{"count":39138,"next":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=13100","previous":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=12900","results":[{"pk":5559,"title":"Distinguishing personal belief from scientific knowledge for the betterment of killer whale welfare – a commentary","subtitle":null,"abstract":"We contest publication of Marino et al. regarding captive killer whale (\nOrcinus orca\n) welfare because of misrepresentations of available data and the use of citations that do not support assertions. Marino et al. misrepresent stress response concepts and erroneously cite studies, which appear to support Marino et al.’s philosophical beliefs regarding the cetacean hypothalamic–pituitary–adrenal axis. To be clear, these misrepresentations are not differences of scientific opinion, as the authors’ conclusions lack any scientific basis. More extensive review of Marino et al.’s citations reveal a dearth of empirical evidence to support their assertions. Further, Marino et al.’s approach to animal welfare is not consistent with conventional veterinary approaches to animal welfare, including their apparent opposition to use of preventative and therapeutic veterinary interventions. While Marino et al. argue that killer whales’ cognitive and spatial needs preclude management of this species under human care, misrepresentation of the citations used to support this opinion invalidates their arguments. Misleading interpretations of data relative to killer whales’ cognitive and emotional needs and specious and unsubstantiated comparisons with states experienced by humans with posttraumatic stress disorder and other conditions, represent a number of strategies used to misrepresent knowledge regarding killer whale welfare. These misrepresentations and fallacies are inconsistent with scientific ethical standards for credible, peer-reviewed journals (ICMJE, 2018), and are barriers to rigorous discourse and identification of strategies for optimizing killer whale welfare. Assertions in the paper amount to nothing more than a compilation of conclusory, philosophical statements. We would also like to mention that manuscripts such as Marino et al.’s do great damage to the fields of comparative psychology and to behavioral science as a whole.","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":"killer whales"},{"word":"Orcinus orca"},{"word":"Behavior"},{"word":"Welfare"},{"word":"stressors"},{"word":"peer review publication"},{"word":"scientific credibility"},{"word":"research integrity"}],"section":"Letters","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6cj9473p","frozenauthors":[{"first_name":"Kathleen","middle_name":"M","last_name":"Dudzinski","name_suffix":"","institution":"Dolphin Communication Project","department":"None"},{"first_name":"Heather","middle_name":"M","last_name":"Hill","name_suffix":"","institution":"Psychology, St. Mary’s University","department":"None"},{"first_name":"Annalisa","middle_name":"","last_name":"Zaccaroni","name_suffix":"","institution":"Department of Veterinary Medical Sciences, University of Bologna","department":"None"},{"first_name":"Radhika","middle_name":"","last_name":"Makecha","name_suffix":"","institution":"Psychology/Animal Studies, Eastern Kentucky University","department":"None"},{"first_name":"Malin","middle_name":"","last_name":"Lilly","name_suffix":"","institution":"Psychology, Texas A&M University","department":"None"},{"first_name":"Javier","middle_name":"","last_name":"Almunia","name_suffix":"","institution":"Loro Parque Fundación","department":"None"},{"first_name":"Erin","middle_name":"","last_name":"Frick","name_suffix":"","institution":"Animal Studies, Eckerd College","department":"None"},{"first_name":"Todd","middle_name":"","last_name":"Feucht","name_suffix":"","institution":"Oerca","department":"None"},{"first_name":"Grey","middle_name":"","last_name":"Stafford","name_suffix":"","institution":"Grand Canyon University","department":"None"},{"first_name":"Charles","middle_name":"I.","last_name":"Abramson","name_suffix":"","institution":"Psychology, Oklahoma State University","department":"None"}],"date_submitted":"2020-03-05T18:10:47+02:00","date_accepted":"2020-03-05T18:10:47+02:00","date_published":"2020-04-20T20:21:31+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5559/galley/3364/download/"}]},{"pk":61782,"title":"Mass Casualty Management in the Emergency Department – Lessons Learned in Beirut, Lebanon - Part II","subtitle":null,"abstract":"The first article in this series (Part I) discussed the abundant exposure of our emergency department (ED) to mass casualty incidents (MCIs), particularly over the past 14 years. This experience led us to define practical strategies that emergency departments can use to develop their own MCI response plans. In the first part, our main focus was to highlight the abrupt nature of MCIs and the subsequent need to use disaster drills. Additionally, we discussed the importance of having a tiered response and activation as well as other lessons learned from our experience to maximize the preparedness of the emergency department to receive mass casualty.In this article, we discuss the optimal way to triage patients. In addition, we will tackle the best methods for documentation and communication, which are vital yet overlooked during mass casualty incidents. We will also elaborate on what we learned from dealing with outbursts of anger and violence in the ED during MCIs and how to ensure the safety of the ED staff.","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":"disaster"},{"word":"disaster management"},{"word":"emergency department"},{"word":"Emergency management"},{"word":"Mass Casualty Incident"},{"word":"triage"}],"section":"Special Contribution","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9zp7540z","frozenauthors":[{"first_name":"Mazen","middle_name":"J","last_name":"El Sayed","name_suffix":"","institution":"Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon","department":""},{"first_name":"Eveline","middle_name":"A.","last_name":"Hitti","name_suffix":"","institution":"Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon","department":""},{"first_name":"Mohamad Ali","middle_name":"","last_name":"Cheaito","name_suffix":"","institution":"Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon","department":""},{"first_name":"Tim","middle_name":"","last_name":"Davis","name_suffix":"","institution":"Department of Emergency Medicine, Emory University, Atlanta, Georgia, National Center for Disaster Medicine and Public Health, Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States","department":""},{"first_name":"Amin","middle_name":"A.","last_name":"Kazzi","name_suffix":"","institution":"Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon","department":""}],"date_submitted":"2019-12-12T10:22:34+02:00","date_accepted":"2019-12-12T10:22:34+02:00","date_published":"2020-04-20T10:00:00+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_medjem/article/61782/galley/47667/download/"}]},{"pk":5546,"title":"Female and male Wistar rats (Rattus norvegicus) discriminate diets according to energetic quantity","subtitle":null,"abstract":"The food choice of animals is influenced by several factors including the quantity and nutrients available. It is not known, however, whether faced with alternatives that present the same amount of food, with similar flavor and obtained with the same response cost, rats would discriminate between diets with different energetic quantities. The aim was to verify whether female and male Wistar rats (\nRattus norvegicus\n) discriminate between three types of food that differ in their energetic content (whether or not they prefer one) and whether the flavor could affect the choice between two diets with equal energetic quantities. Twelve Wistar rats (six of each sex) underwent tests of choice between pairs of diets of different energetic values. After the tests, the animals had at their disposal, in the home cage, two diets with the same energetic content, which differed in flavor (one contained sucrose) - Flavor test. The consumption of each diet was measured for five consecutive days. All the subjects demonstrated a preference for the more energetic alternative, regardless of the combination of diets presented. In the Flavor test the animals did not show significant preference for any diet, i.e., the consumption of both the S and N diets were statistically equal for all subjects. It was concluded that the animals, regardless of sex, discriminated between the diets with different energetic values and that the flavor did not seem to be a determinant variable in the food choice.","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":"energetic value discrimination, diets, males and females, Wistar rats"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2058s84r","frozenauthors":[{"first_name":"Vinícius","middle_name":"","last_name":"Warisaia","name_suffix":"","institution":"University of Sao Paulo","department":"None"},{"first_name":"Vítor","middle_name":"","last_name":"Pansarim","name_suffix":"","institution":"University Of Sao Paulo","department":"None"},{"first_name":"Davi","middle_name":"Casadele","last_name":"Aragon","name_suffix":"","institution":"University Of Sao Paulo","department":"None"},{"first_name":"Fernando","middle_name":"Sergio","last_name":"Zucoloto","name_suffix":"","institution":"University of Sao Paulo","department":"None"},{"first_name":"Andreia","middle_name":"","last_name":"Schmidt","name_suffix":"","institution":"University of Sao Paulo","department":"None"}],"date_submitted":"2019-07-01T22:53:17+03:00","date_accepted":"2019-07-01T22:53:17+03:00","date_published":"2020-04-17T21:39:49+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5546/galley/3358/download/"}]},{"pk":40832,"title":"Prefatory Note: Borderless Italy in the Age of the Coronavirus","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":"Vol. 9: Italia senza frontiere/Borderless Italy","is_remote":true,"remote_url":"https://escholarship.org/uc/item/63n3f4f1","frozenauthors":[{"first_name":"Claudio","middle_name":"","last_name":"Fogu","name_suffix":"","institution":"","department":"None"},{"first_name":"Stephanie","middle_name":"Malia","last_name":"Hom","name_suffix":"","institution":"","department":"None"},{"first_name":"Laura","middle_name":"E.","last_name":"Ruberto","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2020-04-17T19:22:22+03:00","date_accepted":"2020-04-17T19:22:22+03:00","date_published":"2020-04-17T19:23:52+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40832/galley/30587/download/"}]},{"pk":44928,"title":"Concomitant Graves’ Disease and Papillary Thyroid Carcinoma","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/51h8v0pf","frozenauthors":[{"first_name":"Pouyan","middle_name":"","last_name":"Famini","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Kasra","middle_name":"","last_name":"Navabi","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-17T18:52:40+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44928/galley/33721/download/"}]},{"pk":812,"title":"Early Multi-organ Point-of-Care Ultrasound Evaluation of Respiratory Distress During SARS-CoV-2 Outbreak: Case Report","subtitle":null,"abstract":"Introduction: Coronavirus disease 2019 (COVID-19) is caused by the virus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).  Several case series from Italy and China have highlighted the lung ultrasound findings of this disease process and may demonstrate its clinical utility during the current pandemic.\nCase Report: We present a case of a COVID-19 patient who presented to the emergency department twice within a 24-hour period with rapidly progressing illness. A multi-organ point-of-care ultrasound (POCUS) evaluation was used on the return visit and assisted clinical decision-making.\nDiscussion: A multi-organ POCUS exam allows for quick assessment of acute dyspnea in the emergency department. As the lung involvement of COVID-19 is primarily a peripheral process it is readily identifiable via lung ultrasound. We believe that when applied efficiently and safely a POCUS exam can reduce clinical uncertainty and potentially limit the use of other imaging modalities when treating patients with COVID-19.\nConclusion: This case highlights the utility of an early multiorgan point-of-care assessment for patients presenting with moderate respiratory distress during the severe SARS-CoV-2 pandemic.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"COVID-19"},{"word":"SARS-CoV-2"},{"word":"ultrasound"},{"word":"respiratory distress"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6xp8z5n7","frozenauthors":[{"first_name":"Robert","middle_name":"","last_name":"Farrow II","name_suffix":"","institution":"Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Graham","middle_name":"","last_name":"Becherer-Bailey","name_suffix":"","institution":"Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Mantuani","name_suffix":"","institution":"Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Arun","middle_name":"","last_name":"Nagdev","name_suffix":"","institution":"Highland Hospital / Alameda Health System, Department of Emergency Medicine, Oakland, California","department":"None"}],"date_submitted":"2020-04-17T03:02:33+03:00","date_accepted":"2020-04-17T03:02:33+03:00","date_published":"2020-04-17T03:03:18+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/812/galley/565/download/"}]},{"pk":811,"title":"Novel, Inexpensive Portable Respiratory Protection Unit (PRPU) for Healthcare Workers","subtitle":null,"abstract":"Introduction: Given concern for increased aerosolization during intubation of patients with severe acute respiratory syndrome coronavirus, we sought to create a portable, inexpensive, and easily constructed device to help protect healthcare workers.\nMethods: A respiratory protection unit can be constructed in approximately 30 minutes and for less than 50 United States dollars in materials, using polyvinylchloride pipe and automobile collision wrap.\nConclusion: This device provides possible increased protection during video laryngoscopy and can easily be replicated.","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":"intubation"},{"word":"airway"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/17z0q2gt","frozenauthors":[{"first_name":"Christopher","middle_name":"S.","last_name":"Sampson","name_suffix":"","institution":"University of Missouri School of Medicine, Department of Emergency Medicine, Columbia, Missouri","department":"None"},{"first_name":"Adam","middle_name":"","last_name":"Beckett","name_suffix":"","institution":"University of Missouri School of Medicine, Department of Emergency Medicine, Columbia, Missouri","department":"None"}],"date_submitted":"2020-04-17T02:06:20+03:00","date_accepted":"2020-04-17T02:06:20+03:00","date_published":"2020-04-17T02:09:30+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/811/galley/564/download/"}]},{"pk":13488,"title":"Evaluating the Diversity of Emergency Medicine Foundation (EMF) Grant Recipients in the Last Decade","subtitle":null,"abstract":"On behalf of the ACEP Research Committee\nIntroduction:\n To study diversity of researchers and barriers to success among Emergency Medicine Foundation (EMF) grant recipients in the last 10 years.\nMethods\n: EMF grant awardees were approached to complete a brief survey, which included demographics, queries related to contributions to the literature, success in obtaining grants, and any perceived barriers they encountered.\nResults:\n Of the 342 researchers contacted by email, a total of 147 completed the survey for a response rate of 43%. The respondents were predominately mid to late career white-male-heterosexual-Christian with an average age of 44 years (range 25-69 years of age). With regards to training and education, the majority of respondents (50%) were either Associate or Professor clinical rank (8% instructor/resident/fellow and 31% Assistant). Sixty-two percent of the respondents reported perceived barriers to career advancement since completion of residency. The largest perceived barrier to success was medical specialty (26%), followed by gender (21%) and age (16%).\nConclusion:\n Our survey of EMF grant recipients in the last 10 years shows a considerable lack of diversity. The most commonly perceived barriers to career advancement by this cohort were medical specialty, gender, and age. An opportunity exists for further definition of barriers and development of mechanisms to overcome them, with a goal of increased success for those that are underrepresented.","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":"Diversity"},{"word":"research"}],"section":"Research Publishing","is_remote":true,"remote_url":"https://escholarship.org/uc/item/23f534xj","frozenauthors":[{"first_name":"Richard","middle_name":"D.","last_name":"Gordon","name_suffix":"","institution":"UTHealth McGovern, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Nancy","middle_name":"S.","last_name":"Kwon","name_suffix":"","institution":"Long Island Jewish Medical Center, Department of Emergency Medicine, New Hyde Park, New York","department":"None"},{"first_name":"Phillip","middle_name":"D.","last_name":"Levy","name_suffix":"","institution":"Wayne State University, Department of Emergency Medicine and Integrative Biosciences Center, Detroit, Michigan","department":"None"},{"first_name":"Tracy","middle_name":"E.","last_name":"Madsen","name_suffix":"","institution":"Alpert Medical School of Brown University, Deptartment of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Marna","middle_name":"Rayl","last_name":"Greenberg","name_suffix":"","institution":"Lehigh Valley Hospital/University of South Florida Morsani College of Medicine, Department of Emergency & Hospital Medicine, Allentown, Pennsylvania","department":"None"}],"date_submitted":"2020-01-11T16:31:48+02:00","date_accepted":"2020-01-11T16:31:48+02:00","date_published":"2020-04-17T02:09:18+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13488/galley/7067/download/"}]},{"pk":13389,"title":"What is a Freestanding Emergency Department? Definitions Differ Across Major United States Data Sources","subtitle":null,"abstract":"Introduction:\n Despite the growing number of freestanding emergency departments (FSED) in the United States (US), FSED definitions differ across major US data sources of healthcare facilities and use. We compare these sources and propose a universal definition of FSED (and its two major types) to improve communications regarding these facilities and their patients.\nMethods:\n We collected definitions of FSEDs from 11 national data sources using their websites, email, and telephone communications. For each source, we asked how they define FSEDs, whether being open 24/7 is a requirement to be called an ED, and whether they maintain a dataset of FSEDs.\nResults:\n Definitions varied across the data sources. All sources recognize FSEDs in their definitions, regardless of type; only one (the National Health Intervew Survey) does not differentiate them from other EDs. Five of the 11 sources (45%) omit autonomous FSEDs from their definitions and do not separately identify satellite FSEDs from their affiliated hospitals. One source does separately identify satellite FSEDs from their affiliated hospitals, but also omits autonomous FSEDs. Furthermore, three of the 11 sources (27%) do not require being open 24/7, while all others (73%) employ this criterion. Six of the 11 (55%) maintain datasets of FSEDs using their definition.\nConclusion: \nAs FSEDs continue to change the landscape of emergency care, it is important that they also be represented in national ED data sources. The current differences in the definition of an FSED make it difficult to provide accurate and longitudinal analysis for these facilities and patients who receive services at these facilities. We propose a universal definition of FSEDs as described by both the American College of Emergency Physicians and the National Emergency Department Inventory. Implementing a standard definition would facilitate a more accurate representation of FSEDs in national data sources and enhance ongoing efforts to improve the quality of emergency care delivered in FSEDs.