","subtitle":null,"abstract":"","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":[],"section":"Editorials","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1sq7s7hq","frozenauthors":[{"first_name":"Diego","middle_name":"","last_name":"Fontaneto","name_suffix":"","institution":"Water Research Institute, National Research Council of Italy, CNR-IRSA, Largo Tonolli 50, 28922 Verbania Pallanza (Italy)","department":"None"},{"first_name":"Valerio","middle_name":"","last_name":"Sbordoni","name_suffix":"","institution":"Department of Biology, Università di Roma “Tor Vergata”, Roma (Italy)","department":"None"}],"date_submitted":"2021-01-22T23:10:43+05:00","date_accepted":"2021-01-22T23:10:43+05:00","date_published":"2021-01-22T23:13:20+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/39796/galley/29971/download/"}]},{"pk":981,"title":"Abdominal Pain in the Elderly Patient: Point-of-care Ultrasound Diagnosis of Small Bowel Obstruction","subtitle":null,"abstract":"Case Presentation:\n A 67-year-old female presented to the emergency department (ED) complaining of generalized abdominal pain, nausea, and vomiting. Point-of-care ultrasound (POCUS) demonstrated dilated bowel loops measuring up to 4.1 centimeters and localized free fluid, consistent with a small bowel obstruction (SBO). A nasogastric tube was placed without complications. The patient was admitted to the hospital and conservatively managed with an uncomplicated course. \nDiscussion:\n In elderly patients with abdominal pain, POCUS is an excellent initial imaging modality to assist emergency physicians in rapid and accurate diagnosis of a variety of pathologies to expedite management. Point-of-care ultrasound can be used to rule out and evaluate for conditions encountered in emergency medicine, including acute cholecystitis, renal colic, abdominal aortic aneurysm, and intraperitoneal free fluid. As demonstrated in our case presentation, POCUS had an integral role in the early diagnosis and management of a SBO.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"abdominal pain"},{"word":"small bowel obstruction"},{"word":"point-of-care ultrasound"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/818588wf","frozenauthors":[{"first_name":"Ahmad","middle_name":"","last_name":"Hussein","name_suffix":"","institution":"St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"},{"first_name":"Alexander","middle_name":"","last_name":"Arena","name_suffix":"","institution":"St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"},{"first_name":"Connie","middle_name":"","last_name":"Yu","name_suffix":"","institution":"St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"},{"first_name":"Angela","middle_name":"","last_name":"Cirilli","name_suffix":"","institution":"St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"},{"first_name":"Ellen","middle_name":"","last_name":"Kurkowski","name_suffix":"","institution":"St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"}],"date_submitted":"2021-01-23T03:39:22+05:00","date_accepted":"2021-01-23T03:39:22+05:00","date_published":"2021-01-22T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/981/galley/729/download/"}]},{"pk":14011,"title":"Performance of Prognostication Scores for Mortality in Injured Patients in Rwanda","subtitle":null,"abstract":"Introduction:\n While trauma prognostication and triage scores have been designed for use in lower-resourced healthcare settings specifically, the comparative clinical performance between trauma-specific and general triage scores for risk-stratifying injured patients in such settings is not well understood. This study evaluated the Kampala Trauma Score (KTS), Revised Trauma Score (RTS), and Triage Early Warning Score (TEWS) for accuracy in predicting mortality among injured patients seeking emergency department (ED) care at the Centre Hospitalier Universitaire de Kigali (CHUK) in Rwanda.\nMethods:\n A retrospective, randomly sampled cohort of ED patients presenting with injury was accrued from August 2015–July 2016. Primary outcome was 14-day mortality and secondary outcome was overall facility-based mortality. We evaluated summary statistics of the cohort. Bootstrap regression models were used to compare areas under receiver operating curves (AUC) with associated 95% confidence intervals (CI).\nResults:\n Among 617 cases, the median age was 32 years and 73.5% were male. The most frequent mechanism of injury was road traffic incident (56.2%). Predominant anatomical regions of injury were craniofacial (39.3%) and lower extremities (38.7%), and the most common injury types were fracture (46.0%) and contusion (12.0%). Fourteen-day mortality was 2.6% and overall facility-based mortality was 3.4%. For 14-day mortality, TEWS had the highest accuracy (AUC = 0.88, 95% CI, 0.76–1.00), followed by RTS (AUC = 0.73, 95% CI, 0.55–0.92), and then KTS (AUC = 0.65, 95% CI, 0.47–0.84). Similarly, for facility-based mortality, TEWS (AUC = 0.89, 95% CI, 0.79–0.98) had greater accuracy than RTS (AUC = 0.76, 95% CI, 0.61–0.91) and KTS (AUC = 0.68, 95% CI, 0.53–0.83). On pairwise comparisons, RTS had greater prognostic accuracy than KTS for 14-day mortality (P = 0.011) and TEWS had greater accuracy than KTS for overall (P = 0.007) mortality. However, TEWS and RTS accuracy were not significantly different for 14-day mortality (P = 0.864) or facility-based mortality (P = 0.101).\nConclusion:\n In this cohort of emergently injured patients in Rwanda, the TEWS demonstrated the greatest accuracy for predicting mortality outcomes, with no significant discriminatory benefit found in the use of the trauma-specific RTS or KTS instruments, suggesting that the TEWS is the most clinically useful approach in the setting studied and likely in other similar ED environments.","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":"Injury"},{"word":"Mortality prognostication"},{"word":"emergency care"},{"word":"low- and middle-income countries"},{"word":"Rwanda"},{"word":"Kampala Trauma Score"},{"word":"Revised Trauma Score"},{"word":"Triage Early Warning Score"}],"section":"International Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/05m062xz","frozenauthors":[{"first_name":"Oliver","middle_name":"Y.","last_name":"Tang","name_suffix":"","institution":"Brown University Warren Alpert Medical School, Department, Providence, Rhode Island","department":"None"},{"first_name":"Catalina","middle_name":"","last_name":"González Marqués","name_suffix":"","institution":"Brown University Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Vincent","middle_name":"","last_name":"Ndebwanimana","name_suffix":"","institution":"University of Rwanda, Department of Anesthesia, Emergency Medicine, and Critical Care, Kigali, Rwanda; Centre Hospitalier Universitaire de Kigali, Department of Accident & Emergency, Kigali, Rwanda","department":"None"},{"first_name":"Chantal","middle_name":"","last_name":"Uwamahoro","name_suffix":"","institution":"University of Rwanda, Department of Anesthesia, Emergency Medicine, and Critical Care, Kigali, Rwanda; Centre Hospitalier Universitaire de Kigali, Department of Accident & Emergency, Kigali, Rwanda","department":"None"},{"first_name":"Doris","middle_name":"","last_name":"Uwamahoro","name_suffix":"","institution":"University of Rwanda, Department of Anesthesia, Emergency Medicine, and Critical Care, Kigali, Rwanda; Centre Hospitalier Universitaire de Kigali, Department of Accident & Emergency, Kigali, Rwanda","department":"None"},{"first_name":"Zachary","middle_name":"W.","last_name":"Lipsman","name_suffix":"","institution":"Kaiser Permanente, GSAA, San Leandro & Fremont Medical Centers, San Leandro, California","department":"None"},{"first_name":"Sonya","middle_name":"","last_name":"Naganathan","name_suffix":"","institution":"Brown University Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Naz","middle_name":"","last_name":"Karim","name_suffix":"","institution":"Brown University Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Menelas","middle_name":"","last_name":"Nkeshimana","name_suffix":"","institution":"University of Rwanda, Department of Anesthesia, Emergency Medicine, and Critical Care, Kigali, Rwanda; Centre Hospitalier Universitaire de Kigali, Department of Accident & Emergency, Kigali, Rwanda","department":"None"},{"first_name":"Adam","middle_name":"C.","last_name":"Levine","name_suffix":"","institution":"Brown University Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Andrew","middle_name":"","last_name":"Stephen","name_suffix":"","institution":"Brown University Warren Alpert Medical School, Department of Surgery, Providence, Rhode Island","department":"None"},{"first_name":"Adam","middle_name":"R.","last_name":"Aluisio","name_suffix":"","institution":"Brown University Warren Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island","department":"None"}],"date_submitted":"2020-05-27T06:55:48+05:00","date_accepted":"2020-05-27T06:55:48+05:00","date_published":"2021-01-22T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14011/galley/7272/download/"}]},{"pk":14210,"title":"Intensive Cryotherapy in the Emergency Department (ICED): A Randomized Controlled Trial","subtitle":null,"abstract":"Introduction:\n Pain control is an essential component of musculoskeletal injury treatment in the emergency department (ED). We evaluated the most effective type of cryotherapy for analgesia of acute musculoskeletal injury and the impact on opioid utilization.\nMethods:\n This was a prospective, randomized, single-blind controlled trial of adult ED patients who presented with acute musculoskeletal pain. Patients were randomized to either intensive targeted cryotherapy (crushed wetted ice in a plastic bag) or agitated chemical cold pack applied to the injury site for 20 minutes. All other diagnostic and therapeutic orders were at the discretion of the treating physician. Visual analog pain scores were measured at the time of cryotherapy application, at 20 minutes (time of cryotherapy removal), and at 60 minutes (40 minutes after removal).\nResults:\n We enrolled 38 patients, 17 randomized to intensive targeted cryotherapy and 21 to chemical cold packs, with well-matched demographics. The intensive targeted cryotherapy group achieved significantly greater pain relief at 20 minutes (2.1 [95% confidence interval (CI), 1.3 – 2.9] vs 0.9 [95% CI, 0.3 – 1.5], P < 0.05) and at 60 minutes (2.7 [95% CI, 1.6 – 3.7] vs 1.2 [95% CI, 0.6 – 1.7], P < 0.05), number need to trial (NNT) = 3.2. Opioid administration in the ED was significantly lower in the intensive targeted cryotherapy group (1 [6%] vs 7 [33%], P < 0.05), NNT = 3.6. Those who received a discharge opiate prescription had significantly higher 60-minute pain scores (7.3 ± 2.2 vs 4.1 ± 2.7, P < 0.05).\nConclusion:\n Intensive targeted cryotherapy provided more effective analgesia than chemical cold packs for acute musculoskeletal injuries in the ED and may contribute to lower opioid usage.","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":"Musculoskeletal Injury"},{"word":"Cryotherapy"},{"word":"Opioid"},{"word":"Alternative to Opioids"}],"section":"Patient Satisfaction","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8mv9q19s","frozenauthors":[{"first_name":"Eric","middle_name":"J.","last_name":"Leroux","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":"None"},{"first_name":"Elizabeth","middle_name":"A.","last_name":"Kaufman","name_suffix":"","institution":"Scripps Health, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Christian","middle_name":"N.","last_name":"Kontaxis","name_suffix":"","institution":"Stanford University, Department of Undergraduate Studies, Stanford, California","department":"None"},{"first_name":"Grant","middle_name":"S.","last_name":"Lipman","name_suffix":"","institution":"Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California","department":"None"}],"date_submitted":"2020-06-25T09:26:05+05:00","date_accepted":"2020-06-25T09:26:05+05:00","date_published":"2021-01-21T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14210/galley/7334/download/"}]},{"pk":40850,"title":"Remembering Franco Fido (1931-2020)","subtitle":null,"abstract":"Obituary for Franco Fido","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":"Vol.10: Open Theme","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6c61d132","frozenauthors":[{"first_name":"Ombretta","middle_name":"","last_name":"Frau","name_suffix":"","institution":"","department":"None"},{"first_name":"Cristina","middle_name":"","last_name":"Gragnani","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-20T22:54:35+05:00","date_accepted":"2021-01-20T22:54:35+05:00","date_published":"2021-01-20T22:55:57+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40850/galley/30599/download/"}]},{"pk":14754,"title":"California ACEP Firearm Injury Prevention Policy","subtitle":null,"abstract":"Firearm-related deaths and injuries are a serious public health problem in California and the United States. The rate of firearm-related deaths is many times higher in the US than other democratic, industrialized nations, yet many of the deaths and injuries are preventable. The California American College of Emergency Physicians Firearm Injury Prevention Policy was approved and adopted in 2013 as an evidence-based, apolitical statement to promote harm reduction. It recognizes and frames firearm injuries as a public health epidemic requiring allocation of robust resources, including increased governmental funding of high-quality research and the development of a national database system. The policy further calls for relevant legislation to be informed by best evidence and expert consensus, and advocates for legislation regarding the following: mandatory universal background checks; mandatory reporting of firearm loss/theft; restrictions against law-enforcement or military-style assault weapons and high capacity magazines; child-protective safety and storage systems; and prohibitions for high-risk individuals. It also strongly defends the right of physicians to screen and counsel patients about firearm-related risk factors and safety. Based upon best-available evidenced, the policy was recently updated to include extreme risk protection orders, which are also known as gun violence restraining orders.