{"count":39538,"next":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=17800","previous":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=17600","results":[{"pk":33497,"title":"Bottlenecks: An Urban Physics","subtitle":null,"abstract":"From within the interminable traffic jams of Dakar, Senegal, Caroline Melly examines how bottlenecks—or embouteillages—have become a fixture of modern life and a window into local ideas about global im/mobility and future possibility.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7r60k62n","frozenauthors":[{"first_name":"Caroline","middle_name":"","last_name":"Melly","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-05-02T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33497/galley/24558/download/"}]},{"pk":33496,"title":"Viscosity: A Minor Theory of Oil Capital Flow","subtitle":null,"abstract":"Gabriela Valdivia traces the sticky interplays of infrastructure, toxic waste, and labor that shape life and value at Ecuador’s Esmeraldas oil refinery.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2fp8q829","frozenauthors":[{"first_name":"Gabriela","middle_name":"","last_name":"Valdivia","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-05-02T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33496/galley/24557/download/"}]},{"pk":44506,"title":"An Unusual Complication of a Commonly Prescribed Antibiotic – Drug Induced Hemolytic Anemia","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9v759873","frozenauthors":[{"first_name":"Karen","middle_name":"","last_name":"Cheng","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Camelia","middle_name":"","last_name":"Vabtyan","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-05-01T02:59:06+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44506/galley/33299/download/"}]},{"pk":44502,"title":"Kikuchi-Fujimoto Disease Presenting as Unilateral Axillary Lymphadenopathy","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/91p105ch","frozenauthors":[{"first_name":"Richard","middle_name":"","last_name":"Hwang","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Vinh","middle_name":"","last_name":"Lam","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-30T02:35:57+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44502/galley/33295/download/"}]},{"pk":44501,"title":"Resolution of Recurrent Headaches and Nausea Resistant to Standard Treatment with a Tricyclic Antidepressant","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/21n17729","frozenauthors":[{"first_name":"Jeff","middle_name":"E","last_name":"Borenstein","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Simi","middle_name":"K","last_name":"Singh","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jeremy","middle_name":"A","last_name":"Cholfin","name_suffix":"MD, PhD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-30T02:33:39+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44501/galley/33294/download/"}]},{"pk":3886,"title":"Late Antiquity","subtitle":null,"abstract":"Late antique Egypt ran from the reign of the Roman emperor Diocletian (284-305 CE) to the Arab conquest of Egypt (641 CE). During this period, Egypt was part of the eastern Roman Empire and was ruled from Constantinople from the founding of that city in the 320s CE. Culturally, Egypt’s elite were part of the wider Roman world, sharing in its classical education. However, several developments marked Egypt’s distinctiveness in this period. These developments included the flourishing of literature in Coptic, the final written form of the native language, and the creation and rapid growth of several forms of monastic Christianity. These developments accompanied the expansion of Christianity throughout the countryside and a parallel decline in the public role of native religious practices. This expansion of Christianity also led to its expansion in Nubia and Ethiopia, Egypt’s closest international neighbors, as a result of travel and trade from the Roman world. Documentary and archaeological evidence suggests a decline in Egyptian village and small town life in some places in this period, but the picture is mixed. The documents reveal large aristocratic estates in some regions and small-scale middle-class enterprises in others, but debate on how to interpret this data continues.","language":"en","license":null,"keywords":[{"word":"History, Near Eastern Languages and Cultures, Classics"}],"section":"Time and History","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8tq0h18g","frozenauthors":[{"first_name":"Giovanni","middle_name":"","last_name":"Ruffini","name_suffix":"","institution":"Fairfield University","department":"None"}],"date_submitted":"2012-12-11T17:13:34+09:00","date_accepted":"2012-12-11T17:13:34+09:00","date_published":"2018-04-28T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/nelc_uee/article/3886/galley/2499/download/"}]},{"pk":44483,"title":"Steroid Refractory Immune Colitis Following CTLA-4 Checkpoint Inhibition","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/6wg595cm","frozenauthors":[{"first_name":"Joshua","middle_name":"D","last_name":"Rosenberg","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Mahshid","middle_name":"","last_name":"Mosallaei-Benjamin","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-28T03:12:20+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44483/galley/33276/download/"}]},{"pk":44469,"title":"Acute Lung Disease from Bathtub Refinishing","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/36r5z92g","frozenauthors":[{"first_name":"Seth","middle_name":"","last_name":"Judson","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Samuel","middle_name":"","last_name":"Lee","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Carol","middle_name":"","last_name":"Lee","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-27T02:32:59+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44469/galley/33262/download/"}]},{"pk":44468,"title":"Rhabdomyolysis – A Case for Botox as Inciting Factor","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/4p0393rf","frozenauthors":[{"first_name":"Stella","middle_name":"","last_name":"Izuchukwu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-27T02:29:37+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44468/galley/33261/download/"}]},{"pk":534,"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/0p03278v","frozenauthors":[{"first_name":"Nancy","middle_name":"G.","last_name":"Hernandez","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2018-04-26T04:00:47+09:00","date_accepted":"2018-04-26T04:00:47+09:00","date_published":"2018-04-26T04:02:55+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/534/galley/297/download/"}]},{"pk":44467,"title":"Pseudo-Achalasia Following Laparoscopic Adjustable Gastric Band (Lap-band)","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/8f43m59x","frozenauthors":[{"first_name":"Michael","middle_name":"G.","last_name":"Quon","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Michael","middle_name":"C","last_name":"Jean","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-26T02:24:01+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44467/galley/33260/download/"}]},{"pk":11741,"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/9r57r8pv","frozenauthors":[{"first_name":"Nancy","middle_name":"G.","last_name":"Hernandez","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2018-04-26T04:06:40+09:00","date_accepted":"2018-04-26T04:06:40+09:00","date_published":"2018-04-25T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11741/galley/6303/download/"}]},{"pk":5448,"title":"The progressive elimination task in dogs (Canis familiaris): The case of divergence","subtitle":null,"abstract":"Domestic dogs (Canis familiaris) were administered progressive elimination tasks in which they had to visit and deplete either 3 or 4 baited sites. They were brought back to the starting point after each visit.  