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"emergency care, freestanding emergency department"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/37z00532","frozenauthors":[{"first_name":"Darya","middle_name":"M.","last_name":"Herscovici","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Krislyn","middle_name":"M.","last_name":"Boggs","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Ashley","middle_name":"F.","last_name":"Sullivan","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Carlos","middle_name":"A.","last_name":"Camargo Jr.","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2019-11-26T17:55:28+02:00","date_accepted":"2019-11-26T17:55:28+02:00","date_published":"2020-04-17T01:51:57+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13389/galley/7029/download/"}]},{"pk":13361,"title":"Efficacy of Laryngeal Tube versus Bag Mask Ventilation by Inexperienced Providers","subtitle":null,"abstract":"Introduction: \nBag mask ventilation (BMV) and extraglottic devices (EGDs) are two common methods of providing rescue ventilation. BMV can be difficult to perform effectively, especially for inexperienced providers and in patients with difficult airway characteristics. There is some evidence that the laryngeal tube (LT) can be successfully placed by inexperienced providers to provide effective ventilation. However, it is unclear whether ventilation provided by LT is superior to that of BMV, especially in the hands of inexperienced airway providers. Therefore, we aimed to compare ventilation efficacy of inexperienced airway providers with BMV versus LT by primarily measuring tidal volumes and secondarily measuring peak pressures on a simulated model.\nMethods:\n We performed a crossover study first year emergency medicine residents and third and fourth year medical students. After a brief instructional video followed by hands on practice, participants performed both techniques in random order on a simulated model for two minutes each.  Returned tidal volumes and peak pressures were measured.\nResults:\n Twenty participants were enrolled and 1200 breaths were measured, 600 per technique. The median ventilation volumes were 194 milliliters (mL) for BMV, and 387 mL for the laryngeal tube, with a median absolute difference of 170 mL (95% confidence interval [CI] 157-182 mL) (mean difference 148 mL [95% CI, 138-158 mL], p<0.001). The median ventilation peak pressures were 23 centimeters of water (cm H2O) for BMV, and 30 cm H2O for the laryngeal tube, with a median absolute difference of 7 cm H2O (95% CI, 6-8 cm H2O) (mean difference 8 cm H2O [95% CI, 7-9 cm H2O], p<0.001).\nConclusion:\n Inexperienced airway providers were able to provide higher ventilation volumes and peak pressures with the LT when compared to BMV in a manikin model. Inexperienced providers should consider using an LT when providing rescue ventilations in obtunded or hypoventilating patients without intact airway reflexes. Further study is required to understand whether these findings are generalizable to live 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":"airway, ventilation, laryngeal tube, bag valve mask, supraglottic device"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8cp7f85r","frozenauthors":[{"first_name":"Danielle","middle_name":"","last_name":"Hart","name_suffix":"","institution":"Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Brian","middle_name":"","last_name":"Driver","name_suffix":"","institution":"Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Gautham","middle_name":"","last_name":"Kartha","name_suffix":"","institution":"Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Robert","middle_name":"","last_name":"Reardon","name_suffix":"","institution":"Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"James","middle_name":"","last_name":"Miner","name_suffix":"","institution":"Hennepin Healthcare, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"}],"date_submitted":"2019-11-11T04:54:04+02:00","date_accepted":"2019-11-11T04:54:04+02:00","date_published":"2020-04-17T01:48:04+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13361/galley/7013/download/"}]},{"pk":13250,"title":"Demographics and Outcomes of Pulmonary Hypertension Patients in United States Emergency Departments","subtitle":null,"abstract":"Introduction: \nPulmonary hypertension (PH) is a common, yet under-diagnosed, contributor to morbidity and mortality. Our objective was to characterize the prevalence of PH among adult patients presenting to United States (US) emergency departments (ED) and to identify demographic patterns and outcomes of PH patients in the ED.\nMethods:\n We analyzed the Nationwide Emergency Department Sample (NEDS) database, with a focus on ED patients aged 18 years and older, with any International Classification of Diseases, Clinical Modification (ICD)-9-CM or ICD-10-CM diagnosis code for PH from 2011 to 2015. The primary outcome was inpatient, all-cause mortality. The secondary outcomes were hospital admission rates and hospital length of stay (LOS).\nResults:\n From 2011 to 2015, in a sample of 121,503,743 ED visits, representing a weighted estimate of 545,500,486 US ED visits, patients with a diagnosis of PH accounted for 0.78% (95% confidence interval [CI], 0.75- 0.80%) of all US ED visits. Of the PH visits, 86.9% were admitted to the hospital, compared to 16.3% for all other ED visits (P <0.001). Likewise, hospital LOS and hospital-based mortality were higher in the PH group than for other ED patients (e.g., inpatient mortality 4.5% vs 2.6%, P < 0.001) with an adjusted odds ratio (aOR) of 1.34 (95% CI, 1.31–1.37). Age had the strongest association with mortality, with an aOR of 10.6 for PH patients over 80 years (95% CI, 10.06–11.22), compared to a reference of ages 18 to 30 years.\nConclusion:\n In this nationally representative sample, presentations by patients with PH were relatively common, accounting for nearly 0.8% of US ED visits. Patients with PH were significantly more likely to be admitted to the hospital than all other patients, had longer hospital LOS, and increased risk of inpatient mortality.","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":"Pulmonary Hypertension, Outcomes, Disposition"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1192d4rd","frozenauthors":[{"first_name":"Susan","middle_name":"R.","last_name":"Wilcox","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"M.","middle_name":"Kamal","last_name":"Faridi","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Carlos","middle_name":"A.","last_name":"Camargo Jr.","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2019-09-13T01:14:56+03:00","date_accepted":"2019-09-13T01:14:56+03:00","date_published":"2020-04-17T01:43:07+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13250/galley/6976/download/"}]},{"pk":13252,"title":"Males Receive Low-Tidal Volume Component of Lung Protective Ventilation More Frequently than Females in the Emergency Department","subtitle":null,"abstract":"Introduction: \nMechanical ventilation is a commonly performed procedure in the emergency department (ED). Approximately 240,000 patients per year receive mechanical ventilation in the ED representing 0.23% of ED visits. An ED-based trial published in 2017 showed that a bundle of interventions in mechanically ventilated patients, including low tidal volume ventilation, reduced the development of acute respiratory distress syndrome by nearly 50%. Prior literature has shown that as many as 40% of ED patients do not receive lung protective ventilation. Our goal was to determine whether differences exist between the percent of males vs females who are ventilated at ≥ 8 milliliters per kilogram (mL/kg) of predicted body weight.\nMethods:\n We conducted this study at Temple University Hospital, a tertiary care center located in Philadelphia, Pennsylvania. This was a planned subgroup analysis of study looking at interventions to improve adherence to recommended tidal volume settings. We used a convenience sample of mechanically ventilated patients in our ED between September 1, 2017, and September 30, 2018. All adult patient > 18 years old were eligible for inclusion in the study. Our primary outcome measure was the number of patients who had initial tidal volumes set at > 8 mL/kg of predicted body weight. Our secondary outcome was the number of patients who had tidal volumes set at ≥ 8 mL/kg at 60 minutes after initiation of mechanical ventilation.\nResults:\n A total of 130 patients were included in the final analysis. We found that significantly more females were initially ventilated with tidal volumes ≥ 8 mL/kg compared to men: 56% of females vs 9% of males (p=<0.001). Data was available for 107 patients (82%) who were in the ED at 60 minutes after initiation of mechanical ventilation. Again, a significantly larger percentage of females were ventilated with tidal volumes ≥ 8 mL/kg at 60 minutes: 56% of females vs 10% of males (p<0.001).\nConclusion: \nThe vast majority of tidal volumes ≥ 8 mL/kg during mechanical ventilation occurs in females. We suggest that objective measurements, such as a tape measure and tidal volume card, be used when setting tidal volumes for all patients, especially females.","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":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8kb1k1g2","frozenauthors":[{"first_name":"Derek","middle_name":"L.","last_name":"Isenberg","name_suffix":"","institution":"Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Benjamin","middle_name":"","last_name":"Bloom","name_suffix":"","institution":"Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Nina","middle_name":"","last_name":"Gentile","name_suffix":"","institution":"Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Hannah","middle_name":"","last_name":"Reimer","name_suffix":"","institution":"Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Owen","middle_name":"D.","last_name":"Glaze","name_suffix":"","institution":"Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Paige","middle_name":"","last_name":"Palumbo","name_suffix":"","institution":"Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Rachel","middle_name":"","last_name":"Fenstermacher","name_suffix":"","institution":"Lewis Katz School of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"}],"date_submitted":"2019-09-13T17:19:48+03:00","date_accepted":"2019-09-13T17:19:48+03:00","date_published":"2020-04-17T01:37:55+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13252/galley/6978/download/"}]},{"pk":12339,"title":"Human Trafficking in the Emergency Department: Improving Our Response to a Vulnerable Population","subtitle":null,"abstract":"Human trafficking is a human rights violation affecting millions worldwide. Victims may go unrecognized during their emergency department (ED) visit, and may lose the opportunity to address their complex needs. Using a published toolkit based on existing guidelines and recommendations from experts, and models from other centers, we describe the implementation of an ED response protocol. In following the recommendations of the toolkit, we began with attempts to fully understand the local human trafficking problem and then networked with those working in anti-trafficking efforts. Collaboration with other specialties is highlighted as a key part of this process. Building upon the knowledge gained from these steps, we were able to develop a concise protocol to guide members of our department in more effectively caring for known or suspected victims of human trafficking. The first section of the protocol addresses ways in which providers can identify at-risk patients through both screening questions and general observations. Interviewing techniques are outlined with an emphasis on patient-centered and trauma-informed care. Additionally, the protocol discusses physician responsibility in documenting encounters and legal reporting, which may vary depending on location. We stress the importance of meeting the needs of the patient while prioritizing the safety of all involved. Additionally, the protocol provides a list of resources for the patient beyond medical care such as emergency housing, legal assistance, and food pantries. The overall purpose of this protocol is to provide coordinated response so that all providers may be consistent in caring for this vulnerable population.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Human Trafficking, Emergency Medicine"}],"section":"Population Health and Social Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/06z370g3","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Tiller","name_suffix":"","institution":"Levine Children’s Hospital and Carolinas Medical Center, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Charlotte, North Carolina","department":"None"},{"first_name":"Stacey","middle_name":"","last_name":"Reynolds","name_suffix":"","institution":"Levine Children’s Hospital and Carolinas Medical Center, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Charlotte, North Carolina","department":"None"}],"date_submitted":"2018-11-19T21:36:12+02:00","date_accepted":"2018-11-19T21:36:12+02:00","date_published":"2020-04-17T01:34:09+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12339/galley/6572/download/"}]},{"pk":13251,"title":"Variations in the California Emergency Medical Services Response to Opioid Use Disorder","subtitle":null,"abstract":"Introduction:\n Opioids contributed to over 300,000 deaths in the United States in the past 10 years. Most research on drug use occurs in clinics or hospitals; few studies have evaluated the impact of opioid use on emergency medical services (EMS) or the EMS response to opioid use disorder (OUD). This study describes the perceived burden of disease, data collection, and interventions in California local EMS agencies (LEMSA).\nMethods:\n We surveyed medical directors of all 33 California LEMSAs with 25 multiple-choice and free-answer questions. Results were collected in RedCap and downloaded into Excel (Microsoft Corporation, Redmond WA). This study was exempt from review by the Alameda Health System - Highland Hospital Institutional Review Board.\nResults:\n Of the 33 California LEMSAs, 100% responded, all indicating that OUD significantly affects their patients. Most (91%) had specific protocols directing care of those patients and repeat naloxone dosing. After naloxone administration, none permitted release to law enforcement custody, 6% permitted patient refusal of care, and 45% directed base hospital contact for refusal of care. Few protocols directed screening or treatment of OUD or withdrawal symptoms. Regular data collection occurred in 76% of LEMSAs, with only 48% linking EMS data with hospital or coroner outcomes. In only 30% did the medical director oversee regular quality improvement meetings. Of respondents, 64% were aware of public health agency-based outreach programs and 42% were aware of emergency department BRIDGE programs (Medication Assisted Treatment and immediate referral). Only 9% oversaw naloxone kit distribution (all under the medical director), and 6% had EMS-based outreach programs. In almost all (94%), law enforcement officers carried naloxone and administered it anywhere from a few times a year to greater than 200 in one LEMSA.\nConclusion:\n This study represents an important description of EMS medical directors’ approaches to the impact of OUD as well as trends in protocols and interventions to treat and prevent overdoses. Through this study, we can better understand the variable response to patients with OUD across California.","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":"opioid, Naloxone, EMS"}],"section":"Emergency Medical Services","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8b26t5j6","frozenauthors":[{"first_name":"Nancy","middle_name":"K.","last_name":"Glober","name_suffix":"","institution":"Indiana University, Department of Emergency Medicine, Indianapolis, Indiana","department":"None"},{"first_name":"Gene","middle_name":"","last_name":"Hern","name_suffix":"","institution":"Alameda Health System-Highland Hospital, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Owen","middle_name":"","last_name":"McBride","name_suffix":"","institution":"Alameda Health System-Highland Hospital, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Mary","middle_name":"P.","last_name":"Mercer","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"}],"date_submitted":"2019-09-12T22:13:37+03:00","date_accepted":"2019-09-12T22:13:37+03:00","date_published":"2020-04-16T23:46:14+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13251/galley/6977/download/"}]},{"pk":5543,"title":"Laterality of Eye Use by Bottlenose (Tursiops truncatus) and Rough-toothed (Steno bredanensis) Dolphins While Viewing Predictable and Unpredictable Stimuli","subtitle":null,"abstract":"Laterality of eye use has been increasingly studied in cetaceans. Research supports that many cetacean species keep prey on the right side while feeding and preferentially view unfamiliar objects with the right eye. In contrast, the left eye has been used more by calves while in close proximity to their mothers. Despite some discrepancies across and within species, laterality of eye use generally indicates functional specialization of brain hemispheres in cetaceans. The present study aimed to examine laterality of eye use in bottlenose dolphins (\nTursiops truncatus\n) and rough-toothed dolphins (\nSteno bredanensis\n) under managed care. Subjects were video-recorded through an underwater window while viewing two different stimuli, one predictable and static and the other unpredictable and moving. Bottlenose dolphins displayed an overall right-eye preference, especially while viewing the unpredictable, moving stimulus. Rough-toothed dolphins did not display eye preference while viewing stimuli. No significant correlations between degree of laterality and behavioral interest in the stimuli were found. Only for bottlenose dolphins were the degree of laterality and curiosity ratings correlated. This study extends research on cetacean lateralization to a species not extensively examined and to stimuli that varied in movement and degree of predictability. Further research is needed to make conclusions regarding lateralization in cetaceans.","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":"laterality"},{"word":"lateralization"},{"word":"bottlenose dolphins"},{"word":"rough-toothed dolphins"},{"word":"eye use"}],"section":"Special Issue: Revisiting The Legacy of Stan Kuczaj","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8cd919jh","frozenauthors":[{"first_name":"Malin","middle_name":"K.","last_name":"Lilley","name_suffix":"","institution":"The University of Southern Mississippi\nTexas A & M University- San Antonio","department":"None"},{"first_name":"Amber","middle_name":"J.","last_name":"de Vere","name_suffix":"","institution":"Plumpton College","department":"None"},{"first_name":"Deirdre","middle_name":"B.","last_name":"Yeater","name_suffix":"","institution":"Sacred Heart University","department":"None"}],"date_submitted":"2019-06-15T05:49:17+03:00","date_accepted":"2019-06-15T05:49:17+03:00","date_published":"2020-04-16T22:19:25+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5543/galley/3356/download/"}]},{"pk":44927,"title":"Erythema Nodosum: An Unusual Reaction to Lidocaine","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2fb6k6tv","frozenauthors":[{"first_name":"Karen","middle_name":"","last_name":"Cheng","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Daryl","middle_name":"","last_name":"Lum","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-16T19:33:36+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44927/galley/33720/download/"}]},{"pk":44926,"title":"Papillary Thyroid Carcinoma","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0hv3m9z3","frozenauthors":[{"first_name":"Rauz","middle_name":"A.","last_name":"Eshraghi","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Sonya","middle_name":"","last_name":"Heitmann","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-16T19:31:08+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44926/galley/33719/download/"}]},{"pk":44925,"title":"A