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Violence Assessment and Prevention","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6c61005q","frozenauthors":[{"first_name":"Jorge","middle_name":"","last_name":"Fernandez","name_suffix":"","institution":"University of California, San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Taylor","middle_name":"","last_name":"Nichols","name_suffix":"","institution":"University of California, San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Zahir","middle_name":"","last_name":"Basrai","name_suffix":"","institution":"University of California, San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Randall","middle_name":"","last_name":"Young","name_suffix":"","institution":"University of California, San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Gertz","name_suffix":"","institution":"University of California, San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Marc","middle_name":"","last_name":"Futernick","name_suffix":"","institution":"University of California, San Diego, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Andrew","middle_name":"","last_name":"Fenton","name_suffix":"","institution":"University of California, San Diego, Department of Emergency Medicine, San Diego, California","department":"None"}],"date_submitted":"2020-11-18T04:00:51+05:00","date_accepted":"2020-11-18T04:00:51+05:00","date_published":"2021-01-20T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14754/galley/7507/download/"}]},{"pk":13958,"title":"Central Venous Catheter Adverse Events Are not Associated with Crowding Indicators","subtitle":null,"abstract":"Objective:\n Crowding in the emergency department (ED) impacts a number of important quality and safety metrics. We studied ED crowding measures associated with adverse events (AE) resulting from central venous catheters (CVC) inserted in the ED, as well as the relationship between crowding and the frequency of CVC insertions in an ED cohort admitted to the intensive care unit (ICU).\nMethods:\n We conducted a retrospective observational study from 2008–2010 in an academic tertiary care center. Participants undergoing CVC in the ED or admitted to an ICU were categorized by quartile based on the following: National Emergency Department Overcrowding Scale (NEDOCS); waiting room patients (WR); ED patients awaiting inpatient beds (boarders); and ED occupancy (EDO). Main outcomes were the occurrence of an AE during CVC insertion in the ED, and deferred procedures assessed by frequency of CVC insertions in ED patients admitted to the ICU.\nResults:\n Of 2,284 ED patients who had a CVC inserted, 293 (13%) suffered an AE. There was no association between AEs from ED CVCs and crowding scales when comparing the highest crowding level or quartile to all other quartiles: NEDOCS (dangerous crowding [13.1%] vs other levels [13.0%], P = 0.98); number of WR patients (14.0% vs 12.7%, P = 0.81); EDO (13.0% vs 12.9%, P = 0.99); and number of boarding patients (12.0% vs 13.3%), P = 0.21). In a cohort of ED patients admitted to the ICU, there was no association between CVC placement rates in the ED and crowding scales comparing the highest vs all other quartiles: NEDOCS (dangerous crowding 16% vs all others 16%, P = 0.97); WR patients (16% vs 16%, P = 0.82), EDO (15% vs. 17%, P = 0.15); and number of boarding patients (17% vs 16%, P = 0.08).\nConclusion:\n In a large, academic tertiary-care center, frequency of CVC insertion in the ED and related AEs were not associated with measures of crowding. These findings add to the evidence that the negative effects of crowding, which impact all ED patients and measures of ED performance, are less likely to impair the delivery of prioritized time-critical interventions.","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":"Crowding, Central Lines, Emergency Department"}],"section":"Patient Safety","is_remote":true,"remote_url":"https://escholarship.org/uc/item/03v1w75k","frozenauthors":[{"first_name":"Daniel","middle_name":"L.","last_name":"Theodoro","name_suffix":"","institution":"Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Niraj","middle_name":"","last_name":"Vyas","name_suffix":"","institution":"University of Pennsylvania, Perelman School of Medicine, Penn Acute Research Collaboration (PARC), Philadelphia, Pennsylvania","department":"None"},{"first_name":"Enyo","middle_name":"","last_name":"Ablordeppey","name_suffix":"","institution":"Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Brian","middle_name":"","last_name":"Bausano","name_suffix":"","institution":"Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Stephanie","middle_name":"","last_name":"Charshafian","name_suffix":"","institution":"Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Phillip","middle_name":"","last_name":"Asaro","name_suffix":"","institution":"Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Richard","middle_name":"T.","last_name":"Griffey","name_suffix":"","institution":"Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri","department":"None"}],"date_submitted":"2020-05-18T02:48:00+05:00","date_accepted":"2020-05-18T02:48:00+05:00","date_published":"2021-01-20T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13958/galley/7249/download/"}]},{"pk":35492,"title":"Closed Sagittal Band Injury from a Low-Energy Impact: A Case Report.","subtitle":null,"abstract":"One of the three components of the dorsal extensor hood, the sagittal band is a sheet of connective  tissue  that  provides  lateral  stability  to  the  extensor digitorum tendon  at  the metacarpophalangeal joint.  Rupture  of  one  of  the  two  portions  of  the  sagittal band  can  lead  to contralateral subluxation or dislocation of the extensor tendon. Closed sagittal band injury is commonly associated with high-energy impact or inflammatory conditions, such as rheumatoid arthritis. In cases of high-energy  impact,  a  closed sagittal  band  injury  may  co-occur  with  a “boxer’s  knuckle,” the metacarpophalangeal joint and the extensor mechanism injury that has been historically reported in boxers after blunt impact to the joint in forceful flexion. In this case report, we present a 64-year-old woman with no known history of rheumatoid arthritis and with a closed sagittal band injury received while using the fists to support changing her body position in bed. Ultrasonography and MRI are useful in the evaluation of a sagittal band injury. The use of dynamic ultrasound imaging can help visualize the extensor tendon subluxation with metacarpophalangeal joint flexion and confirm the diagnosis of sagittal band injury.","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":"sagittal band"},{"word":"extensor tendon injury"},{"word":"boxer's knuckle"},{"word":"metacarpophalangeal joint"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5pv1j0b3","frozenauthors":[{"first_name":"Jonathan","middle_name":"","last_name":"Lin","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Johnathan","middle_name":"","last_name":"Chen","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2019-10-29T06:06:54+05:00","date_accepted":"2019-10-29T06:06:54+05:00","date_published":"2021-01-20T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35492/galley/26421/download/"}]},{"pk":35501,"title":"Giant Hepatic Regenerative Nodule in a 17-year-old Woman with Alagille Syndrome: A Case Report","subtitle":null,"abstract":"Alagille Syndrome is a multisystem genetic disorder characterized by paucity of intrahepatic bile ducts, which can lead to early cirrhosis and an increase in the risk of developing focal liver lesions, including hepatocellular carcinoma. Therefore,  patients with Alagille syndrome are  often  followed with routine imaging surveillance. However, it can be challenging to distinguish incidentally found benign liver tumors from their malignant counterparts in this subset of patients. Here we present the case of a giant regenerative hepatic nodule in a 17-year-old woman with Alagille syndrome. The case is presented with associated imaging studies that favored a diagnosis of benign hyperplasia, confirmed by the results of histologic examination.","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":"Alagille Syndrome"},{"word":"Giant Regenerative Hepatic Nodule"},{"word":"MRI Characteristics"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1097f2gs","frozenauthors":[{"first_name":"Shamaita","middle_name":"","last_name":"Majumdar","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Paul","middle_name":"","last_name":"Iskander","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Aarti","middle_name":"","last_name":"Luhar","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2020-01-30T05:20:41+05:00","date_accepted":"2020-01-30T05:20:41+05:00","date_published":"2021-01-20T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35501/galley/26428/download/"}]},{"pk":14576,"title":"POCUS to Confirm Intubation in a Trauma Setting","subtitle":null,"abstract":"N/A","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"pediatric"},{"word":"POCUS"},{"word":"intubation"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/05c1n4dx","frozenauthors":[{"first_name":"Eric","middle_name":"","last_name":"Scheier","name_suffix":"","institution":"Kaplan Medical Center, Department of Pediatric Emergency Medicine, Rehovot, Israel; Faculty of Medicine, Hebrew University of Jerusalem, Israel","department":"None"},{"first_name":"Eli","middle_name":"","last_name":"Shapiro","name_suffix":"","institution":"Kaplan Medical Center, Department of Pediatric Critical Care, Rehovot, Israel","department":"None"},{"first_name":"Uri","middle_name":"","last_name":"Balla","name_suffix":"","institution":"Kaplan Medical Center, Department of Pediatric Emergency Medicine, Rehovot, Israel; Faculty of Medicine, Hebrew University of Jerusalem, Israel","department":"None"}],"date_submitted":"2020-09-18T20:41:58+05:00","date_accepted":"2020-09-18T20:41:58+05:00","date_published":"2021-01-20T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14576/galley/7444/download/"}]},{"pk":14176,"title":"Suicide Among the EMS Occupation in the United States","subtitle":null,"abstract":"Introduction:\n Suicide claimed 47,173 lives in 2017 and is the second leading cause of death for individuals 15-34 years old. In 2017, rates of suicide in the United States (US) were double the rates of homicide. Despite significant research funding toward suicide prevention, rates of suicide have increased 38% from 2009 to 2017. Recent data suggests that emergency medical services (EMS) workers are at a higher risk of suicidal ideation and suicide attempts compared to the general public. The objective of this study was to determine the proportionate mortality ratio (PMR) of suicide among firefighters and emergency medical technicians (EMT) compared to the general US working population.\nMethods:\n We analyzed over five million adult decedent death records from the National Occupational Mortality Surveillance database for 26 states over a 10-year non-consecutive period including 1999, 2003–2004, and 2007–2013. Categorizing firefighters and EMTs by census industry and occupation code lists, we used the underlying cause of death to calculate the PMRs compared to the general US decedent population with a recorded occupation.