When administered a 4-choice task with small angular deviation between adjacent targets, the dogs chose first an inner target (e.g., right inner target) and the opposite outer target (e.g., the left target) as a second correct choice.  So they relied on divergence; that is they chose the farthest target as the next choice.  Varying angular deviation did not modulate divergence.  Decreasing the number of targets (3-choice task, Experiment 2) did relax divergence, though target selection was not totally random.  The dogs still chose as a first choice an inner target (i.e., the middle target) when selecting the most divergent patterns of elimination. Finally, in Experiment 3, the dogs were administered a 3-choice task with large angular deviation but in which all targets had been hidden.  The dogs chose first an outer target (i.e., right or left)) and the other outer target as the second correct choice.  That is they relied on divergence.  The results suggest that divergence is the outcome of a flexibility/cognitive load tradeoff when facing novelty and uncertainty.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"decision making, multi choice task, divergence, search behavior"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3h55m84v","frozenauthors":[{"first_name":"Claude","middle_name":"","last_name":"Dumas","name_suffix":"","institution":"Université du Québec à Montréal","department":"None"},{"first_name":"Stéphanie","middle_name":"","last_name":"Laperlier","name_suffix":"","institution":"UQAM","department":"None"},{"first_name":"Catherine","middle_name":"","last_name":"Guillou","name_suffix":"","institution":"UQAM","department":"None"},{"first_name":"Jacinthe","middle_name":"","last_name":"LeBlanc","name_suffix":"","institution":"UQAM","department":"None"}],"date_submitted":"2017-06-17T03:46:26+09:00","date_accepted":"2017-06-17T03:46:26+09:00","date_published":"2018-04-25T05:38:17+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5448/galley/3287/download/"}]},{"pk":5460,"title":"Spontaneous preference for primate photographs in Sumatran orangutans (Pongo abelii)","subtitle":null,"abstract":"Spontaneous looking preferences were assessed in six zoo-housed orangutans. Orangutans were presented with two photographs simultaneously on two identical laptop computers. Preference was measured by calculating the relative looking time for photographs from each stimulus category, over three studies. Orangutans exhibited moderate interest in looking at photographs, with four orangutans participating in Study 1 and Study 2, and six orangutans participating in Study 3. The results of Study 1 showed that orangutans preferred photographs of unfamiliar orangutans over unfamiliar humans. Study 2 results showed that orangutans preferred photographs of familiar orangutans over unfamiliar orangutans. In Study 3, preferences were assessed using photographs of the nine members of the participants’ own orangutan social group. Orangutans preferred photographs of adults over infants, and males over females. Similar studies have reported varied preferences, and we propose that variation is a result of complex demographic and social factors.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"visual preference, picture perception, categorization, orangutan, primate"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/08t203bk","frozenauthors":[{"first_name":"Laura","middle_name":"C.","last_name":"Adams","name_suffix":"","institution":"York University","department":"None"},{"first_name":"Suzanne","middle_name":"Elizabeth","last_name":"MacDonald","name_suffix":"","institution":"York University","department":"None"}],"date_submitted":"2017-11-22T07:16:42+09:00","date_accepted":"2017-11-22T07:16:42+09:00","date_published":"2018-04-24T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5460/galley/3295/download/"}]},{"pk":44466,"title":"Gastric Adenocarcinoma in a Patient with Gastric Bypass","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/6br6k531","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Logan","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-24T02:16:11+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44466/galley/33259/download/"}]},{"pk":44465,"title":"A Pilot Study Using a Smartphone App to Allow Remote Monitoring of Glucose","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Original Research"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9d5743q1","frozenauthors":[{"first_name":"Shira","middle_name":"","last_name":"Grock","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Tannaz","middle_name":"","last_name":"Moin","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Migyeong","middle_name":"","last_name":"Gwak","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Majid","middle_name":"","last_name":"Sarrafzadeh","name_suffix":"PhD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Matthew","middle_name":"","last_name":"Freeby","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-22T02:13:19+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44465/galley/33258/download/"}]},{"pk":45237,"title":"TRANSIT Vol. 12.1","subtitle":null,"abstract":"Landscapes of Migration","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Open Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/54b4945c","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Sandberg","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2018-04-22T04:30:24+09:00","date_accepted":"2018-04-22T04:30:24+09:00","date_published":"2018-04-21T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/transit/article/45237/galley/34030/download/"}]},{"pk":44484,"title":"Myxedema Coma Following Radioactive Iodine Ablation for Graves’ Disease","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/86m2h7j9","frozenauthors":[{"first_name":"Alexander","middle_name":"D","last_name":"Yuen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Carol","middle_name":"","last_name":"Lee","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-21T00:48:20+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44484/galley/33277/download/"}]},{"pk":44496,"title":"The Great Pretender","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/89w826f0","frozenauthors":[{"first_name":"Grace","middle_name":"I","last_name":"Chen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Erin","middle_name":"A","last_name":"Cook","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-20T05:28:23+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44496/galley/33289/download/"}]},{"pk":44495,"title":"Narcolepsy without Cataplexy – Often a Delayed Diagnosis","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/25w730cc","frozenauthors":[{"first_name":"Roman","middle_name":"","last_name":"Culjat","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-20T05:26:42+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44495/galley/33288/download/"}]},{"pk":62761,"title":"Accounting for Water “Wasted to the Sea”","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":"water accounting, ecosystem water, uncaptured water, system water, water