Curious Case of Carcinoid Crisis","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8m46n98d","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Wang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Charles","middle_name":"W.","last_name":"Lanks","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-16T19:28:42+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44925/galley/33718/download/"}]},{"pk":44924,"title":"From Diving to Skiing to Your ED: A Case of HAPE","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4qx6p9m3","frozenauthors":[{"first_name":"Miguel","middle_name":"","last_name":"Lemus","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Derrick","middle_name":"","last_name":"Darnsteadt","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-16T19:21:20+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44924/galley/33717/download/"}]},{"pk":44923,"title":"Splinter Hemorrhages: Pomegranate Preparation and Other Mechanisms of Injury","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0km2x7gr","frozenauthors":[{"first_name":"S. Anjani","middle_name":"D.","last_name":"Mattai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-16T19:17:56+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44923/galley/33716/download/"}]},{"pk":44870,"title":"Elevated Serum Creatinine in a Patient Taking HIV Pre-exposure Prophylaxis","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1gk2v5ks","frozenauthors":[{"first_name":"George","middle_name":"C.","last_name":"Yen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Gregory","middle_name":"J.","last_name":"Lam","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-16T19:12:58+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44870/galley/33663/download/"}]},{"pk":40831,"title":"From Igiaba Scego, La mia casa è dove sono (Home Is Where I Am), Milan: Rizzoli, 2010","subtitle":null,"abstract":"Translated by Jon R. Snyder and Megan Williamson","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":"Border Imaginaries: Politics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4xj7n9vv","frozenauthors":[{"first_name":"Jon","middle_name":"R.","last_name":"Snyder","name_suffix":"","institution":"","department":"None"},{"first_name":"Megan","middle_name":"","last_name":"Williamson","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2020-04-15T19:50:27+03:00","date_accepted":"2020-04-15T19:50:27+03:00","date_published":"2020-04-16T01:58:50+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40831/galley/30586/download/"}]},{"pk":40771,"title":"Towards a Literary and Feminist Neo-Avant-Garde: Carla Vasio’s Experimental Fiction","subtitle":null,"abstract":"Despite her active involvement in several of the Gruppo 63’s meetings and activities over the years, Carla Vasio (b. 1923) is rarely mentioned in critical discussions of the Italian neo-avant-garde, and very little attention has been devoted to her work. This is not an isolated oversight, but a part of a larger pattern of marginalizing women writers. Our reading of two of Vasio’s most interesting and innovative novels—\nL’orizzonte \n(1966) and \nLa più grande anamorfosi del mondo \n(2009)–shows that this marginalization is unjustified, and that she is a writer who actively contributed to the aesthetic innovation of the Gruppo 63 while creating her own experimental narrative style. Vasio’s literary experimentation is an example of neo-avant-garde aesthetics, distinguished by its sophisticated feminist critique of both the dominant masculinist dynamic of the Gruppo 63 and the misogyny of postwar Italian culture and society.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Carla Vasio"},{"word":"Feminism"},{"word":"Neo-Avant-Garde"},{"word":"Experimental Literature"}],"section":"Vol.9: Open Theme","is_remote":true,"remote_url":"https://escholarship.org/uc/item/16r2j5c9","frozenauthors":[{"first_name":"Lucia","middle_name":"","last_name":"Re","name_suffix":"","institution":"University of California, Los Angeles","department":"None"},{"first_name":"Joseph","middle_name":"","last_name":"Tumolo","name_suffix":"","institution":"University of California, Los Angeles","department":"None"}],"date_submitted":"2019-01-07T20:32:06+02:00","date_accepted":"2019-01-07T20:32:06+02:00","date_published":"2020-04-15T20:56:30+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40771/galley/30556/download/"}]},{"pk":40778,"title":"Black Italianità: Citizenship and Belonging in the Black Mediterranean","subtitle":null,"abstract":"This article discusses the fraught relationship between legal citizenship and Black belonging as depicted in the works of two Black Italian women writers. The protagonists in the short story “Salsicce” (“Sausages”) by Igiaba Scego and the novella \nKkeywa: Storia di una bimba meticcia \nby Carla Macoggi resist multiple forms of dispossession and struggle to hold on to the autonomy of their self-identification and cultural attachments. Both Scego and Macoggi affirm the necessity to reclaim the power of self-definition, self-representation, and political agency when reckoning with the citizenship project and its inherent exclusions. Thus, these writings showcase the importance of studying the dynamic body of Black literature in Italian and offer us insight into some of the racialized, gendered, and religious negotiations of Italian sociopolitics for Black people navigating life throughout Italy and the Mediterranean.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"citizenship, identity and the law, immigration, letteratura migrante, race, dispossession, Black Italia"}],"section":"Border Imaginaries: Politics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3nm019xg","frozenauthors":[{"first_name":"SA","middle_name":"","last_name":"Smythe","name_suffix":"","institution":"University of California, Los Angeles","department":"None"}],"date_submitted":"2019-02-01T23:59:43+02:00","date_accepted":"2019-02-01T23:59:43+02:00","date_published":"2020-04-15T20:45:30+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40778/galley/30560/download/"}]},{"pk":40784,"title":"Soli al Mondo: The Recourse to \"Sovereigntism\" in Contemporary Italian Populism","subtitle":null,"abstract":"\"Sovranismo\" has become the “go-to” word to use in contrasting those advocating “take back control” and nationalism against the “globalists” who are the bête noire of populism. This paper discusses the recent provenance of the word and the impluses that underlie it. It then considers the various arguments for sovranismo more broadly. The final section discusses the actual history of state sovereignty and suggests that current usage lacks much understanding of its complexities.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"sovranismo,sovereignty, Italy, populism"}],"section":"Border Imaginaries: Politics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5v09k295","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"Agnew","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2019-01-22T02:29:21+02:00","date_accepted":"2019-01-22T02:29:21+02:00","date_published":"2020-04-15T20:44:35+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40784/galley/30563/download/"}]},{"pk":40785,"title":"Jewish Refugee Women, Transnational Coalition Politics, and Affect in Ebe Cagli Seidenberg’s Come ospiti: Eva ed altri","subtitle":null,"abstract":"Writing across and beyond borders evokes at once the human aspiration to connectedness and the reality of a divided world invested in particular interests. For Ebe Cagli Seidenberg, the act of writing emanates from the Fascist racial laws of 1938, which forced her – a young Jewish Italian woman – to leave her native Italy and find refuge in the United States. The production of a five-volume series entitled \nCiclo dell’esilio obbligato\n [\nCycle of the Forced Exile\n, 1975-91] is a testament to that unwanted separation and the implications that borders have on processes of self and communal identity, hybridization and exclusion. \nCome ospiti: Eva ed altri \n(1991) is the last volume of \nCiclo\n and the focus of this essay. The novel is a portrayal of a small community of European refugees gathered in the hills of Berkeley, California. This essay explores two different articulations of coalition politics and borders in \nCome ospiti\n: the first one emphasizes affect, gender and class relationships, and the destructive effects of silencing and social masking, especially in relation to women and motherhood. On another level, and perhaps as a counterpoint to the impermanent female alliances of the story, coalition politics is articulated through the quest for literary interlocutors across national and linguistic borders. The result, I contend, is a liminal literary space molded on a national tradition but set to achieve a transnational status.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Italian Jewish"},{"word":"Italian Literature"},{"word":"Italian American"},{"word":"Transnational literature"},{"word":"affect theory"},{"word":"coalition politics"},{"word":"refugees"},{"word":"Race and ethnicity"},{"word":"Racial laws"},{"word":"Women Studies"},{"word":"Italians in California"}],"section":"Border Imaginaries: Politics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0p82z5nn","frozenauthors":[{"first_name":"Eveljn","middle_name":"","last_name":"Ferraro","name_suffix":"","institution":"Santa Clara University","department":"None"}],"date_submitted":"2019-01-25T20:23:18+02:00","date_accepted":"2019-01-25T20:23:18+02:00","date_published":"2020-04-15T20:43:03+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40785/galley/30564/download/"}]},{"pk":40753,"title":"Dante's Afterlife in Argentina","subtitle":null,"abstract":"In the 1890s, Bartolomé Mitre (President of Argentina from 1862-1868) published a Spanish translation of the \nDivine Comedy\n that\n \nwas as key to the diffusion of Dante in the Río de la Plata as Henry Wadsworth Longfellow’s English translation (1867) was in the U.S. This article examines Mitre’s motives for dedicating a decade of his life to the translation, as well as his mission to bring European (and specifically Italian) high culture to his fledgling nation. I have found Mitre’s reading of Dante to have important resonances with the readings of Risorgimento Italians such as Mazzini, who associated Dante with political unity, morality, and high culture. This study also examines Mitre’s role as an advocate of Italian immigration to Argentina.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Dante"},{"word":"Bartolomé Mitre"},{"word":"Risorgimento"},{"word":"Italian immigration in Argentina"},{"word":"nation-building"}],"section":"Border Imaginaries: Politics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2qq1510s","frozenauthors":[{"first_name":"Heather","middle_name":"R","last_name":"Sottong","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2018-10-05T01:23:46+03:00","date_accepted":"2018-10-05T01:23:46+03:00","date_published":"2020-04-15T20:42:16+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40753/galley/30550/download/"}]},{"pk":40799,"title":"“A invençó do Brasile”: Juó Bananére and Non-Italian Italian literature","subtitle":null,"abstract":"This essay focuses on the fascinating case of Juó Bananére, a comic writer of the Italian diaspora in Brazil, to propose an experiment in how literary historians might conceive of Italian Literature from perspectives immanent to Italy’s various global interactions. By approaching Bananére, a non-Italian, outside of Italy, who chose to write as though he were Italian, in a language only an Italian immigrant could have realistically spoken\n, \nthis essay offers one such perspective.","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":"Border Imaginaries: Genre","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5cx9821v","frozenauthors":[{"first_name":"Nelson","middle_name":"","last_name":"Shuchmacher Endebo","name_suffix":"","institution":"Department of Comparative Literature\nStanford University","department":"None"}],"date_submitted":"2019-07-31T02:54:37+03:00","date_accepted":"2019-07-31T02:54:37+03:00","date_published":"2020-04-15T20:40:20+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40799/galley/30571/download/"}]},{"pk":40780,"title":"La trilogia del naufragio di Lina Prosa (2003-2013) : un teatro tra due frontiere","subtitle":null,"abstract":"Sin dalla fine del XX° secolo l’Italia ha visto arrivare sulle proprie coste centinaia di migliaia di migranti che, rischiando la propria vita, attraversano con mezzi di fortuna il Mediterraneo, frontiera sommersa tra l’Africa e l’Europa, con la speranza di costruire una vita migliore. Molti di questi uomini e di queste donne perdono la vita durante la traversata, altri riescono a raggiungere le spiagge siciliane sotto lo sguardo sorpreso dei turisti italiani e stranieri.\nIn Italia, questi uomini e queste donne sono accolti dalle autorità italiane che li inviano in campi di transito lontani dalle zone urbane. Spesso si ritrovano nel nord della penisola, isolati in valli alpine in attesa che venga esaminata  la loro domanda di asilo. In questi campi sono confrontati a due nuovi ostacoli il più delle volte insormontabili : le Alpi e la neve, esattamente come gli emigranti italiani in \nIl cammino della speranza\n di Pietro Germi che nel dopoguerra cercavano di raggiungere la Francia.\nIl teatro di Lina Prosa drammaturga e regista siciliana (Premio della critica teatrale italiana 2015) fa di questa condizione migratoria contemporanea e della questione della frontiera il fulcro della propria scrittura drammatica. Con \nLa Trilogia del naufragio\n (2003-2012) entrata nel repertorio della \nComédie française\n dal 2011, rappresentata al Piccolo teatro di Milano nel 2016, Lina Prosa dà voce a Shauba e a suo fratello Mohamed confrontati al dramma ed alla violenza della migrazione. \nLampedusa beach\n, \nLampedusa snow\n et \nLampedusa way\n fanno entrare gli spettatori all’interno di questa tragedia umana contemporanea attraverso il punto di vista dei protagonisti della \nTrilogia\n facendo condividere lo sguardo critico con cui osservano la nostra civiltà occidentale, cittadella chiusa nelle proprie frontiere.\nIl nostro studio si propone di analizzare la rappresentazione e il senso della nozione di frontiera nella \nTrilogia del naufragio\n. Ci interrogheremo sui mezzi linguistici che rendono concreta la presenza della frontiera nel teatro di questa autrice siciliana e su alcune soluzioni sceniche adottate per renderla visibile.","language":"it","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"italian Theatre, migration, Lina Prosa"}],"section":"Border Imaginaries: Genre","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6sk7s23x","frozenauthors":[{"first_name":"Francesco","middle_name":"","last_name":"D'Antonio","name_suffix":"","institution":"University of Strasburg (France)","department":"None"}],"date_submitted":"2019-01-15T12:23:34+02:00","date_accepted":"2019-01-15T12:23:34+02:00","date_published":"2020-04-15T20:39:19+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40780/galley/30561/download/"}]},{"pk":40776,"title":"Il visuale italiano nella crisi della cittadinanza. L’Italianness nei dispositivi di cattura neoliberali del “Migrant Cinema”","subtitle":null,"abstract":"L'articolo, adottando un approccio transdisciplinare e intersezionale vicino ai \ncultural studies\n, alla \nvisual culture\n e ai \ncritical migration studies\n, tenta di ricostruire lo spazio di articolazione italiano della crisi discorsiva dello \nspazio europeo\n, analizzando in che modo le produzioni visuali italiane esprimono l'attuale crisi discorsiva della cittadinanza. All’interno del panorama visuale italiano dedicato al tema, alcune produzioni visuali finiscono per ricadere in un sistema di cattura neoliberale di rappresentazione della cittadinanza che qui viene definito ‘Migrollywood’, un sistema che invisibilizza la vita delle nuove generazioni di italiani (\nNew Italians of color\n) all'interno della rappresentazione della migrazione. Attraverso la lettura contrappuntistica di due produzioni visuali del campo artistico-cinematografico: il documentario \n18 Ius Soli\n (2011) del regista italo-ghanese Fred K. Kuwornu e il lungometraggio \nPer un figlio\n (2017) del regista italo-srilankese Suranga D. Katugampala, l'articolo indaga come viene rappresentata l’identità italiana (\nItalianness)\n e in che modo il visuale è in grado di costituire un metodo per una contro-epistemologia di decolonizzazione della cittadinanza e dei suoi confini interni, dislocando il punto di vista privilegiato – di razza, genere, classe, religione, ecc. – del cittadino italiano.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Italianness"},{"word":"visual culture"},{"word":"citizenship"}],"section":"Border Imaginaries: Genre","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7fv8p3tv","frozenauthors":[{"first_name":"Eleonora","middle_name":"","last_name":"Meo","name_suffix":"","institution":"University of Naples \"L'Orientale\"","department":"None"}],"date_submitted":"2019-01-15T01:35:16+02:00","date_accepted":"2019-01-15T01:35:16+02:00","date_published":"2020-04-15T20:36:45+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40776/galley/30559/download/"}]},{"pk":40770,"title":"Concealing African Art: Ardengo Soffici and Carlo Carrà’s Ambivalent Primitivism","subtitle":null,"abstract":"Post-colonial scholarship on Italy is an important field, but has not adequately examined the reception of ‘primitive’ art before and during Fascism.  For instance, Italian primitivism before World War I has been studied, but its implications with respect to colonialism, racism, and the transnational rise of a formalist approach to modernism have yet to be fully explored.  Unfortunately, Italian artists’ disavowal or modification of their primitivism has contributed to this.  In order to remedy this, my paper traces how Ardengo Soffici and Carlo Carrà’s appropriation of African sculpture was replaced by a preference for folk or naïve art in writings and works of art.  I also consider futurist primitivism between the wars, since artists such as Fortunato Depero and Enrico Prampolini also shifted their approach; after the invasion of Ethiopia, their celebration of African-American’s modernity was expelled in order to configure a colonial iconography during late Fascism.  Eventually, racist critics and publications such as La Difesa della razza simultaneously rejected and relied on primitivist avant-gardism, adding yet another layer to this complex dependence.  In general, Italian artists absorbed and later dismissed exotic primitivism, which had been mostly used as a critique of the West, to renew Italian culture according to nationalist conceptions.  The range and number of works that referenced Africa and its culture demonstrates the complex nature of this reliance/disavowal, revealing Italy’s fraught relationship to the exotic.  Moreover, a similar approach that minimized the role of African art within modernism was employed in the United States, which also obscured certain aspects of Italy’s primitivism.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Italian modernism, Italian colonialism, primitivism, Cubism, Futurism, Ardengo Soffici, Carlo Carrà, Fortunato Depero, Enrico Prampolini, Alfred H. Barr, Jr."}],"section":"Border Imaginaries: Genre","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7gc9g00j","frozenauthors":[{"first_name":"Mariana","middle_name":"","last_name":"Aguirre","name_suffix":"","institution":"Instituto de Investigaciones Estéticas, Universidad Nacional Autónoma de México","department":"None"}],"date_submitted":"2019-01-16T02:16:01+02:00","date_accepted":"2019-01-16T02:16:01+02:00","date_published":"2020-04-15T20:36:02+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40770/galley/30555/download/"}]},{"pk":40756,"title":"Re/Writing the Orient:  Ludovico Ariosto’s Orlando Furioso, the Thousand and One Nights, and the Hundred and One Nights","subtitle":null,"abstract":"Canto XXIII marks a tragicomic turning point in the \nOrlando Furioso\n, as the tension sustaining the titular character’s epic stoicism and romantic chivalry falls away to reveal a maniacal anti-hero. This canto’s staging of Orlando’s madness signals a significant extra-textual literary transition, unsettling the binary of medieval and classical literary traditions that Ariosto draws on, and suggesting a novel genre of literary expression. This article explores one avenue by which Ariosto disrupts such ostensible polarities through the dynamic intertextual practice of \nwriting\n and \nrewriting\n the “Orient.”  