\nResults:\n Overall, 298 firefighter and 84 EMT suicides were identified in our study. Firefighters died in significantly greater proportion from suicide compared to the US.working population with a PMR of 172 (95% confidence interval [CI], 153-193, P<0.01). EMTs also died from suicide in greater proportion with an elevated PMR of 124 (95% CI, 99-153), but this did not reach statistical significance. Among all subgroups, firefighters ages 65-90 were found to have the highest PMR of 234 (95% CI, 186-290), P<0.01) while the highest among EMTs was in the age group 18-64 with a PMR of 126 (95% CI, 100-156, P<0.05).\nConclusion:\n In this multi-state study, we found that firefighters and EMTs had significantly higher proportionate mortality ratios for suicide compared to the general US working population. Firefighters ages 65-90 had a PMR more than double that of the general working population. Development of a more robust database is needed to identify EMS workers at greatest risk of suicide during their career and lifetime.","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":"Suicide, Firefighter, EMT, Emergency Medical Technician, Paramedic"}],"section":"Emergency Medical Services","is_remote":true,"remote_url":"https://escholarship.org/uc/item/699225fc","frozenauthors":[{"first_name":"Neil","middle_name":"H.","last_name":"Vigil","name_suffix":"","institution":"University of Arizona College of Medicine-Phoenix, Department of Emergency Medicine,\nPhoenix, Arizona","department":"None"},{"first_name":"Samuel","middle_name":"","last_name":"Beger","name_suffix":"","institution":"University of Arizona College of Medicine-Phoenix, Department of Emergency Medicine,\nPhoenix, Arizona","department":"None"},{"first_name":"Kevin","middle_name":"S.","last_name":"Gochenour","name_suffix":"","institution":"University of Arizona College of Medicine-Phoenix, Department of Emergency Medicine,\nPhoenix, Arizona","department":"None"},{"first_name":"Weston","middle_name":"H.","last_name":"Frazier","name_suffix":"","institution":"University of Arizona College of Medicine-Phoenix, Department of Emergency Medicine,\nPhoenix, Arizona","department":"None"},{"first_name":"Tyler","middle_name":"F","last_name":"Vadeboncoeur","name_suffix":"","institution":"Mayo Clinic Florida, Department of Emergency Medicine, Jacksonville, Florida","department":"None"},{"first_name":"Bentley","middle_name":"J.","last_name":"Bobrow","name_suffix":"","institution":"University of Texas Health Sciences Center of Houston, Department of Emergency Medicine, Houston, Texas","department":"None"}],"date_submitted":"2020-06-15T23:38:14+05:00","date_accepted":"2020-06-15T23:38:14+05:00","date_published":"2021-01-20T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14176/galley/7324/download/"}]},{"pk":977,"title":"Blunt Chest Trauma Causing a Displaced Sternal Fracture and ST-elevation Myocardial Infarction: A Case Report","subtitle":null,"abstract":"Introduction: \nBlunt chest trauma and motor vehicle collisions are common presentations to the emergency department (ED). Chest pain in a trauma patient can usually and reasonably be attributed to chest wall injury, leading to a potential delay in diagnosis and treatment.\nCase Report: \nIn this case report, we present a 52-year-old male who was brought to the ED with complaints of chest pain and pressure after a motor vehicle collision. He was subsequently found to have both a displaced sternal fracture and simultaneous acute myocardial infarction with 100% occlusion of the mid left anterior descending artery without dissection requiring stent placement.\nConclusion: \nChest pain after blunt cardiac trauma is a common complaint. While rare, acute myocardial infarction must be considered. Most injuries result as direct trauma to the artery causing either dissection or acute thrombosis resulting in a myocardial infarction as opposed to acute plaque rupture with thrombosis, as seen in this case.","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":"STEMI"},{"word":"blunt chest trauma"},{"word":"sternal fracture"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8769w0rg","frozenauthors":[{"first_name":"Keaton","middle_name":"","last_name":"Nasser","name_suffix":"","institution":"University of Nevada Las Vegas, Department of Cardiology, Las Vegas, Nevada","department":"None"},{"first_name":"Jaclyn","middle_name":"","last_name":"Matsuura","name_suffix":"","institution":"University of Nevada Las Vegas, Department of Emergency Medicine, Las Vegas, Nevada","department":"None"},{"first_name":"Jimmy","middle_name":"","last_name":"Diep","name_suffix":"","institution":"University of Nevada Las Vegas, Department of Cardiology, Las Vegas, Nevada; Nevada Heart and Vascular Center, Department of Cardiology, Las Vegas, Nevada","department":"None"}],"date_submitted":"2021-01-20T06:10:24+05:00","date_accepted":"2021-01-20T06:10:24+05:00","date_published":"2021-01-20T06:11:23+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/977/galley/725/download/"}]},{"pk":976,"title":"A Young Boy with Fever and Grunting","subtitle":null,"abstract":"Case Presentation: \nA 16-month-old boy presented with acute fever of 99° Fahrenheit (after receiving antipyretics), grunting, and tachypnea. On examination, he was tachycardic, tachypneic, and ill-appearing with abdominal distention and diffuse tenderness. A plain film abdominal radiograph showed moderate free air, and emergent laparoscopy revealed perforated Meckel’s diverticulitis with peritonitis.\nDiscussion: \nAlthough tachypnea and grunting in preverbal or nonverbal patients are often considered to be signs of respiratory illness, these findings may reflect intra-abdominal emergencies. Perforated Meckel’s diverticulitis is an important differential consideration in patients with pneumoperitoneum.","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":"pneumoperitoneum"},{"word":"grunting"},{"word":"pediatric abdominal emergencies"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/91v46531","frozenauthors":[{"first_name":"Daniel","middle_name":"J.","last_name":"Shapiro","name_suffix":"","institution":"Boston Children’s Hospital, Department of Pediatrics, Boston, Massachusetts; Boston Children’s Hospital, Division of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Jeffrey","middle_name":"T.","last_name":"Neal","name_suffix":"","institution":"Boston Children’s Hospital, Department of Pediatrics, Boston, Massachusetts; Boston Children’s Hospital, Division of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2021-01-17T01:29:43+05:00","date_accepted":"2021-01-17T01:29:43+05:00","date_published":"2021-01-17T01:30:48+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/976/galley/724/download/"}]},{"pk":975,"title":"Septic Malleolar Bursitis in a Patient with an Ankle Electronic Monitoring Device: A Case Report","subtitle":null,"abstract":"Introduction: \nSeptic malleolar bursitis is a rare cause of ankle pain and swelling. It has been described in certain occupational and recreational activities that involve tight-fitting boots, such as figure skating. Court-ordered electronic monitoring devices are often worn on the ankle. It is not known whether these devices are a risk factor for the development of malleolar bursitis.\nCase Report: \nWe describe a 41-year-old male under house arrest with an electronic monitoring device on his right ankle who presented to our emergency department with several days of progressive pain and swelling over the medial malleolus. Point-of-care ultrasound revealed a thick-walled cystic structure consistent with medial malleolar bursitis. Bursal aspiration was performed. Fluid culture yielded \nStaphylococcus aureus\n.\nDiscussion: \nEmergency physicians regularly see patients with ankle pain and swelling and must consider a comprehensive differential diagnosis. Septic malleolar bursitis is an uncommon but important cause of ankle pain and swelling that requires prompt diagnosis and intervention. Point-of-care ultrasonography may aid in the diagnosis. Additionally, emergency physicians should be aware of potential complications related to electronic monitoring devices.","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":"bursitis"},{"word":"ultrasonography"},{"word":"electronic monitoring device"},{"word":"ankle joint"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2165v83m","frozenauthors":[{"first_name":"Bart","middle_name":"","last_name":"Besinger","name_suffix":"","institution":"Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana","department":"None"},{"first_name":"Sydney","middle_name":"","last_name":"Ryckman","name_suffix":"","institution":"Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana","department":"None"}],"date_submitted":"2021-01-17T00:00:43+05:00","date_accepted":"2021-01-17T00:00:43+05:00","date_published":"2021-01-17T00:01:35+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/975/galley/723/download/"}]},{"pk":974,"title":"Recurrent Bell’s Palsy During Takeoff on a Commercial Flight: A Case Report","subtitle":null,"abstract":"Introduction:\n Unilateral facial weakness is a concerning symptom, particularly in a resources poor setting. Distinguishing between peripheral and central causes is critical to the evaluation, treatment, and prognosis. \nCase report:\n An unusual case of recurrent, transient Bell’s palsy occurring during ascent in a commercial airplane is presented. \nConclusion:\n Emergency physicians should be aware of the possibility of barotrauma to the facial nerve (cranial nerve VII) during flights because accurately diagnosing this condition can prevent costly aircraft diversion, calm the passenger’s anxiety, and forgo an expensive medical workup.","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":"recurrent Bell’s palsy"},{"word":"transient facial nerve palsy"},{"word":"in-flight emergency"},{"word":"altitude"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6d52s4k2","frozenauthors":[{"first_name":"Gayle","middle_name":"","last_name":"Galletta","name_suffix":"","institution":"University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts","department":"None"}],"date_submitted":"2021-01-16T23:36:15+05:00","date_accepted":"2021-01-16T23:36:15+05:00","date_published":"2021-01-16T23:37:19+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/974/galley/722/download/"}]},{"pk":973,"title":"A Case Report of Ring Avulsion Injury: Under-recognized for Its Unique Implications in Transfer","subtitle":null,"abstract":"Introduction:\n Ring avulsion injuries consist of a characteristic injury pattern resulting from sudden intense force pulling on a finger ring. While ring avulsion injury is a known entity in the hand surgery literature, there is scant description of the injury pattern in emergency medicine, much less its management and transfer implications in the emergency department (ED). \nCase Report:\n This is a report of a patient presenting to the ED with ring avulsion injury after a workplace accident, initially transferred to a tertiary care hospital with general hand surgery, who then required a second transfer for consideration of microsurgical revascularization.\nConclusion:\n In addition to fully assessing the degree of injury, including neurovascular and tendon involvement, emergency physicians must recognize cases of severe ring avulsion injuries without complete amputation as potential opportunities for microsurgical revascularization.","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":"Ring avulsion injury"},{"word":"traumatic amputation"},{"word":"microsurgery"},{"word":"revascularization"},{"word":"digital replantation"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2606820t","frozenauthors":[{"first_name":"Amanda","middle_name":"","last_name":"Horn","name_suffix":"","institution":"Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Brian","middle_name":"","last_name":"Freniere","name_suffix":"","institution":"Lahey Hospital and Medical Center, Department of Plastic Surgery, Burlington, Massachusetts","department":"None"},{"first_name":"Alexander","middle_name":"Y.","last_name":"Sheng","name_suffix":"","institution":"Boston University School of Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2021-01-16T23:31:10+05:00","date_accepted":"2021-01-16T23:31:10+05:00","date_published":"2021-01-16T23:32:04+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/973/galley/721/download/"}]},{"pk":972,"title":"Rare Complications of Acute Appendicitis: A Case Report","subtitle":null,"abstract":"Introduction:\n Appendicitis is a common disease, and as we have improved in early diagnosis and management of this disease process, late stage complications have become extremely rare, but can have indolent presentations.