Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. No additional restrictions — You 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":"translation, transnationalism, Asian American, history, empathy"}],"section":"SPECIAL FORUM: Globalization and American Literature","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8rc6c7th","frozenauthors":[{"first_name":"Claire","middle_name":"","last_name":"Gullander-Drolet","name_suffix":"","institution":"Brown University","department":"None"}],"date_submitted":"2018-12-05T16:42:05-03:00","date_accepted":"2018-12-05T16:42:05-03:00","date_published":"2018-12-05T16:49:40-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42894/galley/31971/download/"}]},{"pk":2198,"title":"Carving out a Dialogic Space for “I”: A Corpus-Based Study of Novice L2 College Writers’ Use of First- Person Pronouns in Argumentative Essays","subtitle":null,"abstract":"L2 writers likely perceive “good academic writing” as impersonal (Hyland, 2002; Shen, 1989; Tang & John, 1999). Yet research has shown that every linguistic and rhetorical choice that a writer makes—including, the presence/absence and different forms of self-mention—potentially reveals the writer’s authorial identity (Ivanič, 1998). The dialogic nature of academic writing, as manifested in strategic self-mentions, has remained overshadowed in L2 writing pedagogy by other linguistic issues. This article draws attention to this gap in research: specifically, I report on the findings of a corpus-driven descriptive inquiry into authorial identity, operationalized as the use of first-person pronouns in a corpus of 126 argumentative research papers written by students enrolled in first-year L2 composition courses. The study examines how L2 writers practice self-mention, comparing the frequencies of first-person pronouns in the argumentative corpus with both a “parent” corpus, which contains other genres produced by the same group of writers, and published research analyzed by Hyland (2001). I also define and characterize the five qualitatively coded and quantitatively measured rhetorical functions of “I” used in the corpus (i.e., reporter, architect, narrator of personal experiences, conceder, and opinion-holder). L2 writers in this study were found to use self-mention more frequently than published authors. However, L2 writers employed self-reference less frequently in their argumentative essays than for other genres. Their argumentative texts reproduced a narrative tone, as indicated by the lower ratio of the subjective/objective case of the first-person singular pronoun. A comparison of rhetorical functions reveals that nearly 50% of “I”s in the corpus function as a “narrator of personal experiences.” In light of the findings, I propose pedagogical suggestions aimed at more effectively socializing college-level L2 composition students into academic discourse communities.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"L2 writing"},{"word":"identity"},{"word":"corpus-driven"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2hz585z9","frozenauthors":[{"first_name":"Zhaozhe","middle_name":"","last_name":"Wang","name_suffix":"","institution":"Purdue University","department":"None"}],"date_submitted":"2018-04-08T17:03:42-03:00","date_accepted":"2018-04-08T17:03:42-03:00","date_published":"2018-12-04T16:26:46-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/2198/galley/1413/download/"}]},{"pk":12035,"title":"Evaluation of an Intervention to Improve Quality of Single-best Answer Multiple-choice Questions","subtitle":null,"abstract":"Introduction: \nDespite the ubiquity of single-best answer multiple-choice questions (MCQ) in assessments throughout medical education, question writers often receive little to no formal training, potentially decreasing the validity of assessments. While lengthy training opportunities in item writing exist, the availability of brief interventions is limited.\nMethods:\n We developed and performed an initial validation of an item-quality assessment tool and measured the impact of a brief educational intervention on the quality of single-best answer MCQs.\nResults:\n The item-quality assessment tool demonstrated moderate internal structure evidence when applied to the 20 practice questions (κ=.671, p<.001) and excellent internal structure when applied to the true dataset (κ=0.904, p<.001). Quality scale scores for pre-intervention questions ranged from 2-6 with a mean ± standard deviation (SD) of 3.79 ± 1.23, while post-intervention scores ranged from 4-6 with a mean ± SD of 5.42 ± 0.69. The post-intervention scores were significantly higher than the pre-intervention scores, x2(1) =38, p <0.001.\nConclusion:\n Our study demonstrated short-term improvement in single-best answer MCQ writing quality after a brief, open-access lecture, as measured by a simple, novel, grading rubric with reasonable validity evidence.","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":"Item Writing, Multiple Choice Questions, Assessment"}],"section":"Brief Research Report","is_remote":true,"remote_url":"https://escholarship.org/uc/item/49w9s2zd","frozenauthors":[{"first_name":"Kevin","middle_name":"R.","last_name":"Scott","name_suffix":"","institution":"Perelman School of Medicine at the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Andrew","middle_name":"M.","last_name":"King","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Molly","middle_name":"K.","last_name":"Estes","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Lauren","middle_name":"W.","last_name":"Conlon","name_suffix":"","institution":"Perelman School of Medicine at the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Jonathan","middle_name":"S.","last_name":"Jones","name_suffix":"","institution":"Merit Health Central, Department of Emergency Medicine, Jackson, Mississippi","department":"None"},{"first_name":"Andrew","middle_name":"W.","last_name":"Phillips","name_suffix":"","institution":"University of North Carolina, Department of Emergency Medicine, Chapel Hill, North Carolina","department":"None"}],"date_submitted":"2018-07-13T21:18:35-04:00","date_accepted":"2018-07-13T21:18:35-04:00","date_published":"2018-12-03T15:55:29-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12035/galley/6459/download/"}]},{"pk":12051,"title":"Asynchronous Curriculum “Socially Synchronized”: Learning Via Competition","subtitle":null,"abstract":"Introduction:\n Now widespread in emergency medicine (EM) residency programs, asynchronous curriculum (AC) moves education outside of classic classrooms. Our program’s prior AC had residents learning in isolation, achieving completion via quizzes before advancing without the benefit of deliberate knowledge reinforcement. We sought to increase engagement and spaced repetition by creating a social AC using gamification. \nMethods:\n We created a website featuring monthly options from textbooks and open-access medical education. Residents selected four hours of material, and then submitted learning points. Using these learning points, trivia competitions were created. Residents competed in teams as “houses” during didactic conference, allowing for spaced repetition. Residents who were late in completing AC assignments caused their “house” to lose points, thus encouraging timely completion.\nResults:\n Completion rates prior to deadline are now >95% compared to ~30% before intervention. Surveys show increased AC enjoyment with residents deeming it more valuable clinically and for EM board preparation.\nConclusion:\n Socially synchronized AC offers a previously undescribed method of increasing resident engagement via gamification.","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":"education"},{"word":"Asynchronous"},{"word":"curriculum"},{"word":"Emergency Medicine"},{"word":"Gamification"},{"word":"spaced repetition"}],"section":"Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8jj7d9k0","frozenauthors":[{"first_name":"Jon","middle_name":"","last_name":"Smart","name_suffix":"","institution":"The University of Texas Health Science Center-San Antonio, Department of Emergency Medicine, San Antonio, Texas","department":"None"},{"first_name":"Adriana","middle_name":"Segura","last_name":"Olson","name_suffix":"","institution":"The University of Texas Health Science Center-San Antonio, Department of Emergency Medicine, San Antonio, Texas","department":"None"},{"first_name":"Andrew","middle_name":"","last_name":"Muck","name_suffix":"","institution":"The University of Texas Health Science Center-San Antonio, Department of Emergency Medicine, San Antonio, Texas","department":"None"}],"date_submitted":"2018-07-15T17:34:48-04:00","date_accepted":"2018-07-15T17:34:48-04:00","date_published":"2018-11-30T18:03:36-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12051/galley/6465/download/"}]},{"pk":11762,"title":"Integration of Entrustable Professional Activities with the Milestones for Emergency Medicine Residents","subtitle":null,"abstract":"Introduction:\n Medical education is moving toward a competency-based framework with a focus on assessment using the Accreditation Council for Graduate Medical Education Milestones. Assessment of individual competencies through milestones can be challenging. While competencies describe characteristics of the person, the entrustable professional activities (EPAs) concept refers to work-related activities. EPAs would not replace the milestones but would be linked to them, integrating these frameworks. Many core specialties have already defined EPAs for resident trainees, but EPAs have not yet been created for emergency medicine (EM). This paper describes the development of milestone-linked EPAs for EM.\nMethods: \nTen EM educators from across North America formed a consensus working group to draft EM EPAs, using a modified Glaser state-of-the-art approach. A reactor panel with EPA experts from the United States, Canada and the Netherlands was created, and an iterative process with multiple revisions was performed based on reactor panel input. Following this, the EPAs were sent to the Council of Residency Directors for EM (CORD-EM) listserv for additional feedback.\nResults:\n The product was 11 core EPAs that every trainee from every EM program should be able to perform independently by the time of graduation. Each EPA has associated knowledge, skills, attitudes and behaviors (KSAB), which are either milestones themselves or KSABs linked to individual milestones. We recognize that individual programs may have additional focus areas or work-based activities they want their trainees to achieve by graduation; therefore, programs are also encouraged to create additional program-specific EPAs.\nConclusion:\n This set of 11 core, EM-resident EPAs can be used as an assessment tool by EM residency programs, allowing supervising physicians to document the multiple entrustment decisions they are already making during clinical shifts with trainees. The KSAB list within each EPA could assist supervisors in giving specific, actionable feedback to trainees and allow trainees to use this list as an assessment-for-learning tool. Linking each KSAB to individual EM milestones allows EPAs to directly inform milestone assessment for clinical competency committees. These EPAs serve as another option for workplace-based assessment, and are linked to the milestones to create an integrated framework.","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":"residency, post graduate training, emergency medicine, assessment, competency based medical education"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5bx116sr","frozenauthors":[{"first_name":"Danielle","middle_name":"","last_name":"Hart","name_suffix":"","institution":"Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","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":"Michael","middle_name":"","last_name":"Beeson","name_suffix":"","institution":"Akron General, Department of Emergency Medicine, Akron, Ohio","department":"None"},{"first_name":"Rahul","middle_name":"","last_name":"Bhat","name_suffix":"","institution":"MedStar Georgetown University Hospital, Washington Hospital Center, Department of Emergency Medicine, Washington, District of Columbia","department":"None"},{"first_name":"Miriam","middle_name":"","last_name":"Kulkarni","name_suffix":"","institution":"St John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"},{"first_name":"Lorraine","middle_name":"","last_name":"Thibodeau","name_suffix":"","institution":"Albany Medical Center, Department of Emergency Medicine, Albany, New York","department":"None"},{"first_name":"Moshe","middle_name":"","last_name":"Weizberg","name_suffix":"","institution":"Northwell Health, Department of Emergency Medicine, New York City, New York","department":"None"},{"first_name":"Susan","middle_name":"","last_name":"Promes","name_suffix":"","institution":"Penn State Health, Department of Emergency Medicine, Hershey, Pennsylvania","department":"None"}],"date_submitted":"2018-05-06T21:05:07-03:00","date_accepted":"2018-05-06T21:05:07-03:00","date_published":"2018-11-30T17:59:13-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11762/galley/6310/download/"}]},{"pk":12088,"title":"Accuracy Screening for ST Elevation Myocardial Infarction in a Task-switching Simulation","subtitle":null,"abstract":"Introduction:\n Interruptions in the emergency department (ED) are associated with clinical errors, yet are important when providing care to multiple patients. Screening triage electrocardiograms (ECG) for ST-segment elevation myocardial infarction (STEMI) represent a critical interrupting task that emergency physicians (EP) frequently encounter. To address interruptions such as ECG interpretation, many EPs engage in task switching, pausing their primary task to address an interrupting task. The impact of task switching on clinical errors in interpreting screening ECGs for STEMI remains unknown.\nMethods:\n Resident and attending EPs were invited to participate in a crossover simulation trial. Physicians first completed a task-switching simulation in which they viewed patient presentations interrupted by clinical tasks, including screening ECGs requiring immediate interpretation before resuming the patient presentation. Participants then completed an uninterrupted simulation in which patient presentations and clinical tasks were completed sequentially without interruption. The primary outcome was accuracy of ECG interpretation for STEMI during task switching and uninterrupted simulations.\nResults:\n Thirty-five participants completed the study. We found no significant difference in accuracy of ECG interpretation for STEMI (task switching 0.89, uninterrupted 0.91, paired t-test p=0.21). Attending physician status (odds ratio [OR] [2.56], confidence interval [CI] [1.66-3.94], p<0.01) and inferior STEMI (OR [0.08], CI [0.04-0.14], p<0.01) were associated with increased and decreased odds of correct interpretation, respectively. Low self-reported confidence in interpretation was associated with decreased odds of correct interpretation in the task-switching simulation, but not in the uninterrupted simulation (interaction p=0.02).\nConclusion:\n In our simulation, task switching was not associated with overall accuracy of ECG interpretation for STEMI. However, odds of correct interpretation decreased with inferior STEMI ECGs and when participants self-reported low confidence when interrupted. Our study highlights opportunities to improve through focused ECG training, as well as self-identification of “high-risk” screening ECGs prone to error during interrupted clinical workflow.","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":"task switching"},{"word":"electrocardiogram"},{"word":"Interruptions"},{"word":"emergency physician"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/88j2786m","frozenauthors":[{"first_name":"William","middle_name":"E.","last_name":"Soares III","name_suffix":"","institution":"University of Massachusetts Medical School-Baystate, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Lori","middle_name":"L.","last_name":"Price","name_suffix":"","institution":"Clinical and Translational Science Institute, Tufts Medical Center and Institute for Clinical Research and Health Policy Studies, Tufts Medical Center Boston, Massachusetts","department":"None"},{"first_name":"Brendan","middle_name":"","last_name":"Prast","name_suffix":"","institution":"University of Massachusetts Medical School-Baystate, Academic Affairs, Springfield Massachusetts","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Tarbox","name_suffix":"","institution":"University of Massachusetts Medical School-Baystate, Academic Affairs, Springfield Massachusetts","department":"None"},{"first_name":"Timothy","middle_name":"J.","last_name":"Mader","name_suffix":"","institution":"University of Massachusetts Medical School-Baystate, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Rebecca","middle_name":"","last_name":"Blanchard","name_suffix":"","institution":"University of Massachusetts Medical School-Baystate, Academic Affairs, Springfield Massachusetts","department":"None"}],"date_submitted":"2018-07-22T05:25:54-04:00","date_accepted":"2018-07-22T05:25:54-04:00","date_published":"2018-11-30T17:48:16-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12088/galley/6478/download/"}]},{"pk":12046,"title":"Emergency Physicians’ Familiarity with the Safe Handling of Firearms","subtitle":null,"abstract":"Introduction:\n Emergency physicians (EP) experience high rates of workplace violence, the risks of which increase with the presence of weapons. Up to 25% of trauma patients brought to the emergency department (ED) have been found to carry weapons. Given these risks, we conducted an educational needs assessment to characterize EPs’ knowledge of firearms, frequency of encountering firearms in the ED, and level of confidence with safely removing firearms from patient care settings.\nMethods:\n This was a survey study of attending and resident EPs at two academic and four community hospitals in the Midwest and Northeast. A 26-item questionnaire was emailed to all EPs at the six institutions. Questions pertained to EPs’ knowledge of firearms, experience with handling firearms, and exposure to firearms while at work. We calculated response proportions and p-values.\nResults:\n Of 243 recipients who received the survey, 149 (61.3%) completed it. Thirty-three respondents (22.0%) reported encountering firearms in the workplace, 91 (60.7%) reported never handling firearms, and 25 (16.7%) reported handling firearms at least once per year. Thirty-six respondents (24.0%) reported formal firearms training, and 63 (42.3%) reported no firearms training. There were no significant regional differences regarding firearms training or exposure. Residents from the Northeast were more likely to be moderately confident that they could safely handle a firearm prior to law enforcement involvement (p=0.043), while residents from the Midwest were more likely to be not at all confident (p=0.018).\nConclusion:\n The majority of surveyed attending and resident EPs reported little experience with handling firearms. Among resident EPs, there was a regional difference in confidence in handling firearms prior to law enforcement involvement. Given the realities of workplace violence and the frequency with which firearms are encountered in the ED, further investigation is needed to evaluate provider competence in safely handling them. EPs may benefit from training on this topic.","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":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/62t4v406","frozenauthors":[{"first_name":"Andrew","middle_name":"R.","last_name":"Ketterer","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Kaitlin","middle_name":"","last_name":"Ray","name_suffix":"","institution":"Northwestern University McGaw Medical Center, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Anne","middle_name":"","last_name":"Grossestreuer","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Nicole","middle_name":"","last_name":"Dubosh","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Edward","middle_name":"","last_name":"Ullman","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Matthew","middle_name":"","last_name":"Pirotte","name_suffix":"","institution":"Northwestern University McGaw Medical Center, Department of Emergency Medicine, Chicago, Illinois","department":"None"}],"date_submitted":"2018-07-14T21:11:52-04:00","date_accepted":"2018-07-14T21:11:52-04:00","date_published":"2018-11-30T17:42:53-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12046/galley/6463/download/"}]},{"pk":11998,"title":"Qualitative Analysis of Well-being Preparedness at an Emergency Medicine Residency Program","subtitle":null,"abstract":"Introduction:\n There is significant variability in the preparedness of incoming interns at the start of residency training with regard to medical knowledge, procedural skills, and attitudes. Specialty-specific preparatory courses aimed at improving clinical skills exist; however, no preparatory courses targeting wellness promotion or burnout prevention have previously been described. Resident well-being has gained increasing attention from the Accreditation Council for Graduate Medical Education, and numerous studies have demonstrated high levels of burnout among resident physicians. The American Medical Association (AMA) divides resident well-being into the following six categories: nutrition, fitness, emotional health, financial health, preventative care, and mindset and behavioral adaptability. Using the AMA’s conceptual framework for well-being in residency, we performed a targeted needs assessment to support the development of a “pre-residency” well-being curriculum. Our aim was to discover what current residents and faculty felt were the perceived areas of under-preparedness, in relation to resident well-being, for incoming interns at the start of their residency training.