A close reading of Canto XXVIII’s resounding echoes of the \nThousand and One Nights’\n and the lesser-known \nHundred and One Nights’\n frame tales, illuminates the \nFurioso\n’s double focus upon movement toward and away from Muslim-Arab cultural affiliation, a push-pull that opens a space of difference where literary traditions can converge neither in reconciliation nor domination of one another. In particular, this paper examines how Ariosto’s poem captures the ambiguous hybridity of the medieval Mediterranean as an ever-shifting terrain defined not only by oppositionality and hostility, but also by curiosity, exchange, and alliance.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Orlando Furioso, Thousand and One Nights, Orientalism, hybridity, intertextuality, Mediterranean"}],"section":"Border Imaginaries: Genre","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6td3w8vh","frozenauthors":[{"first_name":"Amanda","middle_name":"","last_name":"Batarseh","name_suffix":"","institution":"University of California, San Diego","department":"None"}],"date_submitted":"2018-11-03T20:31:29+02:00","date_accepted":"2018-11-03T20:31:29+02:00","date_published":"2020-04-15T20:35:22+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40756/galley/30551/download/"}]},{"pk":40793,"title":"Memory, Identity and Migrant Generations: Articulating Italianità in Twentieth- and Twenty-First-Century Northern England through the Case of Kingston upon Hull","subtitle":null,"abstract":"Owing to its geographical location and the collapse of its fishing and shipping industries, the UK city of Kingston upon Hull post-WWII rapidly acquired a reputation as a declining outpost of the British nation with no real links to the rest of the world. Yet, historically, Hull has always been a multicultural city that welcomed different migrant communities. Links with Italy, for instance, date back to the 1500s, as the recent ‘Italian Connections’ exhibition, held in one of the local museums, has shown. This exhibition was then also the opportunity to rediscover and reaffirm the existence of an Italian community in the city. This article presents a selection of stories from members of this community, which emerged during and immediately after the exhibition, as a means of exploring the nature of Hull’s historic Italian community and to analyse the extent to which an ‘Anglo-Italian’ identity emerges in this case. It focuses in particular on two case studies: the Coletta and Bottery families. Hirsh’s notion of post-memory and Bedingfield’s idea of trans-memory are used to investigate how members of these families view their Italian background and construct their identities, how memories are transmitted and “translated” across generations, which external factors impacted on their identity construction, and which image of Italy emerges from their recollections. Being able to discuss their family history matters to this group of people: they see this opportunity both as a mechanism by which to reaffirm their personal histories and heritage and as a way to uncover a hidden aspect of Hull’s past which can impact positively on the city’s future.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Italian community"},{"word":"migrant experience"},{"word":"Hull"},{"word":"postmemory"},{"word":"trans-memory"},{"word":"Anglo-Italian identity"}],"section":"Border Imaginaries: Geographies","is_remote":true,"remote_url":"https://escholarship.org/uc/item/24d3b6xr","frozenauthors":[{"first_name":"Rachel","middle_name":"","last_name":"Haworth","name_suffix":"","institution":"University of Hull","department":"None"},{"first_name":"Laura","middle_name":"","last_name":"Rorato","name_suffix":"","institution":"University of Hull","department":"None"}],"date_submitted":"2019-02-28T14:16:16+02:00","date_accepted":"2019-02-28T14:16:16+02:00","date_published":"2020-04-15T20:26:52+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40793/galley/30569/download/"}]},{"pk":40763,"title":"Viaggio e viaggiatori italiani nel Seicento: relazioni odeporiche per una nuova geografia del vecchio continente","subtitle":null,"abstract":"After the Age of Discovery (XV-XVI), new types of travelers began to replace the great ocean routes to the Indies, with the overland, and more restricted, itineraries of an Old Continent that appeared as a land of new discoveries. Within this process – generally widespread across Europe – the contribution offered by the Italians is still to be defined, often classified as a niche phenomenon, especially compared to the mobility expressed by the rest of the Europeans.\nThrough a quick review of some published and unpublished texts of Seventeenth-century Italian travelers, the article intends to reflect on the Italian participation in travel culture during the early modern age. A completely new image emerges: Italians as dynamic people. Well-integrated in the continental European circuit, they were confident also with the itineraries of Central-Eastern and Northern Europe, lands well-known to them and part of an Italian geography much more extended than we usually know.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Italian travellers"},{"word":"Early Modern Europe"},{"word":"travel history"}],"section":"Border Imaginaries: Geographies","is_remote":true,"remote_url":"https://escholarship.org/uc/item/72h8k2bt","frozenauthors":[{"first_name":"Alessandro","middle_name":"","last_name":"Boccolini","name_suffix":"","institution":"Tuscia University - Viterbo. Italy","department":"None"}],"date_submitted":"2018-11-27T12:06:13+02:00","date_accepted":"2018-11-27T12:06:13+02:00","date_published":"2020-04-15T20:26:10+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40763/galley/30554/download/"}]},{"pk":40786,"title":"Italia come Africa e Africa come Italia: movimenti migratori, confini reali, espansioni immaginarie da S.T. Coleridge a Erri De Luca","subtitle":null,"abstract":"This article tackles the question of the territorial boundaries of “italianità,” i.e. defining a place for Italy, through the analysis of some key moments in its discursive construction in modernity. I begin by summarizing the results of my long-standing research into the origins and diffusion of what is named “meridionism,” claiming that the territorialization of Italian-ness starts with the diffusion of the discursive metaphor of “(Southern) Italy equals Africa” in the 19th century, which fostered the racial profiling of Southern Italians as Africans within. This process, I propose, finds its completion in the present migration movements that have brought about the actual \narrival\n of Africa in Southern Italy. By contrast, the bulk of the article focuses on the discursive reversal of that equation in the prophetic works of Pier Paolo Pasolini’s and Erri De Luca.","language":"it","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":"Border Imaginaries: Geographies","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2d06n74w","frozenauthors":[{"first_name":"Luigi","middle_name":"","last_name":"Cazzato","name_suffix":"","institution":"Other","department":"None"}],"date_submitted":"2019-01-30T18:41:28+02:00","date_accepted":"2019-01-30T18:41:28+02:00","date_published":"2020-04-15T20:23:35+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40786/galley/30565/download/"}]},{"pk":40801,"title":"A Mediterranean Woman Writer from Naples to Tangier: Female Storytelling as Resistance in Elisa Chimenti","subtitle":null,"abstract":"Italian-born author and scholar Elisa Chimenti (Naples 1883—Tangier 1969), still virtually unknown to English-language readers and scholars (and scarcely known to this day even in France and Italy) devoted much of her life’s work to recording and translating the oral traditions of the people, particularly the women, of Morocco, the country where she elected to spend most of her life, living and teaching Italian­ and other languages in Tangier and effectively becoming at once Mediterranean-Italian and \nTangeroise\n. Chimenti’s cosmopolitanism contrasted deeply with Mussolini’s Mediterranean agenda, and the Fascist regime effectively confiscated her school in Tangier. As a young woman, Chimenti traveled extensively across Morocco, eventually mastering several indigenous dialects of Arabic and Berber. Her prodigious linguistic abilities laid the framework for much of her scholarly and literary works, including multiple collections of indigenous folktales, songs, and oral poetry such a \nÈves marocaines\n (1935),\n \nChants de femmes arabes \n(1942), and \nLégendes marocaines\n (1959). She also wrote a series of stories about the European “Petits Blancs,” working-class immigrants, merchants and entrepreneurs–including Italians–who lived and worked in Tangier in the early twentieth century. Chimenti published primarily in French and occasionally Spanish (although she also wrote in Italian), a choice that not only allowed her works to reach a greater readership, but that also reflects the author’s perennial interest—similarly evident in her pedagogical and journalistic endeavors—in facilitating transnational cultural dialogue within and beyond the Mediterranean. Myriad explanatory footnotes and a glossary of Darija Arabic accompany each of her texts and are a testament to the transnational ambitions of Chimenti’s projects. The same is true of the author’s only published novel, \nAu cœur du harem\n (1958), translated into Italian in 2000 as \nAl cuore dell’harem\n. As in her non-fiction texts, Chimenti’s novel blends influences from Jewish, Muslim, Christian, and pre-Muslim North African beliefs and folklore, in a manner that reflects the cultural métissage of Chimenti’s beloved Tangier, at a time when it was a veritable crossroads of the Mediterranean. Though her influences are many and varied, Chimenti’s texts share a recurrent theme: a focus on women’s voices. Female storytelling and song are central to both the poetic rhythm and the plot of her novel, which is a polyphonic tour de force that captures the oral quality of Chimenti’s diverse transnational influences with remarkable poetic dexterity. In this article, we examine Chimenti’s text as a work of feminist Mediterranean literature that presents female storytelling and community as a means of resisting two interrelated forms of violence: domestic abuse and enslavement, as well as the historical silencing of Moroccan women through the exclusion of their voices and stories from public discourse. In situating her novel within a domestic harem, Chimenti also works on a symbolic level to demystify a space where systems of colonial and gender domination have historically coalesced into an Orientalist, voyeuristic narrative. In \nAu cœur du harem\n, this female space is the site of transnational dialogue and debate, where contrasting Mediterranean cultures and value systems intersect, in a manner that reflects the author’s own transnational heritage and 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":[{"word":"Elisa Chimenti"},{"word":"Mediterranean women writers"},{"word":"Italian-Mediterranean"},{"word":"Orientalism"},{"word":"Italy and Morocco"},{"word":"cosmopolitanism"},{"word":"Colonialism and literature"},{"word":"Feminist resistance"},{"word":"Women storytellers"},{"word":"Harem"}],"section":"Border Imaginaries: Geographies","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1739368v","frozenauthors":[{"first_name":"Lucia","middle_name":"","last_name":"Re","name_suffix":"","institution":"UCLA","department":"None"},{"first_name":"Kelly","middle_name":"","last_name":"Roso","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2019-09-04T02:16:15+03:00","date_accepted":"2019-09-04T02:16:15+03:00","date_published":"2020-04-15T20:22:33+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40801/galley/30572/download/"}]},{"pk":40773,"title":"(R)esistenze in conflitto nella narrativa di Anna Messina e Fausta Cialente ambientata ad Alessandria d’Egitto","subtitle":null,"abstract":"In this essay, I examine the ways in which Anna Messina’s and Fausta Cialente’s narratives set in Alexandria, Egypt in the interwar period suggest conflicting representations of Italian identity. Relying on the notion of resistance and the different ways to exist/resist in the porous context of the city, I propose that Messina’s \nCronache del Nilo \nrecreates a monolithic, idealized vision of the Italian identity within Alexandria’s international community. Her characters strenuously oppose any form of relation and contamination in the name of aesthetic, racial, and national superiority nourished by Fascist ideologies. On the other hand, Cialente’s \nBallata levantina \nrepresents more complex and hybrid subjectivities that rebel against the homogenization imposed by Fascist propaganda in the colonial settings.","language":"ita","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Alexandria"},{"word":"Resistance"},{"word":"Italian identity"},{"word":"mobility"},{"word":"Colonial Contexts"}],"section":"Border Imaginaries: Geographies","is_remote":true,"remote_url":"https://escholarship.org/uc/item/67p224k3","frozenauthors":[{"first_name":"Arianna","middle_name":"","last_name":"Fognani","name_suffix":"","institution":"Coastal Carolina University","department":"None"}],"date_submitted":"2019-01-09T02:00:11+02:00","date_accepted":"2019-01-09T02:00:11+02:00","date_published":"2020-04-15T20:20:52+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40773/galley/30557/download/"}]},{"pk":40775,"title":"The Making of Italians in Tunisia: A Biopolitical Colonial Project (1881-1911)","subtitle":null,"abstract":"This essay explores the way in which Italian colonialist imaginary perceived the French protectorate of Tunisia and the Italian migrants settled there. The first part of the paper deals with the relations between French capitals and Italian workforce within Tunisian colonial society. Then I analyse how the colonial regime and the nationalist narratives fostered communitarian fractures breaking the internationalist labor movement. Tunisian case reveales how the diasporas in colonial spaces during the age of high imperialism were interesting political and social laboratories of identities. The paper particularly focuses on how the Tunisian context was a place of peculiar Italian nation-building project based on colonial and racial categories. Italian colonialist imaginary not only included Tunisia in a Greater Italy, but also assessed the Sicilian settlers in French Tunisia as a colonial avant-garde for overseas expansions, especially to Libya. In the end I argue that this Tunisian case study could show us how tight is the link between nation-, race- and class-making processes.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Italians of Tunisia, Colonialism, nation-building"}],"section":"Border Imaginaries: Geographies","is_remote":true,"remote_url":"https://escholarship.org/uc/item/92d594q8","frozenauthors":[{"first_name":"Gabriele","middle_name":"","last_name":"Montalbano","name_suffix":"","institution":"University of Bologna","department":"None"}],"date_submitted":"2019-01-11T18:24:53+02:00","date_accepted":"2019-01-11T18:24:53+02:00","date_published":"2020-04-15T20:07:05+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40775/galley/30558/download/"}]},{"pk":40745,"title":"Passeurs: Narratives of Border Crossing in the Western Alps","subtitle":null,"abstract":"This article focuses on representations of \npasseurs\n: migrant smugglers across the French-Italian and Swiss-Italian borders. I analyze a heterogeneous corpus of novels, films, and essays published between 1990-2017 that refer to different waves of migration, from World War II to the contemporary migration crisis. I argue that these texts complicate and help question the current criminalization of migrant smugglers most often found in the media and political discourses. In particular, I claim that these discourses confuse or dismiss migrants’ experience of border crossing, as they neglect important ethical and legal differences between smuggling and trafficking, humanitarian actors and professional smugglers. The texts I analyze insist on these nuances, enriching our understanding of the human stakes of “illegal” migrations. Through the analysis of literature and film, I present figures of migrant smugglers who have operated illegally to facilitate migrants, but who must not be confused with human traffickers. For example, in his bio-fiction \nIl vuoto alle spalle\n (1999), journalist Marco A. Ferrari gives an uplifting, idealized portrayal of Ettore Castiglioni, an Anti-Fascist Alpinist active during World War II, who smuggled Italian Jews and political opponents to the Fascist regime to Switzerland, including the second President of the Italian Republic, Luigi Einaudi. Francesco Biamonti, who lived at the French-Italian border and was a prolific novelist in the 1980s and 1990s, insists on the professionalism of smugglers who have been traditionally present in the Western Alps. In particular, Biamonti stresses that good passeurs are those who never put the life of their clients (migrants) at risk. Novels such as \nVento largo\n (1991) and \nLe parole la notte\n (1994) not only point at the negative effects of globalization in Liguria (Italy), but also lament Europeans’ lack of attention to and understanding of increasing migratory flows, well before the media started talking about a migrant “crisis.” Lastly, I present the work of journalists who occasionally performed the role of “humanitarian smugglers” and later reported their experience in written or cinematic form: \nIo sto con la sposa\n, by Gabriele del Grande, Khaled Soliman Al Nassiry, and Antonio Augugliaro (2014); \nPasseur\n, by Raphaël Krafft (2017). These works express the authors’ need to reconnect with the professional and anti-Fascist tradition of passeurs in the Western Alps, at a time when there is no alternative to “illegal” border crossing for too many migrants.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Western Alps"},{"word":"French-Italian Border"},{"word":"Swiss-Italian Border, Ventimiglia, Border Crossing"},{"word":"migration"},{"word":"Passeur"},{"word":"Migrant Smuggling"},{"word":"Anti-Fascism"}],"section":"Border Imaginaries: Geographies","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4304j4hx","frozenauthors":[{"first_name":"Federica","middle_name":"","last_name":"Di Blasio","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2018-07-05T19:01:16+03:00","date_accepted":"2018-07-05T19:01:16+03:00","date_published":"2020-04-15T20:01:52+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40745/galley/30547/download/"}]},{"pk":810,"title":"Portal Venous Thrombosis Associated with Use of  Etonogestrel/ethinyl Estradiol Vaginal Ring","subtitle":null,"abstract":"Introduction: Portal venous thrombosis is a life-threatening cause of abdominal pain. In younger patients, heritable thrombophilias, pregnancy, tobacco use, and oral contraceptives are associated.\nCase Report: A 26-year-old woman prescribed contraceptive vaginal ring presented with abdominal pain and was diagnosed with an extensive portal venous thrombosis. Management included heparin and later an oral anticoagulant with good short-term outcome.\nDiscussion: Women using hormonal contraception are approximately four times more likely to develop thromboembolism. Risk of thromboembolism is similar between users of intravaginal and oral contraceptives.