\nCase Report:\n \nA 37-year-old male with no past medical history presented to the emergency department (ED) with vague abdominal pain as well as 12 days of cyclical fever. He had no significant findings on laboratory workup with the exception of a mild aspartate transaminase and alanine transaminase and relative neutrophilia between outpatient, urgent care, and ultimate ED visit. His ED workup included cross-sectional imaging of his abdomen revealing multiple liver abscesses and septic thrombophlebitis secondary to ruptured appendicitis.\nConclusion:\n \nLiver abscesses and septic thrombophlebitis are an extremely rare complication of appendicitis that has only been documented twice previously.","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":"Complicated appendicitis"},{"word":"liver abscess"},{"word":"septic thrombophlebitis"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/15n81132","frozenauthors":[{"first_name":"Nicholas","middle_name":"","last_name":"Kurtzman","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Jamie","middle_name":"","last_name":"Adler","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Andrew","middle_name":"","last_name":"Ketterer","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Jason","middle_name":"","last_name":"Lewis","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2021-01-16T23:22:24+05:00","date_accepted":"2021-01-16T23:22:24+05:00","date_published":"2021-01-16T23:23:28+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/972/galley/720/download/"}]},{"pk":971,"title":"E-cigarettes and Vaping, Product-use Associated Lung Injury: A Case Series of Adolescents","subtitle":null,"abstract":"Introduction: \nLung injury associated with the use of electronic cigarettes and vaping (EVALI) was first identified in 2019. Since then, clusters of cases have been reported in the literature. Our aim was to describe the clinical presentation of adolescents with EVALI in the emergency department and their clinical outcomes.\nCase Series:\n In our case series, we identified seven adolescents diagnosed with EVALI. We describe their signs and symptoms on presentation to the emergency department and their clinical course. The most common symptoms on presentation were cough, shortness of breath, and vomiting. Each of these symptoms was seen in 71% of patients (n = 5), although not always together. Sinus tachycardia was noticed in 100% of patients (n = 7) and tachypnea in 85% (n = 6). While 85% (n = 6) required hospitalization for respiratory support, all patients were later discharged home on room air. After the diagnosis of EVALI, 85% of patients (n = 6) were treated with steroids.\nConclusion:\n EVALI is a new disease with unclear mechanisms that commonly presents with symptoms of cough, shortness of breath, and vomiting. It causes severe respiratory compromise in the adolescent population, requiring hospitalization and respiratory support.","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":"Electronic cigarettes, and vaping, product-use associated lung injury"},{"word":"adolescents"},{"word":"emergency department"}],"section":"Case Series","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5cv5k8jf","frozenauthors":[{"first_name":"Abdullah","middle_name":"","last_name":"Khan","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Karli","middle_name":"","last_name":"Parlette","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Heather","middle_name":"M.","last_name":"Kuntz","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"}],"date_submitted":"2021-01-16T23:16:54+05:00","date_accepted":"2021-01-16T23:16:54+05:00","date_published":"2021-01-16T23:17:54+05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/971/galley/719/download/"}]},{"pk":25109,"title":"A most worthy service—in an era of un-healthy parks, un-healthy people, and a near-death experience for democracy","subtitle":null,"abstract":"A \"Letter from Woodstock\" editorial column on the role of the National Park Service moving forward from the Covid pandemic and the attempt to overturn the 2020 US presidential election.","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":"Points of View","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4vf892nr","frozenauthors":[{"first_name":"Rolf","middle_name":"","last_name":"Diamant","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T03:43:32+05:00","date_accepted":"2021-01-15T03:43:32+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25109/galley/14740/download/"}]},{"pk":25117,"title":"Beyond COVID-19: Conserving nature to prevent the next pandemic","subtitle":null,"abstract":"The COVID-19 pandemic has unimaginably changed our lives with long-lasting consequences for our society, environment and the global economy. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for the COVID-19 pandemic, is just one of the many pathogens that have already emerged in humans as a result of interactions with wildlife and is only one of the many to come if we do not reduce our impacts on natural systems. While the immediate priority is to tackle the COVID-19 public health emergency, our parallel and long-lasting response must focus on addressing the root causes of pandemics. Human and animal health are inextricably linked with the pathogens they carry and the ecosystems that are shared. The degradation of nature disturbs this delicate balance between microbes, their natural hosts, and environments—driving the emergence of disease.","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/3zc1j8h2","frozenauthors":[{"first_name":"Tierra","middle_name":"","last_name":"Smiley Evans","name_suffix":"","institution":"","department":"None"},{"first_name":"Zoë","middle_name":"","last_name":"Grange","name_suffix":"","institution":"","department":"None"},{"first_name":"Jaber","middle_name":"","last_name":"Belkhiria","name_suffix":"","institution":"","department":"None"},{"first_name":"Jennifer","middle_name":"","last_name":"Lane","name_suffix":"","institution":"","department":"None"},{"first_name":"Brooke","middle_name":"","last_name":"Genovese","name_suffix":"","institution":"","department":"None"},{"first_name":"Eri","middle_name":"","last_name":"Togami","name_suffix":"","institution":"","department":"None"},{"first_name":"Jonna","middle_name":"","last_name":"Mazet","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T04:54:55+05:00","date_accepted":"2021-01-15T04:54:55+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25117/galley/14747/download/"}]},{"pk":25125,"title":"Building healthy relationships between rangers and communities in and around protected areas","subtitle":null,"abstract":"Positive ranger–community relationships are vitally important to effective conservation in and around protected areas. In this paper we take a practical approach to identifying and examining the key issues and practices that affect the relationship, both where it is strained and where it is working well, and provide recommendations for action. The issues and the solutions are multi-layered, with embedded complexity based on history, cultural identity, and rights to access natural resources. Solutions require a deep understanding of and respect for the needs and aspirations of the community and its capacity to partner in conservation efforts. Similarly, rangers require effective support and training that enables alternative interactions with communities and greater professionalism. In general, the improvements will require building trustworthy relationships grounded in understanding and supported by strong collaborative management systems and governance. Essentially this means strengthening the social capital of conservation. Our problem analysis revealed that the internal and external factors affecting relationships can usefully be divided into six themes: law, policy, and safeguarding human rights; organizational systems and strategies; options for ranger–community interactions on-site; model systems and the role of communities in conservation and stewardship; and the role of both external supporters and disruptors. Our recommendations for action target conservation bodies at four levels—international, regional, national, and local. They are further clustered around four types of action grouped into: critical responses and crisis planning; establishing general guiding principles, systems, and management and governance; promoting the best models and practices; and strengthening of professional knowledge networks and support.","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/5gd395jh","frozenauthors":[{"first_name":"Dedee","middle_name":"P.","last_name":"Woodside","name_suffix":"","institution":"","department":"None"},{"first_name":"Jenny","middle_name":"","last_name":"Vasseleu","name_suffix":"","institution":"","department":"None"},{"first_name":"Terry","middle_name":"W.","last_name":"Pyke","name_suffix":"","institution":"","department":"None"},{"first_name":"Olivia","middle_name":"","last_name":"Wilson-Holt","name_suffix":"","institution":"","department":"None"},{"first_name":"Dilys","middle_name":"","last_name":"Roe","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:36:25+05:00","date_accepted":"2021-01-16T06:36:25+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25125/galley/14755/download/"}]},{"pk":25127,"title":"Employment conditions of public sector rangers: A major underaddressed problem","subtitle":null,"abstract":"This paper addresses the current state of knowledge around a variety of employment indicators that would fall under the designation of “ranger employment welfare.” Although limited, the information presented here paints a disturbing picture of the current state of ranger employment, one characterized by low levels of benefit and high exposure to danger and risk. Both the processes of the International Labour Organization and the content of the recently agreed-upon Chitwan Declaration are addressed throughout this piece. The concluding section provides a set of recommendations, which are principally directed at two groups: the government agencies that employ most rangers, and those non-governmental organizations that seek to improve ranger employment conditions and effectiveness.","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/1s98k0sf","frozenauthors":[{"first_name":"Mike","middle_name":"","last_name":"Belecky","name_suffix":"","institution":"","department":"None"},{"first_name":"Rob","middle_name":"","last_name":"Parry Jones","name_suffix":"","institution":"","department":"None"},{"first_name":"Rohit","middle_name":"","last_name":"Singh","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:51:40+05:00","date_accepted":"2021-01-16T06:51:40+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25127/galley/14757/download/"}]},{"pk":25128,"title":"Empowering rangers through technology and innovation","subtitle":null,"abstract":"Protected areas are key to biodiversity conservation and ranger-based monitoring, and law enforcement is the cornerstone upon which effective protected areas are built. Frontline practitioners, however, are often asked to protect large swathes of land or sea with limited resources, support, infrastructure, capacity, and/or training. Technology, when applied effectively and appropriately, has the capacity to empower practitioners, revolutionize ranger operations, improve ranger safety, and enhance wildlife protection and conservation outcomes. To do so, technology must be recognized, from the frontlines through to key decisionmakers, as a force multiplier, but only when it is fit for purpose, accessible, cost-effective, and supportive of rangers’ needs. In this paper we detail the general state of conservation technology and innovation within the ranger context and provide a series of detailed recommendations to help the Universal Ranger Support Alliance (URSA) meet the needs of rangers around the world, including: demystifying technology and clarifying what it can and cannot do, connecting the right technology with the right people and places, focusing technology development and investment on substantive improvements and support, broadening ranger familiarization with technology, building technology capacity in rangers, fostering greater community building and creating opportunities around technologies, engaging the technology sector to innovate and design technology to support rangers, and supporting technology as a complement to traditional knowledge and skills, rather than a replacement. These recommendations constitute an ambitious vision which cannot be delivered by URSA in isolation. Rather, we propose URSA leverages existing efforts to ensure rangers are supported around the