\nMethods: \nUsing a grounded theory approach, we conducted a series of semi-structured, focus group interviews. Focus groups consisted of junior residents (postgraduate years [PGY] 1-3), senior residents (PGY-4), and current faculty members. A standardized interview guide was used to prompt discussion and themes were identified from audio recording. We modified theories based on latent and manifest content analysis, and we performed member checking and an external audit to improve validity.\nResults: \nParticipants noted variable exposure to both formal and informal well-being training prior to residency. Regardless, participants uniformly agreed that their past experiences did not adequately prepare them for the challenges, specific to burnout prevention, faced during residency training. Of the six domains of resident well-being described by the AMA, emotional health, mindset and behavioral adaptability, and financial health were the domains most cited for interns to be underprepared for at the start of residency training.\nConclusion: \nDespite variability in prior medical school and life experiences, incoming interns were underprepared in several domains of well-being, including emotional health, mindset and behavioral adaptability, and financial health. Targeted interventions toward these areas of well-being should be piloted and studied further for their potential to mitigate effects of burnout among resident physicians.","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":"Well-Being"},{"word":"burnout"},{"word":"Graduate Medical Education"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/03v839ff","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Diller","name_suffix":"","institution":"University of Southern California Keck School of Medicine, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Jessica","middle_name":"","last_name":"Osterman","name_suffix":"","institution":"University of Southern California Keck School of Medicine, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Ramin","middle_name":"","last_name":"Tabatabai","name_suffix":"","institution":"University of Southern California Keck School of Medicine, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California","department":"None"}],"date_submitted":"2018-07-13T13:52:05-04:00","date_accepted":"2018-07-13T13:52:05-04:00","date_published":"2018-11-26T16:15:50-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11998/galley/6429/download/"}]},{"pk":11913,"title":"Randomized Evaluation of Videoconference Meetings for Medical Students’ Mid-clerkship Feedback Sessions","subtitle":null,"abstract":"Introduction: \nVideoconferencing has been employed in numerous medical education settings ranging from remote supervision of medical trainees to conducting residency interviews. However, no studies have yet documented the utility of and student response to videoconference meetings for mid-clerkship feedback (MCF) sessions required by the Liaison Committee on Medical Education (LCME).\nMethods:\n From March 2017 to June 2018, third-year medical students rotating through the mandatory, four-week emergency medicine (EM) clerkship at a single medical school were randomly assigned either to a web-based videoconference meeting via Google Hangouts, or to a traditional in-person meeting for their MCF session. To compare students’ MCF experiences we sent out an electronic survey afterward to assess the following using a 0-100 sliding scale: overall satisfaction with the meeting; the effectiveness of communication; the helpfulness of the meeting; their stress levels, and the convenience of their meeting location. The survey also collected data on these demographic variables: the name of the faculty member with whom the student met; student gender, age, and interest in EM; location prior to meeting; meeting-method preference; and number of EM shifts completed.\nResults:\n During the study period, 133 third-year medical students responded to the survey. When comparing survey responses between individuals who met online and in person, we did not detect a difference in demographics with the exception of preferred meeting method (p=0.0225). We found no significant differences in the overall experience, helpfulness of the meeting, or stress levels of the meeting between those who met via videoconference vs. in-person (p=0.9909; p=0.8420; p=0.2352, respectively). However, individuals who met in-person with a faculty member rated effectiveness of communication higher than those who met via videoconference (p=0.0002), while those who met online rated convenience higher than those who met in-person (p<0.0001). Both effects remained significant after controlling for preferred meeting method (p<0.0001 and p=0.0003, respectively) and among EM-bound students (p=.0423 and p<0.0110, respectively).\nConclusion:\n Our results suggest that LCME-required MCF sessions can be successfully conducted via web-based programs such as Google Hangouts without jeopardizing overall meeting experience. While the convenience of the meetings was improved, it is also important for clerkship directors to note the perceived deficit in the effectiveness of communication with videoconferencing.","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":"Mid-Clerkship Feedback, videoconference, medical education"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2h98f6t2","frozenauthors":[{"first_name":"Zhengqiu","middle_name":"","last_name":"Zhou","name_suffix":"","institution":"University of Kentucky, Department of Emergency Medicine, Lexington, Kentucky","department":"None"},{"first_name":"Theresa","middle_name":"","last_name":"Mims","name_suffix":"","institution":"University of Kentucky, Department of Emergency Medicine, Lexington, Kentucky","department":"None"},{"first_name":"Adam","middle_name":"","last_name":"Dugan","name_suffix":"","institution":"University of Kentucky, Department of Emergency Medicine, Lexington, Kentucky","department":"None"},{"first_name":"Terren","middle_name":"","last_name":"Trott","name_suffix":"","institution":"University of Kentucky, Department of Emergency Medicine, Lexington, Kentucky","department":"None"},{"first_name":"William","middle_name":"","last_name":"Sanderson","name_suffix":"","institution":"Skagit Valley Hospital, Department of Emergency Medicine, Mount Vernon, Washington","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Bronner","name_suffix":"","institution":"University of Kentucky, Department of Emergency Medicine, Lexington, Kentucky","department":"None"}],"date_submitted":"2018-07-10T10:53:56-04:00","date_accepted":"2018-07-10T10:53:56-04:00","date_published":"2018-11-26T16:11:18-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11913/galley/6370/download/"}]},{"pk":5509,"title":"Bringing Touch Back to the Study of Emotions in Human and Non-Human Primates: A Theoretical Exploration","subtitle":null,"abstract":"This paper provides a theoretical exploration of how comparative research on the expression of emotions has traditionally focused on the visual mode and argues that, given the neurophysiological, developmental, and behavioral evidence that links touch with social interactions, focusing on touch can become an ideal mode to understand the communication of emotions in human and non-human primates. This evidence shows that touch is intrinsically linked with social cognition because it motivates human and non-human animals, from birth, to form social bonds. It will be shown that touch is one of the modes of interaction used by the mother-infant or caregiver-infant dyad that facilitates the expression of emotions by the infant (and later the expression of emotions by the adult that the infant has become) in ways that are understood by other members of the group.","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":"Mother-infant interaction"},{"word":"Expression of Emotions"},{"word":"touch"},{"word":"primates"}],"section":"Special Issue on Contact","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4qf475c2","frozenauthors":[{"first_name":"Maria","middle_name":"","last_name":"Botero","name_suffix":"","institution":"Psychology and Philosophy Department \nSam Houston State University","department":"None"}],"date_submitted":"2018-08-28T23:49:29-03:00","date_accepted":"2018-08-28T23:49:29-03:00","date_published":"2018-11-26T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5509/galley/3334/download/"}]},{"pk":5517,"title":"Expanding Perception: The Role of Touch in Comparative Psychology; Introduction to the Special Issue","subtitle":null,"abstract":"In recent years, researchers have begun to include diverse modes of perception in comparative studies, such as vocal and tactile forms of communication, in an effort to understand social, cognitive, and affective processes in various species. In this special issue, we have collected a series of articles that approach from an interdisciplinary perspective (i.e., psychology, behavioral sciences, anthropology, and philosophy) how touch/contact has been included in diverse fields of research and exploring the new insights produced by including this mode of perception.","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":"Special Issue on Contact","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8590m8xn","frozenauthors":[{"first_name":"Maria","middle_name":"","last_name":"Botero","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2018-10-30T11:59:25-03:00","date_accepted":"2018-10-30T11:59:25-03:00","date_published":"2018-11-26T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5517/galley/3339/download/"}]},{"pk":5482,"title":"The Tactile Senses of Marine Mammals","subtitle":null,"abstract":"Abstract\n \nThe successful return of mammals to aquatic environments presented numerous sensory challenges to overcome. Aquatic habitats reduced the utility of vision and the type of chemoreception important in terrestrial perception. In several orders, the sense of touch assumed greater importance, especially when enhanced by the development of vibrissal (sensory hair) systems. Species of two extant orders, Sirenia and Cetacea, lost all of their hairs except for vibrissae. In the former, these hairs cover the entire bodies of the two families, Trichechidae and Dugongidae. Hairs in adult cetaceans are more constrained (e.g., some river dolphins and baleen whales) and are restricted primarily to rostral regions. Pinnipeds and sea otters retained their pelage, but in addition have elaborated their mystacial and other facial vibrissae. High numbers of vibrissal receptors, associated dense innervation, prominence of neural tracts, and hypertrophy of brain areas associated with touch suggest an importance of tactile senses for aquatic mammals. Experimental testing has demonstrated the exquisite tactile sensitivity of many marine mammal species. Sensory hairs contribute to that tactile sensitivity in both haptic and mechanosensory contexts. Several, if not most, pinniped species, seals and sea lions, can track prey based on mechanoreception alone. In this review we will discuss the neurobiological and behavioral evidence for the tactile senses of marine mammals.","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":"touch, mechanoreception, vibrissae, sensory hairs, follicle-sinus complex, marine mammals"}],"section":"Special Issue on Contact","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1vk1c9z1","frozenauthors":[{"first_name":"Gordon","middle_name":"B","last_name":"Bauer","name_suffix":"","institution":"New College of Florida","department":"None"},{"first_name":"Roger","middle_name":"L","last_name":"Reep","name_suffix":"","institution":"University of Florida","department":"None"},{"first_name":"Christopher","middle_name":"D","last_name":"Marshall","name_suffix":"","institution":"Texas A&M University","department":"None"}],"date_submitted":"2018-03-16T14:50:59-03:00","date_accepted":"2018-03-16T14:50:59-03:00","date_published":"2018-11-26T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5482/galley/3311/download/"}]},{"pk":5481,"title":"Hearing Parents’ Use of Auditory, Visual, and Tactile Cues as a Function of Child Hearing Status","subtitle":null,"abstract":"Parent-child dyads in which the child is deaf but the parent is hearing present a unique opportunity to examine parents’ use of non-auditory cues, particularly vision and touch, to establish communicative intent. This study examines the multimodal communication patterns of hearing parents during a free play task with their hearing (N=9) or deaf (N=9) children. Specifically, we coded parents’ use of multimodal cues in the service of establishing joint attention with their children. Dyad types were compared for overall use of multimodal – auditory, visual, and tactile – attention-establishing cues, and for the overall number of successful and failed bids by a parent for a child’s attention. The relationship between multimodal behaviors on the part of the parent were tracked for whether they resulted in successful or failed initiation of joint attention. We focus our interpretation of the results on how hearing parents differentially accommodate their hearing and deaf children to engage them in joint attention. Findings can inform the development of recommendations for hearing parents of deaf children who are candidates for cochlear implantation regarding communication strategies to use prior to a child’s implantation. Moreover, these findings expand our understanding of how joint attention is established between parents and their preverbal children, regardless of children’s hearing status.","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":"Joint Attention"},{"word":"Deaf Children"},{"word":"touch"},{"word":"Multimodal Communication"}],"section":"Special Issue on Contact","is_remote":true,"remote_url":"https://escholarship.org/uc/item/98q9n3dc","frozenauthors":[{"first_name":"Allison","middle_name":"","last_name":"Gabouer","name_suffix":"","institution":"University of California, Merced","department":"None"},{"first_name":"John","middle_name":"","last_name":"Oghalai","name_suffix":"","institution":"Keck School of Medicine, University of Southern California","department":"None"},{"first_name":"Heather","middle_name":"","last_name":"Bortfeld","name_suffix":"","institution":"University of California, Merced","department":"None"}],"date_submitted":"2018-03-15T21:41:17-03:00","date_accepted":"2018-03-15T21:41:17-03:00","date_published":"2018-11-21T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5481/galley/3310/download/"}]},{"pk":5496,"title":"Robots Can Train Humans Using Principles of Operant Conditioning Through Visual Reinforcement Tools","subtitle":null,"abstract":"Researchers have established new techniques to study human-robot interactions based on current knowledge in interspecies communication and comparative psychology. Studies on animal acceptance of robot conspecifics in complex social environments has led to the development of robots that adapt to animal and human behaviors. Using a robot with adaptable algorithms developed by the authors, the researchers hypothesized that, by using familiar visual rewards as positive reinforcement, robots could use operant conditioning principles to teach humans a basic task. The robot in this study independently determines optimal control of construction equipment by capturing the motions from an expert operator. The robot then attempts to teach those same skills to novice operators using familiar, yet simple, visual reinforcement tools. In this study, participants were asked to manipulate a model excavator using feedback from the guidance system on a nearby computer screen. Participants were randomly assigned to one of three groups: simple visual reinforcement, complex guidance, and no visual feedback (blank screen). To measure learning, participants returned a day later to repeat the task without the guidance. The group using simple feedback resulted in cycle times that were closer to the expert times than both the complex or control groups and were significantly different end times (p < .05) than either group. This result supports our hypothesis that, similar to what’s been found in vertebrates and invertebrates, robots can shape behaviors of humans using visual positive reinforcement.","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":"Robots, Learning, Operant Conditioning"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1bx00918","frozenauthors":[{"first_name":"Emily","middle_name":"","last_name":"Kieson","name_suffix":"","institution":"Oklahoma State University","department":"None"},{"first_name":"Harshal","middle_name":"","last_name":"Maske","name_suffix":"","institution":"University of Illinois","department":"None"},{"first_name":"Charles","middle_name":"Ira","last_name":"Abramson","name_suffix":"","institution":"Oklahoma State University","department":"None"},{"first_name":"Girish","middle_name":"","last_name":"Chowdhary","name_suffix":"","institution":"University of Illinois","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Crick","name_suffix":"","institution":"Oklahoma State University","department":"None"}],"date_submitted":"2018-06-19T15:12:38-04:00","date_accepted":"2018-06-19T15:12:38-04:00","date_published":"2018-11-21T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5496/galley/3322/download/"}]},{"pk":5479,"title":"The role of physical activity and touch in children’s social bonding","subtitle":null,"abstract":"Physical activity (PA) and touch, long known to facilitate interpersonal affiliation in adults and non-human primates, are common elements of children’s free play. However, no research has examined how children’s play involving PA and touch is linked with social bonding (i.e., positive emotional states and behaviors that help create, maintain and characterize affiliation and attachment among individuals). This paper reports on two novel studies designed to explore these links in children’s play. In two studies, we investigated associations between PA, touch and prosociality in 5-to-8-year-old children. In a naturalistic observation study (\nN \n= 50), we assessed the amount of PA, smiling/laughing, touch, and prosociality in children’s play behavior during school breaks. PA levels were also measured indirectly via heart rate monitors (HRM). The findings revealed that observed-PA was associated with the amount of smiling/laughing. PA (observed and HRM) was also associated with the amount of touch. In a second study (\nN \n= 84), we experimentally tested the effect of touch on helping behavior in the context of physically-active play. In pairs, children ran to collect felt shapes which they placed either onto each other (touch condition) or onto a board (no-touch condition). Subsequent helping behavior was assessed in a separate task. There was a non-significant trend towards more helping in the touch condition. We discuss the findings in terms of the significance of PA and touch for social bonding in childhood and offer suggestions for future research in this underexplored area.","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":"touch"},{"word":"Social bonding"},{"word":"Physical activity"},{"word":"Play"}],"section":"Special Issue on Contact","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6827z8x9","frozenauthors":[{"first_name":"Megan","middle_name":"","last_name":"Jefferies","name_suffix":"","institution":"Institute of Cognitive and Evolutionary Anthropology\nUniversity of Oxford","department":"None"},{"first_name":"Bahar","middle_name":"","last_name":"Tunçgenç","name_suffix":"","institution":"Institute of Cognitive and Evolutionary Anthropology\nUniversity of Oxford; Department of Neurology, Johns Hopkins University School of Medicine; Center for Neurodevelopmental and Imaging Research, Kennedy Krieger Institute","department":"None"},{"first_name":"Emma","middle_name":"","last_name":"Cohen","name_suffix":"","institution":"Institute of Cognitive and Evolutionary Anthropology\nUniversity of Oxford; Wadham College, University of Oxford","department":"None"}],"date_submitted":"2018-03-15T17:56:22-03:00","date_accepted":"2018-03-15T17:56:22-03:00","date_published":"2018-11-21T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5479/galley/3309/download/"}]},{"pk":12013,"title":"Simulation-Based Remediation in Emergency Medicine Residency Training- A Consensus Study.","subtitle":null,"abstract":"Introduction:\n Resident remediation is a pressing topic in emergency medicine (EM) training programs. Simulation has become a prominent educational tool in EM training and been recommended for identification of learning gaps and resident remediation. Despite the ubiquitous need for formalized remediation, there is a dearth of literature regarding best practices for simulation-based remediation (SBR).\nMethods:\n We conducted a literature search on SBR practices using the terms “simulation,” “remediation,” and “simulation based remediation.” We identified relevant themes and used them to develop an open-ended questionnaire that was distributed to EM programs with experience in SBR. Thematic analysis was performed on all subsequent responses and used to develop survey instruments, which were then used in a modified two-round Delphi panel to derive a set of consensus statements on the use of SBR from an aggregate of 41 experts in simulation and remediation in EM.