diversions"}],"section":"Essay","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9k62g09b","frozenauthors":[{"first_name":"Jeffrey","middle_name":"","last_name":"Mount","name_suffix":"","institution":"PPIC Water Policy Center\nPublic Policy Institute of California","department":""},{"first_name":"Ellen","middle_name":"","last_name":"Hanak","name_suffix":"","institution":"PPIC Water Policy Center, \nPublic Policy Institute of California","department":""},{"first_name":"Greg","middle_name":"","last_name":"Gartrell","name_suffix":"","institution":"Consulting Engineer","department":""},{"first_name":"Brian","middle_name":"","last_name":"Gray","name_suffix":"","institution":"PPIC Water Policy Center\nPublic Policy Institute of California","department":""}],"date_submitted":"2017-10-25T03:23:33+09:00","date_accepted":"2017-10-25T03:23:33+09:00","date_published":"2018-04-19T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62761/galley/48442/download/"}]},{"pk":62769,"title":"Central Valley Spring-Run Chinook Salmon and Ocean Fisheries: Data Availability and Management Possibilities","subtitle":null,"abstract":"Central Valley spring-run Chinook Salmon (CVSC) are designated threatened by state and federal authorities. Although CVSC are caught in ocean fisheries, their harvest is not actively managed, because it is assumed that measures currently in place to protect endangered Sacramento River\n \nwinter-run Chinook Salmon (SWRC) will also sufficiently protect CVSC. Recoveries of tags and genetically-identified CVSC suggest these fish have a more northerly distribution than SRWC. Further, escapement data and cohort reconstructions suggest that CVSC\n \nmature later than SRWC. Thus, regulations (time/area restrictions and minimum size limits) crafted to protect SRWC alone may not adequately protect CVSC; on the other hand, regulations to constrain impacts on Klamath River and California coastal Chinook Salmon populations may also reduce impacts on CVSC. Trends in CVSC escapement were deemed acceptable in recent status updates, but concerns remain because of the negative effects caused by recent drought and ocean conditions. Should more active management of CVC be desired, current options are limited. The most promising approach is based on estimating age-specific ocean fishing mortality rates by using cohort reconstructions applied to tagged Chinook Salmon that originate from the Feather River Hatchery. At a minimum, ocean fishing mortality rates could be monitored and compared to proxy thresholds. If reference harvest rates were established, harvest models could be developed to predict how CVSC would be affected by fishing regulations, similar to the way fall-run Chinook Salmon fisheries are evaluated. Abundance forecasts would require improved juvenile production data (e.g., from genetic sampling of juvenile emigrants), since sibling-based forecasts commonly used for fall-run Chinook Salmon would not be available in time for pre-season planning. It is unclear if ocean fishing mortality rate estimates derived from hatchery proxies for natural-origin fish are truly representative, but existing data do not demonstrate obvious differences in ocean distribution or size-at-age fish. Substantial new investments in tagging or sampling would be needed to directly estimate ocean fishing mortality\n \nrates for natural-origin CVSC. Establishing specific harvest targets or limits for CVSC requires an improved understanding of production throughout their life cycle through juvenile production estimates and long-term information on spawner age structure.","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":"Spring-run Chinook Salmon"},{"word":"Oncorhynchus tshawytscha"},{"word":"ocean fisheries"},{"word":"exploitation rates"},{"word":"indicator stock"},{"word":"threatened"},{"word":"endangered"},{"word":"cohort reconstruction"},{"word":"management"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1258q4ms","frozenauthors":[{"first_name":"William","middle_name":"H.","last_name":"Satterthwaite","name_suffix":"","institution":"Southwest Fisheries Science Center\nNational Marine Fisheries Service, NOAA\nSanta Cruz, CA 95060","department":""},{"first_name":"Flora","middle_name":"","last_name":"Cordoleani","name_suffix":"","institution":"University of California Santa Cruz, affiliated with \nSouthwest Fisheries Science Center\nNational Marine Fisheries Service, NOAA\nSanta Cruz, CA 95060","department":""},{"first_name":"Michael","middle_name":"R.","last_name":"O'Farrell","name_suffix":"","institution":"Fisheries Ecology Division \nSouthwest Fisheries Science Center\nNational Marine Fisheries Service, NOAA\nSanta Cruz, CA 95060","department":""},{"first_name":"Brett","middle_name":"","last_name":"Kormos","name_suffix":"","institution":"Ocean Salmon Project, Marine Region\nDepartment of Fish and Wildlife\nSanta Rosa, CA 95403","department":""},{"first_name":"Michael","middle_name":"S.","last_name":"Mohr","name_suffix":"","institution":"Fisheries Ecology Division \nSouthwest Fisheries Science Center\nNational Marine Fisheries Service, NOAA\nSanta Cruz, CA 95060 USA","department":""}],"date_submitted":"2018-04-04T06:03:34+09:00","date_accepted":"2018-04-04T06:03:34+09:00","date_published":"2018-04-19T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62769/galley/48450/download/"}]},{"pk":62767,"title":"Improving Multi-Objective Ecological Flow Management with Flexible Priorities and Turn-Taking: A Case Study from the Sacramento River and Sacramento–San Joaquin Delta","subtitle":null,"abstract":"Management of the Sacramento River and Sacramento–San Joaquin Delta (SRD) is one of California’s greatest challenges, requiring trade-offs between valued components that serve a multiplicity of conflicting purposes. Trade-offs do not signal a failure to create clever enough models, or scenarios that find a single optimal solution. Rather, an optimal solution that meets multiple objectives does not exist. We demonstrate an improved method for multiple-objective allocation of water: “turn-taking” optimization (TTO) within a multi-model cloud computing framework. We apply TTO to an array of physical hydrologic models that are linked with the Ecological Flows Tool (EFT): a multi-species decision support framework to evaluate how specific components of the flow regime promote and balance favorable habitat conditions for 15 representative species and 31 indicators within the SRD. Applying the TTO approach incorporates the existing modelled representation of socio-economic water management criteria, priorities, and constraints — and optimizes water-release patterns each water year using a dynamically shifting set of EFT indicators. Rather than attempting to optimize conditions for all ecological indicators every year, TTO creates flexibility and opportunities for different indicators to be successful in different years, informed by the frequency with which each species’ ecological needs should be met. As an individual EFT indicator is successful in a particular year, its priority in one or more subsequent years is reduced (and vice versa). Comparing TTO to a Reference Case scenario based on current management practices, 12 EFT indicators are improved, 14 show no change, and 5 show a reduction in suitability. When grouped into nine species and life-history groups, performance improved in four (late-fall-run Chinook, winter-run Chinook, spring-run Chinook, and Fremont cottonwood), did not change in four (fall-run Chinook Salmon, Delta Smelt, Splittail, and Longfin Smelt), and was worse in one group (Steelhead).","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":"multi-objective optimization"},{"word":"endangered species"},{"word":"trade-offs"},{"word":"ecological effects analysis"},{"word":"Sacramento–San Joaquin Delta"},{"word":"environmental flow"},{"word":"real time"},{"word":"turn-taking"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/43q0d3c0","frozenauthors":[{"first_name":"Clint","middle_name":"A. D.","last_name":"Alexander","name_suffix":"","institution":"ESSA Technologies, Ltd.