world.","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/96t756tc","frozenauthors":[{"first_name":"Drew","middle_name":"T.","last_name":"Cronin","name_suffix":"","institution":"","department":"None"},{"first_name":"Sophie","middle_name":"","last_name":"Benbow","name_suffix":"","institution":"","department":"None"},{"first_name":"Richard","middle_name":"A.","last_name":"Bergl","name_suffix":"","institution":"","department":"None"},{"first_name":"Liz","middle_name":"","last_name":"Bourgault","name_suffix":"","institution":"","department":"None"},{"first_name":"Lina","middle_name":"","last_name":"Caro","name_suffix":"","institution":"","department":"None"},{"first_name":"Anthony","middle_name":"","last_name":"Dancer","name_suffix":"","institution":"","department":"None"},{"first_name":"Alasdair","middle_name":"","last_name":"Davies","name_suffix":"","institution":"","department":"None"},{"first_name":"Denton","middle_name":"","last_name":"Joachim","name_suffix":"","institution":"","department":"None"},{"first_name":"Claire","middle_name":"","last_name":"Lewis","name_suffix":"","institution":"","department":"None"},{"first_name":"Antony","middle_name":"J.","last_name":"Lynam","name_suffix":"","institution":"","department":"None"},{"first_name":"Julio","middle_name":"","last_name":"Maaz","name_suffix":"","institution":"","department":"None"},{"first_name":"Jeff","middle_name":"","last_name":"Muntifering","name_suffix":"","institution":"","department":"None"},{"first_name":"Stephanie","middle_name":"","last_name":"O'Donnell","name_suffix":"","institution":"","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Palmer","name_suffix":"","institution":"","department":"None"},{"first_name":"James","middle_name":"","last_name":"Slade","name_suffix":"","institution":"","department":"None"},{"first_name":"Felipe","middle_name":"","last_name":"Spina Avino","name_suffix":"","institution":"","department":"None"},{"first_name":"Xia","middle_name":"","last_name":"Stevens","name_suffix":"","institution":"","department":"None"},{"first_name":"Alex","middle_name":"","last_name":"Wyatt","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:58:02+05:00","date_accepted":"2021-01-16T06:58:02+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25128/galley/14758/download/"}]},{"pk":25116,"title":"Equitable healthcare requires equitable access to nature","subtitle":null,"abstract":"A call to action for equitable access to nature and green spaces as a matter of healthcare.","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/7xc923gt","frozenauthors":[{"first_name":"Stephen","middle_name":"","last_name":"Lockhart","name_suffix":"","institution":"","department":"None"},{"first_name":"Alice","middle_name":"","last_name":"Pressman","name_suffix":"","institution":"","department":"None"},{"first_name":"Kelly","middle_name":"A","last_name":"Smits","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T04:49:42+05:00","date_accepted":"2021-01-15T04:49:42+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25116/galley/14746/download/"}]},{"pk":25132,"title":"Exercise and stress levels associated with a visit to Tallgrass Prairie National Preserve","subtitle":null,"abstract":"Tallgrass Prairie National Preserve (TAPR) is a rural protected natural area in Kansas, United States. This parcel of public land provides visitors from varying areas with opportunities to experience a remaining collective of the tallgrass prairie ecosystem that once spanned large areas of North America. TAPR also provides visitors with opportunities to engage in nature-based experiences while also executing active pursuits. The researchers examined the effects of visiting TAPR on individuals’ stress and activity levels during fall 2016. Electronic surveys and accelerometers were used to quantify individual stress levels and exercise. Participants (n = 239) traveled an average of 138 km to visit TAPR and spent an average of 143.7 minutes at the park, with an average of 68.1 minutes in moderate to vigorous exercise. A large majority of visitors (88.3%) also reported feeling less stressed than usual while at the park. The results suggest visiting natural areas have the potential to reduce stress and promote exercise, both well-known factors contributing to individual well-being. The results of this case study also convey the significance that accessible natural areas can have regarding opportunities of people to spend time in public lands and their reception of the benefits (e.g., mental, emotional, and physical) gained from the natural experience(s).","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":"Advances in Research and Management (Peer-Reviewed)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2mc3s4gv","frozenauthors":[{"first_name":"Sarah","middle_name":"K.","last_name":"Jackson","name_suffix":"","institution":"","department":"None"},{"first_name":"Ryan","middle_name":"L.","last_name":"Sharp","name_suffix":"","institution":"","department":"None"},{"first_name":"Emily","middle_name":"L.","last_name":"Mailey","name_suffix":"","institution":"","department":"None"},{"first_name":"Adam","middle_name":"A.","last_name":"Ahlers","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T07:11:59+05:00","date_accepted":"2021-01-16T07:11:59+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25132/galley/14762/download/"}]},{"pk":25119,"title":"Growing Upward [music video by Rupa & the April Fishes]","subtitle":null,"abstract":"I wrote this song from the perspective of a dandelion seed germinating under asphalt as I consider how our imaginations have been curtailed by colonial systems, where nature and society were separated by false notions that have created ongoing violence towards animals, the water, Indigenous people, and the other entities we share this planet with. I explore in this song my own indigeneity, the part of myself that extends back to a time before systems of supremacy posited that I, as a human, was somehow more worthy than a plant or a microbe. In my work as a physician, mother, healer, artist, I seek to dismantle that delusion, to reimagine life where we are situated back in a web of healthy relations, the web that has been damaged and continues to be damaged by the mindset that brought colonialism and all its harmful structures. We are not separate from nature. We are her. [A YouTube video of the song is linked from the article.]","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/9zd820mx","frozenauthors":[{"first_name":"Rupa","middle_name":"","last_name":"Marya","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T05:02:48+05:00","date_accepted":"2021-01-15T05:02:48+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25119/galley/14749/download/"}]},{"pk":25113,"title":"Insider community-engaged research for Latinx healing in nature: Reflections on and extensions from Phase 1 of the Promoting Activity and Stress Reduction in the Outdoors (PASITO) project","subtitle":null,"abstract":"In Spanish, pasito means “small step,” and in Phase 1 of the PASITO (Promoting Activity and Stress Reduction in the Outdoors) project we took small steps towards reclaiming nature for Latinx communities. The Latinx reclamation of green spaces for healing is a necessary step alleviating the observed unequal burden of chronic and infectious disease. Paradoxically, the Latinx community who could greatly benefit from green spaces has reduced access, as is the case for many poor communities of color. This perspective seeks to reflect on and utilize the lessons learned from PASITO in order to expand the positive impacts of nature for communities of color. Through self-reflection by members of the academic research team and a community leader, as well as preliminary analysis of qualitative data gathered from PASITO participants, we share insights from a community-engaged research project. Our approach validated culturally competent research practices with insider researchers, as well as culturally sensitive biospecimen collection, and revealed steps towards recruitment, retention, and healing for Latinx participants in research projects. These findings come at a pivotal time for park stewards and green space researchers as the need for spaces for healing accelerates for all communities of color, including Latinx, as we face a society plagued by biological and social reckonings. To find true and sustained healing within these communities calls for communities to progress from small steps towards giant strides in the reclamation of natural landscapes for well-being.","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/6zs8n1fk","frozenauthors":[{"first_name":"Eric","middle_name":"","last_name":"Johnson","name_suffix":"","institution":"","department":"None"},{"first_name":"Cathy","middle_name":"","last_name":"Samayoa","name_suffix":"","institution":"","department":"None"},{"first_name":"Rebecca","middle_name":"","last_name":"Mendez","name_suffix":"","institution":"","department":"None"},{"first_name":"Miriam","middle_name":"","last_name":"Wong","name_suffix":"","institution":"","department":"None"},{"first_name":"Edgar","middle_name":"","last_name":"Velazquez","name_suffix":"","institution":"","department":"None"},{"first_name":"Leticia","middle_name":"","last_name":"Márquez-Magaña","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T04:42:11+05:00","date_accepted":"2021-01-15T04:42:11+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25113/galley/14744/download/"}]},{"pk":25111,"title":"Justice in access to the outdoors","subtitle":null,"abstract":"Nature is an established social determinant of health with clear benefits to physical, mental, and social health, yet it continues to be used as a setting for violence against Black, Indigenous, and people of color (BIPOC). The right to be physically active outdoors, to play, and to gather in community is essential for health and well-being, and as such, the ongoing incidents of violence outdoors have the potential to widen the health disparities gap. While the movement to bring nature and health together has gained traction, this movement cannot succeed unless violence against communities of color outdoors ends. Health professional organizations who have been vocal about the impact of racism on health need to take measures to ensure safe access for all is prioritized and achieved in the outdoors. We offer a set of recommendations for health professionals and health organizations to enact measures that that ensure our work is better justice-aligned in nature.","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/0g66z6k7","frozenauthors":[{"first_name":"Kelly","middle_name":"D.","last_name":"Taylor","name_suffix":"","institution":"","department":"None"},{"first_name":"José","middle_name":"G.","last_name":"González","name_suffix":"","institution":"","department":"None"},{"first_name":"Nooshin","middle_name":"","last_name":"Razani","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T04:31:07+05:00","date_accepted":"2021-01-15T04:31:07+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25111/galley/14742/download/"}]},{"pk":25108,"title":"Masthead and Table of Contents, PSF Vol. 37 No. 1","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Cover, Masthead, and Table of Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/28q4f75v","frozenauthors":[{"first_name":"The","middle_name":"","last_name":"PSF Editorial Team","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T03:39:01+05:00","date_accepted":"2021-01-15T03:39:01+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25108/galley/14739/download/"}]},{"pk":25112,"title":"Nature and health in practice","subtitle":null,"abstract":"An introduction to the set of theme articles, \"Nature and Health: Emerging Knowledge Informs New Policy Directions.\"","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/1rq7m979","frozenauthors":[{"first_name":"Nooshin","middle_name":"","last_name":"Razani","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T04:33:26+05:00","date_accepted":"2021-01-15T04:33:26+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25112/galley/14743/download/"}]},{"pk":25118,"title":"Nature printing: Merging plants, art, and well-being","subtitle":null,"abstract":"A portfolio of the author's nature prints, with thoughts on how the process of creating this art connects her to nature and promotes health.","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/6qm2g9c1","frozenauthors":[{"first_name":"Latifat","middle_name":"","last_name":"Apatira","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T05:00:31+05:00","date_accepted":"2021-01-15T05:00:31+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25118/galley/14748/download/"}]},{"pk":25133,"title":"One Health for all: The intrinsic connection among people, animals, and our shared planet","subtitle":null,"abstract":"This visual essay in \"The Photographer's Frame\" explores One Health, a \"collaborative, multisectoral, and trans-disciplinary approach—working at the local, regional, national, and global levels—with the goal of achieving optimal health outcomes recognizing the interconnection between people, animals, plants, and their shared environment.