\nResults: \nFaculty representing 30 programs across North America composed the consensus group with 66% of participants identifying themselves as simulation faculty, 32% as program directors, and 2% as core faculty. The results from our study highlight a strong agreement across many areas of SBR in EM training. SBR is appropriate for a range of deficits, including procedural, medical knowledge application, clinical reasoning/decision-making, communication, teamwork, and crisis resource management. Simulation can be used both diagnostically and therapeutically in remediation, although SBR should be part of a larger remediation plan constructed by the residency leadership team or a faculty expert in remediation, and not the only component. Although summative assessment can have a role in SBR, it needs to be very clearly delineated and transparent to everyone involved.\nConclusion:\n Simulation may be used for remediation purposes for certain specific kinds of competencies as long as it is carried out in a transparent manner to all those involved.","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":"Remediation, Simulation, Emergency Medicine, Resident Training"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6vb9g1x6","frozenauthors":[{"first_name":"Nur-Ain","middle_name":"","last_name":"Nadir","name_suffix":"","institution":"Kaiser Permanente Central Valley, Department of Emergency Medicine, Modesto, California\n\nUniversity of Illinois-Peoria, Jump Simulation, Peoria, Illinois","department":"None"},{"first_name":"Danielle","middle_name":"","last_name":"Hart","name_suffix":"","institution":"University of Minnesota, Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Cassara","name_suffix":"","institution":"Donald and Barbara Zucker School of Medicine at Hofstra-Northwell, Department of Emergency Medicine, Manhasset, New York","department":"None"},{"first_name":"Joan","middle_name":"","last_name":"Noelker","name_suffix":"","institution":"Washington University in St. Louis, Department of Medicine, Division of Emergency Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Tiffany","middle_name":"","last_name":"Moadel","name_suffix":"","institution":"Donald and Barbara Zucker School of Medicine at Hofstra-Northwell, Department of Emergency Medicine, Manhasset, New York","department":"None"},{"first_name":"Miriam","middle_name":"","last_name":"Kulkarni","name_suffix":"","institution":"St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Sampson","name_suffix":"","institution":"University of Missouri-Columbia, Department of Emergency Medicine, Columbia, Missouri","department":"None"},{"first_name":"Suzanne","middle_name":"","last_name":"Bentley","name_suffix":"","institution":"Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, Department of Emergency Medicine and Medical Education, Simulation Center, Elmhurst, New York","department":"None"},{"first_name":"Neel","middle_name":"","last_name":"Naik","name_suffix":"","institution":"New York Presbyterian, Weill Cornell Medicine, Department of Emergency Medicine, New York, New York","department":"None"},{"first_name":"Jessica","middle_name":"","last_name":"Hernandez","name_suffix":"","institution":"University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas","department":"None"},{"first_name":"Sara","middle_name":"","last_name":"Krzyzaniak","name_suffix":"","institution":"Kaiser Permanente Central Valley, Department of Emergency Medicine, Modesto, California\n\nUniversity of Illinois-Peoria, Jump Simulation, Peoria, Illinois","department":"None"},{"first_name":"Steven","middle_name":"","last_name":"Lai","name_suffix":"","institution":"Ronald Reagan UCLA Medical Center, Olive View-UCLA Medical Center, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Gregory","middle_name":"","last_name":"Podolej","name_suffix":"","institution":"Kaiser Permanente Central Valley, Department of Emergency Medicine, Modesto, California\n\nUniversity of Illinois-Peoria, Jump Simulation, Peoria, Illinois","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Strother","name_suffix":"","institution":"Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, Pediatrics, and Medical Education, New York, New York","department":"None"}],"date_submitted":"2018-07-13T15:31:22-04:00","date_accepted":"2018-07-13T15:31:22-04:00","date_published":"2018-11-20T17:24:26-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12013/galley/6442/download/"}]},{"pk":11867,"title":"Yogaman: An Inexpensive, Anatomically-detailed Chest Tube Placement Trainer","subtitle":null,"abstract":"Introduction:\n Opportunities for chest tube placement in emergency medicine training programs have decreased, making competence development and maintenance with live patients problematic. Available trainers are expensive and may require costly maintenance.\nMethods\n: We constructed an anatomically-detailed model using a Halloween skeleton thorax, dress form torso, and yoga mat. Participants in a trial session completed a survey regarding either their comfort with chest tube placement before and after the session or the realism of Yogaman vs. cadaver lab, depending on whether they had placed <10 or 10 or more chest tubes in live patients.\nResults:\n Inexperienced providers reported an improvement in comfort after working with Yogaman, (comfort before 47 millimeters [mm] [interquartile ratio {IQR}, 20-53 mm]; comfort after 75 mm [IQR, 39-80 mm], p=0.01). Experienced providers rated realism of Yogaman and cadaver lab similarly (Yogaman 79 mm [IQR, 74-83 mm]; cadaver lab 78 mm [IQR, 76-89 mm], p=0.67). All evaluators either agreed or strongly agreed that Yogaman was useful for teaching chest tube placement in a residency program.\nConclusion: \nOur chest tube trainer allowed for landmark identification, tissue dissection, pleura puncture, lung palpation, and tube securing. It improved comfort of inexperienced providers and was rated similarly to cadaver lab in realism by experienced providers. It is easily reusable and, at $198, costs a fraction of the price of available commercial trainers.","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":"thoracostomy"},{"word":"education"},{"word":"Simulation"}],"section":"Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1hn4s9j2","frozenauthors":[{"first_name":"Timothy","middle_name":"P.","last_name":"Young","name_suffix":"","institution":"Loma Linda University Medical Simulation Center, Loma Linda, California\n\nLoma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Mark","middle_name":"D.","last_name":"Schaefer","name_suffix":"","institution":"Loma Linda University Medical Simulation Center, Loma Linda, California\n\nLoma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Heather","middle_name":"M.","last_name":"Kuntz","name_suffix":"","institution":"Loma Linda University Medical Simulation Center, Loma Linda, California\n\nLoma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Molly","middle_name":"K.","last_name":"Estes","name_suffix":"","institution":"Loma Linda University Medical Simulation Center, Loma Linda, California\n\nLoma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Kiemeney","name_suffix":"","institution":"Loma Linda University Medical Simulation Center, Loma Linda, California\n\nLoma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Brian","middle_name":"J.","last_name":"Wolk","name_suffix":"","institution":"Loma Linda University Medical Simulation Center, Loma Linda, California\n\nLoma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Mindi","middle_name":"","last_name":"Guptill","name_suffix":"","institution":"Loma Linda University Medical Simulation Center, Loma Linda, California\n\nLoma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":"None"}],"date_submitted":"2018-06-23T01:45:54-04:00","date_accepted":"2018-06-23T01:45:54-04:00","date_published":"2018-11-20T17:02:18-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11867/galley/6352/download/"}]},{"pk":11773,"title":"The Impact of a Standardized Checklist on Transition of Care During Emergency Department Resident Physician Change of Shift","subtitle":null,"abstract":"Introduction: \nTransitions of patient care during physicians’ change of shift introduce the potential for critical information to be missed or distorted, resulting in possible morbidity. The Joint Commission, the Accreditation Council for Graduate Medical Education, and the Society of Hospital Medicine jointly encourage a structured format for patient care sign-out. This study’s objective was to examine the impact of a standardized checklist on the quality of emergency medicine (EM) resident physicians’ patient-care transition at shift change.\nMethods:\n Investigators developed a standardized sign-out checklist for EM residents to complete prior to sign out. This checklist included topics of diagnoses, patient-care tasks to do, patient disposition, admission team, and patient code status. Two EM attending physicians, the incoming and departing, assessed the quality of transitions of care at this shift change using a standardized assessment form. This form also assessed overall quality of sign-out using a visual analog scale (VAS), based on a 10-centimeter scale. For two months, we collected initial, status quo data (pre-checklist [PCL] cohort) followed by two months of residents using the checklist (post-checklist [CL] cohort).\nResults: \nWe collected data for 77 days (July 1, 2015 – November 11, 2015), 38 days of status quo sign-out followed by 39 days of checklist utilization, comprised of 1,245 attending assessments. Global assessment of sign-out for the CL was 8 compared to 7.5 for the PCL. Aspects of transition of care that implementation of the sign-out checklist impacted included the following (reported as a frequency): “To Do” (PCL 84.3%, CL 97.8%); “Disposition” (PCL 97.2%, CL 99.4%); “Admit Team” (67.1%, CL 76.2%); and “Attending Add” (PCL 23.4%, CL 11.3%).\nConclusion:\n Implementation of a sign-out checklist enhanced EM resident physician transition of care at shift end by increasing the frequency of discussion of critical tasks remaining for patient care, disposition status, and subjective assessment of quality of sign-out.","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":"Sign-out"},{"word":"Transition of Care"},{"word":"Change of Shift"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0vt43775","frozenauthors":[{"first_name":"Alyssa","middle_name":"","last_name":"Milano","name_suffix":"","institution":"St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"},{"first_name":"Holly","middle_name":"","last_name":"Stankewicz","name_suffix":"","institution":"St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"},{"first_name":"Jill","middle_name":"","last_name":"Stoltzfus","name_suffix":"","institution":"St. Luke’s University Health Network, Research Institute, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"},{"first_name":"Philip","middle_name":"","last_name":"Salen","name_suffix":"","institution":"St. Luke’s University Health Network, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"}],"date_submitted":"2018-05-15T19:50:25-04:00","date_accepted":"2018-05-15T19:50:25-04:00","date_published":"2018-11-20T15:52:49-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11773/galley/6315/download/"}]},{"pk":12045,"title":"Behind the Curtain: The Nurses’ Voice in Assessment of Residents in the Emergency Department","subtitle":null,"abstract":"Introduction:\n Feedback provides valuable input for improving physician performance. Conventionally, feedback is obtained from attending physicians; however, residents work in close contact with other members of the care team, especially nurses. Nurses may have more opportunity to directly observe trainees. In addition, they may value different behaviors and provide unique feedback. The objective of this study was to examine the nurse’s perspective of resident performance in the emergency department.\nMethods:\n This was a retrospective, mixed-methods study of nursing assessments of residents using a five-point scale from 1 (unsatisfactory) to 5 (outstanding) and providing comments. Analysis included descriptive statistics of the quantitative assessments and content analysis of the nursing comments by a group of attendings, residents, and nurses.\nResults:\n Nurses assessed residents as above expectation or outstanding, especially for the categories of “How would you rate this resident’s attitude?” (65%) and “Is this resident a team player?” (64%). Content analysis of the comments yielded nine themes including being kind, communication with nurses, being a team player, work ethic and efficiency, and respect for other team members. Of the comments made, 50% provided positive feedback, and the majority of comments (80%) were determined to be actionable.\nConclusion:\n Our data indicate that nurses provide feedback on residents’ kindness, efficiency and communication. These two aspects of interacting in the healthcare setting may not be highlighted in conventional, attending provider feedback, yet they are clearly noted by the nurse’s voice.","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":"Assessment, resident, interprofessional, multisource feedback"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3493q1sc","frozenauthors":[{"first_name":"Ashley","middle_name":"","last_name":"Pavlic","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Dana","middle_name":"","last_name":"Liu","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan\n\nWake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"Kara","middle_name":"","last_name":"Baker","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan\n\nNorth Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":"None"},{"first_name":"Joseph","middle_name":"","last_name":"House","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Byrd","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Tina","middle_name":"","last_name":"Martinek","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Diana","middle_name":"","last_name":"O'Leary","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Sally","middle_name":"A.","last_name":"Santen","name_suffix":"","institution":"Virginia Commonwealth University School of Medicine, Department of Emergency Medicine, Richmond, Virginia","department":"None"}],"date_submitted":"2018-07-14T19:43:21-04:00","date_accepted":"2018-07-14T19:43:21-04:00","date_published":"2018-11-19T18:19:12-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12045/galley/6462/download/"}]},{"pk":12070,"title":"July Phenomenon Impacts Efficiency of Emergency Care","subtitle":null,"abstract":"Introduction:\n The “July effect” describes the period in which new interns begin learning patient care while senior residents take on additional responsibility in an academic hospital setting. The annual change in staffing creates inefficiencies in patient care, which may negatively impact quality of care. Our objective was to evaluate the impact of the annual resident turnover on emergency department (ED) efficiency in a teaching hospital.\nMethods: \nThis was an institutional review board-approved retrospective chart review spanning two academic years analyzing 79,921 records. We grouped July and August into the period of least experience (PLE) and May and June into the period of most experience (PME). Outcomes included faculty and resident productivity, ED door-to-doctor time, and time to disposition.\nResults:\n Patients were evaluated by 117 emergency residents and 73 emergency faculty. We excluded patient records for 35 off-service residents. Residents saw 15.8% more patients in the PME compared to the PLE (p<0.0001). The residents’ average door-to-doctor time during the PLE was 45.63 minutes (standard deviation [SD] 33.01, median 36) compared to 34.69 minutes (SD 25.22, median 28) during the PME, with a decrease in time by 21.3% (p=0.0203). The residents’ average time to disposition during the PLE was 304.6 minutes (SD 308, median 217) compared to 269.0 minutes (SD 282, median 194) during the PME, decreasing by 12.4% (p=0.0001). Residents had an average ED length of stay for discharged patients of 358.5 minutes (SD 374.6, median 238) during the PLE compared to 309.9 minutes (SD 346.4, median 209) during the PME, decreasing 13.7% for discharged patients (p=0.0017).\nConclusion: \nAnnual turnover of resident staffing has a significant impact on common ED efficiency metrics. EDs should consider interventions to mitigate the impact of these expected inefficiencies.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"ED efficiency, teaching hospitals, ED quality, July Phenomenon"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0612k6p3","frozenauthors":[{"first_name":"Amit","middle_name":"","last_name":"Bahl","name_suffix":"","institution":"Beaumont Hospital, Department of Emergency Medicine, Royal Oak, Michigan","department":"None"},{"first_name":"Catherine","middle_name":"Cooley","last_name":"Hixson","name_suffix":"","institution":"Michigan State University, Department of Emergency Medicine, Grand Rapids\nEmergency Medical Education Partners, Grand Rapids, Michigan","department":"None"}],"date_submitted":"2018-07-17T14:23:40-04:00","date_accepted":"2018-07-17T14:23:40-04:00","date_published":"2018-11-19T18:05:34-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12070/galley/6470/download/"}]},{"pk":12265,"title":"Show Me the Money: Successfully Obtaining Grant Funding in Medical Education","subtitle":null,"abstract":"Obtaining grant funding is a fundamental component to achieving a successful research career.A successful grant application needs to meet specific mechanistic expectations of reviewersand funders. This paper provides an overview of the importance of grant funding within medicaleducation, followed by a stepwise discussion of strategies for creating a successful grant applicationfor medical education-based proposals. The last section includes a list of available medicaleducation research grants.","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":"faculty development"},{"word":"grant"},{"word":"scholarship"},{"word":"research"}],"section":"Editorial","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8mm4m9qg","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Gottlieb","name_suffix":"","institution":"Rush University Medical Center, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Sangil","middle_name":"","last_name":"Lee","name_suffix":"","institution":"University of Iowa Carver College of Medicine, Iowa City, Iowa","department":"None"},{"first_name":"John","middle_name":"","last_name":"Burkhardt","name_suffix":"","institution":"University of Michigan School of Medicine, Department of Emergency Medicine, Ann\nArbor, Michigan","department":"None"},{"first_name":"Jestin","middle_name":"","last_name":"Carlson","name_suffix":"","institution":"Allegheny Health Network, Department of Emergency Medicine, Erie, Pennsylvania","department":"None"},{"first_name":"Andrew","middle_name":"M.","last_name":"King","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Ambrose","middle_name":"H.","last_name":"Wong","name_suffix":"","institution":"Yale School of Medicine, Department of Emergency Medicine, New Haven, Connecticut","department":"None"},{"first_name":"Sally","middle_name":"A.","last_name":"Santen","name_suffix":"","institution":"Virginia Commonwealth University School of Medicine, Department of Emergency Medicine, Richmond, Virginia","department":"None"}],"date_submitted":"2018-10-15T20:37:07-03:00","date_accepted":"2018-10-15T20:37:07-03:00","date_published":"2018-11-19T17:37:59-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12265/galley/6543/download/"}]},{"pk":12041,"title":"Recommendations from the Council of Emergency Medicine Residency Directors: Osteopathic Applicants","subtitle":null,"abstract":"The Council of Emergency Medicine Residency Directors (CORD) Advising Students Committee(ASC-EM) has previously published student advising recommendations for general emergencymedicine (EM) applicants in an effort to disseminate standardized information to students andpotential advisors. As the shift to a single graduate medical education system occurs by 2020,osteopathic students will continue to represent a larger portion of matched EM applicants, but datashows that their match rate lags that of their allopathic peers, with many citing a lack of access toknowledge EM advisors as a major barrier. Based on available data and experiential information, asub-group of ASC-EM committee sought to provide quality, evidence-based advising resources forstudents, their advisors, and medical leadership. The recommendations advise osteopathic studentsto seek early mentorship and get involved in EM-specific organizations. Students should take Step 1of the United States Medical Licensing Exam and complete two EM rotations at academic institutionsto secure two Standardized Letters of Evaluation and consider regional and program-specific data onpercentage of active osteopathic residents.","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":"Osteopathic, Emergency, Residency"}],"section":"Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/680757jz","frozenauthors":[{"first_name":"Megan","middle_name":"","last_name":"Stobart-Gallagher","name_suffix":"","institution":"Einstein Medical Center Philadelphia, Einstein Healthcare Network, Department of\nEmergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Liza","middle_name":"","last_name":"Smith","name_suffix":"","institution":"Baystate Medical Center, University of Massachusetts Medical School-Baystate Health,\nDepartment of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Giordano","name_suffix":"","institution":"University of Texas Health Science Center Houston, McGovern Medical School, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Zach","middle_name":"","last_name":"Jarou","name_suffix":"","institution":"University of Chicago, Department of Medicine, Biological Sciences Division, Section of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Lucienne","middle_name":"","last_name":"Lufty-Clayton","name_suffix":"","institution":"Baystate