\nConclusion: Portal venous thrombosis must be considered in women presenting with abdominal pain who are prescribed hormonal contraceptives, including intravaginal forms.","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":"portal venous thrombosis"},{"word":"etonogestrel/ ethinyl vaginal ring"},{"word":"contraception"},{"word":"complications"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3qk5d0hp","frozenauthors":[{"first_name":"Katelynn","middle_name":"E.","last_name":"Bailey","name_suffix":"","institution":"Charleston Area Medical Center, Department of Emergency Medicine, Charleston, West Virginia","department":"None"},{"first_name":"Michael","middle_name":"J.","last_name":"Tranovich","name_suffix":"","institution":"Allegheny Health Network, Department of Emergency Medicine, Canonsburg, Pennsylvania","department":"None"}],"date_submitted":"2020-04-15T01:15:47+03:00","date_accepted":"2020-04-15T01:15:47+03:00","date_published":"2020-04-15T01:16:45+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/810/galley/563/download/"}]},{"pk":809,"title":"Brugada Syndrome: Presentation and Management of the Atypical Patient in the Emergent Setting","subtitle":null,"abstract":"Introduction: Brugada syndrome is a genetic disorder of the heart’s electrical system that increases a patient’s risk of sudden cardiac death. It is a syndrome most prevalent in Southeast Asians and is found 36 times more commonly in Asians than in Hispanics.\nCase Report: We report and discuss a case of a 68-year-old Hispanic male who presented with clinical and electrocardiogram abnormalities consistent with Brugada syndrome.\nDiscussion: The patient’s age and ethnicity represents an atypical presentation of this rare syndrome and the lack of reported studies in the literature pertaining to these demographics reflect this.\nConclusion: Further studies and characterizations are necessary as manifestations continue to be unearthed. As such, Brugada Syndrome should be considered in the differential diagnosis for a myriad of patient populations.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"syncope"},{"word":"ventricular tachycardia"},{"word":"ventricular fibrillation"},{"word":"emergency department"},{"word":"sudden cardiac death"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8753n5rn","frozenauthors":[{"first_name":"Alexander","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan","department":"None"},{"first_name":"Mario","middle_name":"","last_name":"Flores","name_suffix":"","institution":"Burrell College of Osteopathic Medicine at New Mexico State University, Department of Emergency Medicine, Las Cruces, New Mexico","department":"None"},{"first_name":"Vilmogil","middle_name":"","last_name":"Tano","name_suffix":"","institution":"Burrell College of Osteopathic Medicine at New Mexico State University, Department of Emergency Medicine, Las Cruces, New Mexico","department":"None"}],"date_submitted":"2020-04-15T01:09:37+03:00","date_accepted":"2020-04-15T01:09:37+03:00","date_published":"2020-04-15T01:10:29+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/809/galley/562/download/"}]},{"pk":808,"title":"Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department","subtitle":null,"abstract":"Introduction: Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality.\nCase Report: We present a case of spontaneous CAD presenting with the classic intermittent “lightning-like” jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED.\nDiscussion: Coincidentally the patient had been started on anticoagulation a few days prior and no additional intervention was required.\nConclusion: This case report discusses current recommendations for diagnosis, treatment, and long-term prognosis of CAD.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Carotid Artery Dissection"},{"word":"Trigeminal Neuralgia"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55z37345","frozenauthors":[{"first_name":"Robert","middle_name":"","last_name":"Look","name_suffix":"","institution":"Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois","department":"None"},{"first_name":"Thomas","middle_name":"J.","last_name":"Terlau","name_suffix":"","institution":"Midwestern University, Chicago College of Osteopathic Medicine, Downers Grove, Illinois","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Misek","name_suffix":"","institution":"Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois; Midwestern University, Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois","department":"None"}],"date_submitted":"2020-04-15T01:01:30+03:00","date_accepted":"2020-04-15T01:01:30+03:00","date_published":"2020-04-15T01:02:25+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/808/galley/561/download/"}]},{"pk":807,"title":"Low Back Pain and Swelling as an  Atypical Presentation of IgA Vasculitis","subtitle":null,"abstract":"Introduction: Immunoglobulin A vasculitis (IgA vasculitis), formerly Henoch-Schonlein purpura, is the most common vasculitis in children.\nCase Report: A 6-year-old female presented with low back pain and swelling, difficulty ambulating, and rash two weeks after a respiratory infection. She was approached with a broad differential and ultimately diagnosed with IgA vasculitis.\nDiscussion: Cutaneous manifestations, arthralgias, renal and gastrointestinal involvement are the most common presenting signs of IgA vasculitis. Only two cases of IgA vasculitis associated with lumbar pain and swelling were identified in the literature.\nConclusion: While rash and joint pain are common presenting signs of IgA vasculitis, practitioners should be aware it can present atypically.","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":"IgA vasculitis"},{"word":"Henoch-Schonlein purpura"},{"word":"HSP"},{"word":"lumbar swelling"}],"section":"ACOEP Case Reports (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5044r0h1","frozenauthors":[{"first_name":"Clay","middle_name":"T.","last_name":"Winkler","name_suffix":"","institution":"Prisma Health - University of South Carolina School of Medicine, Department of Emergency Medicine, Columbia, South Carolina","department":"None"},{"first_name":"Raymond","middle_name":"W.","last_name":"Dobson","name_suffix":"","institution":"West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia","department":"None"},{"first_name":"Michael","middle_name":"J.","last_name":"Tranovich","name_suffix":"","institution":"Ohio Valley Medical Center, Department of Emergency Medicine, Wheeling, West Virginia","department":"None"}],"date_submitted":"2020-04-15T00:51:44+03:00","date_accepted":"2020-04-15T00:51:44+03:00","date_published":"2020-04-15T00:52:57+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/807/galley/560/download/"}]},{"pk":13671,"title":"15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic","subtitle":null,"abstract":"The maintenance of well-being, healthcare, and social connection is crucial for older adults (OA) and has become a topic of debate as much of the world faces lockdown during the coronavirus disease 2019 (COVID-19) pandemic. OAs have been advised to isolate themselves because they are at higher risk for developing serious complications from severe acute respiratory syndrome coronavirus 2. Additionally, nursing homes and assisted-living facilities across the country have closed their doors to visitors to protect their residents. Mobile technology (MT) such as applications (apps) could provide a valuable tool to help families stay connected, and to help OAs maintain mobility and link them to resources that encourage physical and mental well-being. Apps could address cognitive, visual, and hearing impairments. Our objective was to narratively summarize 15 apps that address physical and cognitive limitations and have the potential to improve OAs’ quality of life, especially during social distancing or self-quarantine.","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":"Mobile Application"},{"word":"aged"},{"word":"Telemedicine"},{"word":"information technology"},{"word":"Gerontechnology"},{"word":"COVID-19"},{"word":"Social Distancing"},{"word":"Self-Quarantine"},{"word":"Vulnerable Population"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/75r2d6qb","frozenauthors":[{"first_name":"Swechya","middle_name":"","last_name":"Banskota","name_suffix":"","institution":"The Warren Alpert Medical School of Brown University, Providence, Rhode Island","department":"None"},{"first_name":"Margaret","middle_name":"","last_name":"Healy","name_suffix":"","institution":"Johnson & Wales University, Providence, Rhode Island","department":"None"},{"first_name":"Elizabeth","middle_name":"M.","last_name":"Goldberg","name_suffix":"","institution":"The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island\nBrown University School of Public Health, Department of Health Services, Practice and Policy, Providence, Rhode Island","department":"None"}],"date_submitted":"2020-03-23T23:25:19+02:00","date_accepted":"2020-03-23T23:25:19+02:00","date_published":"2020-04-14T23:39:14+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13671/galley/7137/download/"}]},{"pk":806,"title":"Cardiac Memory-induced T-wave Inversions","subtitle":null,"abstract":"Introduction: Cardiac memory refers to T-wave inversions that result when normal ventricular activation resumes following a period of abnormal ventricular activation.\nCase Report: We present a case of a 29-year-old man with a pacemaker who presented with new, deep symmetric T-wave inversions caused by cardiac memory.\nDiscussion: Abnormal ventricular activation is most commonly induced by ventricular pacing but can also occur in the setting of transient left bundle branch blocks, ventricular tachycardia, and intermittent ventricular pre-excitation.\nConclusion: Recognition of this phenomenon may help to reduce unnecessary admissions, cardiac testing, and cardiac catheterizations.","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":"ECG"},{"word":"cardiac memory"},{"word":"T-wave inversions"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6551s4dv","frozenauthors":[{"first_name":"Sara","middle_name":"C.","last_name":"Polito","name_suffix":"","institution":"McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Jonathan","middle_name":"A.","last_name":"Giordano","name_suffix":"","institution":"McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Benjamin","middle_name":"L.","last_name":"Cooper","name_suffix":"","institution":"McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), Department of Emergency Medicine, Houston, Texas","department":"None"}],"date_submitted":"2020-04-14T23:05:19+03:00","date_accepted":"2020-04-14T23:05:19+03:00","date_published":"2020-04-14T23:06:26+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/806/galley/559/download/"}]},{"pk":44922,"title":"Thyrotoxicosis Induced Non-Cardiogenic Pulmonary Edema Requiring Extracorporeal Membrane Oxygenation","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4td5z4rf","frozenauthors":[{"first_name":"Adam","middle_name":"","last_name":"Custer","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Annapoorna","middle_name":"","last_name":"Chirra","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Birenda","middle_name":"","last_name":"Sah","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T22:01:22+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44922/galley/33715/download/"}]},{"pk":44921,"title":"Late Presentation of a Prosthetic Joint Infection","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7p0925bc","frozenauthors":[{"first_name":"Elaine","middle_name":"","last_name":"Parker","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:58:35+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44921/galley/33714/download/"}]},{"pk":44920,"title":"A Case of E-Cigarette, or Vaping, Product Use-Associated Lung Injury","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6m87q7v6","frozenauthors":[{"first_name":"Rajan","middle_name":"","last_name":"Patel","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Veronica","middle_name":"","last_name":"Ramirez","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:56:22+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44920/galley/33713/download/"}]},{"pk":44919,"title":"Renal Tuberculosis Presenting as Back Pain and Renal Failure","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0kt788mq","frozenauthors":[{"first_name":"Christine","middle_name":"","last_name":"Dang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:53:46+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44919/galley/33712/download/"}]},{"pk":796,"title":"Open Dorsal Proximal Interphalangeal Dislocation","subtitle":null,"abstract":"We report a case of a 44-year-old male with an uncommon case of an open dorsal proximal interphalangeal (PIP) dislocation. Although open PIP dislocations are often volar, dorsal dislocations are fraught with complications due to the potential for infection and damage to supportive structures. Features of this case are discussed together with its implications, including lack of standardized management in the literature, use of a closed reduction following copious irrigation, and requirement for antibiotic use.","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":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5hx9h354","frozenauthors":[{"first_name":"Ryan","middle_name":"","last_name":"Derrah","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"},{"first_name":"Cameron","middle_name":"","last_name":"Wolterstorff","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"}],"date_submitted":"2020-03-03T03:47:48+02:00","date_accepted":"2020-03-03T03:47:48+02:00","date_published":"2020-04-14T21:52:06+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/796/galley/550/download/"}]},{"pk":44918,"title":"Unexpected Detection of a Basal Cell Carcinoma: Examining the Evidence for Fitzpatrick Skin Typing, Clinical Visual Skin Examination, and Behavioral Counseling for Skin Cancer Prevention in Clinical Practice","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sh5s29t","frozenauthors":[{"first_name":"S.","middle_name":"Anjani","last_name":"Mattai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:51:39+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44918/galley/33711/download/"}]},{"pk":44917,"title":"Multiple Myeloma Presenting as Abnormal Liver Tests","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2ds5q723","frozenauthors":[{"first_name":"Steven","middle_name":"A.","last_name":"Kind","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Shahryar","middle_name":"","last_name":"Ashouri","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:48:56+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44917/galley/33710/download/"}]},{"pk":44916,"title":"Creutzfeldt-Jakob Disease in an Emergency Department Patient","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6vh0n574","frozenauthors":[{"first_name":"Sean","middle_name":"","last_name":"Treacy-Abarca","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Hannah","middle_name":"","last_name":"Wallace","name_suffix":"MD, MPH","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Richelle","middle_name":"J.","last_name":"Cooper","name_suffix":"MD, MSHS","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:46:42+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44916/galley/33709/download/"}]},{"pk":44915,"title":"Refractory Heartburn – When the Purple Pill Doesn’t Work","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/67d5x847","frozenauthors":[{"first_name":"Lynn","middle_name":"","last_name":"Connolly","name_suffix":"MD, MSCR","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Mary","middle_name":"","last_name":"Farid","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:43:19+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44915/galley/33708/download/"}]},{"pk":44914,"title":"Carcinoma en cuirasse","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4mk5k92p","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Liue","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Mengjun","middle_name":"","last_name":"Hu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:40:51+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44914/galley/33707/download/"}]},{"pk":44913,"title":"Coccidioidal Meningitis Presenting as Post-operative Altered Mental Status","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2k27b0pr","frozenauthors":[{"first_name":"Christine","middle_name":"","last_name":"Dang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Hoanglong","middle_name":"","last_name":"Nguyen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:36:19+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44913/galley/33706/download/"}]},{"pk":44912,"title":"Obscure GI Bleeding in a Young Male","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/63f0t9h4","frozenauthors":[{"first_name":"Mary","middle_name":"","last_name":"Farid","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Lynn","middle_name":"","last_name":"Connolly","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:34:05+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44912/galley/33705/download/"}]},{"pk":44911,"title":"Rare Presentation of Cutaneous Stevens-Johnson/ Toxic Epidermal Necrolysis-Like Lupus Erythematosus","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0q3547qp","frozenauthors":[{"first_name":"Christine","middle_name":"","last_name":"Dang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Matthew","middle_name":"","last_name":"McCullough","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:26:00+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44911/galley/33704/download/"}]},{"pk":44910,"title":"Opioid Induced Noncardiogenic Pulmonary Edema, A Growing Concern","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/002240vn","frozenauthors":[{"first_name":"Matthew","middle_name":"","last_name":"McCullough","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Christine","middle_name":"","last_name":"Dang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:16:56+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44910/galley/33703/download/"}]},{"pk":44909,"title":"Helminths Infection Presenting as Iron Deficiency Anemia","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5rm9g6fc","frozenauthors":[{"first_name":"Christine","middle_name":"","last_name":"Dang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-14T21:14:06+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44909/galley/33702/download/"}]},{"pk":13591,"title":"HIPAA vs. CIPA (California Invasion of Privacy Act): Are Physicians Protected from Live Social Media Streaming in the Emergency Department?","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":"Ethical and Legal Issues","is_remote":true,"remote_url":"https://escholarship.org/uc/item/34k6w40w","frozenauthors":[{"first_name":"Nicolas","middle_name":"T.","last_name":"Sawyer","name_suffix":"","institution":"University of California, Davis, Department of Emergency Medicine, Davis, California","department":"None"},{"first_name":"Maria","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"}],"date_submitted":"2020-02-20T00:45:49+02:00","date_accepted":"2020-02-20T00:45:49+02:00","date_published":"2020-04-14T02:34:22+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13591/galley/7109/download/"}]},{"pk":13242,"title":"Can Emergency Physicians Perform Carotid Artery Point-of-Care Ultrasound to Detect Stenosis in Patients with TIA and Stroke? A Pilot Study","subtitle":null,"abstract":"Introduction:\n Patients with severe, symptomatic carotid stenosis can have their subsequent stroke risk reduced by surgical intervention if performed soon after a transient ischemic attack (TIA) or stroke. Patients presenting to an emergency department (ED) without computed tomography angiography (CTA) with TIA/stroke, may require transfer to another hospital for imaging to rule out carotid artery stenosis. The objective of this study was to determine the test characteristics of carotid artery point-of-care ultrasound (POCUS) in detecting greater than 50% stenosis in patients presenting with TIA/stroke.