\nVancouver, BC Canada V6H 3H4","department":""},{"first_name":"Frank","middle_name":"","last_name":"Poulsen","name_suffix":"","institution":"ESSA Technologies, Ltd.\nVancouver, BC Canada V6H 3H4","department":""},{"first_name":"Donald","middle_name":"C. E.","last_name":"Robinson","name_suffix":"","institution":"ESSA Technologies, Ltd.\nVancouver, BC Canada V6H 3H4","department":""},{"first_name":"Brian","middle_name":"O.","last_name":"Ma","name_suffix":"","institution":"ESSA Technologies, Ltd.\nVancouver, BC Canada V6H 3H4","department":""},{"first_name":"Ryan","middle_name":"A.","last_name":"Luster","name_suffix":"","institution":"Water Science Program\nThe Nature Conservancy of California\nChico, CA 95928 USA","department":""}],"date_submitted":"2018-04-04T05:20:42+09:00","date_accepted":"2018-04-04T05:20:42+09:00","date_published":"2018-04-19T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62767/galley/48448/download/"}]},{"pk":62768,"title":"Physical and Biological Responses to Flow in a Tidal Freshwater Slough Complex","subtitle":null,"abstract":"Although brackish marsh has been the subject of decades of research, tidal freshwater regions are still poorly understood. To provide insight into spatial and temporal dynamics of nutrients, physical conditions, and the plankton community in freshwater tidal habitat, we investigated from 2011 to 2014 a remnant freshwater tidal slough complex located in the Sacramento–San Joaquin Delta region of the San Francisco Estuary. Our results suggest that the tidal slough complex showed different seasonal nutrient, physical, and biological conditions when compared to a relatively homogenous adjacent large river channel, the Sacramento River. The tidal slough complex also showed substantial spatial variability in habitat conditions compared to nearby main river channels. Nutrient dynamics in the tidal slough complex appear to be driven by a complex suite of factors, including inflow from upstream tributaries and tidal flows from the downstream reach of the Sacramento River. Chlorophyll\n a\n in the tidal sloughs responded more strongly to upstream flow pulses than other environmental variables. The tidal slough complex generated significantly higher levels of chlorophyll\n a\n than other freshwater regions of the Delta. The 2011 and 2012 results were especially notable because unusually large flow pulses through the tidal slough complex appear to have contributed to rare phytoplankton blooms in downstream areas of the Delta during the fall months. Moreover, the 2012 flow pulse stimulated higher trophic levels, because significantly higher levels of zooplankton were in the tidal slough complex after the flow event. These results have important implications for our understanding of the functioning of freshwater tidal habitat, and for the design of potential restoration projects in these regions.","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"},{"word":"San Francisco Estuary freshwater tidal wetlands"},{"word":"phytoplankton"},{"word":"zooplankton"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6s50h3fb","frozenauthors":[{"first_name":"Jared","middle_name":"","last_name":"Frantzich","name_suffix":"","institution":"Division of Environmental Services,\nCalifornia Department of Water Resources","department":""},{"first_name":"Ted","middle_name":"","last_name":"Sommer","name_suffix":"","institution":"Division of Environmental Services,\nCalifornia Department of Water Resources","department":""},{"first_name":"Brian","middle_name":"","last_name":"Schreier","name_suffix":"","institution":"Division of Environmental Services,\nCalifornia Department of Water Resources","department":""}],"date_submitted":"2018-04-04T05:26:51+09:00","date_accepted":"2018-04-04T05:26:51+09:00","date_published":"2018-04-19T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62768/galley/48449/download/"}]},{"pk":532,"title":"Temporary Tracheal Compression by Dilated Functionally Normal Esophagus","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1zr096mx","frozenauthors":[{"first_name":"Tatsuki","middle_name":"","last_name":"Sengoku","name_suffix":"","institution":"Hitachi General Hospital, Emergency Medicine and Critical Care Medicine Department,\nJonancho, Hitachi-shi, Ibaraki, Japan","department":"None"},{"first_name":"Tomohiro","middle_name":"","last_name":"Sonoo","name_suffix":"","institution":"Hitachi General Hospital, Emergency Medicine and Critical Care Medicine Department, Jonancho, Hitachi-shi, Ibaraki, Japan","department":"None"},{"first_name":"Kei","middle_name":"","last_name":"Kira","name_suffix":"","institution":"Hitachi General Hospital, Emergency Medicine and Critical Care Medicine Department, Jonancho, Hitachi-shi, Ibaraki, Japan","department":"None"},{"first_name":"Yuji","middle_name":"","last_name":"Takahashi","name_suffix":"","institution":"Hitachi General Hospital, Emergency Medicine and Critical Care Medicine Department, Jonancho, Hitachi-shi, Ibaraki, Japan","department":"None"},{"first_name":"Hideki","middle_name":"","last_name":"Hashimoto","name_suffix":"","institution":"Hitachi General Hospital, Emergency Medicine and Critical Care Medicine Department, Jonancho, Hitachi-shi, Ibaraki, Japan","department":"None"},{"first_name":"Kensuke","middle_name":"","last_name":"Nakamura","name_suffix":"","institution":"Hitachi General Hospital, Emergency Medicine and Critical Care Medicine Department, Jonancho, Hitachi-shi, Ibaraki, Japan","department":"None"}],"date_submitted":"2018-04-10T01:18:27+09:00","date_accepted":"2018-04-10T01:18:27+09:00","date_published":"2018-04-19T00:56:19+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/532/galley/295/download/"}]},{"pk":41672,"title":"A new \nCalliovarica\n species (Seguenzioidea: Chilodontidae) from the Eocene of Oregon, USA: Persistence of a relict Mesozoic gastropod group in a unique forearc tectonic setting","subtitle":null,"abstract":"A new, enigmatic chilodontid gastropod with distinctive periodic varices is described as \nCalliovarica oregonensis\n. It is based on ten specimens from slope deposits of the early late Eocene Nestucca Formation on the coastal Cascadia margin of present day Oregon, U.S.A. It is the last appearance of a Mesozoic group of epifaunal basal gastropods with periodic varices. It is the third species in a Cenozoic genus previously known only from the early Eocene Lodo Formation in California and the late Paleocene to early Eocene Red Bluff Tuff in New Zealand. The type species,\n C. eocensis\n, is refigured to clarify the nature of the axial varices as well as a terminal thickening and flaring of the apertural lip immediately following deposition of the final varix. Detailed preservation of microstructure in the nacreous layers of crushed and disintegrating shell fragments demonstrates the value of collecting material typically left behind in the field. \nCalliovarica oregonensis\n n. sp. is part of a poorly understood molluscan fauna