Medical Center, University of Massachusetts Medical School-Baystate Health,\nDepartment of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Adam","middle_name":"","last_name":"Kellogg","name_suffix":"","institution":"Baystate Medical Center, University of Massachusetts Medical School-Baystate Health,\nDepartment of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Emily","middle_name":"","last_name":"Hillman","name_suffix":"","institution":"Truman Medical Center, University of Missouri-Kansas City School of Medicine, Department of Emergency Medicine, Kansas City, Missouri","department":"None"}],"date_submitted":"2018-07-14T12:09:06-04:00","date_accepted":"2018-07-14T12:09:06-04:00","date_published":"2018-11-19T17:32:35-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12041/galley/6461/download/"}]},{"pk":12067,"title":"Transition to Practice: A Novel Life Skills Curriculum for Emergency Medicine Residents","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":"Curriculum Development, Transitions, Graduate Medical Education"}],"section":"Brief Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9cj711jz","frozenauthors":[{"first_name":"Holly","middle_name":"","last_name":"Caretta-Weyer","name_suffix":"","institution":"Stanford University School of Medicine, Department of Emergency Medicine, Palo\nAlto, California","department":"None"}],"date_submitted":"2018-07-16T02:28:24-04:00","date_accepted":"2018-07-16T02:28:24-04:00","date_published":"2018-11-19T17:26:02-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12067/galley/6469/download/"}]},{"pk":44593,"title":"Prolonged Amnestic Symptoms after Overdose of 5-hydroxytryptophan (5-HTP) Griffonia simplicifolia Seed Extract","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/82n7m4ts","frozenauthors":[{"first_name":"Thomas","middle_name":"","last_name":"Blair","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Cindy","middle_name":"","last_name":"Koh","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T14:45:35-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44593/galley/33386/download/"}]},{"pk":44592,"title":"Weak and Dizzy: What Goes Around Comes Around","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/0kn449g4","frozenauthors":[{"first_name":"Thomas","middle_name":"","last_name":"Blair","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Zahir","middle_name":"","last_name":"Basrai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T14:42:32-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44592/galley/33385/download/"}]},{"pk":44591,"title":"A Case of Medication-induced Lactic Acidosis","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/33f2215g","frozenauthors":[{"first_name":"Reece","middle_name":"","last_name":"Doughty","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T14:38:18-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44591/galley/33384/download/"}]},{"pk":44590,"title":"Necrotizing Fasciitis Without Penetrating Wound","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/4nm8m6dm","frozenauthors":[{"first_name":"Jing","middle_name":"","last_name":"Zhao","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T14:25:37-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44590/galley/33383/download/"}]},{"pk":44589,"title":"Sister Mary Joseph’s Nodule in a Patient Presenting with Diffuse Large B-Cell Lymphoma","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/8v74z6jw","frozenauthors":[{"first_name":"Aline","middle_name":"","last_name":"Zorian","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Michael","middle_name":"E","last_name":"Lazarus","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T14:21:29-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44589/galley/33382/download/"}]},{"pk":44588,"title":"Ingestion of Brain Octane Oil","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/0kp1n7rs","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Reid","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Balbir","middle_name":"","last_name":"Brar","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T14:15:07-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44588/galley/33381/download/"}]},{"pk":44587,"title":"A Case of Gastric Volvulus","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/6s30q44j","frozenauthors":[{"first_name":"Zahir","middle_name":"","last_name":"Basrai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Manuel","middle_name":"","last_name":"Celedon","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T14:09:59-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44587/galley/33380/download/"}]},{"pk":44586,"title":"ANCA Antibodies without ANCA Vasculitis Found on Renal Biopsy The Importance of Obtaining Diagnostic Confirmation with Pathology Samples","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/5q64m3mp","frozenauthors":[{"first_name":"Umut","middle_name":"","last_name":"Selamet","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Anthony","middle_name":"","last_name":"Sisk","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Ramy","middle_name":"M","last_name":"Hanna","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-19T13:53:24-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44586/galley/33379/download/"}]},{"pk":5485,"title":"The functions of mutual touch in full-term and very low-birthweight/preterm infant-mother dyads: Associations with infant affect and emotional availability during face-to-face interactions","subtitle":null,"abstract":"The purpose of the present study was to investigate the communicative functions of mutual touch during mother-infant interactions and their relation with infants’ affect and the quality of the mother-infant relationship. The two normal periods of the Still-Face procedure were examined for mothers and their 5½-month-old full-term (n=40) and very low-birthweight/preterm (VLBW/preterm; n=40) infants. The Functions of Mother-Infant Mutual Touch Scale was used to code the function of each mutual touch. Results indicated that full-term infant-mother dyads spent significantly more time engaged in playful and regulatory mutual touch compared to VLBW/preterm infant-mother dyads who spent significantly more time engaged in attention-centered, unbalanced, and guided mutual touch. Infant smiling was found to significantly co-occur with playful mutual touch for both the full-term and VLBW/preterm infants, while fretting co-occurred with unbalanced mutual touch for VLBW/preterm infants. Higher levels of maternal sensitivity and regulatory mutual touch were associated for full-term dyads, while lower levels of maternal sensitivity were associated with unbalanced mutual touch for VLBW/preterm dyads. Results from this study enable a more comprehensive understanding of the functions of mutual touching, and suggest key differences in which mutual touching behaviours are organized with infants’ affect and relationship dimensions between mothers and their infants.","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":"mother-infant interactions"},{"word":"touch"},{"word":"VLBW/preterm infants"},{"word":"Relationship"},{"word":"Still-Face procedure"}],"section":"Special Issue on Contact","is_remote":true,"remote_url":"https://escholarship.org/uc/item/62x2k310","frozenauthors":[{"first_name":"Irene","middle_name":"","last_name":"Mantis","name_suffix":"","institution":"Concordia University","department":"None"},{"first_name":"Dale","middle_name":"M","last_name":"Stack","name_suffix":"","institution":"Concordia University","department":"None"}],"date_submitted":"2018-05-19T10:34:22-04:00","date_accepted":"2018-05-19T10:34:22-04:00","date_published":"2018-11-19T00:28:57-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5485/galley/3313/download/"}]},{"pk":11961,"title":"Asteroids® and Electrocardiograms: Proof of Concept of a Simulation for Task-Switching Training","subtitle":null,"abstract":"Introduction:\n Emergency physicians are interrupted during patient care with such tasks as reading electrocardiograms (ECGs). This phenomenon is known as task-switching which may be a teachable skill. Our objective was to evaluate the potential of a video game for simulating the cognitive demands required of task-switching.\nMethods:\n Emergency medicine residents took a pretest on ECG interpretation and then a posttest while attending to a video game, Asteroids®.\nResults: \nThe 35 residents (63%) who participated, scored worse on the ECG posttest then they did on the pretest (p<.001; effect size=1.14). There were no differences between genders or training level.\nConclusion:\n Interpreting ECGs while playing the Asteroids® game significantly lowered ECG interpretation scores. This shows the potential of this activity for training residents in task-switching ability. The next phase of research will test whether ECG reading performance while task-switching improves with practice.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Education, Graduate Medical"},{"word":"Emergency Medicine"},{"word":"Multitasking Behavior"}],"section":"Brief Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1xv7v06n","frozenauthors":[{"first_name":"Farhad","middle_name":"","last_name":"Aziz","name_suffix":"","institution":"Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Bryan","middle_name":"","last_name":"Yeh","name_suffix":"","institution":"Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Geremiha","middle_name":"","last_name":"Emerson","name_suffix":"","institution":"Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"David","middle_name":"P.","last_name":"Way","name_suffix":"","institution":"Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"San Miguel","name_suffix":"","institution":"Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Andrew","middle_name":"M.","last_name":"King","name_suffix":"","institution":"Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"}],"date_submitted":"2018-07-12T15:17:33-04:00","date_accepted":"2018-07-12T15:17:33-04:00","date_published":"2018-11-16T16:18:33-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11961/galley/6397/download/"}]},{"pk":5476,"title":"Infant Handling Among Primates","subtitle":null,"abstract":"Primates, particularly females, tend to be attracted to infants that are not their own and are often highly motivated to touch and handle them. However, species vary markedly in forms of handling and extents to which handling constitutes direct care (e.g., carrying and nursing), other affiliative behaviors, or aggression/ abuse. Here we review infant handling among primates from ultimate and proximate perspectives, focusing on a promising, but understudied hypothesized benefit—that handling enhances social bonds. We pay special attention to macaques and baboons, because infant handling in most of these species poses a special challenge in that it involves little actual care, and hence may be shaped by different and as yet unclear selective pressures from typical alloparental care. Costs, benefits, and hypothesized functions appear to vary across species based on: a) individuals’ roles (mother, handler, and infant), b) each of their characteristics, c) relationships between handlers and mothers, and d) the social context within the group. As a result, observed patterns of handling appear to be complex outcomes of the interaction of different, sometimes conflicting interests. The most promising hypotheses based on short/ medium term benefits appear to vary with breeding system, reproductive biology, socioecological factors, and life history characteristics. Explanations based on life history variables or long-term evolutionary processes related to cooperation appear to have broader applications, but nevertheless fail to explain infant handling in all its manifestations. We end by calling for more quantitative comparative and longitudinal research to further elucidate our understanding of this puzzling behavior.","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":"infant handling, allocare, social bonds, macaques and baboons"}],"section":"Special Issue on Contact","is_remote":true,"remote_url":"https://escholarship.org/uc/item/45w0r631","frozenauthors":[{"first_name":"Erica","middle_name":"S","last_name":"Dunayer","name_suffix":"","institution":"University at Buffalo, Buffalo, New York","department":"None"},{"first_name":"Carol","middle_name":"M","last_name":"Berman","name_suffix":"","institution":"University at Buffalo, Buffalo, New York","department":"None"}],"date_submitted":"2018-03-04T15:51:50-03:00","date_accepted":"2018-03-04T15:51:50-03:00","date_published":"2018-11-13T21:59:32-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5476/galley/3308/download/"}]},{"pk":12061,"title":"Factors Affecting Entrustment and Autonomy in Emergency Medicine: How much rope do I give them?","subtitle":null,"abstract":"Introduction: \nDuring residency, the faculty’s role is to provide supervision while granting the trainee autonomy. This concept is termed entrustment. The goal is appropriate progression from supervision to autonomy while decreasing oversight as residents train. The objective of this study was to better understand the factors affecting the degree of autonomy or supervision faculty choose to provide residents.\nMethods:\n This was a qualitative study of resident and faculty perceptions. We conducted two faculty and two resident focus groups. We then transcribed the transcripts of the audiotaped discussions and coded them using grounded theory.\nResults:\n Analysis of the transcripts yielded four major factors affecting entrustment of residents. Patient Factors included the acuity of the patient, sociomedical issues of patient/family, and complexity of risk with patient or procedure. For example, “sometimes there are families and patients who are exceedingly difficult that immediately sort of force me [to allow less autonomy].” Environmental Factors included patient volume and systems protocols (i.e., trauma). “If you’re very busy and you have a resident that you already trust, you will give them more rope because you’re trying to juggle more balls.”Resident Factors included the year of training, resident performance, clinical direct observation, and patient presentations. “But if you have a resident that you do not trust […] I tell them you’re going to do this, this, this, this, this.”Faculty Factors included confidence in his/her own practice, risk-averse attitude, degree of ownership of the patient, commitment to education, and personality (e.g., micro-manager). Significant variability in entrustment by faculty existed, from being “micromanagers” to not seeing the patients. One resident noted: “There are some attendings, no matter how much they like you and how much you’ve worked with them, they’re always going to be in your face in the trauma bay. And there’s some attendings that are going to be ghosts.”\nConclusion:\n Multiple factors affect the amount of autonomy and entrustment given to residents and their level of supervision by faculty, leading to wide variability in entrustment. In the end, regardless of resident, patient, or environment, some faculty are more likely to entrust than others.","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":"resident, entrustment, supervision, attending"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2b35f5t8","frozenauthors":[{"first_name":"Sally","middle_name":"A.","last_name":"Santen","name_suffix":"","institution":"Virginia Commonwealth University School of Medicine, Department of Emergency Medicine, Richmond, Virginia","department":"None"},{"first_name":"Margaret","middle_name":"S.","last_name":"Wolff","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Katie","middle_name":"","last_name":"Saxon","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan\n\nColorado Permanente Medical Group, Department of Emergency Medicine, Denver, Colorado","department":"None"},{"first_name":"Nadia","middle_name":"","last_name":"Juneja","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan\n\nEast Central Iowa Acute Care, Department of Emergency Medicine, Cedar Rapids, Iowa","department":"None"},{"first_name":"Benjamin","middle_name":"","last_name":"Bassin","name_suffix":"","institution":"University of Michigan Medical School, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"}],"date_submitted":"2018-07-15T18:47:39-04:00","date_accepted":"2018-07-15T18:47:39-04:00","date_published":"2018-11-13T18:53:37-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12061/galley/6466/download/"}]},{"pk":11931,"title":"Does Implementation of a Corporate Wellness Initiative Improve Burnout?","subtitle":null,"abstract":"Introduction: \nBurnout affects over 50% of all physicians. Nearly 70% of emergency physicians are affected, and it has been found to be as high as 76% in resident physicians overall. Previous wellness initiatives have yielded variable results; therefore, we looked for interventions that could potentially be effective at reversing this trend. We explored effective wellness programs originating from other industries. Our objective was to implement a corporate wellness program with previous evidence of success in other healthcare provider populations. We aimed to investigate whether this program would be effective in decreasing burnout in emergency medicine (EM) residents.\nMethods: \nThis program was conducted during required EM resident conference hours from 2016-2017. The Maslach Burnout Inventory was completed before and after the series of sessions, and we collected reactions-level data following completion of the six sessions.\nResults: \nPost-intervention scores revealed a small trend toward increased emotional exhaustion and depersonalization scores, and with increased personal accomplishment scores. The overall satisfaction rating for this program was low, at 1.5 on a 5-point scale. Forty-three percent of residents stated that this intervention subjectively worsened their overall burnout, with another 39% stating it did not improve their burnout at all. A similar trend was seen for effects on wellness.\nConclusion:\n We found that a corporate wellness intervention that had previously been shown to be successful with other types of healthcare providers did not objectively improve burnout and was subjectively perceived as paradoxically worsening burnout for many residents. This result may be related to the type of intervention chosen (individual vs. systems-focused), the design of the intervention itself, or the unique stressors faced by the resident 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":"wellness, burnout, resident"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2b73g19h","frozenauthors":[{"first_name":"Danielle","middle_name":"","last_name":"Hart","name_suffix":"","institution":"University of Minnesota Medical School, Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Glenn","middle_name":"","last_name":"Paetow","name_suffix":"","institution":"Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Rochelle","middle_name":"","last_name":"Zarzar","name_suffix":"","institution":"Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"}],"date_submitted":"2018-07-11T10:10:47-04:00","date_accepted":"2018-07-11T10:10:47-04:00","date_published":"2018-11-13T18:32:38-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11931/galley/6376/download/"}]},{"pk":12273,"title":"Improving the Learning Experience through Evidence-Based Education","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":"Educational Scholarship Insights","is_remote":true,"remote_url":"https://escholarship.org/uc/item/38f4488g","frozenauthors":[{"first_name":"Jeffrey","middle_name":"N.","last_name":"Love","name_suffix":"","institution":"MedStar Georgetown University Hospital, MedStar Washington Hospital Center, Department of Emergency Medicine, Washington, District of Columbia","department":"None"},{"first_name":"Ann","middle_name":"M.","last_name":"Messman","name_suffix":"","institution":"Wayne State University, Sinai-Grace Hospital/Detroit Receiving Hospital, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Chris","middle_name":"","last_name":"Merritt","name_suffix":"","institution":"Alpert Medical School of Brown University, Rhode Island Hospital/Hasbro Children’s Hospital, Department of Pediatric Emergency Medicine, Providence, Rhode Island","department":"None"}],"date_submitted":"2018-10-18T13:43:59-03:00","date_accepted":"2018-10-18T13:43:59-03:00","date_published":"2018-11-13T18:18:36-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12273/galley/6548/download/"}]},{"pk":11956,"title":"Assessing Residency Applicants’ Communication and Professionalism: Standardized Video Interview Scores Compared to Faculty Gestalt","subtitle":null,"abstract":"Introduction:\n The Association of American Medical Colleges has introduced the Standardized Video Interview (SVI) to assess the communication and professionalism skills of residency applicants to allow a more holistic view of applicants beyond academic performance. Initial data suggests scores are not correlated with academic performance and provide a new measure of applicant attributes. It is not currently known how the SVI compares to existing metrics for assessing communication and professionalism during the interview process.\nMethods:\n Applicants to the University of Wisconsin Emergency Medicine Residency program were invited and interviewed without use of the SVI scores or videos. All faculty interviewers were blinded to applicants’ SVI information and asked to rate each applicant on their communication and professionalism on a scale from 1-25 (faculty gestalt score), analogous to the 6-30 scoring used by the SVI. We transformed SVI scores to our 1-25 system (transformed SVI score) for ease of comparison and compared them to faculty gestalt scores as well as applicants’ overall score for all components of their interview day (interview score).