\nMethods: \nWe conducted a prospective cohort study on a convenience sample of adult patients presenting to a comprehensive stroke centre with TIA or stroke between June–October 2017. Carotid POCUS was performed. Primary outcome measure, stenosis ≥ 50%, was determined by the final radiology report of CTA. A blinded POCUS expert separately reviewed the archived carotid POCUS scans. We calculated sensitivity and specificity for stenosis ≥ 50%.\nResults:\n We conducted POCUS on 75 patients, of which 70 were included in our analyses. Of those 70, 14.3% were diagnosed with greater than 50% stenosis. Carotid POCUS performed as follows: sensitivity 70.0% (95% confidence interval [CI], 34.8%-93.3%); specificity 86.7% (95% CI, 75.4%-94.1%); positive likelihood ratio (LR +) 5.3 (95% CI, 1.2-9.3); negative likelihood ratio (LR -) 0.4 (95% CI, 0.0-0.7). The inter-rater reliability between POCUS performer interpretation and expert interpretation had moderate agreement (k = 0.68). Scans took a mean 6.2 ± 2.2 minutes to complete.\nConclusion: \nCarotid POCUS has low to moderate association with CTA for detection of carotid artery stenosis ≥ 50%. Further research and investigation is needed prior to widespread use of carotid POCUS in patients with acute cerebral ischemia. Additionally, external validity is likely affected by availability of training, maintenance of competency, and experience in more rural centres.","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":"stroke, TIA, Point-of-care ultrasound"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3v26z1qb","frozenauthors":[{"first_name":"Robert","middle_name":"","last_name":"Suttie","name_suffix":"","institution":"University of Ottawa, Department of Emergency Medicine, Ontario, Canada","department":"None"},{"first_name":"Michael","middle_name":"Y.","last_name":"Woo","name_suffix":"","institution":"University of Ottawa, Department of Emergency Medicine, Ontario, Canada;\nThe Ottawa Hospital Research Institute, Ontario, Canada","department":"None"},{"first_name":"Lily","middle_name":"","last_name":"Park","name_suffix":"","institution":"University of Ottawa, Department of Emergency Medicine, Ontario, Canada","department":"None"},{"first_name":"Marie-Joe","middle_name":"","last_name":"Nemnom","name_suffix":"","institution":"The Ottawa Hospital Research Institute, Ontario, Canada","department":"None"},{"first_name":"Grant","middle_name":"","last_name":"Stotts","name_suffix":"","institution":"The Ottawa Hospital Research Institute, Ontario, Canada;\nUniversity of Ottawa, Department of Medicine, Division of Neurology, Ontario, Canada","department":"None"},{"first_name":"Jeffrey","middle_name":"J.","last_name":"Perry","name_suffix":"","institution":"University of Ottawa, Department of Emergency Medicine, Ontario, Canada;\nThe Ottawa Hospital Research Institute, Ontario, Canada","department":"None"}],"date_submitted":"2019-09-10T16:44:22+03:00","date_accepted":"2019-09-10T16:44:22+03:00","date_published":"2020-04-14T02:30:45+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13242/galley/6972/download/"}]},{"pk":13219,"title":"Presyncope Is Associated with Intensive Care Unit Admission in Emergency Department Patients with Acute Pulmonary Embolism","subtitle":null,"abstract":"Introduction:\n Syncope is common among emergency department (ED) patients with acute pulmonary embolism (PE) and indicates a higher acuity and worse prognosis than in patients without syncope. Whether presyncope carries the same prognostic implications has not been established. We compared incidence of intensive care unit (ICU) admission in three groups of ED PE patients: those with presyncope; syncope; and neither.\nMethods: \nThis retrospective cohort study included all adults with acute, objectively confirmed PE in 21 community EDs from January 2013–April 2015. We combined electronic health record extraction with manual chart abstraction. We used chi-square test for univariate comparisons and performed multivariate analysis to evaluate associations between presyncope or syncope and ICU admission from the ED, reported as adjusted odds ratios (aOR) with 95% confidence intervals (CI).\nResults:\n Among 2996 PE patients, 82 (2.7%) had presyncope and 109 (3.6%) had syncope. ICU admission was similar between groups (presyncope 18.3% vs syncope 25.7%) and different than their non-syncope counterparts (either 22.5% vs neither 4.7%; p<0.0001). On multivariate analysis, both presyncope and syncope were independently associated with ICU admission, controlling for demographics, higher-risk PE Severity Index (PESI) class, ventilatory support, proximal clot location, and submassive and massive PE classification: presyncope, aOR 2.79 (95% CI, 1.40, 5.56); syncope, aOR 4.44 (95% CI 2.52, 7.80). These associations were only minimally affected when excluding massive PE from the model. There was no significant interaction between either syncope or presyncope and PESI, submassive or massive classification in predicting ICU admission.\nConclusion:\n Presyncope appears to carry similar strength of association with ICU admission as syncope in ED patients with acute PE. If this is confirmed, clinicians evaluating patients with acute PE may benefit from including presyncope in their calculus of risk assessment and site-of-care decision-making.","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":"pulmonary embolism, syncope, risk adjustment"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/13j1b5rw","frozenauthors":[{"first_name":"David","middle_name":"R.","last_name":"Vinson","name_suffix":"","institution":"The Permanente Medical Group, Oakland, California;\nKaiser Permanente Division of Research, Oakland, California;\nKaiser Permanente Sacramento Medical Center, Department of Emergency Medicine, Sacramento, California","department":"None"},{"first_name":"Darcy","middle_name":"C.","last_name":"Engelhart","name_suffix":"","institution":"University of California, San Diego, La Jolla, California","department":"None"},{"first_name":"Disha","middle_name":"","last_name":"Bahl","name_suffix":"","institution":"St. George’s University, School of Medicine, Grenada, West Indies","department":"None"},{"first_name":"Alisha","middle_name":"A.","last_name":"Othieno","name_suffix":"","institution":"University of California, Davis, School of Medicine, Sacramento, California","department":"None"},{"first_name":"Ashley","middle_name":"S.","last_name":"Abraham","name_suffix":"","institution":"University of California, Davis, School of Medicine, Sacramento, California","department":"None"},{"first_name":"Jie","middle_name":"","last_name":"Huang","name_suffix":"","institution":"Kaiser Permanente Division of Research, Oakland, California","department":"None"},{"first_name":"Mary","middle_name":"E.","last_name":"Reed","name_suffix":"","institution":"Kaiser Permanente Division of Research, Oakland, California","department":"None"},{"first_name":"William","middle_name":"P.","last_name":"Swanson","name_suffix":"","institution":"University of California, Davis, School of Medicine, Sacramento, California;\nKaiser Permanente San Diego Medical Center, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Victoria","middle_name":"A.","last_name":"Clague","name_suffix":"","institution":"The Permanente Medical Group, Oakland, California;\nKaiser Permanente San Rafael Medical Center, Department of Radiology, San Rafael, California","department":"None"},{"first_name":"Dale","middle_name":"M.","last_name":"Cotton","name_suffix":"","institution":"The Permanente Medical Group, Oakland, California;\nKaiser Permanente South Sacramento Medical Center, Department of Emergency Medicine, Sacramento, California","department":"None"},{"first_name":"William","middle_name":"C.","last_name":"Krauss","name_suffix":"","institution":"Kaiser Permanente San Diego Medical Center, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Dustin","middle_name":"G.","last_name":"Mark","name_suffix":"","institution":"The Permanente Medical Group, Oakland, California;\nKaiser Permanente Division of Research, Oakland, California;\nKaiser Permanente Oakland Medical Center, Department of Emergency Medicine, Oakland, California","department":"None"}],"date_submitted":"2019-08-30T22:18:18+03:00","date_accepted":"2019-08-30T22:18:18+03:00","date_published":"2020-04-14T01:52:45+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13219/galley/6961/download/"}]},{"pk":13381,"title":"Appropriateness of Antibiotic Prescriptions for Urinary Tract Infections","subtitle":null,"abstract":"Introduction: \nUrinary tract infections (UTI) are a common indication for antibiotic use in the emergency department (ED). With antibiotic resistance on the rise, it is essential that antibiotics be prescribed appropriately for UTIs. Our objective was to evaluate the appropriateness of antibiotic prescriptions by ED providers for uncomplicated cystitis and pyelonephritis.\nMethods:\n We conducted a retrospective study of females ages 2-50 years seen in an academic ED from January 2017 to April 2018 diagnosed with UTI. We assessed the appropriateness of discharge antibiotic prescriptions, as determined by adherence to clinical practice guidelines, best evidence for the particular indication (cystitis vs pyelonephritis for children and adults), and the local antibiogram.\nResults: \nA total of 421 patients were included in this study. Of these, 60 children and 198 adults were diagnosed with cystitis, and 47 children and 116 adults were diagnosed with pyelonephritis. Treatment in the absence of true infection was common, with culture-confirmed UTI occurring in only 17/50 (34%) of children and 60/129 (47%) of adults diagnosed with cystitis, and 23/40 (58%) of children and 58/87 (67%) of adults diagnosed with pyelonephritis, among patients who had urine cultures. The type of antibiotic prescribed was appropriate in 53/60 (88%) of children and 135/198 (68%) of adults with cystitis, and 38/47 (81%) of children and 53/116 (46%) of adults with pyelonephritis. The most common inappropriate antibiotic types were beta-lactams in adults (n = 92), nitrofurantoin for pyelonephritis (n = 16), and amoxicillin (n = 15). Dosing and duration errors were also common, occurring in 122/279 (44%) of prescriptions of an appropriate antibiotic type. The frequency of errors in the type of antibiotic prescribed was similar among provider types (attending physician, resident physician, and advanced practice clinician; p = 0.926).\nConclusion: \nThis study reveals room for improvement in antibiotic prescription practices across provider cohorts in the ED for the management of uncomplicated cystitis and pyelonephritis in females.","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":"Urinary Tract Infection"},{"word":"antibiotic"},{"word":"antimicrobial"},{"word":"dosing"},{"word":"Duration"},{"word":"Resistance"},{"word":"Stewardship"},{"word":"Prescription"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/56d2103s","frozenauthors":[{"first_name":"Paige","middle_name":"","last_name":"Chardavoyne","name_suffix":"","institution":"Pennsylvania State College of Medicine, Hershey, Pennsylvania","department":"None"},{"first_name":"Kathryn","middle_name":"E.","last_name":"Kasmire","name_suffix":"","institution":"Pennsylvania State College of Medicine, Hershey, Pennsylvania;\nPenn State Health Milton S. Hershey Medical Center, Division of Emergency Medicine, Hershey, Pennsylvania","department":"None"}],"date_submitted":"2019-11-20T22:24:20+02:00","date_accepted":"2019-11-20T22:24:20+02:00","date_published":"2020-04-14T01:38:06+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13381/galley/7024/download/"}]},{"pk":13369,"title":"Oncologic Emergencies: Immune-Based Cancer  Therapies and Complications","subtitle":null,"abstract":"Cancer therapies have undergone several recent advancements. Current cancer treatments include immune-based therapies comprised of checkpoint inhibitors, and adoptive immunotherapy; each treatment has the potential for complications that differ from chemotherapy and radiation. This review evaluates immune-based therapies and their complications for emergency clinicians. Therapy complications include immune-related adverse events (irAE), cytokine release syndrome (CRS), autoimmune toxicity, and chimeric antigen receptor (CAR) T-cell-related encephalopathy syndrome (CRES). Immune-related adverse events are most commonly encountered with checkpoint inhibitors and include dermatologic complications, pneumonitis, colitis/diarrhea, hepatitis, and endocrinopathies. Less common irAEs include nephritis, myocardial injury, neurologic toxicity, ocular diseases, and musculoskeletal complications. CRS and CRES are more commonly associated with CAR T-cell therapy. CRS commonly presents with flu-like illness and symptoms resembling sepsis, but severe myocardial and pulmonary disease may occur. Critically ill patients require resuscitation, broad-spectrum antibiotics, and hematology/oncology consultation.","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":"Cancer"},{"word":"malignancy"},{"word":"immune-based"},{"word":"therapy"},{"word":"adverse effects"},{"word":"Immunotherapy"},{"word":"checkpoint inhibitor"},{"word":"CAR T"}],"section":"Clinical Practice","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8hm46787","frozenauthors":[{"first_name":"Brit","middle_name":"Jeffrey","last_name":"Long","name_suffix":"","institution":"Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, Texas","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Brém","name_suffix":"","institution":"University of California, Irvine Health, Division of Hematology/Oncology, Orange, California","department":"None"},{"first_name":"Alex","middle_name":"","last_name":"Koyfman","name_suffix":"","institution":"The University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas","department":"None"}],"date_submitted":"2019-11-16T04:44:10+02:00","date_accepted":"2019-11-16T04:44:10+02:00","date_published":"2020-04-14T01:29:26+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13369/galley/7018/download/"}]},{"pk":12220,"title":"Impact of Hurricane Harvey on Healthcare Utilization and Emergency Department Operations","subtitle":null,"abstract":"Introduction: \nHurricanes have increased in severity over the past 35 years, and climate change has led to an increased frequency of catastrophic flooding. The impact of floods on emergency department (ED) operations and patient health has not been well studied. We sought to detail challenges and lessons learned from the severe weather event caused by Hurricane Harvey in Houston, Texas, in August 2017.\nMethods: \nThis report combines narrative data from interviews with retrospective data on patient volumes, mode of arrival, and ED lengths of stay (LOS). We compared the five-week peri-storm period for the 2017 hurricane to similar periods in 2015 and 2016.\nResults: \nFor five days, flooding limited access to the hospital, with a consequent negative impact on provider staffing availability, disposition and transfer processes, and resource consumption. Interruption of patient transfer capabilities threatened patient safety, but flexibility of operations prevented poor outcomes. The total ED patient census for the study period decreased in 2017 (7062 patients) compared to 2015 (7665 patients) and 2016 (7770) patients). Over the five-week study period, the arrival-by-ambulance rate was 12.45% in 2017 compared to 10.1% in 2016 (p < 0.0001) and 13.7% in 2015 (p < 0.0001). The median ED length of stay (LOS) in minutes for admitted patients was 976 minutes in 2015 (p < 0.0001) compared to 723 minutes in 2016 and 591 in 2017 (p < 0.0001). For discharged patients, median ED LOS was 336 minutes in 2016 compared to 356 in 2015 (p < 0.0001) and 261 in 2017 (p < 0.0001). Median boarding time for admitted ED patients was 284 minutes in 2016 compared to 470 in 2015 (p < 0.0001) and 234.5 in 2017 (p < 0.001). Water damage resulted in a loss of 133 of 179 inpatient beds (74%). Rapid and dynamic ED process changes were made to share ED beds with admitted patients and to maximize transfers post-flooding to decrease ED boarding times.\nConclusion: \nA number of pre-storm preparations could have allowed for smoother and safer ride-out functioning for both hospital personnel and patients. These measures include surplus provisioning of staff and supplies to account for limited facility access. During a disaster, innovative flexibility of both ED and hospital operations may be critical when disposition and transfer capibilities or bedding capacity are compromised.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"emergency medicine, disaster medicine, emergency department operations, disaster planning"}],"section":"Disaster Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6vt5r1h2","frozenauthors":[{"first_name":"Kimberly","middle_name":"A.","last_name":"Chambers","name_suffix":"","institution":"McGovern Medical School at UTHealth, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Irfan","middle_name":"","last_name":"Husain","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia","department":"None"},{"first_name":"Yashwant","middle_name":"","last_name":"Chathampally","name_suffix":"","institution":"McGovern Medical School at UTHealth, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Alan","middle_name":"","last_name":"Vierling","name_suffix":"","institution":"Lyndon B. Johnson Hospital, Harris Health System, Houston, Texas","department":"None"},{"first_name":"Marylou","middle_name":"","last_name":"Cardenas-Turanzas","name_suffix":"","institution":"McGovern Medical School at UTHealth, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Fanni","middle_name":"","last_name":"Cardenas","name_suffix":"","institution":"McGovern Medical School at UTHealth, Houston, Texas","department":"None"},{"first_name":"Kunal","middle_name":"","last_name":"Sharma","name_suffix":"","institution":"McGovern Medical School at UTHealth, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Samuel","middle_name":"","last_name":"Prater","name_suffix":"","institution":"McGovern Medical School at UTHealth, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Rogg","name_suffix":"","institution":"McGovern Medical School at UTHealth, Department of Emergency Medicine, Houston, Texas","department":"None"}],"date_submitted":"2018-09-26T16:57:08+03:00","date_accepted":"2018-09-26T16:57:08+03:00","date_published":"2020-04-14T01:24:42+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12220/galley/6527/download/"}]},{"pk":13235,"title":"Ultrasound Identification of Retrobulbar Hematomas by Emergency Physicians in a Cadaveric Model","subtitle":null,"abstract":"Introduction:\n Retrobulbar hemorrhage (RBH) is a rare complication of facial trauma that can lead to dangerous orbital compartment pressures and must be rapidly recognized to prevent permanent vision loss. Point-of-care ultrasound (POCUS) offers a rapid modality for evaluating a wide variety of ocular pathologies, and prior case reports demonstrate the ability of clinicians to recognize RBH using ultrasound. This study aimed to assess the ability of clinicians at various stages of training to identify a RBH using POCUS in a cadaveric model. Clinicians also were assessed for self-reported comfort using ultrasound for ocular pathology before and after the study.\nMethods:\n Participants included 17 physicians who evaluated 10 eyes (from five cadavers) that were independently randomized to have either a modeled RBH or no hemorrhage. Participants’ final diagnosis of each eye was recorded (RBH present or not), and participants also completed pre- and post-activity surveys.\nResults:\n The overall sensitivity and specificity to correctly diagnose retrobulbar fluid was 87% and 88%, respectively. Sensitivity and specificity were higher after excluding clinicians in their early phase of training. Additionally, self-reported comfort level with ocular ultrasound was significantly improved by this activity.