that lived during an unusual paleoclimatic interval immediately prior to global cooling and extinctions in the late Eocene. It also thrived in an unusual volcano-sedimentary interval at the onset of subduction at the Cascadia margin. The tectonic setting provides a unique snapshot of a depositional environment receiving periodic influxes of ash from the young volcanic arc to the east and periodic basalt intrusions from the underlying asthenosphere into the forerarc over a hotspot or through slab window emplacement. Links between biofacies and lithofacies demonstrate the ability of paleontology and geology to provide reciprocal illumination, especially in dynamic settings with no modern counterparts. The link between local persistence of relict Mesozoic taxa and localized tectonic events merits further integrative investigation.","language":"en","license":null,"keywords":[{"word":"Seguenzioidea, Chilodontidae, relict taxa, Nestucca Formation. Cascadia Margin, northeastern Pacific"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/42b5m4kn","frozenauthors":[{"first_name":"Carole","middle_name":"S.","last_name":"Hickman","name_suffix":"","institution":"University of California, Berkeley; Department of Integrative Biology, UC Museum of Paleontology","department":"None"}],"date_submitted":"2018-04-19T09:23:09+09:00","date_accepted":"2018-04-19T09:23:09+09:00","date_published":"2018-04-18T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucmp_paleobios/article/41672/galley/31182/download/"}]},{"pk":44494,"title":"Paget-Schroetter Disease and Recurrent Spontaneous Upper Extremity DVTs","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/72n6s91r","frozenauthors":[{"first_name":"Atara","middle_name":"","last_name":"Geft","name_suffix":"MD, MPH","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Fatma","middle_name":"","last_name":"Batuman","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-18T05:24:42+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44494/galley/33287/download/"}]},{"pk":512,"title":"Atypical Presentation of Hand, Foot, and Mouth Disease in an Adult","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/30d105p3","frozenauthors":[{"first_name":"Demis","middle_name":"L.","last_name":"Lipe","name_suffix":"","institution":"Martin Army Community Hospital, Department of Emergency Medicine, Fort Benning, Georgia","department":"None"},{"first_name":"Susan","middle_name":"","last_name":"Affleck","name_suffix":"","institution":"Martin Army Community Hospital, Department of Emergency Medicine, Fort Benning, Georgia","department":"None"}],"date_submitted":"2018-03-15T00:47:14+09:00","date_accepted":"2018-03-15T00:47:14+09:00","date_published":"2018-04-18T00:47:11+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/512/galley/275/download/"}]},{"pk":44493,"title":"Treatment of Acute Myeloid Leukemia in the Elderly","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/1xj5c3dg","frozenauthors":[{"first_name":"Sanaz","middle_name":"","last_name":"Ghafouri","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Parvin","middle_name":"","last_name":"Peddi","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-17T05:22:10+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44493/galley/33286/download/"}]},{"pk":44492,"title":"Carbohydrate Antigen 19-9 as a Marker of Disease Activity in a Patient with Dermatomyositis","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/9742n49w","frozenauthors":[{"first_name":"Geraldine","middle_name":"","last_name":"Navarro","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Christina","middle_name":"","last_name":"Charles-Schoeman","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-17T05:20:06+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44492/galley/33285/download/"}]},{"pk":44491,"title":"Tumor Lysis Syndrome in Solid Organ Malignancies","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/60v559ps","frozenauthors":[{"first_name":"Hideaki","middle_name":"","last_name":"Watanabe","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Erik","middle_name":"L","last_name":"Lum","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-16T05:17:55+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44491/galley/33284/download/"}]},{"pk":533,"title":"52-Year-Old Jehovah’s Witness Female with Weakness","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":"Clinicopathological Cases from the University of Maryland","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2b91h6w8","frozenauthors":[{"first_name":"Lindsay","middle_name":"A.","last_name":"Weiner","name_suffix":"","institution":"University of Maryland Medical Center, Baltimore, Maryland","department":"None"},{"first_name":"George","middle_name":"","last_name":"Willis","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Zachary","middle_name":"D.W.","last_name":"Dezman","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Laura","middle_name":"J.","last_name":"Bontempo","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"}],"date_submitted":"2018-04-10T01:22:07+09:00","date_accepted":"2018-04-10T01:22:07+09:00","date_published":"2018-04-14T03:03:16+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/533/galley/296/download/"}]},{"pk":44490,"title":"Remission Achieved with Tacrolimus in a Patient with ISN-RPS Class V Lupus Membranous Glomerulonephritis Unable to Tolerate Mycophenolate Mofetil","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/23s7d973","frozenauthors":[{"first_name":"Ramy","middle_name":"M","last_name":"Hanna","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Marian","middle_name":"","last_name":"Kaldas","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"William","middle_name":"D","last_name":"Wallace","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-13T05:15:05+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44490/galley/33283/download/"}]},{"pk":44489,"title":"An Unusual Case of Staphylococcus Aureus Prostatic Abscess","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/6tw674x3","frozenauthors":[{"first_name":"Kwang","middle_name":"","last_name":"Kim","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Rajan","middle_name":"H","last_name":"Patel","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-13T05:13:20+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44489/galley/33282/download/"}]},{"pk":11699,"title":"Even the Thinnest Salami Contains Some Meat","subtitle":null,"abstract":"NA","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":"Bronchiolitis"},{"word":"funnel plot"}],"section":"Treatment Protocol Assessment","is_remote":true,"remote_url":"https://escholarship.org/uc/item/00v574vf","frozenauthors":[{"first_name":"Paul","middle_name":"","last_name":"Walsh","name_suffix":"","institution":"Sutter Medical Center Sacramento, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Sacramento, California","department":"None"}],"date_submitted":"2018-03-23T19:19:28+09:00","date_accepted":"2018-03-23T19:19:28+09:00","date_published":"2018-04-13T02:58:49+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11699/galley/6288/download/"}]},{"pk":11704,"title":"This Article Corrects: “Trends in Regionalization of Care for ST-Segment Elevation Myocardial Infarction”","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":"Erratum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7561r3hk","frozenauthors":[{"first_name":"Renee","middle_name":"Y.","last_name":"Hsia","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San\nFrancisco, California\nUniversity