\nResults: \nWe collected data for 125 residency candidates. Each applicant received a faculty gestalt score from up to four faculty interviewers. There was no significant correlation of SVI scores with faculty gestalt scores (Spearman’s rank correlation coefficient [rs] (123)=0.09, p=0.30) and no correlation with the overall interview score (rs(123)=0.01, p=0.93). Faculty gestalt scores were correlated positively with interview scores (rs(123)=0.65, p<0.01).\nConclusion:\n SVI scores show no significant correlation with faculty gestalt scores of communication and professionalism. This could relate to bias introduced by knowledge of an applicant’s academic performance, different types of questions being asked by faculty interviewers, or lack of uniform criteria by which faculty assess these competencies. Further research is needed to determine whether SVI scores or faculty gestalt correlate with performance during residency.","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":"SVI, communication, professionalism, residency, application, assessment"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5xm4c55d","frozenauthors":[{"first_name":"Benjamin","middle_name":"H.","last_name":"Schnapp","name_suffix":"","institution":"University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Ritter","name_suffix":"","institution":"University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Aaron","middle_name":"S.","last_name":"Kraut","name_suffix":"","institution":"University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Sarah","middle_name":"","last_name":"Fallon","name_suffix":"","institution":"University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Mary","middle_name":"C.","last_name":"Westergaard","name_suffix":"","institution":"University of Wisconsin, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"}],"date_submitted":"2018-07-11T23:57:59-04:00","date_accepted":"2018-07-11T23:57:59-04:00","date_published":"2018-11-13T18:15:14-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11956/galley/6396/download/"}]},{"pk":11785,"title":"Predictors of an Initial Position in Emergency Medicine","subtitle":null,"abstract":"Introduction:\n Each year, emergency medicine (EM) residency graduates enter a variety of community and academic positions. For some training programs, the potential for an academic career is a consideration during the interview process; however, no studies have looked at factors that might predict an academic career. Our goal was to identify variables present during the EM application cycle that predict an initial academic position.\nMethods:\n We retrospectively reviewed application materials from 211 EM graduates at Emory University from 2003-2013. We analyzed biographical variables, board scores, personal statements, and both undergraduate and medical school research experience and publications. An academic position was defined as working at a site with residents rotating in the emergency department, full or part-time appointment at a medical school, or a position with research required for promotion. We used a logistic regression model to determine the impact of these predictors on obtaining an initial academic position.\nResults:\n A total of 79 (37%) graduates initially chose an academic job, and 132 (63%) took a community position. We identified the following statistically significant variables: younger age (odds ratio [OR] [0.79], 95% confidence interval [CI] [0.67-0.93], p=0.01); undergraduate publications (OR [1.41], 95% CI [1.08-1.83], p=0.01); and medical school publications (OR [3.39], 95% CI [1.66-6.94], p<0.001). Of note, mention of an academic career in the personal statement showed no statistical correlation (p = 0.41).\nConclusion:\n Younger age, and undergraduate and medical school publications were the variables most associated with an initial academic position. As this is a single-institution study, more studies are needed to validate these findings.","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":"academic medicine, residency selection"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2hk9850g","frozenauthors":[{"first_name":"Terry","middle_name":"","last_name":"Singhapricha","name_suffix":"","institution":"Emory University, Department of Emergency Medicine, Division of Ultrasound, Atlanta, Georgia","department":"None"},{"first_name":"Olivia","middle_name":"","last_name":"Minkhorst","name_suffix":"","institution":"Emory University, Department of Emergency Medicine, Atlanta, Georgia","department":"None"},{"first_name":"Timothy","middle_name":"","last_name":"Moran","name_suffix":"","institution":"Emory University, Department of Emergency Medicine, Atlanta, Georgia","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Swanson","name_suffix":"","institution":"Emory University, Department of Emergency Medicine, Atlanta, Georgia","department":"None"},{"first_name":"Philip","middle_name":"","last_name":"Shayne","name_suffix":"","institution":"Emory University, Department of Emergency Medicine, Atlanta, Georgia","department":"None"}],"date_submitted":"2018-05-21T15:46:53-04:00","date_accepted":"2018-05-21T15:46:53-04:00","date_published":"2018-11-13T18:10:07-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11785/galley/6318/download/"}]},{"pk":11872,"title":"Intern Passport: Orienting New Travelers to the Emergency Department","subtitle":null,"abstract":"The objective of the Intern Passport (IP) curriculum was to implement a structured orientation for incoming interns that effectively defined and distinguished various personnel and assets within the emergency department (ED). The method of training was an on-the-job orientation that required interns to obtain “stamps” (signatures) on their passports during visits to eight “countries” (specialists) within the ED. Topics covered during the visit included introductions, tasks and capabilities, expectations, and pearls and pitfalls. Interns obtained stamps after spending 30-minute orientation visits with each country during the first four-week rotation of internship. The ED countries visited were Adult Nursing, Pediatric Nursing, Orthopedics Technician, Respiratory Therapy, Pharmacy, Psychiatry, Observation, and Radiology. Effectiveness was assessed by participant completion of an optional anonymous retrospective survey. The IP was a beneficial addition to our intern orientation curriculum. It effectively defined and distinguished various personnel and assets within the ED.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Medical Education"},{"word":"Orientation, Emergency Medicine"}],"section":"Brief Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6bn1x4rd","frozenauthors":[{"first_name":"David","middle_name":"A.","last_name":"Masneri","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"Cedric","middle_name":"W.","last_name":"Lefebvre","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"}],"date_submitted":"2018-06-25T22:52:33-04:00","date_accepted":"2018-06-25T22:52:33-04:00","date_published":"2018-11-13T18:05:16-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11872/galley/6354/download/"}]},{"pk":12039,"title":"Intra-Articular Catheter Placement: A Novel Approach for Simulating Ankle Effusions in Cadaver Models","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":"Arthrocentesis"},{"word":"embalmed cadaver"},{"word":"simulation techniques"}],"section":"Brief Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6ds9p528","frozenauthors":[{"first_name":"Graeme","middle_name":"A.","last_name":"Ross","name_suffix":"","institution":"Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina","department":"None"},{"first_name":"Nicholas","middle_name":"G.","last_name":"Ashenburg","name_suffix":"","institution":"Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina","department":"None"},{"first_name":"W.","middle_name":"David","last_name":"Wynn","name_suffix":"","institution":"Medical University of South Carolina College of Medicine, Charleston, South Carolina","department":"None"},{"first_name":"Jordan","middle_name":"J.","last_name":"McCarthy","name_suffix":"","institution":"Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina","department":"None"},{"first_name":"Alexander","middle_name":"M.","last_name":"Clendening","name_suffix":"","institution":"Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina","department":"None"},{"first_name":"Bradley","middle_name":"C.","last_name":"Presley","name_suffix":"","institution":"Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina","department":"None"},{"first_name":"Steven","middle_name":"W.","last_name":"Kubalak","name_suffix":"","institution":"Medical University of South Carolina Center for Anatomical Studies and Education, Department of Regenerative Medicine and Cell Biology, Charleston, South Carolina","department":"None"},{"first_name":"Ryan","middle_name":"M.","last_name":"Barnes","name_suffix":"","institution":"Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina","department":"None"}],"date_submitted":"2018-07-14T14:43:08-04:00","date_accepted":"2018-07-14T14:43:08-04:00","date_published":"2018-11-13T17:59:47-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12039/galley/6460/download/"}]},{"pk":11858,"title":"The Council of Emergency Medicine Residency Directors Academy for Scholarship Coaching Program: Addressing the Needs of Academic Emergency Medicine Educators","subtitle":null,"abstract":"Introduction: Didactic lectures remain fundamental in academic medicine; however, many faculty physicians do not receive formal training in instructional delivery. In order to design a program to instill and enhance lecture skills in academic emergency medicine (EM) physicians we must first understand the gap between the current and ideal states.\nMethods: In 2012 the Council of Emergency Medicine Residency Directors (CORD) Academy for Scholarship designed a novel coaching program to improve teaching skills and foster career development for medical educators based on literature review and known teaching observation programs. In order to inform the refinement of the program, we performed a needs assessment of participants. Participants’ needs and prior teaching experiences were gathered from self-reflection forms completed prior to engaging in the coaching program. Two independent reviewers qualitatively analyzed data using a thematic approach.\nResults: We analyzed data from 12 self-reflection forms. Thematic saturation was reached after nine forms. Overall inter-rater agreement was 91.5%. We categorized emerging themes into three domains: participant strengths and weaknesses; prior feedback with attempts to improve; and areas of desired mentorship. Several overlapping themes and subthemes emerged including factors pertaining to the lecturer, the audience/learner, and the content/delivery.\nConclusion: This study identified several areas of need from EM educators regarding lecture skills. These results may inform faculty development efforts in this area. The authors employed a three-phase, novel, national coaching program to meet these needs.","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":"faculty development, emergency medicine, coaching"}],"section":"Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/62v9w3gm","frozenauthors":[{"first_name":"Jaime","middle_name":"","last_name":"Jordan","name_suffix":"","institution":"University of California, Los Angeles, Ronald Reagan Medical Center, Department of Emergency Medicine, Los Angeles, California, David Geffen School of Medicine at University of California Los Angeles, Department of\nEmergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Michele","middle_name":"L.","last_name":"Dorfsman","name_suffix":"","institution":"University of Pittsburgh School of Medicine, Department of Emergency Medicine, Pittsburgh, Pennsylvania","department":"None"},{"first_name":"Mary Jo","middle_name":"","last_name":"Wagner","name_suffix":"","institution":"Central Michigan University Medical Education Partners, Department of Emergency\nMedicine, Saginaw, Michigan\nCentral Michigan University College of Medicine, Department of Emergency Medicine,\nMt. Pleasant, Michigan","department":"None"},{"first_name":"Stephen","middle_name":"J","last_name":"Wolf","name_suffix":"","institution":"Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado\n\nDenver Health Medical Center, Department of Emergency Medicine, Denver, Colorado\nUniversity of Colorado School of Medicine, Department of Emergency Medicine,\nAurora, Colorado","department":"None"}],"date_submitted":"2018-06-30T18:58:51-04:00","date_accepted":"2018-06-30T18:58:51-04:00","date_published":"2018-11-13T17:57:46-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11858/galley/6347/download/"}]},{"pk":5458,"title":"Effects of temporal and spatial allocation of water delivery on water-seeking behavior in rats","subtitle":null,"abstract":"We evaluated the effects of varying temporal and spatial parameters on behavioral transitions within a water seeking situation. Subjects were 8 experimentally-naïve, male Wistar rats divided in two groups of 4 rats. For both groups, two independent schedules of water delivery were simultaneously available in two different locations of the experimental chamber. For Group 1, water was delivered with a constant periodicity. For Group 2 water was delivered randomly in time but keeping constant the average length of time between deliveries. Water deliveries were independent of rat’s behavior. In successive phases of the study, the frequency of water delivered in one location increased while the frequency of water delivered in the second location decreased, keeping constant the total number of water deliveries. Rats under the constant periodicity spent more time in the location where water was initially provided. For rats under the random periodicity, time spent on each location varied according to the proportion of water delivered on each site. Results are discussed in terms of the discrepancies with optimization models, emphasizing that, apparently simple behaviors, in a relatively simple environment, cannot be understood in terms of a single, overall encompassing concept, such as adaptation.","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":"Constancy"},{"word":"Variation"},{"word":"adaptation"},{"word":"concurrent schedules"},{"word":"rats"},{"word":"time allocation"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5dw0c197","frozenauthors":[{"first_name":"Emilio","middle_name":"","last_name":"Ribes-Iñesta","name_suffix":"","institution":"Universidad Veracruzana","department":"None"},{"first_name":"Hugo","middle_name":"","last_name":"Palacios","name_suffix":"","institution":"Universidad Autónoma de Guerrero","department":"None"},{"first_name":"Varsovia","middle_name":"","last_name":"Hernández","name_suffix":"","institution":"Universidad Veracruzana","department":"None"},{"first_name":"Alejandro","middle_name":"","last_name":"León","name_suffix":"","institution":"Universidad Veracruzana","department":"None"}],"date_submitted":"2017-10-16T14:13:19-03:00","date_accepted":"2017-10-16T14:13:19-03:00","date_published":"2018-11-13T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5458/galley/3293/download/"}]},{"pk":5475,"title":"Effects of the type of reinforcer on renewal of operant responding","subtitle":null,"abstract":"Some studies have identified that ABA renewal seems to depend on how response-reinforcer contingency is established. Using rats as subjects, the present study assessed ABA and ABB renewal using a two-component multiple schedule (VI30 s - VI30 s) each with a different reinforcer (pellets or sucrose). 16 subjects were trained to lever-press during 20 sessions in Context A; lever-pressing was extinguished during 10 sessions in Context B. And for the renewal test, 8 subjects were tested in Context A (Group ABA); whereas, the rest were tested in Context B (Group ABB). During acquisition, response rates were higher on the pellets component than the sucrose component; during extinction, response rates decreased to near-zero responses. A renewal effect was observed only for Group ABA during test, showing no differences between components. Our results suggest that different type of reinforcers do not seem to affect ABA renewal, using different contexts allows for renewal to be observed regardless of the differences in response rates during acquisition.","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":"ABA renewal"},{"word":"type of reinforcer"},{"word":"Context"},{"word":"Operant Conditioning"},{"word":"rats"}],"section":"Brief Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/80q25600","frozenauthors":[{"first_name":"Cinthia","middle_name":"","last_name":"Hernández","name_suffix":"","institution":"Centro de Estudios e Investigaciones en Comportamiento\nUniversidad de Guadalajara","department":"None"},{"first_name":"Kenneth","middle_name":"","last_name":"Madrigal","name_suffix":"","institution":"Centro de Estudios e Investigaciones en Comportamiento\nUniversidad de Guadalajara","department":"None"},{"first_name":"Carlos","middle_name":"","last_name":"Flores","name_suffix":"","institution":"Centro de Estudios e Investigaciones en Comportamiento\nUniversidad de Guadalajara","department":"None"}],"date_submitted":"2018-02-06T15:19:48-03:00","date_accepted":"2018-02-06T15:19:48-03:00","date_published":"2018-11-13T05:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5475/galley/3307/download/"}]},{"pk":55029,"title":"Letter from the Editor Fall 2018","subtitle":null,"abstract":"a short introduction by the new Editor-in-Chief of this semester's publication","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/11x350zm","frozenauthors":[{"first_name":"BUJC","middle_name":"","last_name":"Administrator","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2018-11-10T23:41:42-03:00","date_accepted":"2018-11-10T23:41:42-03:00","date_published":"2018-11-10T23:45:28-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55029/galley/41474/download/"}]},{"pk":55028,"title":"Fall 2018 Cover","subtitle":null,"abstract":"Fall 2018 edition of BUJC, designed by Anna-Tessa Rodriguez (Class of 2020, UC Berkeley)","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Classics"},{"word":"Latin"},{"word":"Greek"},{"word":"philosophy"},{"word":"Ovid"},{"word":"Socrates"},{"word":"Lucretius"},{"word":"Ganymede"},{"word":"Apuleius"},{"word":"Rhetoric"},{"word":"Logic"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0gv292c9","frozenauthors":[{"first_name":"Anna-Tessa","middle_name":"","last_name":"Rodriguez","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2018-11-10T23:39:59-03:00","date_accepted":"2018-11-10T23:39:59-03:00","date_published":"2018-11-10T23:45:14-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55028/galley/41473/download/"}]},{"pk":55024,"title":"The Philosophical Satire of Apuleius' Cupid and Psyche: Alignment and Contradiction in Allusions to Plato and Lucretius","subtitle":null,"abstract":"Cupid and Psyche\n, the expositional myth that interrupts the narrative of Apuleius' novel \nMetamorphoses\n, has been regarded as Platonic allegory for how the soul falls in love. However, inconsistencies and faults in the Platonic logic of Apuleius' allusions have caused some scholars to question the strict Platonic reading. Additionally, Apuleius' allusions to philosophic beliefs are not limited to the Platonic. His extensive quotations of Lucretius and his \nDe Rerum Natura\n have long been recognized, though they are rarely studied at great length. Looking closely at the allusions to \nDe Rerum Natura \nin \nCupid and Psyche\n, I have found a rich coexistence of philosophical alignment and contradiction to Lucretius' Epicureanism. Therefore, considering the existence of allusions that correspond to and contradict both Platonism and Epicureanism and the relationship between those allusions and the rest of the text, I shall demonstrate that the tale of Cupid and Psyche is not simply an exposition of Platonic philosophy but rather a philosophic farce. Apuleius draws his readers in with a multitude of references to the canon of Mediterranean literature and then subverts and satirizes those works. His fantastical story–– which on the face seems to be a lofty myth about love and heartbreak, heaven and hell, labors and celebration–– becomes a well-crafted joke and a lesson in intellectual humility.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Apuleius"},{"word":"Cupid and Psyche"},{"word":"Lucretius"},{"word":"Plato"},{"word":"philosophy"},{"word":"allusion"},{"word":"consuetudo"},{"word":"voluptas"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/60d532fz","frozenauthors":[{"first_name":"Paul","middle_name":"Brucia","last_name":"Breitenfeld","name_suffix":"","institution":"Haverford College","department":""}],"date_submitted":"2018-06-29T16:36:03-04:00","date_accepted":"2018-06-29T16:36:03-04:00","date_published":"2018-11-10T23:44:50-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55024/galley/41472/download/"}]},{"pk":55023,"title":"Frayed Around the Edges: Ovid’s Book and Ovid’s Identity in Tristia 1.1 and 3.1","subtitle":null,"abstract":"In Tristia 1.1 and 3.1, Ovid grapples with his sadness at being exiled from Rome to the empire’s periphery. Scholars typically interpret these poems, in which Ovid imagines his book journeying to Rome on his behalf, as exhibiting either Ovid’s total longing for Rome, or his total withdrawal in exile. Ovid’s identity, however, is more nuanced. Applying the theoretical lens of center/periphery to Tristia 1.1 and 3.1, I conclude that when Ovid wrote Tristia, his identity was actually in flux. Reading Ovid’s poems through the lens of center/periphery, we see how he engages with themes of exclusion and alterity. Thus, we can better appreciate Ovid’s shifting self-conception: no longer of the Roman elite, but a marginalized figure. Reflecting this change, Ovid draws on the contemporary poetic tradition of aestheticizing books, but he turns it on its head. Instead of emphasizing the color and refine of ideal Roman books, Ovid emphasizes the “other” nature of his book, which is color-less and un-refined. Ovid also uses such othering descriptions for the Getae, residents of Tomis, and for Briseis, the Trojan concubine. As Ovid shifts focus towards these peripheral figures, his identity shifts as he becomes a more peripheral figure. Therefore, in Tristia 1.1 and 3.1, Ovid grapples with his identity, more than with his sorrow; as his attitude adjusts, he begins to come to terms with his own status as a peripheral other.