\nConclusion:\n Emergency physicians at a variety of training levels can correctly identify a cadaveric model of retrobulbar hemorrhage. Use of this cadaveric model can improve exposure of clinicians to the appearance of a rare but vision-threatening ocular pathology such as RBH.","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":"retrobulbar hemorrhage"},{"word":"Ocular Trauma"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0zt2q4pq","frozenauthors":[{"first_name":"Edward","middle_name":"","last_name":"Carlin","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York;\nNorth Shore University Hospital, Department of Emergency Medicine, Division of Emergency Ultrasound, Manhasset, New York","department":"None"},{"first_name":"Alexa","middle_name":"","last_name":"Palmieri","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":"None"},{"first_name":"Tanya","middle_name":"","last_name":"Bajaj","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":"None"},{"first_name":"Mathew","middle_name":"","last_name":"Nelson","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York;\nNorth Shore University Hospital, Department of Emergency Medicine, Division of Emergency Ultrasound, Manhasset, New York","department":"None"}],"date_submitted":"2019-09-05T19:38:50+03:00","date_accepted":"2019-09-05T19:38:50+03:00","date_published":"2020-04-14T01:17:14+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13235/galley/6969/download/"}]},{"pk":12203,"title":"Wellness: Combating Burnout and Its Consequences  in Emergency Medicine","subtitle":null,"abstract":"Medicine recognizes burnout as a threat to quality patient care and physician quality of life. This issue exists throughout medicine but is notably prevalent in emergency medicine (EM). Because the concept of “wellness” lacks a clear definition, attempts at ameliorating burnout that focus on achieving wellness make success difficult to achieve and measure. Recent work within the wellness literature suggests that the end goal should be to achieve a culture of wellness by addressing all aspects of the physician’s environment. A review of the available literature on burnout and wellness interventions in all medical specialties reveals that interventions focusing on individual physicians have varying levels of success. Efforts to compare these interventions are hampered by a lack of consistent endpoints. Studies with consistent endpoints do not demonstrate clear benefits of achieving them because improving scores on various scales may not equate to improvement in quality of care or physician quality of life. Successful interventions have uncertain, long-term effects. Outside of EM, the most successful interventions focus on changes to systems rather than to individual physicians. Within EM, the number of well-structured interventions that have been studied is limited. Future work to achieve the desired culture of wellness within EM requires establishment of a consistent endpoint that serves as a surrogate for clinical significance, addressing contributors to burnout at all levels, and integrating successful interventions into the fabric of EM.","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":"burnout"},{"word":"Wellness"},{"word":"Physician Suicide"}],"section":"Provider Workforce","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7db1d0gn","frozenauthors":[{"first_name":"Christine","middle_name":"R.","last_name":"Stehman","name_suffix":"","institution":"Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana","department":"None"},{"first_name":"Ryan","middle_name":"L.","last_name":"Clark","name_suffix":"","institution":"University of Massachusetts Medical School – Baystate Health, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Andrea","middle_name":"","last_name":"Purpura","name_suffix":"","institution":"Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana","department":"None"},{"first_name":"Adam","middle_name":"","last_name":"Kellogg","name_suffix":"","institution":"University of Massachusetts Medical School – Baystate Health, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"}],"date_submitted":"2018-09-18T00:56:01+03:00","date_accepted":"2018-09-18T00:56:01+03:00","date_published":"2020-04-14T01:08:00+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12203/galley/6520/download/"}]},{"pk":13258,"title":"Assessment of Vessel Density on Non-Contrast Computed Tomography to Detect Basilar Artery Occlusion","subtitle":null,"abstract":"Introduction:\n Basilar artery occlusion (BAO) may be clinically occult due to variable and non-specific symptomatology. We evaluated the qualitative and quantitative determination of a hyperdense basilar artery (HDBA) on non-contrast computed tomography (NCCT) brain for the diagnosis of BAO.\nMethods: \nWe conducted a case control study of patients with confirmed acute BAO vs a control group of suspected acute stroke patients without BAO. Two EM attending physicians, one third-year EM resident, and one medical student performed qualitative and quantitative assessments for the presence of a HDBA on axial NCCT images. Our primary outcome measures were sensitivity and specificity for BAO. Our secondary outcomes were inter-rater and intra-rater reliability of the qualitative and quantitative assessments.\nResults: \nWe included 60 BAO and 65 control patients in our analysis. Qualitative assessment of the hyperdense basilar artery sign was poorly sensitive (54%–72%) and specific (55%–89%). Quantitative measurement improved the specificity of hyperdense basilar artery assessment for diagnosing BAO, with a threshold of 61.0–63.8 Hounsfield units demonstrating relatively high specificity of 85%–94%. There was moderate inter-rater agreement for the qualitative assessment of HDBA (Fleiss’ kappa statistic 0.508, 95% confidence interval: 0.435–0.581). Agreement improved for quantitative assessments, but still fell in the moderate range (Shrout-Fleiss intraclass correlation coefficient: 0.635). Intra-rater reliability for the quantitative assessments of the two attending physician reviewers demonstrated substantial consistency.\nConclusion: \nOur results highlight the importance of carefully examining basilar artery density when interpreting the NCCT of patients with altered consciousness or other signs and symptoms concerning for an acute basilar artery occlusion. If the Hounsfield unit density of the basilar artery exceeds 61 Hounsfield units, BAO should be highly suspected.","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":"Basilar Artery"},{"word":"stroke"},{"word":"Tomography, X-Ray Computed"},{"word":"Emergency Medicine"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3549m832","frozenauthors":[{"first_name":"Andrew","middle_name":"W.","last_name":"Asimos","name_suffix":"","institution":"Atrium Health’s Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":"None"},{"first_name":"D.","middle_name":"Richard","last_name":"Sassano","name_suffix":"","institution":"Brody School of Medicine at East Carolina University, Greenville, North Carolina","department":"None"},{"first_name":"Stephen","middle_name":"C.","last_name":"Jackson","name_suffix":"","institution":"Atrium Health’s Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":"None"},{"first_name":"Jonathan","middle_name":"D.","last_name":"Clemente","name_suffix":"","institution":"Atrium Health’s Carolinas Medical Center, Department of Radiology, Charlotte, North Carolina","department":"None"},{"first_name":"Jeremy","middle_name":"B.","last_name":"Rhoten","name_suffix":"","institution":"Atrium Health’s Carolinas Medical Center, Department of Neurosciences, Charlotte, North Carolina","department":"None"},{"first_name":"Brenda","middle_name":"","last_name":"Chang","name_suffix":"","institution":"Atrium Health, Information and Analytics Services, Charlotte, North Carolina","department":"None"},{"first_name":"Michael","middle_name":"S.","last_name":"Runyon","name_suffix":"","institution":"Atrium Health’s Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":"None"}],"date_submitted":"2019-09-17T04:20:21+03:00","date_accepted":"2019-09-17T04:20:21+03:00","date_published":"2020-04-14T01:02:17+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13258/galley/6982/download/"}]},{"pk":13678,"title":"Volume 21, Issue 3 - May","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":"WestJEM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/75h3v5nz","frozenauthors":[{"first_name":"Christine","middle_name":"A.","last_name":"Louis","name_suffix":"","institution":"","department":"None"},{"first_name":"Dana","middle_name":"H.","last_name":"Le","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2020-03-26T00:42:18+02:00","date_accepted":"2020-03-26T00:42:18+02:00","date_published":"2020-04-14T00:46:52+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13678/galley/7141/download/"}]},{"pk":13675,"title":"Assessment of the Angolan (CHERRT) Mobile Laboratory Curriculum for Disaster and Pandemic Response","subtitle":null,"abstract":"Introduction:\n As of April 5, 2020, the World Health Organization reported over one million confirmed cases and more than 62,000 confirmed coronavirus (COVID-19) deaths affecting 204 countries/ regions. The lack of COVID-19 testing capacity threatens the ability of both the United States (US) and low middle income countries (LMIC) to respond to this growing threat, The purpose of this study was to assess the effectiveness through participant self-assessment of a rapid response team (RRT) mobile laboratory curriculum\nMethods:\n We conducted a pre and post survey for the purpose of a process improvement assessment in Angola, involving 32 individuals. The survey was performed before and after a 14-day training workshop held in Luanda, Angola, in December 2019. A paired t-test was used to identify any significant change on six 7-point Likert scale questions with α< 0.05 (95% confidence interval).\nResults:\n All six of the questions –  1) “I feel confident managing a real laboratory sample test for Ebola or other highly contagious sample;” 2) “I feel safe working in the lab environment during a real scenario;” 3) “I feel as if I can appropriately manage a potentially highly contagious laboratory sample;” 4)“I feel that I can interpret a positive or negative sample during a suspected contagious outbreak;” 5) “I understand basic Biobubble/mobile laboratory concepts and procedures;” and 6) “I understand polymerase chain reaction (PCR) principles” – showed statistical significant change pre and post training. Additionally, the final two questions – “I can more effectively perform my role/position because of the training I received during this course;” and “This training was valuable”  – received high scores on the Likert scale.\nConclusion: \nThis Angolan RRT mobile laboratory training curriculum provides the nation of Angola with the confidence to rapidly respond and test at the national level a highly infectious contagion in the region and perform on-scene diagnostics. This mobile RRT laboratory provides a mobile and rapid diagnostic resource when epidemic/pandemic resource allocation may need to be prioritized based on confirmed disease prevalence.","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":"Rapid Response Teams, Public Health Emergencies of International Concern (PHEIC), Mobile Laboratory (Biobubble), Ebola, Coronavirus"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/42888437","frozenauthors":[{"first_name":"Michael","middle_name":"D.","last_name":"Owens","name_suffix":"","institution":"Naval Medical Center Portsmouth, Portsmouth, Virginia","department":"None"},{"first_name":"Michael","middle_name":"L.","last_name":"Lloyd","name_suffix":"","institution":"Naval Medical Center Portsmouth, Portsmouth, Virginia","department":"None"},{"first_name":"Tyler","middle_name":"M.","last_name":"Brady","name_suffix":"","institution":"Integrated Research Facility, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Fort Detrick, Frederick, Maryland","department":"None"},{"first_name":"Robin","middle_name":"","last_name":"Gross","name_suffix":"","institution":"Integrated Research Facility, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Fort Detrick, Frederick, Maryland","department":"None"}],"date_submitted":"2020-03-24T17:35:48+02:00","date_accepted":"2020-03-24T17:35:48+02:00","date_published":"2020-04-14T00:00:53+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13675/galley/7139/download/"}]},{"pk":13670,"title":"The Appropriate Use of Testing for COVID-19","subtitle":null,"abstract":"Many public officials are calling for increased testing for the 2019 novel coronavirus disease (COVID-19), and some governments have taken extraordinary measures to increase the availability of testing. However, little has been published about the sensitivity and specificity of the reverse transcriptase-polymerase chain reaction (RT-PCR) nasopharyngeal swabs that are commonly used for testing. This narrative review evaluates the literature regarding the accuracy of these tests, and makes recommendations based on this literature. In brief, a negative RT-PCR nasopharyngeal swab test is insufficient to rule out COVID-19. Thus, over-reliance on the results of the test may be dangerous, and the push for widespread testing may be overstated.","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":"coronavirus"},{"word":"testing"},{"word":"PCR"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1gh0z5t0","frozenauthors":[{"first_name":"Tony","middle_name":"","last_name":"Zitek","name_suffix":"","institution":"Kendall Regional Medical Center, Department of Emergency Medicine, Miami, Florida\nNova Southeastern University, Dr. Kiran C. Patel College of Allopathic Medicine, Davie, Florida","department":"None"}],"date_submitted":"2020-03-23T18:50:49+02:00","date_accepted":"2020-03-23T18:50:49+02:00","date_published":"2020-04-13T23:46:45+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13670/galley/7136/download/"}]},{"pk":13716,"title":"Augmenting the Disaster Healthcare Workforce","subtitle":null,"abstract":"In disasters such as the COVID-19 pandemic, we need to use all available resources to bolster our healthcare workforce. Many factors go into this process, including selecting the groups of professionals we will need, streamlining their licensing and credentialing processes, identifying appropriate roles for them, and supporting their health and well-being. The questions we must answer are these: How many staff will we need? How do we provide them with emergency licenses and credentials to practice? What interstate licensing compacts and registration systems exist to facilitate the process? What caveats are there to using retired healthcare professionals and healthcare students? How can we best avoid attrition among and increase the numbers of international medical graduates? Which non-clinical volunteers can we use and in what capacities? The answers to these questions will change as the crisis develops, although the earlier we address them, the smoother will be the process of using augmentees for the healthcare system.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5bh4653d","frozenauthors":[{"first_name":"Kenneth","middle_name":"V.","last_name":"Iserson","name_suffix":"","institution":"University of Arizona, Department of Emergency Medicine, Tucson, Arizona","department":"None"}],"date_submitted":"2020-04-04T01:41:12+03:00","date_accepted":"2020-04-04T01:41:12+03:00","date_published":"2020-04-13T23:43:33+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13716/galley/7161/download/"}]},{"pk":13715,"title":"Alternative Care Sites: An Option in Disasters","subtitle":null,"abstract":"During the current COVID-19 pandemic, the limited surge capacity of the healthcare system is being quickly overwhelmed. Similar scenarios play out when an institution’s systems fail, or when local or regional disasters occur. In these situations, it becomes necessary to use one or more alternative care sites (ACS). Situated in a variety of non-healthcare structures, ACS may be used for ambulatory, acute, subacute, or chronic care. Developing alternative care facilities is the disaster-planning step that moves communities from talking to doing. This commitment pays real dividends if a disaster of any magnitude strikes. This paper discusses the basic criteria for selecting, establishing and ultimately closing an ACS, difficulties of administration, staffing, security, and providing basic supplies and equipment.","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":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1xv33521","frozenauthors":[{"first_name":"Kenneth","middle_name":"V.","last_name":"Iserson","name_suffix":"","institution":"University of Arizona, Department of Emergency Medicine, Tuscon, Arizona","department":"None"}],"date_submitted":"2020-04-04T01:31:40+03:00","date_accepted":"2020-04-04T01:31:40+03:00","date_published":"2020-04-13T23:29:43+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13715/galley/7160/download/"}]},{"pk":13714,"title":"Healthcare Ethics During a Pandemic","subtitle":null,"abstract":"As clinicians and support personnel struggle with their responsibilities to treat during the current COVID-19 pandemic, several ethical issues have emerged. Will healthcare workers and support staff fulfill their duty to treat in the face of high risks? Will institutional and government leaders at all levels do the right things to help alleviate healthcare workers risks and fears? Will physicians be willing to make hard, resource-allocation decisions if they cannot first husband or improvise alternatives? With our healthcare facilities and governments unprepared for this inevitable disaster, front-line doctors, advanced providers, nurses, EMS, and support personnel  struggle with acute shortages of equipment—both to treat patients and  protect themselves. With their personal and possibly their family’s lives and health at risk, they must weigh the option of continuing to work or retreat to safety. This decision, made daily, is based on professional and personal values, how they perceive existing risks—including available protective measures, and their perception of the level and transparency of information they receive. Often, while clinicians get this information, support personnel do not, leading to absenteeism and deteriorating healthcare services. Leadership can use good risk communication (complete, widely transmitted, and transparent) to align healthcare workers’ risk perceptions with reality. They also can address the common problems healthcare workers must overcome to continue working (ie, risk mitigation techniques). Physicians, if they cannot sufficiently husband or improvise lifesaving resources, will have to face difficult triage decisions. Ideally, they will use a predetermined plan, probably based on the principles of Utilitarianism (maximizing the greatest good) and derived from professional and community input. Unfortunately, none of these plans is optimal.","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":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/09j8f8h7","frozenauthors":[{"first_name":"Kenneth","middle_name":"V.","last_name":"Iserson","name_suffix":"","institution":"University of Arizona, Department of Emergency Medicine, Tucson, Arizona","department":"None"}],"date_submitted":"2020-04-03T22:14:27+03:00","date_accepted":"2020-04-03T22:14:27+03:00","date_published":"2020-04-13T23:10:57+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13714/galley/7159/download/"}]},{"pk":13704,"title":"Paradigm Shift for COVID-19 Response: Identifying High-risk Individuals and Treating Inflammation","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":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0sd8k06d","frozenauthors":[{"first_name":"Paul","middle_name":"","last_name":"Kivela","name_suffix":"","institution":"The University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"}],"date_submitted":"2020-03-31T23:30:44+03:00","date_accepted":"2020-03-31T23:30:44+03:00","date_published":"2020-04-13T22:56:18+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13704/galley/7154/download/"}]},{"pk":41429,"title":"Citrus dwarfing viroid reduces canopy volume by affecting shoot apical growth of navel orange trees grown on trifoliate orange rootstock","subtitle":null,"abstract":"Citrus dwarfing viroid (CDVd) infection of navel orange trees (\nCitrus sinensis\n (L.) Osb.) on ‘Rich 16-6’ trifoliate orange (\nPoncirus trifoliata\n (L.) Raf.) rootstock has been previously reported to reduce canopy volume by approximately 50%. We demonstrated that the reduction in tree size of CDVd-infected citrus resulted from a >20% reduction in the apical growth of individual shoots within the tree canopy. We also demonstrated that the reduced canopy volume of the CDVd-infected trees is a long lasting phenotype comparable to that of ‘Flying Dragon’ rootstock, which is known to reduce citrus tree size.