of California, San Francisco, Philip R. Lee Institute for Health Policy\nStudies, San Francisco, California","department":"None"},{"first_name":"Sarah","middle_name":"","last_name":"Sabbagh","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San\nFrancisco, California","department":"None"},{"first_name":"Nandita","middle_name":"","last_name":"Sarkar","name_suffix":"","institution":"National Bureau of Economic Research, Cambridge, Massachusetts","department":"None"},{"first_name":"Karl","middle_name":"","last_name":"Sporer","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San\nFrancisco, California\nAlameda County Emergency Medical Services Agency, Oakland, California","department":"None"},{"first_name":"Ivan","middle_name":"C.","last_name":"Rokos","name_suffix":"","institution":"University of California, Los Angeles-Olive View Medical Center; Geffen School of\nMedicine, Los Angeles, California","department":"None"},{"first_name":"John","middle_name":"F.","last_name":"Brown","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San\nFrancisco, CaliforniaSan Francisco Emergency Medical Services Agency, San Francisco, California","department":"None"},{"first_name":"Ralph","middle_name":"G.","last_name":"Brindis","name_suffix":"","institution":"University of California, San Francisco, Philip R. Lee Institute for Health Policy Studies, San Francisco, California\nUniversity of California, San Francisco, Department of Medicine, San Francisco,\nCalifornia","department":"None"},{"first_name":"Joanna","middle_name":"","last_name":"Guo","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San\nFrancisco, California","department":"None"},{"first_name":"Yu-Chu","middle_name":"","last_name":"Shen","name_suffix":"","institution":"National Bureau of Economic Research, Cambridge, Massachusetts\nNaval Postgraduate School, Graduate School of Business and Public Policy,\nMonterey, California","department":"None"}],"date_submitted":"2018-03-28T03:42:33+09:00","date_accepted":"2018-03-28T03:42:33+09:00","date_published":"2018-04-13T02:55:15+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11704/galley/6292/download/"}]},{"pk":6162,"title":"Bureaucratizing Consent: An Analysis of Sexual Freedom Paradigms in University of California, Berkeley Sexual Harassment Policies","subtitle":null,"abstract":"This thesis examines how the University of California, Berkeley’s policies on sexual harassment reflect models of conduct and sexual freedom. Drawing on a liberal choice model of sexual freedom and a theory of genuine autonomy, the thesis analyzes the evolution of the University of California, Berkeley’s sexual harassment policy and grievance procedures and how these policies—or lack thereof—reflect, or fail to reflect, sexual freedom paradigms. In addition to outlining key changes in campus sexual harassment policies over time, the objective of this thesis is to provide a conceptually driven theory of policy change.","language":"en","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4g25d7dc","frozenauthors":[{"first_name":"Hannah","middle_name":"","last_name":"Stommel","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2018-04-09T09:04:48+09:00","date_accepted":"2018-04-09T09:04:48+09:00","date_published":"2018-04-12T11:23:08+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/our_buj/article/6162/galley/3710/download/"}]},{"pk":6161,"title":"Denk-Mittel Metaphors: Metaphors as Thought Devices in Henry James’ The Wings of the Dove","subtitle":null,"abstract":"Henry James’ late works have created an ongoing case for investigation. From his stream-of-consciousness style we see his mastery of language while experiencing the difficulty of comprehending his writing. Specifically, the role of metaphors within his late novel The Wings of the Dove are striking because of their independent behavior, and upon analysis of this work, I have found new discoveries in the function of metaphor, most prominently as a device that is more than a substitution for something else, which mystifies rather than clarifies, and which reflects the inner workings of the mind. In fact, metaphor is integral to the way James represents thought streams - it may even be used as an deceptive thought in the mind of a character, instead of a just a modifier, it may be used as an aid to the reader in difficult passages of character’s thoughts, and lastly it may even work as a moving scene, rather than a picture. Metaphors in this novel in the end may even represent the everyday processes of the mind and a character’s growth and maturity, which I find to be novel functions of the metaphor and something which is yet to be explored further in James’ works.","language":"en","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/604221d9","frozenauthors":[{"first_name":"Naomi","middle_name":"","last_name":"Francisco","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2018-04-09T09:03:28+09:00","date_accepted":"2018-04-09T09:03:28+09:00","date_published":"2018-04-12T11:22:53+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/our_buj/article/6161/galley/3709/download/"}]},{"pk":6160,"title":"Playing to Win: Clientelist Campaign Strategy in Southern Africa","subtitle":null,"abstract":"One major mark of a strong democracy is the use of policy-based rather than clientelist campaign strategies—but in southern Africa, we still see political parties in relatively strong democracies using clientelist strategies. I aim to build on the small existing pool of literature on this topic by performing a comparative study of campaign strategies in South Africa, Namibia, Botswana, Malawi, and Zambia. I then examine how political parties in those countries use clientelist and policy-based strategies in general elections and what relationship strategy has to economic development and educational quality over time and relative to other countries in the same region. The data come from news sources, party manifestos, and candidate speeches of major parties in the countries used. I find that although they are harder to observe within countries across time, clientelism rates are lowest in countries with higher levels of economic development and educational quality. This trend is most clearly seen when analyzing inter-country differences. This study will hopefully provide further explanation regarding how political and state infrastructure can affect the motivations of political parties and take another step toward understanding and strengthening democracy.","language":"en","license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8zf694xc","frozenauthors":[{"first_name":"Zoë","middle_name":"","last_name":"Brouns","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2018-04-09T09:02:05+09:00","date_accepted":"2018-04-09T09:02:05+09:00","date_published":"2018-04-12T11:22:18+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/our_buj/article/6160/galley/3708/download/"}]},{"pk":44488,"title":"Use of Retromastoid Cisternal Ommaya Reservoir for Intrathecal Administration of Amphotericin in Treating Severe Refractory Coccidioides Meningitis","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/2c15m2c8","frozenauthors":[{"first_name":"Michael","middle_name":"D","last_name":"Cohen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-12T05:10:35+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44488/galley/33281/download/"}]},{"pk":33498,"title":"The Times of Chokepoints","subtitle":null,"abstract":"Chokepoints are problems not only of space, but also of time. Jason Cons explores this temporality in Bangladesh’s Sundarbans, a mangrove forest that has become a laboratory for fashioning the future in a warming world.