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Ovid"},{"word":"identity"},{"word":"Center"},{"word":"Periphery"},{"word":"exile"},{"word":"Tristia"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/760519z3","frozenauthors":[{"first_name":"Lydia","middle_name":"","last_name":"Cawley","name_suffix":"","institution":"Harvard College","department":""}],"date_submitted":"2018-06-29T11:10:13-04:00","date_accepted":"2018-06-29T11:10:13-04:00","date_published":"2018-11-10T23:44:32-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55023/galley/41471/download/"}]},{"pk":55022,"title":"Ganymede the Cup Bearer: Variations and Receptions of the Ganymede Myth","subtitle":null,"abstract":"A beautiful young boy carried away by an eagle up and became a cup-bearer on Mount Olympus—this is the myth of Ganymede. But who is this young boy? And why is he carried away by an eagle? Interpreters, from mythographers in the late antiquity to historians still living today, have attempted to interpret this myth and to unveil the significance behind this young cup-bearer’s abduction. The Ganymede myth is told differently by many myth tellers—from Homer to the tenth century Byzantine encyclopedia Suda—and interpreted differently by many interpreters. In this essay, I focus on how four different interpreters—Fulgentius, Natale Conti, Jan Bremmer, and Petra Affeld-Niemeyer—are interpreting differently the elements of Ganymede’s abduction, the eagle which carries Ganymede away, and the liquid Ganymede is bearing in his cup. I argue that the four interpreters interpret the Ganymede myth differently because of their varying presumptions about the fundamental nature of the myth. They interpret the act of abduction differently because they have different presumptions about the creator of the myth, and they interpret the eagle and the liquid differently because they have different assumptions about the meaning of the myth.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"mythology"},{"word":"Ganymede and Zeus"},{"word":"Paederasty"},{"word":"Homosexuality"},{"word":"Trauma"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9md661nm","frozenauthors":[{"first_name":"Yuanyuan","middle_name":"","last_name":"Fang","name_suffix":"","institution":"Brown University","department":""}],"date_submitted":"2018-06-24T12:43:10-04:00","date_accepted":"2018-06-24T12:43:10-04:00","date_published":"2018-11-10T23:44:15-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55022/galley/41470/download/"}]},{"pk":55020,"title":"Searching for Answers: Lucretius’s Atomic Soul","subtitle":null,"abstract":"In his De Rerum Natura, Lucretius strives to scientifically explain several aspects of the natural world. At times, however, his explanations suggest that his philosophical principles precede scientific evidence. This paper examines the relationship between Lucretius’s science and philosophy in general, and his treatment of the human soul more specifically. Based on the Epicurean principle that the fear of death is irrational, Lucretius attempts to prove that the soul is entirely physical, and will therefore cease to exist after death, while accounting for its sentience. He must describe an atomic soul, no matter how complicating this becomes, in order to satisfy the principle that nothing comes after death. This entails describing the soul in the same manner as perceptible phenomena, and for this reason his evidence meets with several obstacles. Lucretius’s scientific explanation for the soul presents compelling evidence that he forms a scientific basis around pre-existing philosophical principles, contradicting the assumption that science predates philosophy.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Lucretius"},{"word":"Epicureanism"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0cz6p4w4","frozenauthors":[{"first_name":"Katherine","middle_name":"","last_name":"McCreery","name_suffix":"","institution":"Dartmouth College","department":""}],"date_submitted":"2018-04-18T14:41:13-03:00","date_accepted":"2018-04-18T14:41:13-03:00","date_published":"2018-11-10T23:43:56-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55020/galley/41469/download/"}]},{"pk":55016,"title":"Timeless Masters of Rhetoric: Socrates and Johnnie Cochran","subtitle":null,"abstract":"In contrast to its recent pedagogical decline and ongoing negative perceptions, the enduring significance of rhetoric as an independent, systematized discipline continues to be emphasized by modern scholars. In light of this dichotomy, this study presents a coherent, cross-cultural review of two renowned, juridical speeches which aims to highlight the vitality, applicability and confluence of classical Greek rhetoric in contemporary legal speech. Employing its own rhetorical taxonomy, this study seeks to illuminate rhetorical interconnections between examples of classical and modern, North-American forensic oratory by highlighting the homogenous and canonical methodology of ancient and modern orators.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Rhetoric"},{"word":"Socrates"},{"word":"Johnnie Cochran"},{"word":"Forensic Oratory"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9jc563vr","frozenauthors":[{"first_name":"Adam","middle_name":"Jake","last_name":"Ireland","name_suffix":"","institution":"University of Pennsylvania","department":""}],"date_submitted":"2018-02-06T14:35:44-03:00","date_accepted":"2018-02-06T14:35:44-03:00","date_published":"2018-11-10T23:43:39-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55016/galley/41466/download/"}]},{"pk":44585,"title":"Outpatient Evaluation of Neutropenia: A Case of Large Granular Lymphocyte Leukemia","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/13m862jn","frozenauthors":[{"first_name":"Dongmin","middle_name":"","last_name":"Shin","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"David","middle_name":"","last_name":"Shin","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-09T15:27:33-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44585/galley/33378/download/"}]},{"pk":44584,"title":"Doxycycline-induced Pseudotumor Cerebri","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/71j81109","frozenauthors":[{"first_name":"Roya","middle_name":"","last_name":"Mojarrad","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Timothy","middle_name":"","last_name":"Chen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-08T16:23:25-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44584/galley/33377/download/"}]},{"pk":44583,"title":"A Case of Subclavian Steal Syndrome","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/77c0h3mf","frozenauthors":[{"first_name":"Patricia","middle_name":"D","last_name":"Fermin","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-08T16:21:50-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44583/galley/33376/download/"}]},{"pk":44582,"title":"Asymptomatic Influenza Presenting with Bradycardia and other EKG Changes","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/6752w3r2","frozenauthors":[{"first_name":"Heather","middle_name":"","last_name":"D'Adamo","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-08T16:20:05-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44582/galley/33375/download/"}]},{"pk":42817,"title":"Foreign Means to Local Ends: Bialik, Emerson, and the Uses of America in 1920s Palestine","subtitle":null,"abstract":"In 1926, Haim Nachman Bialik, the premier poet and leading intellectual light of the Zionist movement, sailed for New York on a five-month-long fundraising mission on behalf of the \nyishuv\n, the pre-statehood Jewish settlement in Palestine. After his return, the poet gave a long speech in Tel Aviv, recounting his impressions of the United States before an audience of thousands. The America that Bialik presented to his listeners, this essay begins by arguing, should be read as tissue of widely circulating tropes and mythemes, which the poet had absorbed during his formative years in Europe as well as in the course of his 1926 tour. The essay then proceeds to discuss the \nuses\n to which the poet puts this (largely borrowed) narrative of American difference, focusing in particular on Bialik’s ambivalent response to the futural (largely Emersonian) ethos to which he returns time and again in his speech, and which he seems to simultaneously endorse and reject. The main part of the essay’s argument is devoted to making sense of this ambivalence, which I attribute to the diverging “temporal imaginaries” that underwrite Zionist and American exceptionalisms.","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. No additional restrictions — You 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":"H. N. Bialik"},{"word":"Emerson"},{"word":"Transnational American Studies"},{"word":"Temporal Imaginary"},{"word":"Zionism"},{"word":"Exceptionalism"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/51c2k718","frozenauthors":[{"first_name":"Nir","middle_name":"","last_name":"Evron","name_suffix":"","institution":"Tel Aviv University","department":"None"}],"date_submitted":"2017-03-20T09:22:13-03:00","date_accepted":"2017-03-20T09:22:13-03:00","date_published":"2018-11-03T10:47:09-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42817/galley/31924/download/"}]},{"pk":44578,"title":"Rare Cutaneous Manifestation of Hepatitis C","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/1b12f363","frozenauthors":[{"first_name":"Jing","middle_name":"","last_name":"Zhao","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-02T13:44:20-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44578/galley/33371/download/"}]},{"pk":44581,"title":"Arthralgias, Rash, Fevers, and Left Arm Weakness – A Case of West Nile Virus with Acute Flaccid Paralysis","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/7d92k3gg","frozenauthors":[{"first_name":"Rong","middle_name":"","last_name":"Hu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Ruchi","middle_name":"","last_name":"Jain","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-02T13:42:04-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44581/galley/33374/download/"}]},{"pk":44580,"title":"An Unusual Case of Fever and Hypotension: Intravascular Large B-cell Lymphoma","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/5638r44w","frozenauthors":[{"first_name":"Mark","middle_name":"W","last_name":"Dodson","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Magdalena","middle_name":"E","last_name":"Ptaszny","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-02T13:40:10-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44580/galley/33373/download/"}]},{"pk":44579,"title":"Getting a Leg Up on Posterior Tibialis Tendon Dysfunction","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/9hp6k1bv","frozenauthors":[{"first_name":"Philip","middle_name":"H.","last_name":"Cohen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-02T13:38:19-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44579/galley/33372/download/"}]},{"pk":39874,"title":"Algorithmic Nations: Towards the Techno-Political (Basque) City-Region","subtitle":null,"abstract":"Despite the need to better understand the changing dynamics between the ongoing political regionalization processes and the re-scaling of nation-states, at least in Europe, updated and timely research that responds to these challenges fueled by data-driven societies and the algorithmic revolution invigorated by an uneven establishment of borders remains scant and ambiguous. Nations, regardless of the spatial boundary by which we define them, matter as much as political borders and account for algorithmic disruption. Hence, this paper explores these new cartographies from the regional studies perspective by presenting the city-region as a pivotal term amidst a wide range of challenges for cities, regions, and nation-states. The Basque Country, as a small, stateless, city-regionalized European nation, is presented as a case study, focusing on its transitional techno-political and city-regional metaphor called ‘Euskal Hiria’ (Basque City). The paper examines five standpoints in the understanding of this notion as well as three potential drivers (metropolitanization, devolution, and the right to decide) that will further determine its future position amidst Spain, France and the EU. The paper explores the concept of Basque City in the context of the attempts by small states (such as Estonia and Singapore) and small, stateless city-regionalized nations (such as Catalonia, Flanders, and Quebec) to modify their governmental logics and devolve powers through blockchain technologies, thus enabling their interactions directly with citizens by setting up new city-regional and techno-political patterns that this paper terms ‘Algorithmic Nations’.","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":"City-regions, re-scaling nation-states, political regionalism, algorithmic nations, Euskal Hiria, blockchain"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7dn812kx","frozenauthors":[{"first_name":"Igor","middle_name":"","last_name":"Calzada","name_suffix":"","institution":"COMPAS, Urban Transformations ESRC, University of Oxford, Oxford, OX2 6QS, UK","department":"None"}],"date_submitted":"2018-11-02T16:01:52-03:00","date_accepted":"2018-11-02T16:01:52-03:00","date_published":"2018-11-02T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/territories/article/39874/galley/30022/download/"}]},{"pk":39878,"title":"Book Review Old Gods, New Enigmas: Marx’s Lost Theory","subtitle":null,"abstract":"At the close of his \nLiving in the End Times\n, Žižek returns to a concern that theology has become (again) a touchstone of radical political activity. Indeed, the work of socialism has always—rightly or wrongly, positively and negatively—maintained a strongly messianic-apocalyptic character in the hands of its most ardent supporters. Žižek’s correct analysis in \nEnd Times\n is to remind his reader that such energies ought to be handled with care, because the desire (under the insistently traumatic terms of contemporary life) is that we simply reassert the moral, agential supremacy of the “big Other” who will validate and assure socialism’s success. Such a condition leads us then to something that radical activists on the street—as an entity separate from those theorizing capitalism’s demise—might do well to call simply class consciousness. Ever the goal of organizational energies, the best version of class consciousness (à la Žižek) exists between the self and group identification, and is infused with an energetic potentiality that transcends the false activity of “struggle” insofar as it sees the raising up of one another’s class-based interests as having an actual productive end, and not (in the messianic mode) keeping up the fight in the sense of running in place until the end finally (finally!) comes.","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":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8p95w463","frozenauthors":[{"first_name":"Tom","middle_name":"","last_name":"Hertweck","name_suffix":"","institution":"University of Massachusetts-Dartmouth","department":"None"}],"date_submitted":"2018-11-02T16:31:21-03:00","date_accepted":"2018-11-02T16:31:21-03:00","date_published":"2018-11-02T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/territories/article/39878/galley/30026/download/"}]},{"pk":39879,"title":"Book Review Resilience, Crisis and Innovation Dynamics. New Horizons in Regional Science series","subtitle":null,"abstract":"Stemming from ecology studies, the interdisciplinary concept of resilience has been gaining significance and notoriety towards the understanding of socioeconomic systems, reverberating the prevailing feelings of uncertainty and insecurity. Emanated from the extent, the depth and the duration of the recent (i.e. erupted in years 2007-8) world-wide financial and economic crisis, the prevalence of such feelings – and thus, the emergence of the concept of resilience – is no surprise. Indeed, the crisis has exposed the highly engaged with globally footloose activities, socioeconomic systems to exogenous disturbances (shocks) and resilience is, precisely, interwoven with the capacity of socioeconomic systems to move through multiple equilibria. Particularly, under such an evolutionary perspective, resilience may point to the capacity of socioeconomic systems, not only to respond successfully to short-term disturbances, but also to sustain long-term development.","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":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/14v9183k","frozenauthors":[{"first_name":"Maria","middle_name":"","last_name":"Tsiapa","name_suffix":"","institution":"University of Thessaly","department":"None"}],"date_submitted":"2018-11-02T16:39:35-03:00","date_accepted":"2018-11-02T16:39:35-03:00","date_published":"2018-11-02T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/territories/article/39879/galley/30027/download/"}]},{"pk":39877,"title":"EU spatiality under question - Territorial cohesion in danger","subtitle":null,"abstract":"Spatial transformations constitute an important attempt to perpetuate a setting that becomes a stabilizing factor of human consciousness in the course of time. The understanding of spatial transformations becomes directly dependent on the prevailing balance between the unity and the multiplicity of the concepts of space, place, and territory. The paper highlights the importance of spatial transformations with respect to the EU integration undertaking and the fact that the insufficient knowledge of the inherent characteristics of territory poses a threat to the achievement of the territorial cohesion objective. This is so given that both the EU official documents and the EU adopted practices are far from the real meaning – and the achievement – of territorial cohesion. In fact, the conflict of interests and goals, through the demands of hard and soft planning, has an adverse impact on the strength of EU territory. The change of perception and the view of territory through the lens of the specificities of space and place may redefine the way of viewing the EU integration undertaking. In contrast, the social disciplinary, implicitly, contrasts the EU founding values, providing room to national entities to act against the cohesion of the EU territory, thus limiting the desire and willingness to share the common EU vision that is embedded in the EU territory.","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":"spatiality, space, place, territory, territoriality, territorial cohesion, sovereignty, EU"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6sg0n7gg","frozenauthors":[{"first_name":"Maria","middle_name":"","last_name":"Karanika","name_suffix":"","institution":"Department of Planning and Regional Development\nUniversity of Thessaly","department":"None"},{"first_name":"Dimitris","middle_name":"","last_name":"Kallioras","name_suffix":"","institution":"Department of Planning and Regional Development\nUniversity of Thessaly","department":"None"}],"date_submitted":"2018-11-02T16:20:13-03:00","date_accepted":"2018-11-02T16:20:13-03:00","date_published":"2018-11-02T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/territories/article/39877/galley/30025/download/"}]},{"pk":39880,"title":"Note from Editor-in-Chief","subtitle":null,"abstract":"The journal \nTerritories: A Trans-Cultural Journal of Regional Studies \nofficially takes off with this first issue. Created in and around the idea of post-national realities that emerge around the globe, it navigates in the idea of post-foundational geographies that do not respond to ancestral and/or causal nominations, but are based in new imaginaries that reach out cultural intersections. The diverse editorial board is formed of internationally based scholars and students, with a clear interdisciplinary aim, who strive to provide with an open-access, peer-reviewed forum of discussion, with special focus on minor/small cultures that form the in-process and continuously changing new regionalities","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":"Editor in Chief Note","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2f06w547","frozenauthors":[{"first_name":"Iker","middle_name":"","last_name":"Arranz","name_suffix":"","institution":"University of California, Santa Barbara","department":"None"}],"date_submitted":"2018-11-02T21:02:34-03:00","date_accepted":"2018-11-02T21:02:34-03:00","date_published":"2018-11-02T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/territories/article/39880/galley/30028/download/"}]},{"pk":39876,"title":"The weak fronts of political pluralism. National and cultural minorities in Europe","subtitle":null,"abstract":"This article deals with the political challenges that European liberal democracies confront in relation to their internal national pluralism. After analysing two analytical distortions of Western political thought –the fallacy of abstraction and the