\"","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":"The Photographer's Frame","is_remote":true,"remote_url":"https://escholarship.org/uc/item/24p3h2ks","frozenauthors":[{"first_name":"Amy","middle_name":"","last_name":"Bond","name_suffix":"","institution":"","department":"None"},{"first_name":"Eunah","middle_name":"","last_name":"Preston","name_suffix":"","institution":"","department":"None"},{"first_name":"Jennifer","middle_name":"K.","last_name":"Lane","name_suffix":"","institution":"","department":"None"},{"first_name":"Jonna","middle_name":"A.K.","last_name":"Mazet","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T07:19:25+05:00","date_accepted":"2021-01-16T07:19:25+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25133/galley/14763/download/"}]},{"pk":25120,"title":"One hundred years of health in US national parks","subtitle":null,"abstract":"In 2021, the US Public Health Service and the US National Park Service (NPS) celebrate a century-long partnership (1921–2021) to protect and promote the health of park visitors, neighboring communities, and the nation. Few know that the impetus and justification for the establishment of NPS are rooted in public health. This paper chronicles the park service’s 100-year commitment to and experience in addressing health protection and promotion through the years and demonstrates how public health has been intrinsic to the purpose and values of the National Park Service from its inception up to the present day. The paper posits a call to action to our nation’s land managers, planners, scientists, political leaders and health officials to build on this tradition to help address some of the most complex and vexing public health issues of the present day, such as the public health implications of a changing climate, and health inequities impacting our nation, and to help parks realize their full potential in contributing to a healthier, happier, more sustainable world.","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/8977g2b6","frozenauthors":[{"first_name":"Diana","middle_name":"B.","last_name":"Allen","name_suffix":"","institution":"","department":"None"},{"first_name":"Sara","middle_name":"B.","last_name":"Newman","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T04:36:10+05:00","date_accepted":"2021-01-16T04:36:10+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25120/galley/14750/download/"}]},{"pk":25121,"title":"Parks: A vital community condition","subtitle":null,"abstract":"Parks and green spaces serve as integral components of the fabric that comprises social determinants of health. These “green drug stores” are upstream factors that provide physical, mental and social, and environment-related health and well-being benefits. Yet, 100 million people in the United States lack access to a park within a 10-minute walk of their homes. These natural or semi-natural outdoor public spaces hold significant underexplored potential for the health of communities. Decisionmakers across the spectrum of community members, practitioners, researchers, and policymakers have the opportunity to leverage parks as a proactive tool for healthy, resilient, and more equitable places. This article aims to highlight the role of parks and green space in generating community health. It includes a brief review of benefits offered as described in the health literature, challenges experienced in elevating parks for health, potential innovative solutions, and three short case studies and lessons learned about parks and community well-being. The overarching conclusions emphasize (a) access, quality, and inclusion as core pillars in advancing the work, (b) placing community voice at the center, and (c) furthering cross-sectoral partnerships in the design of public spaces.","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/00p8v0cd","frozenauthors":[{"first_name":"Sadiya","middle_name":"","last_name":"Muqueeth","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:06:41+05:00","date_accepted":"2021-01-16T06:06:41+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25121/galley/14751/download/"}]},{"pk":25135,"title":"Role of ranger associations  in strengthening ranger workforce","subtitle":null,"abstract":"The International Ranger Federation (IRF) is a network of regional, national, and sub-national ranger membership-based professional-worker associations. In this paper, we discuss the significant support that ranger associations receive from rangers across the world. A global ranger association model is presented that builds on the existing structure of IRF, and the relationship between three tiers of association is detailed. For the first time, the roles and responsibilities of the three levels of ranger associations are articulated and the benefits to members presented. Ranger associations can be vehicles for the provision of legitimacy and credibility to the ranger profession, the creation and promotion of a shared global vision of the ranger profession, advocating for members’ interests and those of rangers who are not yet members, supply of thought leadership on professional development, and networking, sharing knowledge, and promoting good practices among the world’s rangers. In other words, ranger associations are ideally positioned to facilitate the implementation of the white papers presented in this issue if they can build the required capacity, partnerships, and resources to do so.","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/6b95b6js","frozenauthors":[{"first_name":"Chris","middle_name":"","last_name":"Galliers","name_suffix":"","institution":"","department":"None"},{"first_name":"Peter","middle_name":"","last_name":"Mills","name_suffix":"","institution":"","department":"None"},{"first_name":"Gordon","middle_name":"","last_name":"Miller","name_suffix":"","institution":"","department":"None"},{"first_name":"David","middle_name":"","last_name":"Zeller","name_suffix":"","institution":"","department":"None"},{"first_name":"Linda","middle_name":"","last_name":"Nunn","name_suffix":"","institution":"","department":"None"},{"first_name":"Andy","middle_name":"","last_name":"Davies","name_suffix":"","institution":"","department":"None"},{"first_name":"Carlos","middle_name":"","last_name":"Carrion-Crespo","name_suffix":"","institution":"","department":"None"},{"first_name":"Andrew","middle_name":"","last_name":"Campbell","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-17T00:16:48+05:00","date_accepted":"2021-01-17T00:16:48+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25135/galley/14765/download/"}]},{"pk":25130,"title":"Seeing things differently: How are environmental conditions perceived and why does it matter?","subtitle":null,"abstract":"Parks and protected areas that provide recreational opportunities for visitors are often faced with a set of unique management challenges. Primarily, this includes balancing the preservation of the ecosystem with recreational use, often involving the mitigation of visitor behaviors. As well, various groups that may interact with these areas often have conflicting priorities for or opinions on management actions. In order to promote sustainable visitor behaviors, increase support for management initiatives, and address some of these conflicting opinions, an understanding of how environmental conditions are perceived among user groups is needed. Therefore, this study sought to illuminate how two groups that differ in their levels of experience and knowledge with respect to a protected area with high levels of visitation perceive the state of its environment. A survey was administered to people identified as “experts” on the Niagara Glen Nature Reserve (Ontario, Canada) as well as to those identified as more casual “visitors” to the reserve. Perceptions of ecological conditions are compared to empirical measurements. For both visitors and experts, the overall perceptions of environmental conditions differed significantly from the ecological data, with visitors generally providing higher ratings of ecosystem conditions, whereas experts generally provided lower ones. Visitors and experts also differed significantly from one another in their perceptions—a meaningful finding for understanding intergroup conflicts as well as the basis for support for management initiatives. The findings highlight the importance of considering perceptions of environmental conditions between groups, and of understanding how perceptions relate to measured ecological data.","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":"Advances in Research and Management (Peer-Reviewed)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/59p5q47v","frozenauthors":[{"first_name":"Angela","middle_name":"","last_name":"Mallette","name_suffix":"","institution":"","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Plummer","name_suffix":"","institution":"","department":"None"},{"first_name":"Julia","middle_name":"","last_name":"Baird","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T07:04:16+05:00","date_accepted":"2021-01-16T07:04:16+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25130/galley/14760/download/"}]},{"pk":25124,"title":"Shaping a global strategy for building capacity and performance of rangers in and around protected areas","subtitle":null,"abstract":"The ranger profession is rallying behind the need for change, driven by external and internal pressures to strengthen the occupation and its profile. We undertook a review of ranger capacity aimed at improving the capacity, performance, and alignment of the ranger occupation globally. With an international working group, we undertook an objective and structured problem-solving process to examine current issues and links between key variables. We identified several preferred outcomes for rangers and priority targets for change and proposed a simple model for building capacity and improving performance. The model highlights three key elements of capacity: competency (skills, knowledge, and practice), critical mass (right numbers in the right places) and strong supporting systems (organizational structure, systems, policies, resources, and management). Recommendations emerging from this study include a three-stage action plan with short-, medium- and long-term measures and suggest a collective leadership approach across the entire profession. Short-term actions include harmonizing the names, ranks, and roles of rangers, developing a global code of conduct and ethics, and systematic alignment of available training and support with demand. Medium-term actions emphasize regional knowledge hubs and communities of practice while enhancing exchange of knowledge and skills. They also encourage more recruitment of locals (especially women) to improve connections with communities and engage tacit knowledge of the area, cultural knowledge, and skills for managing natural resources. Longer-term actions focus on developing a centralized ranger support body to facilitate change, advocate for the profession, and promote the essential contributions of rangers to conservation of natural and cultural heritage.","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/2qk600jd","frozenauthors":[{"first_name":"Dedee","middle_name":"P.","last_name":"Woodside","name_suffix":"","institution":"","department":"None"},{"first_name":"Jenny","middle_name":"","last_name":"Vasseleu","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:29:37+05:00","date_accepted":"2021-01-16T06:29:37+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25124/galley/14754/download/"}]},{"pk":25110,"title":"The joys of nature: A cultural mosaic","subtitle":null,"abstract":"A \"Coloring Outside the Lines\" editorial column on how taking joy in nature is an essential part of good health.","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":"Points of View","is_remote":true,"remote_url":"https://escholarship.org/uc/item/93k1w853","frozenauthors":[{"first_name":"Nina","middle_name":"S.","last_name":"Roberts","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T03:46:40+05:00","date_accepted":"2021-01-15T03:46:40+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25110/galley/14741/download/"}]},{"pk":25123,"title":"The vital role of rangers in conservation","subtitle":null,"abstract":"Global biodiversity is declining at an unprecedented rate. The majority of the protected and conserved areas (PCAs) that are the core elements of protecting the world’s biodiversity, and the ecosystem services it provides, are not under sound management. Adequate numbers of competent, well-resourced, and well-led rangers are the foundation for effective management of these PCAs. However, the majority of rangers are unrecognized, under-appreciated, and under-resourced. Rangers operate under poor and dangerous working environments with inadequate employment conditions. The International Ranger Federation (IRF), as a global representative body of rangers, has been working to connect and recognize