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/36p8s78v","frozenauthors":[{"first_name":"Jason","middle_name":"","last_name":"Cons","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-12T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33498/galley/24559/download/"}]},{"pk":44482,"title":"Orbital 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/94v13147","frozenauthors":[{"first_name":"Mahshid","middle_name":"","last_name":"Mosallaei-Benjamin","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Joshua","middle_name":"D","last_name":"Rosenberg","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-11T03:10:17+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44482/galley/33275/download/"}]},{"pk":33499,"title":"Disservice Lines","subtitle":null,"abstract":"In any delivery system, the final leg is often the hardest. Michael Degani takes to the streets of Dar es Salaam to explore the “last-mile problem” of Tanzania’s energy grid.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/97s122p5","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Degani","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-11T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33499/galley/24560/download/"}]},{"pk":44481,"title":"Renal Artery Denervation: A Safe and Effective Approach for Management of Refractory Ventricular Tachycardia Storm","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/6vr6d53b","frozenauthors":[{"first_name":"Pooya","middle_name":"","last_name":"Banankhah","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Anthony","middle_name":"","last_name":"Koppula","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-10T03:07:35+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44481/galley/33274/download/"}]},{"pk":44480,"title":"An Interesting Presentation of Neuroleptic Malignant 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/84n3g9j2","frozenauthors":[{"first_name":"Amar","middle_name":"C","last_name":"Nawathe","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":"2018-04-10T03:05:52+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44480/galley/33273/download/"}]},{"pk":11053,"title":"Acute Pulmonary Embolism in Emergency Department Patients Despite Therapeutic Anticoagulation","subtitle":null,"abstract":"Introduction:\n Emergency department (ED) patients with acute pulmonary embolism (PE) despite therapeutic anticoagulation at the time of diagnosis are uncommonly encountered and present a diagnostic and management challenge. Their characterization and outcomes are poorly described. We sought to describe the prevalence and characteristics of therapeutically anticoagulated patients among a population of patients with acute PE in a community setting and to describe treatment changes and 30-day outcomes. \n \nMethods:\n From a large retrospective cohort of adults with acute, objectively-confirmed PE across 21 EDs between 01/2013 and 04/2015, we identified patients who arrived on direct oral or injectable anticoagulants, or warfarin with an initial ED international normalized ratio (INR) value ≥2.0. Patients were excluded from the larger cohort if they had received a diagnosis of venous thromboembolism (VTE) in the prior 30 days. We gathered demographic and clinical variables from electronic health records and structured manual chart review. We report discharge anticoagulation regimens and major 30-day adverse outcomes. \nResults:\n Among 2,996 PE patients, 36 (1.2%) met study criteria. Mean age was 63 years. Eleven patients (31%) had active cancer and 25 (69%) were high risk on the PE Severity Index (Classes III-V), comparable to the larger cohort (p>0.1). Reasons for pre-arrival anticoagulation were VTE treatment or prevention (n=21), and atrial fibrillation or flutter (n=15). All patients arrived on warfarin and one was also on enoxaparin: 32 had a therapeutic INR (2.0-3.0) and four had a supratherapeutic INR (>3.0). Fifteen patients (42%) had at least one subtherapeutic INR (<2.0) in the 14 days preceding their diagnostic visit. Two patients died during hospitalization. Of the 34 ultimately discharged, 22 underwent a change in anticoagulation drug or dosing, 19 of whom received injectables, either to replace or to supplement warfarin. Four patients also received inferior vena cava filters. Thirty-day outcomes included one major hemorrhage and one additional death. No patients experienced recurrent or worsening VTE.\nConclusion:\n We found a low prevalence of therapeutic anticoagulation at the time of acute PE diagnosis. Most patients underwent a change in therapy, though management varied widely. Subtherapeutic anticoagulation levels in the preceding weeks were common and support the importance of anticoagulation adherence.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"pulmonary embolism"},{"word":"therapeutic anticoagulation"},{"word":"Warfarin"},{"word":"international normalized ratio"},{"word":"emergency hospital services"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1bz425qs","frozenauthors":[{"first_name":"Michelle","middle_name":"Y.","last_name":"Liu","name_suffix":"","institution":"Kaiser Permanente, Division of Research, Oakland, California","department":"None"},{"first_name":"Dustin","middle_name":"W.","last_name":"Ballard","name_suffix":"","institution":"Kaiser Permanente, Division of Research, Oakland, California\nKaiser Permanente, San Rafael Medical Center, Department of Emergency Medicine, San Rafael, California","department":"None"},{"first_name":"Jie","middle_name":"","last_name":"Huang","name_suffix":"","institution":"Kaiser Permanente, Division of Research, Oakland, California","department":"None"},{"first_name":"Adina","middle_name":"S.","last_name":"Rauchwerger","name_suffix":"","institution":"Kaiser Permanente, Division of Research, Oakland, California","department":"None"},{"first_name":"Mary","middle_name":"E.","last_name":"Reed","name_suffix":"","institution":"Kaiser Permanente, Division of Research, Oakland, California","department":"None"},{"first_name":"Sean","middle_name":"C.","last_name":"Bouvet","name_suffix":"","institution":"Kaiser Permanente, Walnut Creek Medical Center, Department of Emergency Medicine, Walnut Creek, California","department":"None"},{"first_name":"David","middle_name":"R.","last_name":"Vinson","name_suffix":"","institution":"Kaiser Permanente, Division of Research, Oakland, California\nKaiser Permanente, Sacramento Medical Center, Department of Emergency Medicine, Sacramento, California","department":"None"}],"date_submitted":"2017-07-06T07:35:48+09:00","date_accepted":"2017-07-06T07:35:48+09:00","date_published":"2018-04-07T04:10:22+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11053/galley/5953/download/"}]},{"pk":46561,"title":"The Syntax of Matsigenka Object-Marking","subtitle":null,"abstract":"I analyze Matsigenka (Arawak, Peru) verbal object markers as clitic determiners that incorporate syntactically due to requirements of Infl. Person-case constraint effects are observed, with two repair strategies depending on the configuration, a clitic /=ni/ and an inflectable element /ashi/. I analyze both as adpositions, as well as an instrumental applicative /-ant/, which exhibits similar PCC effects, as the head of a high ApplP that participates in roll-up head movement. I derive PCC effects via a relativized probe on v.