usual shortcomings of this tradition in relation to pluralism- the article presents twelve elements for a political and moral refinement of plurinational liberal democracies. These elements are linked with an analytical and normative collective dimension usually marginalized and which cannot be reduced to the individualist, universalist and stateist approach of traditional democratic liberalism and constitutionalism. Finally, the article deals with the practical solutions offered by comparative politics to try to accommodate nationally pluralist societies according to reviewed liberal-democratic patterns.","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":"Political liberalism, plurinational democracies, analytical distortions, fallacy of abstraction"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/11q6r30n","frozenauthors":[{"first_name":"Ferrán","middle_name":"","last_name":"Requejo","name_suffix":"","institution":"Department of Political and Social Sciences\nUniversitat Pompeu Fabra","department":"None"}],"date_submitted":"2018-11-02T16:09:46-03:00","date_accepted":"2018-11-02T16:09:46-03:00","date_published":"2018-11-02T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/territories/article/39876/galley/30024/download/"}]},{"pk":39875,"title":"Toward an Expanded Cubanidad: Foucault’s Aesthetics of the Self and the Embodiment of Revolutionary Subjectivities","subtitle":null,"abstract":"Drawing from interviews with Cuban nationals during and shortly after the 50th anniversary of the Castro-led revolution, this essay explores \nCubanidad \nor the dynamic and constantly evolving conception that Cubans have of themselves as revolutionary subjects. It does so by first outlining a Foucauldian framework that highlights the embodied, rather than ideological, constitution of subjectivity and offering a generative method for discourse analysis that moves against the dominant currents of binary containment. Second, it tracks the production of that embodied subjectivity backward through the revolutionary rhetoric of such foundational figures as José Martí and Ernesto (Che) Guevara as well as forward into divergent self-conceptions among contemporary Cubans. The essay ends by reflecting on the possibilities and limitations that this identity poses for the normalization of Cuba within the global political and economic community.","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":"Cubanidad, Foucault, embodiment, revolutionary subjectivity, rhetoric, discourse analysis"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3216t9pp","frozenauthors":[{"first_name":"Catherine","middle_name":"","last_name":"Chaput","name_suffix":"","institution":"English Department\nUniversity of Nevada, Reno","department":"None"}],"date_submitted":"2018-11-02T16:05:31-03:00","date_accepted":"2018-11-02T16:05:31-03:00","date_published":"2018-11-02T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/territories/article/39875/galley/30023/download/"}]},{"pk":44577,"title":"Patellar Tendon Rupture Diagnosed on Ultrasound","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/40z8p4gv","frozenauthors":[{"first_name":"Zahir","middle_name":"","last_name":"Basrai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Miguel","middle_name":"","last_name":"Lemus","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-01T15:02:43-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44577/galley/33370/download/"}]},{"pk":44576,"title":"Stress Fracture of the Pelvis and the Female Athlete Triad","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/45k4m3wf","frozenauthors":[{"first_name":"Ronald","middle_name":"","last_name":"Tsao","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jason","middle_name":"","last_name":"Hove","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-01T14:58:07-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44576/galley/33369/download/"}]},{"pk":44575,"title":"A Review of Renal Tubular Acidosis and Two Example Cases with Type I and IV Defects","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/1vs8d2fd","frozenauthors":[{"first_name":"Ramy","middle_name":"M","last_name":"Hanna","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Niloofar","middle_name":"","last_name":"Nobahkt","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Michelle","middle_name":"D","last_name":"Sangalang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-01T14:56:07-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44575/galley/33368/download/"}]},{"pk":44574,"title":"Avoid the Limelight","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/95n322mx","frozenauthors":[{"first_name":"Meghana","middle_name":"","last_name":"Frenchman","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-01T14:53:43-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44574/galley/33367/download/"}]},{"pk":44573,"title":"Anti-Phospholipase A2 Receptor Antibody Positive Primary Membranous Glomerulonephritis with Partial Remission of Proteinuria and Complete Disappearance of Antibody Marker with Rituximab Therapy","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/4x1729r5","frozenauthors":[{"first_name":"Ramy","middle_name":"M","last_name":"Hanna","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Andrae","middle_name":"","last_name":"Vandross","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Rumi","middle_name":"","last_name":"Cader","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-01T14:51:25-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44573/galley/33366/download/"}]},{"pk":44572,"title":"Ethylene Glycol Intoxication","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/30j221x0","frozenauthors":[{"first_name":"Reza","middle_name":"","last_name":"Khorsan","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Carl","middle_name":"","last_name":"Schulze","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-11-01T14:48:55-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44572/galley/33365/download/"}]},{"pk":62782,"title":"Abundance and Distribution of Blue Elderberry (Sambucus nigra ssp. caerulea) on Lower Cache Creek: Implications for Adaptive Floodplain Management","subtitle":null,"abstract":"Many western U.S. landscapes are managed for multiple objectives, including biological conservation, commodity production, human welfare, and recreation. Effective conservation of special-status species in managed landscapes is challenging when species protection must be balanced with broader land-management objectives. In managed river systems, actions such as channel maintenance, bank stabilization, dam operation, and habitat enhancement are often implemented to achieve objectives related to water delivery, flood control, protection of adjacent lands, public recreation, and biological conservation. However, these actions are often constrained by the presence of special-status species because of regulatory requirements that may supersede implementation of other measures. Strategies to balance special-status species conservation with broader management objectives are directly informed by robust data sets on species abundance and distribution. On lower Cache Creek in Yolo County, California, multi-objective management seeks to balance protection of the federally-threatened Valley elderberry longhorn beetle (\nDesmocerus californicus dimorphus\n) and its sole host shrub, blue elderberry (\nSambucus nigra\n ssp. \ncaerulea\n), with channel maintenance, bank stabilization, and habitat enhancement actions. We conducted a comprehensive field survey from 2015 to 2016 to map all elderberry shrubs across the 904-ha Cache Creek Resource Management Plan area. An estimated 10,296 shrubs that spanned small, medium, and large size classes were mapped, strongly suggesting that the local population has been increasing since in-channel mining ceased in 1996. Analyses of shrub distribution relative to floodplain inundation zones, and associated vegetation, slope, and aspect revealed that most shrubs occurred in association with other woody riparian vegetation and within the ≤ 10-yr floodplain inundation zone. In addition, shrubs occurred more often than expected on intermediate slopes and both westerly and northwesterly aspects. The results of this study are guiding adaptive management and informing project planning and permitting on lower Cache Creek, demonstrating the importance of spatially-explicit abundance and distribution data for special-status species in managed landscapes.","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":"Floodplain management, valley elderberry longhorn beetle, vegetation mapping, managed river systems, riparian, special-status species"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/40r0948z","frozenauthors":[{"first_name":"Andrew","middle_name":"P.","last_name":"Rayburn","name_suffix":"","institution":"Independent Consulting Ecologist","department":""},{"first_name":"Michael","middle_name":"","last_name":"Rogner","name_suffix":"","institution":"River Partners","department":""},{"first_name":"Paul","middle_name":"","last_name":"Frank","name_suffix":"","institution":"FlowWest","department":""}],"date_submitted":"2018-10-21T21:21:31-03:00","date_accepted":"2018-10-21T21:21:31-03:00","date_published":"2018-10-31T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62782/galley/48463/download/"}]},{"pk":62781,"title":"A Comparison of Outflow and Salt Intrusion in the Pre‑Development and Contemporary San Francisco Estuary","subtitle":null,"abstract":"The San Francisco Estuary and its upstream watershed have been highly altered by human development following the California Gold Rush in the mid-19th century. In this paper, we explore the inter- and intra-annual variability of freshwater flow to this estuary and the resulting salt intrusion under scenarios that represent pre-development and contemporary conditions. To place this comparison in context with the advent of systematic and accurate flow and salinity measurements in the estuary, we consider an additional “pre-project” scenario that represents early 20th-century water management (circa 1920), after major flood control and reclamation but before the introduction of large water storage, diversion, and export operations. We use an observed climate record that spans 82 years to compare freshwater flow associated with the scenarios’ landscape and water use characteristics. Using published relationships between flow and salt intrusion length developed from three-dimensional hydrodynamic modeling, we evaluate the effect of these flow alterations as well as estuarine geometry modifications and historically-observed sea-level rise on salt intrusion. We conclude that the pre-development estuary exhibited a more seasonally-variable salinity regime, resulting from a more variable inflow regime from the upstream watershed.","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":"Sacramento–San Joaquin Delta, hydrology, natural flow, hydrodynamic modeling, salt intrusion, X2, pre-development Delta, ecology"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/78m2c73z","frozenauthors":[{"first_name":"Edward","middle_name":"S.","last_name":"Gross","name_suffix":"","institution":"Resource Management Associates\nand\nCenter for Watershed Sciences, \nUniversity of California, Davis","department":""},{"first_name":"Paul","middle_name":"H.","last_name":"Hutton","name_suffix":"","institution":"Tetra Tech, Inc.","department":""},{"first_name":"Andrew","middle_name":"J.","last_name":"Draper","name_suffix":"","institution":"Stantec","department":""}],"date_submitted":"2018-10-21T21:15:32-03:00","date_accepted":"2018-10-21T21:15:32-03:00","date_published":"2018-10-31T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62781/galley/48462/download/"}]},{"pk":62778,"title":"Considerations for the Use of Captive-Reared Delta Smelt for Species Recovery and Research","subtitle":null,"abstract":"An extreme decline in Delta Smelt (\nHypomesus transpacificus\n) abundance has led to a number of management actions to support this endangered species, including the development and refinement of culture techniques and the creation of a refuge population. The wild Delta Smelt population has diminished to the point that many in the scientific community believe population supplementation using cultured fish needs to be experimentally evaluated as a possible management tool. Concerns about supplementation include the effectiveness of this action, and its potential to divert attention and funding from other needed management actions such as habitat restoration. Here, we describe the outcomes of a 2-day workshop that described the current refuge population, and identified key issues for potential future use of cultured Delta Smelt for research and management. Expanded use of cultured Delta Smelt is controversial and requires consideration for complexities that include legal constraints and permitting requirements. Developing policies that allow for in situ experiments using cultured Delta Smelt appears to be a precursor for advancing policies that might allow supplementation actions. Releases of cultured fish, either experimentally or as a management action, clearly need to be conducted within an adaptive management program that is integrated with other strategies, including habitat restoration. We describe a general framework for evaluating the potential risks of supplementation and include suggestions for how to reduce risks and uncertainty. Overall, we conclude there is sufficient baseline information about Delta Smelt and the existing culture program to proceed with targeted field research that utilizes cultured fish. Finally, given the dire status of this species, we conclude that rapid progress toward the development of a viable and testable supplementation program must be a priority for Delta Smelt conservation.","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":"Delta Smelt, Hypomesus transpacificus, refuge population, supplementation, conservation aquaculture"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3jt4h7ct","frozenauthors":[{"first_name":"JoAnna","middle_name":"","last_name":"Lessard","name_suffix":"","institution":"Cramer Fish Sciences","department":""},{"first_name":"Brad","middle_name":"","last_name":"Cavallo","name_suffix":"","institution":"Cramer Fish Sciences","department":""},{"first_name":"Paul","middle_name":"","last_name":"Anders","name_suffix":"","institution":"Cramer Fish Sciences","department":""},{"first_name":"Ted","middle_name":"","last_name":"Sommer","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Brian","middle_name":"","last_name":"Schreier","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Daphne","middle_name":"","last_name":"Gille","name_suffix":"","institution":"Animal Science Genomic Variation Lab,\nUniversity of California, Davis\nand\nWildlife Investigations Lab,\nCalifornia Department of Fish and Wildlife","department":""},{"first_name":"Andrea","middle_name":"","last_name":"Schreier","name_suffix":"","institution":"Animal Science Genomic Variation Lab, \nUniversity of California, Davis","department":""},{"first_name":"Amanda","middle_name":"","last_name":"Finger","name_suffix":"","institution":"Animal Science Genomic Variation Lab, \nUniversity of California, Davis","department":""},{"first_name":"Tien-Chieh","middle_name":"","last_name":"Hung","name_suffix":"","institution":"Fish Conservation and Culture Lab, \nUniversity of California, Davis","department":""},{"first_name":"James","middle_name":"","last_name":"Hobbs","name_suffix":"","institution":"Department of Wildlife, Fish, and Conservation, \nUniversity of California, Davis","department":""},{"first_name":"Bernie","middle_name":"","last_name":"May","name_suffix":"","institution":"Animal Science, Genomic Variation Lab, \nUniversity of California, Davis","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Schultz","name_suffix":"","institution":"Mid-Pacific Region, Bay–Delta Office, \nU.S. Bureau of Reclamation","department":""},{"first_name":"Oliver","middle_name":"","last_name":"Burgess","name_suffix":"","institution":"Mid-Pacific Region, Bay–Delta Office, \nU.S. Bureau of Reclamation","department":""},{"first_name":"Robert","middle_name":"","last_name":"Clarke","name_suffix":"","institution":"Pacific Southwest Region, \nU.S. Fish and Wildlife Service","department":""}],"date_submitted":"2018-10-21T20:49:42-03:00","date_accepted":"2018-10-21T20:49:42-03:00","date_published":"2018-10-31T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62778/galley/48459/download/"}]},{"pk":62776,"title":"Ecocultural Equality in the Miwkoʔ Waaliʔ","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Miwkoʔ, Indigenous, eco-cultural, water, restoration, stewardship, conservation"}],"section":"Essay","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7bz4v4cs","frozenauthors":[{"first_name":"Don","middle_name":"L.","last_name":"Hankins","name_suffix":"","institution":"California State University, Chico","department":""}],"date_submitted":"2018-10-21T20:40:12-03:00","date_accepted":"2018-10-21T20:40:12-03:00","date_published":"2018-10-31T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62776/galley/48457/download/"}]},{"pk":62780,"title":"Survival, Tag Retention, Growth, and Wound Healing of Juvenile Chinook Salmon (\nOncorhynchus tshawytscha\n) Surgically Implanted with a Dummy Acoustic Tag","subtitle":null,"abstract":"Tag effect studies are paramount in interpreting the results of survival studies. The objective of this study was to analyze the influence of tag implantation and tag burden on the survival, tag retention, growth, and wound healing of juvenile Chinook Salmon 7.8 ± 0.9 g initial weight. Fish were obtained from the Merced River Hatchery, held for 7 d, and then surgically implanted with Juvenile Salmon Acoustic Telemetry System (JSATS) SS300 dummy tags (0.3 g in air). Tag burden ranged from 2.9–4.8% (3.86 ± 0.43%, mean ± standard deviation). Weight and fork length were taken immediately before tag implantation. All fish (i.e., control and dummy-tagged) were also implanted with a visible implant alpha tag next to the dorsal insertion. Control and dummy-tagged fish were held in a single tank for 30 d. Any fish that died during the 30-d period were noted. At the end of the holding period, all fish were euthanized, weighed, measured, and necropsied. All dummy-tagged fish retained their dummy tag, and survival rates between the two groups were similar. Wound healing was also similar across the range of tag burdens analyzed. Specific growth rates, however, differed significantly between the two groups, with control fish growing at a rate of 1.08 ± 0.38% d−1 compared to 0.55 ± 0.48 % d−1 in dummy-tagged fish (\nP\n < 0.001). Tag burdens and specific growth rates for dummy-tagged fish (\nP\n = 0.961) did not correlate, nor did initial weight and specific growth rate for control (\nP\n = 0.363) or dummy-tagged (\nP\n = 0.983) fish. The cause of the decreased growth rate in dummy-tagged fish remains unknown. Determining the cause of decreased growth in tagged juvenile Chinook Salmon, and how that decreased growth may influence survival in the wild, should be investigated further.