rangers through several initiatives, including the triennial World Ranger Congress (WRC). The Chitwan Declaration of the 9th WRC, held in Nepal in 2019, strongly encourages those who manage PCAs that employ rangers to identify shortcomings, and thereafter introduce measures to improve outcomes. The Universal Ranger Support Alliance (URSA) is an alliance of seven conservation organizations to support IRF with the implementation of the Chitwan Declaration. URSA has developed a global five-year action plan to accomplish lasting transformation to create a professional, responsible, and accountable ranger workforce that is properly valued, led, and supported. URSA itself and the action plan provide a global platform for individual conservation professionals, rangers, conservation organizations, and ranger employers to work together in supporting rangers—the first responders responsible for maintaining the health of the planet.","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/9mc777pm","frozenauthors":[{"first_name":"Rohit","middle_name":"","last_name":"Singh","name_suffix":"","institution":"","department":"None"},{"first_name":"Chris","middle_name":"","last_name":"Galliers","name_suffix":"","institution":"","department":"None"},{"first_name":"Mike","middle_name":"","last_name":"Appleton","name_suffix":"","institution":"","department":"None"},{"first_name":"Mike","middle_name":"","last_name":"Hoffmann","name_suffix":"","institution":"","department":"None"},{"first_name":"Barney","middle_name":"","last_name":"Long","name_suffix":"","institution":"","department":"None"},{"first_name":"Joanna","middle_name":"","last_name":"Cary-Elwes","name_suffix":"","institution":"","department":"None"},{"first_name":"Camilla","middle_name":"","last_name":"Fritze","name_suffix":"","institution":"","department":"None"},{"first_name":"Jamie","middle_name":"","last_name":"McCallum","name_suffix":"","institution":"","department":"None"},{"first_name":"Rob","middle_name":"","last_name":"Parry Jones","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:18:07+05:00","date_accepted":"2021-01-16T06:18:07+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25123/galley/14753/download/"}]},{"pk":25131,"title":"To fee or not to fee? Satisfaction, service quality, and support of an entrance fee of a state park system","subtitle":null,"abstract":"In the past decade, state government appropriation reductions have forced park agencies to seek other sources of revenue to support park operations. To overcome shrinking budgets, many public park agencies embrace private-sector business models and investigate customer satisfaction, service quality, and user fee structures. The purpose of this study was to obtain public input regarding service quality, general satisfaction, and experience use history of state park visitation. A total of 382 Oklahoma state park users completed an online survey and were sorted into Pro-Fee (n = 200, 52%) and No-Fee (n = 182, 48%) groups for one-way multivariate analysis of variance (MANOVA) tests. The researchers found a significant difference between the two groups on service quality, but not on overall satisfaction or behavioral intention (e.g., revisit, recommending the park). When comparing Pro-Fee and No-Fee groups, researchers found no statistically significant variance in visitors’ demographics, such as gender, education level, and income, whereas the number of years that had passed since the visitors’ first visit showed a significant difference between the groups. The findings of this study provide valuable insight for discussions related to entrance fees and service fees in state park systems.","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":"Advances in Research and Management (Peer-Reviewed)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1b01f31r","frozenauthors":[{"first_name":"Hung-Ling (Stella)","middle_name":"","last_name":"Liu","name_suffix":"","institution":"","department":"None"},{"first_name":"I-Chun (Nicky)","middle_name":"","last_name":"Wu","name_suffix":"","institution":"","department":"None"},{"first_name":"Michael","middle_name":"J.","last_name":"Bradley","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T07:07:14+05:00","date_accepted":"2021-01-16T07:07:14+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25131/galley/14761/download/"}]},{"pk":25114,"title":"Toward a unified model of stress recovery and cognitive restoration in nature","subtitle":null,"abstract":"There is abundant evidence for both cognitive and affective improvements stemming from spending time in nature; however, the mechanism underlying these effects are still under debate. Frameworks such as Attention Restoration Theory (ART; Kaplan 1995) and Stress Recovery Theory (SRT; Ulrich et al. 1991) have been helpful in understanding how restoration is achieved. Using the neurovisceral integration model (NIVM; Thayer and Lane 2000, 2002), we suggest that cognitive restoration and stress recovery co-occur and that they are bidirectional manifestations of activity in the vagus nerve, which links the peripheral nervous system (PNS) to the central nervous system (CNS). Future research should examine both PNS and CNS activity simultaneously to provide a better understanding of the changes in the body and brain associated with immersion in nature. This research program will provide the scientific evidence to help inform public policy related to human health, urban design, and environmental protection.","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/10s2z2bf","frozenauthors":[{"first_name":"Emily","middle_name":"E.","last_name":"Scott","name_suffix":"","institution":"","department":"None"},{"first_name":"Amy","middle_name":"S.","last_name":"McDonnell","name_suffix":"","institution":"","department":"None"},{"first_name":"Sara","middle_name":"B.","last_name":"LoTemplio","name_suffix":"","institution":"","department":"None"},{"first_name":"Bert","middle_name":"N.","last_name":"Uchino","name_suffix":"","institution":"","department":"None"},{"first_name":"David","middle_name":"L.","last_name":"Strayer","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-15T04:45:38+05:00","date_accepted":"2021-01-15T04:45:38+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25114/galley/14745/download/"}]},{"pk":25134,"title":"Trophic Cascade","subtitle":null,"abstract":"A poem in the \"Verse in Place\" section of Parks Stewardship Forum.","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":"Verse in Place","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8nz0x8bc","frozenauthors":[{"first_name":"Camille","middle_name":"T.","last_name":"Dungy","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T07:21:54+05:00","date_accepted":"2021-01-16T07:21:54+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25134/galley/14764/download/"}]},{"pk":25126,"title":"What will it take to professionalize rangers?","subtitle":null,"abstract":"There have been widespread calls for rangers to be professionalized, culminating in the recommendation for “full professionalization” at the 2019 World Ranger Congress, led by the International Ranger Federation. There have, however, been no consistent definitions of what this process should involve for rangers or what constitutes a professional ranger. We examine here eight widely acknowledged elements of existing professions and review how they apply to the current ranger occupation. These are (1) A recognized sector; (2) Competences and standards measuring professionalism; (3) Certified training and learning; (4) Remuneration, rights, and working conditions; (5) Standards of ethics and conduct; (6) Personal commitment and motivation; (7) Professional organizations and employers; and (8) Professional representative bodies. Overall, while there are examples of progress in all eight aspects of professionalization, there has been no strategic, consistent, and coordinated program for professionalizing the sector. Across much of the world, the occupation is inadequately recognized, poorly resourced and supported, and falling far short of being a respected and appreciated profession. We offer a range of recommendations for building a global professional framework that can be adapted to and adopted at the national and organizational levels to develop a ranger sector that is ready to meet the growing coverage of protected and conserved areas, the diversification of the ranger workforce, and the increasingly complex demands of the work.","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/2wv426h3","frozenauthors":[{"first_name":"Michael","middle_name":"R.","last_name":"Appleton","name_suffix":"","institution":"","department":"None"},{"first_name":"Joanna","middle_name":"","last_name":"Cary-Elwes","name_suffix":"","institution":"","department":"None"},{"first_name":"Camilla","middle_name":"","last_name":"Fritze","name_suffix":"","institution":"","department":"None"},{"first_name":"Chris","middle_name":"","last_name":"Galliers","name_suffix":"","institution":"","department":"None"},{"first_name":"Barney","middle_name":"","last_name":"Long","name_suffix":"","institution":"","department":"None"},{"first_name":"Matthew","middle_name":"","last_name":"Lawton","name_suffix":"","institution":"","department":"None"},{"first_name":"Jamie","middle_name":"","last_name":"McCallum","name_suffix":"","institution":"","department":"None"},{"first_name":"Rohit","middle_name":"","last_name":"Singh","name_suffix":"","institution":"","department":"None"},{"first_name":"Erika","middle_name":"","last_name":"Stanciu","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:44:06+05:00","date_accepted":"2021-01-16T06:44:06+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25126/galley/14756/download/"}]},{"pk":25129,"title":"Where are the women? Towards gender equality in the ranger workforce","subtitle":null,"abstract":"The ranger workforce is currently characterized by an extreme gender skew. Exact data—or even reliable estimates—are scarce, but the general understanding is that only 3–11% of the global ranger workforce is female, with considerable local variation (Belecky et al. 2019). Although consideration of the gender context for a workforce often starts with numbers, achieving greater gender balance requires a much more comprehensive understanding of the problems and a wide-net approach to solutions. Bringing women into the ranger workforce is an important human rights and equality goal in itself. Further, there is evidence that women bring skill sets and strengths to the ranger workforce that are different from those of men. Bringing gender equality into the workforce can improve conservation, relationships with communities, park management, and wildlife management. The Chitwan Declaration (World Ranger Congress 2019) commits to broad gender-related goals: gender-equal opportunities in hiring, pay, and promotion in the ranger workforce, as well as appropriate measures to provide safety and support for female rangers. This paper, based in part on interviews with men and women in the current ranger workforce, analyzes the state of the gender imbalance in the ranger workforce, provides a contextual assessment, and advances recommendations for moving towards these Chitwan goals.","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/6k01x8g6","frozenauthors":[{"first_name":"Joni","middle_name":"","last_name":"Seager","name_suffix":"","institution":"","department":"None"},{"first_name":"Gillian","middle_name":"","last_name":"Bowser","name_suffix":"","institution":"","department":"None"},{"first_name":"Anwesha","middle_name":"","last_name":"Dutta","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T07:01:13+05:00","date_accepted":"2021-01-16T07:01:13+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25129/galley/14759/download/"}]},{"pk":25122,"title":"Writing a new playbook: A regional coalition for healthy lands, people and communities","subtitle":null,"abstract":"TOGETHER Bay Area, a regional coalition of public agencies, nonprofits, and Indigenous tribes working for climate resilience and social equity in the San Francisco Bay Area, increased the region’s capacity to adapt to the COVID-19 crisis in the spring of 2020.  