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"citrus tree size, phytohormones, high-density plantings"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2497h2fp","frozenauthors":[{"first_name":"I","middle_name":"","last_name":"Lavagi-Craddock","name_suffix":"","institution":"UC Riverside","department":"None"},{"first_name":"R","middle_name":"","last_name":"Campos","name_suffix":"","institution":"","department":"None"},{"first_name":"D","middle_name":"","last_name":"Pagliaccia","name_suffix":"","institution":"","department":"None"},{"first_name":"T","middle_name":"","last_name":"Kapaun","name_suffix":"","institution":"","department":"None"},{"first_name":"C","middle_name":"","last_name":"Lovatt","name_suffix":"","institution":"","department":"None"},{"first_name":"G","middle_name":"","last_name":"Vidalakis","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2019-09-30T02:53:41+03:00","date_accepted":"2019-09-30T02:53:41+03:00","date_published":"2020-04-13T19:41:43+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41429/galley/31016/download/"}]},{"pk":13709,"title":"Sex- and Gender-specific Observations and Implications for COVID-19","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":"Sex- and gender-based medicine, COVID-10, coronavirus"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/76f9p924","frozenauthors":[{"first_name":"Lauren","middle_name":"A.","last_name":"Walter","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama\nWarren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Alyson","middle_name":"J.","last_name":"McGregor","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama\nWarren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":"None"}],"date_submitted":"2020-04-02T19:43:32+03:00","date_accepted":"2020-04-02T19:43:32+03:00","date_published":"2020-04-11T01:43:02+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13709/galley/7156/download/"}]},{"pk":44908,"title":"A Male Patient with BRCA2 Positivity","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5rx578q6","frozenauthors":[{"first_name":"Peter","middle_name":"","last_name":"Lefevre","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-07T18:04:45+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44908/galley/33701/download/"}]},{"pk":44907,"title":"Schwannoma of the Thoracic Esophagus","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1v25735b","frozenauthors":[{"first_name":"Hyunah","middle_name":"","last_name":"Poa","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Edward","middle_name":"","last_name":"Ranzenbach","name_suffix":"PA-C","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-07T17:59:26+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44907/galley/33700/download/"}]},{"pk":44906,"title":"An Unusual Case of Abnormal Thyroid Function Test: Resistance to Thyroid Hormone","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3t081909","frozenauthors":[{"first_name":"Jeong-Hee","middle_name":"","last_name":"Ku","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jennifer","middle_name":"","last_name":"Han","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-07T17:49:35+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44906/galley/33699/download/"}]},{"pk":44905,"title":"Management of Vaginal Mucosal Melanoma","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/91w0829k","frozenauthors":[{"first_name":"Juan","middle_name":"M.","last_name":"Alcantar","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Fukai","middle_name":"","last_name":"Chuang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-07T17:41:48+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44905/galley/33698/download/"}]},{"pk":44869,"title":"Sore Throat: Could It Be Acute HIV?","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2xc51111","frozenauthors":[{"first_name":"Anne","middle_name":"","last_name":"Climaco","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Giselle","middle_name":"","last_name":"Namazie","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-07T17:22:45+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44869/galley/33662/download/"}]},{"pk":44904,"title":"Anesthetic Management of a Patient with Acute Limb Ischemia in the Setting of Uncontrolled Hypertension","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55g229x7","frozenauthors":[{"first_name":"Reza","middle_name":"","last_name":"Borna","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Evan","middle_name":"","last_name":"Chang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T20:18:24+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44904/galley/33697/download/"}]},{"pk":44903,"title":"What is the Evidence for Biotin?","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7tf137p0","frozenauthors":[{"first_name":"Mina","middle_name":"","last_name":"Ma","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jessica","middle_name":"","last_name":"Liao","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T20:13:03+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44903/galley/33696/download/"}]},{"pk":44902,"title":"Evaluation of Hypoglycemia in the Elderly Patient","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7w67r0wc","frozenauthors":[{"first_name":"Anita","middle_name":"","last_name":"Srinivasa","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T20:06:36+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44902/galley/33695/download/"}]},{"pk":44901,"title":"Bullous Pemphigoid Mimicking Epidermolysis Bullosa Acquisita","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0qw358jd","frozenauthors":[{"first_name":"Liza","middle_name":"","last_name":"Gill","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T20:04:35+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44901/galley/33694/download/"}]},{"pk":44900,"title":"74-Year-Old Male with Large Rectal Prolapse","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5rg7p43x","frozenauthors":[{"first_name":"Boris","middle_name":"","last_name":"Pavic","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Manuel","middle_name":"A.","last_name":"Celedon","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Zahir","middle_name":"I.","last_name":"Basrai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T20:01:57+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44900/galley/33693/download/"}]},{"pk":44899,"title":"Ureteral Endometriosis Causing Hydroureteronephrosis and Functional Loss of One Kidney","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9hw6r95k","frozenauthors":[{"first_name":"Catherine","middle_name":"P.","last_name":"Khoo","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Danielle","middle_name":"","last_name":"Ryba","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T19:51:53+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44899/galley/33692/download/"}]},{"pk":44898,"title":"Acute Acalculous Cholecystitis","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4v82s9jf","frozenauthors":[{"first_name":"Angela","middle_name":"","last_name":"Ruman","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T19:49:12+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44898/galley/33691/download/"}]},{"pk":44897,"title":"Recurrent Herpes Zoster – VZV All Over Again","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9hf5d520","frozenauthors":[{"first_name":"Laurel","middle_name":"B.","last_name":"Yates","name_suffix":"MD, MPH","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T19:47:00+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44897/galley/33690/download/"}]},{"pk":44896,"title":"Stercoral Colitis in a Nine-Year-Old Boy","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2s52t192","frozenauthors":[{"first_name":"Neema","middle_name":"","last_name":"Pithia","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Soni","middle_name":"","last_name":"Chawla","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Gilberto","middle_name":"","last_name":"Bultron","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"John","middle_name":"","last_name":"Petersen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T19:44:34+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44896/galley/33689/download/"}]},{"pk":44895,"title":"Beyond the Criteria: Diagnosing Fibromyalgia in Clinical Practice","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Review"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/46b074zk","frozenauthors":[{"first_name":"Mihaela","middle_name":"","last_name":"Taylor","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Nicolette","middle_name":"T.","last_name":"Morris","name_suffix":"BS","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2020-04-03T19:41:14+03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44895/galley/33688/download/"}]},{"pk":13686,"title":"Addressing Challenges in Obtaining Emergency Medicine Away Rotations and Standardized Letters of Evaluation Due to COVID-19 Pandemic","subtitle":null,"abstract":"The Council of Residency Directors in Emergency Medicine (CORD) Advising Students Committee in Emergency Medicine (ASC-EM) anticipates institutional and regional variability in both the spread and response to COVID-19. Travel restrictions and host institution rotation closures will impact the number of emergency medicine (EM) rotations EM-bound medical students can complete in an unprecedented manner. They may prevent students from completing any away rotations this academic cycle, challenging the students’ ability to obtain EM Standardized Letters of Evaluation (SLOEs). EM’s emphasis on residency group SLOEs over other letter types creates an undue burden on these vulnerable students and makes the application process intrinsically inequitable. This inequity warrants a reevaluation of the current application practice. This article outlines ASC-EM's proposed recommendations for all stakeholders, including EM program leadership, medical schools, and EM-bound medical students, to consider for the upcoming EM application cycle.","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, coronavirus, emergency medicine, away rotations, SLOE"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9724t4g5","frozenauthors":[{"first_name":"Linda","middle_name":"","last_name":"Katirji","name_suffix":"","institution":"University of Kentucky, Department of Emergency Medicine, Lexington, Kentucky","department":"None"},{"first_name":"Liza","middle_name":"","last_name":"Smith","name_suffix":"","institution":"University of Massachusetts Medical School, Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Alexis","middle_name":"","last_name":"Pelletier-Bui","name_suffix":"","institution":"Cooper Medical School of Rowan University, Department of Emergency Medicine, Camden, New Jersey","department":"None"},{"first_name":"Emily","middle_name":"","last_name":"Hillman","name_suffix":"","institution":"University of Missouri—Kansas City School of Medicine, Truman Medical Center, Department of Emergency Medicine, Kansas City, Missouri","department":"None"},{"first_name":"Xiao","middle_name":"Chi","last_name":"Zhang","name_suffix":"","institution":"Thomas Jefferson University, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Pasirstein","name_suffix":"","institution":"Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Mark","middle_name":"","last_name":"Olaf","name_suffix":"","institution":"Geisinger Commonwealth School of Medicine, Department of Emergency Medicine, Scranton, Pennsylvania","department":"None"},{"first_name":"Jazmyn","middle_name":"","last_name":"Shaw","name_suffix":"","institution":"University of Mississippi School of Medicine, Univeristy of Mississippi Medical Center, \nJackson, Mississippi","department":"None"},{"first_name":"Douglas","middle_name":"","last_name":"Franzen","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Ronnie","middle_name":"","last_name":"Ren","name_suffix":"","institution":"University of Massachusetts Medical School, Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"}],"date_submitted":"2020-03-27T20:01:29+02:00","date_accepted":"2020-03-27T20:01:29+02:00","date_published":"2020-04-02T22:59:45+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13686/galley/7146/download/"}]},{"pk":13659,"title":"Brief Summary of Potential SARS-CoV-2 Prophylactic and Treatment Drugs in the Emergency Department","subtitle":null,"abstract":"As of March 30th, 2020 there were 161,807 total cases and 2,953 total deaths of SARS-CoV-2 in the United States, with the number of cases expected to rise. Other than supportive care, there are no SARS-CoV-2 specific treatments available for patients discharged from the emergency department (ED) or those admitted to the hospital. In addition, there are no vaccines available to protect our at-risk healthcare workers. The National Institutes of Health is conducting a Phase 1 clinical trial to evaluate for a potential vaccine and the recipients have started to receive the investigational vaccine.2 We present a brief overview of the potential prophylactic and treatment agents under investigation, some which could be initiated in the ED if proven effective.","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, coronavirus, SARS-CoV-2, treatment, prophylaxis"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/622689zd","frozenauthors":[{"first_name":"Cortlyn","middle_name":"","last_name":"Brown","name_suffix":"","institution":"The University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Jeanne","middle_name":"","last_name":"Noble","name_suffix":"","institution":"The University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Zlatan","middle_name":"","last_name":"Coralic","name_suffix":"","institution":"The University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"}],"date_submitted":"2020-03-19T07:03:03+02:00","date_accepted":"2020-03-19T07:03:03+02:00","date_published":"2020-03-31T21:35:19+03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/13659/galley/7131/download/"}]},{"pk":2874,"title":"“The weight we carry in our backpack is not the weight of our books, it’s the weight of our community!”: Latinas negotiating identity and multiple roles","subtitle":null,"abstract":"In the United States, out of 100 Latina/o elementary students, only 0.3 will complete a doctorate degree. Latinas/os/x as a fast-growing minority population in the United States continue to be underrepresented in higher education. The underrepresentation and limited empirical research on Latinas with advanced degrees calls for immediate attention to the inequities that exist within the Latina/o/x educational pipeline. Drawing from a Latina/o Critical Theory analysis and Chicana Feminist Epistemology standpoint these interviews explore the nuanced experiences of twelve Latinas in an Educational Leadership Doctoral Program.  Life history interviews were used to reveal how the women 1) balance and negotiate their multiple racial, social class, and gender identities and roles, 2) their first-generation college student identity and guilt and 3) their identity and roles as motivation","language":"en","license":null,"keywords":[{"word":"Latinas, Doctoral Programs, LatCrit, Chicana Feminist Epistomologies"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/59j1t66x","frozenauthors":[{"first_name":"Lorena","middle_name":"","last_name":"Camargo Gonzalez","name_suffix":"","institution":"UC Los Angeles","department":"None"}],"date_submitted":"2019-05-01T10:12:42+03:00","date_accepted":"2019-05-01T10:12:42+03:00","date_published":"2020-03-30T22:55:23+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/gseis_interactions/article/2874/galley/1704/download/"}]},{"pk":2852,"title":"Book Review: Topographies of Whiteness:  Mapping Whiteness in Library and Information Science","subtitle":null,"abstract":"n/a","language":"en","license":null,"keywords":[{"word":"Whiteness, Libraries, Anti-Racism"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9ts8z0nk","frozenauthors":[{"first_name":"Linda","middle_name":"C. K.","last_name":"Crook","name_suffix":"","institution":"Oregon State University","department":"None"}],"date_submitted":"2019-01-14T04:45:05+02:00","date_accepted":"2019-01-14T04:45:05+02:00","date_published":"2020-03-30T22:50:23+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/gseis_interactions/article/2852/galley/1689/download/"}]},{"pk":2868,"title":"Book Review: Backlash: What happens when we talk honestly about racism in America","subtitle":null,"abstract":"N/A","language":"en","license":null,"keywords":[{"word":"critical whiteness, race and racism"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6fn0c0jh","frozenauthors":[{"first_name":"Tonia","middle_name":"Floramaria","last_name":"Guida","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2019-03-19T22:38:14+02:00","date_accepted":"2019-03-19T22:38:14+02:00","date_published":"2020-03-30T22:45:09+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/gseis_interactions/article/2868/galley/1702/download/"}]},{"pk":2879,"title":"A review of daily conversations and practices at home: Exploring practices that promote early literacy in Spanish-speaking homes and home-school interactions","subtitle":null,"abstract":"Coming from a low-income heritage language family, like 17% of Latino families, entails important academic risk factors related to lower scores on reading tests. Considering that it is estimated that Latino students will represent 50% of the U.S. public schools’ population by 2050, their literacy learning must be supported adequately. The purpose of this literature review is to explore, from an ecocultural perspective, early literacy practices of low-income Spanish-speaking families and analyze the nature of literacy home-school interventions implemented for this group. The literature highlights non-traditional literacy practices that are strengths of the Latino families, such as a robust oral tradition focused on social cues, children’s engagement in written household chores, and the use of the Bible to pass values. Parents have mixed beliefs regarding literacy promotion: they do not feel prepared to support their children; thus, they support teachers as experts. Three types of home-school literacy interventions were found: printed material sharing; printed material exchange; family programs. As the literature posits, interventions should consider and be based on family beliefs, culture, and strengths; otherwise, effectivity and attrition are at risk. Moreover, new research should be conducted to bridge the gap regarding the role of family actors other than the mother, as well as the differences within the Latino community and immigrant generation.","language":"en","license":null,"keywords":[{"word":"Early literacy, Latino, home-school interventions."}],"section":"Literature Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8p41m5wb","frozenauthors":[{"first_name":"Maria","middle_name":"Cecilia","last_name":"Valdes","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2019-07-31T02:13:57+03:00","date_accepted":"2019-07-31T02:13:57+03:00","date_published":"2020-03-30T22:41:09+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/gseis_interactions/article/2879/galley/1708/download/"}]},{"pk":2865,"title":"Book Review: Talking Back, Talking Black","subtitle":null,"abstract":".","language":"en","license":null,"keywords":[{"word":"Raciolinguistics, Black English"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4ww222vg","frozenauthors":[{"first_name":"Nicholas","middle_name":"Francis","last_name":"Havey","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2019-03-05T04:54:48+02:00","date_accepted":"2019-03-05T04:54:48+02:00","date_published":"2020-03-30T22:38:00+03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/gseis_interactions/article/2865/galley/1700/download/"}]}]}