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Chinook Salmon, Oncorhynchus tshawytscha, acoustic tagging, tag effect, tag burden"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8bp2s61h","frozenauthors":[{"first_name":"Kristen","middle_name":"","last_name":"Towne","name_suffix":"","institution":"U.S. Fish and Wildlife Service","department":""},{"first_name":"Patricia","middle_name":"L.","last_name":"Brandes","name_suffix":"","institution":"U.S. Fish and Wildlife Service, (retired)","department":""}],"date_submitted":"2018-10-21T21:05:19-03:00","date_accepted":"2018-10-21T21:05:19-03:00","date_published":"2018-10-31T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62780/galley/48461/download/"}]},{"pk":62777,"title":"Western and Traditional Ecological Knowledge in Ecocultural Restoration","subtitle":null,"abstract":"The Delta Plan (DSC 2013) calls for “protecting and enhancing the unique cultural values” of California’s Sacramento–San Joaquin Delta, a 2,800-km2 (1,100 mi2) region that was occupied by indigenous peoples for ~5,000 years. The legacies of Native Californians need to be included in the Delta Plan, especially Traditional Ecological Knowledge (TEK) of ways to gather, hunt, and fish for food; build shelters; prepare medicines; and perform ceremonies — along with ways to make tools, clothing, baskets, and shelters. Plants were not just collected but also tended, which involved planned burning, digging, planting, weeding, harvesting, and seed dispersal. Populations of plants that have cultural significance and unique values should be enhanced under the Delta Plan. While Western Ecological Knowledge (WEK) offers a strong foundation for restoration of species assemblages and ecosystems, TEK adds culturally-significant species to restoration targets and traditional management practices to achieve ecological resilience. We compare 11 attributes of WEK and TEK that aid ecological restoration; all are complementary or shared by these two ways of knowing. Both WEK and TEK emphasize adaptive approaches for managing natural resources, as mandated in the Delta Plan. We suggest that WEK–TEK restoration sites throughout the Delta can be linked (virtually) to honor cultural integrity and nurture a “Sense of Place” for Native Californians and others. At the same time, such a network could foster ways to achieve sustainability through the TEK ethic of reciprocity, which WEK lacks. A network of WEK–TEK sites could enhance unique cultural values while supporting passive recreation and attracting ecotourists.","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":"Adaptive Management, Native Californian, reciprocity, restoration, Sacramento–San Joaquin Delta, Traditional Resource Management"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8p7463cf","frozenauthors":[{"first_name":"Joy","middle_name":"B.","last_name":"Zedler","name_suffix":"","institution":"University of Wisconsin, Madison","department":""},{"first_name":"Michelle","middle_name":"L.","last_name":"Stevens","name_suffix":"","institution":"California State University, Sacramento","department":""}],"date_submitted":"2018-10-21T20:45:53-03:00","date_accepted":"2018-10-21T20:45:53-03:00","date_published":"2018-10-31T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62777/galley/48458/download/"}]},{"pk":62779,"title":"Zooplankton Dynamics in the Cache Slough Complex of the Upper San Francisco Estuary","subtitle":null,"abstract":"We studied abundance and dynamics of zooplankton in the tidal freshwater Cache Slough Complex (CSC) in the northern Delta of the San Francisco Estuary during June, July, and October 2015. We asked whether the CSC was an area of high zooplankton production that could act as a source region for open waters of the estuary. Abundance of the copepod \nPseudodiaptomus forbesi\n was similar to that in freshwater reaches of the central and eastern Delta and higher than that in the adjacent Sacramento River. Growth rate of \nP. forbesi\n was higher than previously measured in large estuarine channels because of higher temperature and phytoplankton biomass in the CSC. Samples of \nP. forbesi\n examined with molecular techniques contained an unexpectedly high proportion of DNA from cyanobacteria and little DNA from more nutritious phytoplankton. We also examined tidal exchanges of phytoplankton biomass and copepods between Liberty Island, a shallow tidal lake within the CSC, and the adjacent southern Cache Slough, which links the CSC to the Sacramento River. We calculated zero net flux of phytoplankton over 127 days between June and October. The tidal flux of copepods, calculated using tidal flow from an in situ flow station and half-hourly sampling over three 24.8-hr tidal cycles, varied a great deal because of temporal patchiness and day/night variation in abundance. Overall, the tidal flux was indistinguishable from zero, while the tidally-averaged water flow (and therefore the net copepod flux) was always into the wetland. Our results show some promise for the CSC as a productive habitat for planktivorous fishes and as a laboratory for learning how to design future wetland restoration. However, we remain cautious about whether wetlands such as the CSC may export large quantities of food organisms that can support fishes in other regions of the estuary.","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":"Wetland, productivity, planktivorous fish, copepod, Pseudodiaptomus forbesi, growth rate, tidal exchange"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/63k1z819","frozenauthors":[{"first_name":"Wim","middle_name":"","last_name":"Kimmerer","name_suffix":"","institution":"Estuary and Ocean Science Center, San Francisco State University","department":""},{"first_name":"Toni","middle_name":"R.","last_name":"Ignoffo","name_suffix":"","institution":"Estuary and Ocean Science Center, San Francisco State University","department":""},{"first_name":"Brooke","middle_name":"","last_name":"Bemowski","name_suffix":"","institution":"Estuary and Ocean Science Center, San Francisco State University","department":""},{"first_name":"Julien","middle_name":"","last_name":"Modéran","name_suffix":"","institution":"Estuary and Ocean Science Center, San Francisco State University","department":""},{"first_name":"Ann","middle_name":"","last_name":"Holmes","name_suffix":"","institution":"Department of Animal Science, \nUniversity of California, Davis","department":""},{"first_name":"Brian","middle_name":"","last_name":"Bergamaschi","name_suffix":"","institution":"California Water Science Center, \nU.S. Geological Survey","department":""}],"date_submitted":"2018-10-21T20:59:37-03:00","date_accepted":"2018-10-21T20:59:37-03:00","date_published":"2018-10-31T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62779/galley/48460/download/"}]},{"pk":12283,"title":"WestJEM Full-Text Issue","subtitle":null,"abstract":"n/a","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"WestJEM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3zj2s89c","frozenauthors":[{"first_name":"Dana","middle_name":"H.","last_name":"Le","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2018-10-23T16:18:20-03:00","date_accepted":"2018-10-23T16:18:20-03:00","date_published":"2018-10-30T14:45:12-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12283/galley/6556/download/"}]},{"pk":60783,"title":"Federal Lands, Federal Authority: The Case for Federal Regulation of Fracking on Public Lands","subtitle":null,"abstract":"Hydraulic fracturing, or “fracking,” continues to grow rapidly as an oil and gas extraction method in the United States, and its growth has recently led to the emergence of natural gas as the nation’s new leading energy source for power generation. However, the hydraulic fracturing process carries innumerable environmental and health-related concerns, and federal regulations to address these concerns have struggled to keep up with the blistering pace of fracking’s growth and development within the United States.\n \nIn 2015, the Bureau of Land Management (BLM), under the Obama administration, promulgated a rule to ‘complement’ its regulations with respect to hydraulic fracturing on federal and Indian lands, citing the Mineral Leasing Act (MLA) and Federal Land Policy and Management Act (FLPMA) as sources of statutory authority. This 2015 Fracking Rule faced intense opposition, first from industry and state parties within the federal court system, and later from the BLM itself under a newly-elected President Trump. This Note argues that the Bureau of Land Management has the statutory authority to regulate hydraulic fracturing on federal public lands under the MLA and FLPMA, by cause of the plain language, general history, and reasonable agency interpretation of these statutes. This Note further supports BLM’s authority to regulate hydraulic fracturing with justifications related to both natural resource protection and the effectiveness of federal-level regulation.\n Legal battles over BLM’s authority are ongoing, and the question of whether or not BLM has statutory authority to regulate fracking on federal public lands remains critical as the nation continues to struggle in deciding how to best utilize our commonly-shared lands and resources. Additionally, it will be increasingly important to continue developing and updating federal hydraulic fracturing regulations in order to increase our understanding of this extraction method, while hopefully mitigating its associated environmental and health risks.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"hydraulic fracturing, fracking, natural gas, environment, environmental health concerns, federal fracking, federal hydraulic fracturing"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7f29m5z6","frozenauthors":[{"first_name":"Matt","middle_name":"","last_name":"Pritchett","name_suffix":"","institution":"","department":""}],"date_submitted":"2018-10-26T18:19:07-03:00","date_accepted":"2018-10-26T18:19:07-03:00","date_published":"2018-10-26T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jelp/article/60783/galley/46745/download/"}]},{"pk":60780,"title":"Front Matter","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/47n7z02c","frozenauthors":[{"first_name":"Editors","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2018-10-26T18:08:19-03:00","date_accepted":"2018-10-26T18:08:19-03:00","date_published":"2018-10-26T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jelp/article/60780/galley/46742/download/"}]},{"pk":60784,"title":"Stopping Livestock's Contribution to Climate Change","subtitle":null,"abstract":"-","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"livestock, climate change, livestock emissions, greenhouse gas"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7jh7m2hw","frozenauthors":[{"first_name":"Kayla","middle_name":"","last_name":"Karimi","name_suffix":"","institution":"","department":""}],"date_submitted":"2018-10-26T18:20:55-03:00","date_accepted":"2018-10-26T18:20:55-03:00","date_published":"2018-10-26T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jelp/article/60784/galley/46746/download/"}]},{"pk":60779,"title":"Table of Contents","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Table of Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8bv7p996","frozenauthors":[{"first_name":"Editors","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2018-10-26T18:07:04-03:00","date_accepted":"2018-10-26T18:07:04-03:00","date_published":"2018-10-26T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jelp/article/60779/galley/46741/download/"}]},{"pk":60781,"title":"The Carbon Tax Vote You've Never Heard of and What It Portends","subtitle":null,"abstract":"Many aspects of carbon taxes have been studied in the academic literature. This paper focuses on an area that has received insufficient attention by examining some of the specific institutional challenges a carbon tax proposal would face in Congress. A relatively unknown recent debate in the House of Representatives over a resolution to denounce the concept of carbon taxes provides a window into these challenges, demonstrating the arguments and tactics that can impede solution-oriented action to address climate change. Developing a policy that responds to these arguments is likely to add complexity to a carbon tax proposal, to increase the number of congressional committees involved in consideration of the proposal, and to create additional demand for the revenue that a proposed carbon tax would generate. Moreover, opponents of a policy can exploit these complicating factors and the lengthy time needed in Congress to consider legislation, so they can preemptively attack emerging concepts and proposals. The paper concludes by arguing that enacting a carbon tax at the federal level, with the policy elements that are often contemplated, will require a great deal of agreement or complaisance among lawmakers. Understanding this challenge well in advance of the opportunity for congressional consideration of a carbon tax will best prepare carbon tax advocates for a successful outcome.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"carbon tax, Congress, federal carbon tax, federal policy"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8g82b9qk","frozenauthors":[{"first_name":"Greg","middle_name":"","last_name":"Dotson","name_suffix":"","institution":"","department":""}],"date_submitted":"2018-10-26T18:11:59-03:00","date_accepted":"2018-10-26T18:11:59-03:00","date_published":"2018-10-26T04:00:00-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jelp/article/60781/galley/46743/download/"}]},{"pk":606,"title":"CPC-EM Full-Text Issue","subtitle":null,"abstract":"N/A","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"CPC-EM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2s85d2mr","frozenauthors":[{"first_name":"Shashank","middle_name":"","last_name":"Somasundaram","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2018-10-23T18:46:53-03:00","date_accepted":"2018-10-23T18:46:53-03:00","date_published":"2018-10-23T18:56:03-03:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/606/galley/367/download/"}]},{"pk":11737,"title":"Social Disconnection Among Older Adults Receiving Care in the Emergency Department","subtitle":null,"abstract":"Introduction:\n Social disconnection is a public health problem in older adults, as it can lead to decreased quality of life for this population. This study describes the prevalence of social disconnection and patient interest in social resources to address social disconnection among older adults receiving emergency department (ED) care.\nMethods:\n We conducted a cross-sectional survey of community-dwelling older adults (≥65 years) receiving care at two U.S. EDs. We described participant characteristics (demographic, social, and health variables), social disconnection prevalence, and desire for social resources using percentages and 95% confidence intervals. Then, we performed Chi Square tests and logistic regression to determine factors associated with positive screens for social disconnection.\nResults:\n Of 289 participants, 51% were female and the median age was 72 (interquartile range: 69-78). Most (76%) engaged with the community regularly, and 68% reported driving. Regarding social disconnection, a substantial minority of participants reported feeling as if they were burdensome to others (37%); as if they didn’t belong (27%); or that people would be better off if they were gone (15%); 52% reported at least one of these. In separate regression analyses, the perceptions of being a burden or better off if gone were each significantly associated with needing help with routine tasks (odds ratio [OR] [5.87, 5.90]); perceived burden was associated with hospitalization in theprior month (OR [2.09]); and low belonging was associated with not engaging in the community regularly (OR [2.50]), not seeing family regularly (OR [3.82]), and difficulty affording food (OR [2.50]). Regarding potential ED referrals, most participants were interested in transportation options (68%), food assistance (58%), and mental health resources (55%). Participants experiencing difficulties affording food were interested in food and housing assistance (p=.03; p=.01).\nConclusion:\n Over half of this sample of older ED patients reported feeling socially disconnected. Social and functional health problems are often related and both must be addressed to optimize older ED patient quality of life. Future research should consider the impact of social disconnection on older adults discharged from the ED and work to develop ED services that could refer this population to programs that may decrease social disconnection.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"emergency department"},{"word":"Older Adults"},{"word":"Social disconnection"}],"section":"Geriatrics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7jx2x0x7","frozenauthors":[{"first_name":"Deepika","middle_name":"","last_name":"Kandasamy","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"},{"first_name":"Timothy","middle_name":"F.","last_name":"Platts-Mills","name_suffix":"","institution":"University of North Carolina of Chapel Hill School of Medicine, Department of Emergency Medicine,Chapel Hill, North Carolina","department":"None"},{"first_name":"Manish","middle_name":"N.","last_name":"Shah","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, D epartment of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Kim","middle_name":"A.","last_name":"Van Orden","name_suffix":"","institution":"University of Rochester School of Medicine and Dentistry, Department of Psychiatry, Rochester, New York","department":"None"},{"first_name":"Marian","middle_name":"E.","last_name":"Betz","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"}],"date_submitted":"2018-04-24T19:29:52-03:00","date_accepted":"2018-04-24T19:29:52-03:00","date_published":"2018-10-23T16:33:59-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11737/galley/6301/download/"}]},{"pk":41423,"title":"A survey of Florida citrus viruses and viroids","subtitle":null,"abstract":"Efficient disease management is critical in the production of citrus; a crop that is susceptible to several plant pathogens. The ongoing battle with citrus greening has led to a shift in cultural practices, which could lead to a resurgence of previously controlled diseases. Here we investigated the presence of several common citrus-infecting viruses and viroids (\nCitrus leaf blotch virus\n,\n Apple stem grooving virus\n (synonym: Citrus tatter leaf virus), \nCitrus exocortis viroid\n, \nHop stunt viroid \n(synonym: Citrus viroid II), and\n Citrus dwarfing viroid \n(synonym: Citrus viroid III) in Florida citrus groves. All five viruses and viroids are still present, with varying incidence. It would be prudent to take them into consideration when developing citrus disease management strategies.","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 leaf blotch virus, Citrus tatter leaf virus, Citrus exocortis viroid, Hop stunt viroid, Citrus viroid III, Florida, real-time RT-qPCR"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4tf7n9nx","frozenauthors":[{"first_name":"SJ","middle_name":"","last_name":"Cowell","name_suffix":"","institution":"University of Florida","department":"None"},{"first_name":"SJ","middle_name":"","last_name":"Harper","name_suffix":"","institution":"Washington State University","department":"None"},{"first_name":"WO","middle_name":"","last_name":"Dawson","name_suffix":"","institution":"University of Florida","department":"None"}],"date_submitted":"2018-08-22T00:10:22-03:00","date_accepted":"2018-08-22T00:10:22-03:00","date_published":"2018-10-23T15:14:14-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41423/galley/31013/download/"}]},{"pk":11920,"title":"American Heart Association/American Stroke Association Deletes Sections from 2018 Stroke Guidelines","subtitle":null,"abstract":"The updated American Heart Association (AHA)/American Stroke Association (ASA) Guidelines for the Early Management of Patients with Acute Ischemic Stroke were published in January 2018.1 The purpose of the guidelines is to provide an up-to-date, comprehensive set of recommendations for clinicians caring for adult patients with acute arterial ischemic stroke in a single document. The guidelines detail new and updated recommendations that reflect and incorporate the most recent literature in the evaluation and management of acute ischemic stroke. Some sections of the latest guidelines have sparked debate in the medical community.\nDebate with regard to deciding the optimal diagnostic and treatment strategy for patients is healthy and anticipated with the release of new medical literature or recommendations. However, what is somewhat puzzling and unanticipated with the release of these new guidelines is that within two months of their release the AHA/ASA rescinded its recently released guidelines, publishing a “correction” in which several parts of the document have been deleted.2 An action such as this at the guideline level is unprecedented in recent history and has left stakeholders in the medical community somewhat confused as to the rationale for its occurrence. This article will inform the emergency medicine (EM) healthcare professional of the recent correction of the updated stroke guidelines, identify which sections have been removed (deleted), and will provide a brief summary of the pertinent updates (that have not been deleted) to the 2018 stroke guidelines that have particular relevance to the EM community.","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":"AHA/ASA Stroke Guidelines 2018"},{"word":"stroke guidelines"},{"word":"stroke"}],"section":"Neuroscience","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7r2800p3","frozenauthors":[{"first_name":"C. Eric","middle_name":"","last_name":"McCoy","name_suffix":"","institution":"University of California Irvine School of Medicine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Mark","middle_name":"I.","last_name":"Langdorf","name_suffix":"","institution":"University of California Irvine School of Medicine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Shahram","middle_name":"","last_name":"Lotfipour","name_suffix":"","institution":"University of California Irvine School of Medicine, Department of Emergency Medicine, Orange, California","department":"None"}],"date_submitted":"2018-07-09T20:31:41-04:00","date_accepted":"2018-07-09T20:31:41-04:00","date_published":"2018-10-22T14:55:11-03:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11920/galley/6372/download/"}]},{"pk":44571,"title":"Perils of Surfing: A Case of Vascular Trauma and Infectious Diarrhea","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/5dt4v39v","frozenauthors":[{"first_name":"Lilian","middle_name":"","last_name":"Chen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Rumi","middle_name":"","last_name":"Cader","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-10-19T13:39:39-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44571/galley/33364/download/"}]},{"pk":44570,"title":"A Case of Iron Overload","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/25m160f0","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":"2018-10-19T13:36:49-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44570/galley/33363/download/"}]},{"pk":44569,"title":"A Case of Fever of Unknown Origin in an Older Man","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3wg0n6wt","frozenauthors":[{"first_name":"Manuel","middle_name":"A","last_name":"Eskildsen","name_suffix":"MD, MPH","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-10-19T13:34:21-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44569/galley/33362/download/"}]},{"pk":44568,"title":"Xeroderma of the Eyelids","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/0jh1g9tb","frozenauthors":[{"first_name":"Brian","middle_name":"","last_name":"Morris","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-10-19T13:30:49-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44568/galley/33361/download/"}]},{"pk":44567,"title":"Drug-Induced Lupus Secondary to Escitalopram","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/6z2148v8","frozenauthors":[{"first_name":"Brian","middle_name":"","last_name":"Morris","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-10-19T13:24:47-03:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44567/galley/33360/download/"}]}]}