This had a direct impact on the public’s ability to go outdoors—and will change how we respond to crises in the future. We convened forums for information sharing, coordinated a public education campaign, and advocated for funding and policies, all of which positioned our members to more effectively and efficiently respond to the crisis. As this article will describe, we were able to increase coordination, increase innovation, and support policy change.","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/56g4z53v","frozenauthors":[{"first_name":"Annie","middle_name":"","last_name":"Burke","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-16T06:12:09+05:00","date_accepted":"2021-01-16T06:12:09+05:00","date_published":"2021-01-15T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25122/galley/14752/download/"}]},{"pk":54141,"title":"Dedication","subtitle":null,"abstract":"A tribute to founding Advisory Board member Sally Engle Merry.","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"Sally Engle Merry"},{"word":"Dedication"}],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/249093vs","frozenauthors":[{"first_name":"JLPE","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2021-01-15T06:59:29+05:00","date_accepted":"2021-01-15T06:59:29+05:00","date_published":"2021-01-14T13:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54141/galley/40938/download/"}]},{"pk":15016,"title":"Teaching Rapid Assessment Skills in Triage for the Emergency Medicine Clerkship","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4hv4t6hk","frozenauthors":[{"first_name":"Frannie","middle_name":"","last_name":"Rudolf","name_suffix":"","institution":"","department":"None"},{"first_name":"Leslie","middle_name":"","last_name":"Oyama","name_suffix":"","institution":"","department":"None"},{"first_name":"Stephen","middle_name":"","last_name":"Hayden","name_suffix":"","institution":"","department":"None"},{"first_name":"Kristy","middle_name":"","last_name":"Shwartz","name_suffix":"","institution":"","department":"None"},{"first_name":"Jorge","middle_name":"","last_name":"Fernandez","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:41:41+05:00","date_accepted":"2021-01-14T02:41:41+05:00","date_published":"2021-01-14T02:42:07+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15016/galley/7674/download/"}]},{"pk":15015,"title":"Sign Out Down the Alley: A Novel Workshop- Based Approach to Teaching ED Transitions of Care","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/03n3z4j3","frozenauthors":[{"first_name":"Adria","middle_name":"","last_name":"Simon","name_suffix":"","institution":"","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"DeAngelis","name_suffix":"","institution":"","department":"None"},{"first_name":"Megan","middle_name":"","last_name":"Healy","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:39:55+05:00","date_accepted":"2021-01-14T02:39:55+05:00","date_published":"2021-01-14T02:40:20+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15015/galley/7673/download/"}]},{"pk":15014,"title":"Putting The Fun Back in Teaching and Learning: A SIM Murder Mystery to Explore an EM Physician’s Role as a Good Neighbor","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0bn9t1nj","frozenauthors":[{"first_name":"Ryan","middle_name":"","last_name":"Bodkin","name_suffix":"","institution":"","department":"None"},{"first_name":"Linda","middle_name":"","last_name":"Spillane","name_suffix":"","institution":"","department":"None"},{"first_name":"Julie","middle_name":"","last_name":"Pasternack","name_suffix":"","institution":"","department":"None"},{"first_name":"Jason","middle_name":"","last_name":"Rotoli","name_suffix":"","institution":"","department":"None"},{"first_name":"Valerie","middle_name":"","last_name":"Lou","name_suffix":"","institution":"","department":"None"},{"first_name":"Joseph","middle_name":"","last_name":"Pereira","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:38:12+05:00","date_accepted":"2021-01-14T02:38:12+05:00","date_published":"2021-01-14T02:38:50+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15014/galley/7672/download/"}]},{"pk":15013,"title":"Innovations in Airway Education: 3D Printed Neonatal and Pediatric Needle Cricothyrotomy Trainers","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7mb5p5jv","frozenauthors":[{"first_name":"Zachary","middle_name":"","last_name":"Hamptom","name_suffix":"","institution":"","department":"None"},{"first_name":"Alex","middle_name":"","last_name":"Davis","name_suffix":"","institution":"","department":"None"},{"first_name":"Drew","middle_name":"","last_name":"Kalnow","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:31:41+05:00","date_accepted":"2021-01-14T02:31:41+05:00","date_published":"2021-01-14T02:32:24+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15013/galley/7671/download/"}]},{"pk":15012,"title":"Impact of a Paired Student-Resident Rotation Schedule on Medical Student Education and Impression of Residency Programs","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/496637zs","frozenauthors":[{"first_name":"Ibrahim","middle_name":"","last_name":"Mansour","name_suffix":"","institution":"","department":"None"},{"first_name":"Sean","middle_name":"","last_name":"Dyer","name_suffix":"","institution":"","department":"None"},{"first_name":"Neeraj","middle_name":"","last_name":"Chhabra","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:30:06+05:00","date_accepted":"2021-01-14T02:30:06+05:00","date_published":"2021-01-14T02:30:42+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15012/galley/7670/download/"}]},{"pk":15011,"title":"Clinical Event Debriefing Curriculum to Empower Residents to Resolve Patient Safety Issues in Emergency Medicine","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7hk2q1nf","frozenauthors":[{"first_name":"Maria-Pamela","middle_name":"","last_name":"Janairo","name_suffix":"","institution":"","department":"None"},{"first_name":"Annemarie","middle_name":"","last_name":"Cardell","name_suffix":"","institution":"","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Lamberta","name_suffix":"","institution":"","department":"None"},{"first_name":"Nubaha","middle_name":"","last_name":"Elahi","name_suffix":"","institution":"","department":"None"},{"first_name":"Nicholas","middle_name":"","last_name":"Koch","name_suffix":"","institution":"","department":"None"},{"first_name":"Amish","middle_name":"","last_name":"Aghera","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:25:43+05:00","date_accepted":"2021-01-14T02:25:43+05:00","date_published":"2021-01-14T02:28:44+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15011/galley/7669/download/"}]},{"pk":15010,"title":"Using the QSAT to Generate Multi-Source Feedback on an In-Situ Pediatric Simulation Case","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/52v0g1kw","frozenauthors":[{"first_name":"Bryan","middle_name":"","last_name":"Kane","name_suffix":"","institution":"","department":"None"},{"first_name":"Nicole","middle_name":"","last_name":"Elliott","name_suffix":"","institution":"","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"","department":"None"},{"first_name":"Matthew","middle_name":"","last_name":"Cook","name_suffix":"","institution":"","department":"None"},{"first_name":"Diane","middle_name":"","last_name":"Begany","name_suffix":"","institution":"","department":"None"},{"first_name":"Jennifer","middle_name":"","last_name":"Macfarlan","name_suffix":"","institution":"","department":"None"},{"first_name":"Louis","middle_name":"","last_name":"Morolla","name_suffix":"","institution":"","department":"None"},{"first_name":"Zachary","middle_name":"","last_name":"Matuzsan","name_suffix":"","institution":"","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Jong","name_suffix":"","institution":"","department":"None"},{"first_name":"Suzanne","middle_name":"","last_name":"Partington","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:23:31+05:00","date_accepted":"2021-01-14T02:23:31+05:00","date_published":"2021-01-14T02:23:57+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15010/galley/7668/download/"}]},{"pk":15009,"title":"The Effectiveness of Teaching Evidence Based Medicine to Medical Students Using a Journal Club Curriculum","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1gj7k8c8","frozenauthors":[{"first_name":"Ariel","middle_name":"","last_name":"Sana","name_suffix":"","institution":"","department":"None"},{"first_name":"Adam","middle_name":"","last_name":"Kenney","name_suffix":"","institution":"","department":"None"},{"first_name":"Shannon","middle_name":"","last_name":"Moffett","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:20:34+05:00","date_accepted":"2021-01-14T02:20:34+05:00","date_published":"2021-01-14T02:21:16+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15009/galley/7667/download/"}]},{"pk":15008,"title":"Implementation of a Modified NCAT-EM Shift Card on Completion Rates of Assessments by Faculty in an Emergency Medicine Clerkship","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5wh2w9cg","frozenauthors":[{"first_name":"Sarah","middle_name":"","last_name":"Schlein","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:18:59+05:00","date_accepted":"2021-01-14T02:18:59+05:00","date_published":"2021-01-14T02:19:30+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15008/galley/7666/download/"}]},{"pk":15007,"title":"Impact of Medical Students Notes on Emergency Department Billing","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/28b1n188","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Trinco","name_suffix":"","institution":"","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Takacs","name_suffix":"","institution":"","department":"None"},{"first_name":"Olivia","middle_name":"","last_name":"Bailey","name_suffix":"","institution":"","department":"None"},{"first_name":"Morgan","middle_name":"B.","last_name":"Swanson","name_suffix":"","institution":"","department":"None"},{"first_name":"Karisa","middle_name":"","last_name":"Harland","name_suffix":"","institution":"","department":"None"},{"first_name":"Brooks","middle_name":"","last_name":"Obr","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:17:35+05:00","date_accepted":"2021-01-14T02:17:35+05:00","date_published":"2021-01-14T02:18:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15007/galley/7665/download/"}]},{"pk":15006,"title":"Emergency Medicine Career Outcomes and Scholarly Pursuits: The Impact of Transitioning From a Three-year to a Four-year Niche-based Residency Curriculum","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7jk5f2ts","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Ehmann","name_suffix":"","institution":"","department":"None"},{"first_name":"Eili","middle_name":"","last_name":"Klein","name_suffix":"","institution":"","department":"None"},{"first_name":"Gabor","middle_name":"","last_name":"Kelen","name_suffix":"","institution":"","department":"None"},{"first_name":"Linda","middle_name":"","last_name":"Regan","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:15:33+05:00","date_accepted":"2021-01-14T02:15:33+05:00","date_published":"2021-01-14T02:16:09+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15006/galley/7664/download/"}]},{"pk":15005,"title":"Association of Videolaryngoscopy Utilization and Junior Trainee Intubation Attempts: A National Emergency Airway Registry Study","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9fn8p8k5","frozenauthors":[{"first_name":"Daniel","middle_name":"","last_name":"Runde","name_suffix":"","institution":"","department":"None"},{"first_name":"Nicholas","middle_name":"","last_name":"Mohr","name_suffix":"","institution":"","department":"None"},{"first_name":"Benjamin","middle_name":"","last_name":"Christians","name_suffix":"","institution":"","department":"None"},{"first_name":"Olesya","middle_name":"","last_name":"Baker","name_suffix":"","institution":"","department":"None"},{"first_name":"Jestin","middle_name":"","last_name":"Carlson","name_suffix":"","institution":"","department":"None"},{"first_name":"Dustin","middle_name":"","last_name":"Golz","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:13:51+05:00","date_accepted":"2021-01-14T02:13:51+05:00","date_published":"2021-01-14T02:14:20+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15005/galley/7663/download/"}]},{"pk":15004,"title":"Women Trainees Experience Improved Residency Satisfaction Through Women Faculty and Resident Professional Development Sessions","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/730284gt","frozenauthors":[{"first_name":"Kathleen","middle_name":"","last_name":"Hosmer","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:08:36+05:00","date_accepted":"2021-01-14T02:08:36+05:00","date_published":"2021-01-14T02:09:04+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15004/galley/7662/download/"}]},{"pk":15003,"title":"Who’s the Boss? In-situ Inter-professional Assessment of Resident Leadership Skills","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/80n18131","frozenauthors":[{"first_name":"Lily","middle_name":"","last_name":"Hitchner","name_suffix":"","institution":"","department":"None"},{"first_name":"Stacy","middle_name":"S.","last_name":"Vohra","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2021-01-14T02:07:24+05:00","date_accepted":"2021-01-14T02:07:24+05:00","date_published":"2021-01-14T02:07:50+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/15003/galley/7661/download/"}]}]}