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5sn7z7sn","frozenauthors":[{"first_name":"Zachary","middle_name":"","last_name":"O'Hagan","name_suffix":"","institution":"UC Berkeley","department":"None"}],"date_submitted":"2018-04-06T08:53:45+09:00","date_accepted":"2018-04-06T08:53:45+09:00","date_published":"2018-04-06T08:55:20+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/bling_formal_linguistics/article/46561/galley/35279/download/"}]},{"pk":11039,"title":"Appropriateness of Extremity Magnetic Resonance Imaging Examinations in an Academic Emergency Department Observation Unit","subtitle":null,"abstract":"Introduction:\n Emergency departments (ED) and hospitals face increasing challenges related to capacity, throughput, and stewardship of limited resources while maintaining high quality. Appropriate utilization of extremity magnetic resonance imaging (MRI) examinations within the emergency setting is not well known. Therefore, this study aimed to determine indications for and appropriateness of MRI of the extremities for musculoskeletal conditions in the ED observation unit (EDOU).\nMethods:\n We conducted this institutional review board-approved, retrospective study in a large, quaternary care academic center and Level I trauma center. An institutional database was queried retrospectively to identify all adult patients undergoing an extremity MRI while in the EDOU during the two-year study period from October 2013 through September 2015. We compared clinical history with the American College of Radiology (ACR) Appropriateness Criteria® for musculoskeletal indications. The primary outcome was appropriateness of musculoskeletal MRI exams of the extremities; examinations with an ACR Criteria score of seven or higher were deemed appropriate. Secondary measures included MRI utilization and imaging findings.\n \nResults:\n During the study period, 22,713 patients were evaluated in the EDOU. Of those patients, 4,409 had at least one MRI performed, and 88 MRIs met inclusion criteria as musculoskeletal extremity examinations (2% of all patients undergoing an MRI exam in the EDOU during the study period). The most common exams were foot (27, 31%); knee (26, 30%); leg/femur (10, 11%); and shoulder (10, 11%). The most common indications were suspected infection (42, 48%) and acute trauma (23, 26%). Fifty-six percent of exams were performed with intravenous contrast; and 83% (73) of all MRIs were deemed appropriate based on ACR Criteria. The most common reason for inappropriate imaging was lack of performance of radiographs prior to MRI.\nConclusion:\n The majority of musculoskeletal extremity MRI examinations performed in the EDOU were appropriate based on ACR Appropriateness Criteria. However, the optimal timing and most-appropriate site for performance of many clinically appropriate musculoskeletal extremity MRIs performed in the EDOU remains unclear. Potential deferral to the outpatient setting may be a preferred population health management strategy.","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":"Magnetic Resonance Imaging, Emergency Department, Appropriateness Criteria, clinical decision support, musculoskeletal system"}],"section":"Resource Utilization","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8zc5t7r5","frozenauthors":[{"first_name":"McKinley","middle_name":"","last_name":"Glover","name_suffix":"","institution":"Massachusetts General Hospital, Center for Research in Emergency Department Operations (CREDO), Department of Emergency Medicine, Boston, Massachusetts\nMassachusetts General Physicians Organization, Boston, Massachusetts\nMassachusetts General Hospital, Department of Radiology, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts","department":"None"},{"first_name":"Ravi","middle_name":"","last_name":"Gottumukkala","name_suffix":"","institution":"Massachusetts General Hospital, Department of Radiology, Boston, Massachusetts","department":"None"},{"first_name":"Yadiel","middle_name":"","last_name":"Sanchez","name_suffix":"","institution":"Massachusetts General Hospital, Department of Radiology, Boston, Massachusetts","department":"None"},{"first_name":"Brian","middle_name":"J.","last_name":"Yun","name_suffix":"","institution":"Massachusetts General Hospital, Center for Research in Emergency Department Operations (CREDO), Department of Emergency Medicine, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts\nMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Theodore","middle_name":"I.","last_name":"Benzer","name_suffix":"","institution":"Harvard Medical School, Boston, Massachusetts\nMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Benjamin","middle_name":"A.","last_name":"White","name_suffix":"","institution":"Massachusetts General Hospital, Center for Research in Emergency Department Operations (CREDO), Department of Emergency Medicine, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts\nMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Anand","middle_name":"M.","last_name":"Prabhakar","name_suffix":"","institution":"Massachusetts General Hospital, Center for Research in Emergency Department Operations (CREDO), Department of Emergency Medicine, Boston, Massachusetts\nMassachusetts General Hospital, Department of Radiology, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts\nMassachusetts General Hospital, Department of Radiology, Division of Emergency Imaging, Boston, Massachusetts","department":"None"},{"first_name":"Ali","middle_name":"S.","last_name":"Raja","name_suffix":"","institution":"Massachusetts General Hospital, Center for Research in Emergency Department Operations (CREDO), Department of Emergency Medicine, Boston, Massachusetts\nHarvard Medical School, Boston, Massachusetts\nMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2017-06-23T06:12:56+09:00","date_accepted":"2017-06-23T06:12:56+09:00","date_published":"2018-04-06T04:11:53+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11039/galley/5950/download/"}]},{"pk":11063,"title":"Substance Use in Pregnant Women Using the Emergency Department: Undertested And Overlooked?","subtitle":null,"abstract":"Introduction:\n The objective was to determine if pregnant women visiting the emergency department (ED) are tested for substance use as frequently as non-pregnant women.\nMethods:\n We captured all ED visits over a six-year period (2010-2016) from a single community hospital and identified women of childbearing age, defined for our study as 11-50 years old. We collected demographic data including age in years, ethnicity, body mass index, marital status, disposition, last encounter department, method of arrival, and day of week. An independent binary variable was created based on whether the woman was tested for alcohol or drugs (amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, opioids) during her visit. We then compared rates of testing for substance use by pregnancy status. \nResults:\n We identified 61,222 ED visits by women of childbearing age (range 11-50, mean 30.5, standard deviation 9.6) over a six-year period from 2010-2016. Of the 57,360 non-pregnant women, 4.14% were tested compared to 1.04% of the 3,862 pregnant women tested with a relative risk of 0.25 (p<0.001, 95% confidence interval [CI] [0.183-0.341]). The most highly tested chief complaints for all women – psychiatric or substance use concerns – showed pregnant women were still 37% and 54% less likely to be tested, respectively (risk ratio [RR] 0.46, 95% CI [0.19-1.13]; RR 0.63, 95% CI [0.41-0.96]). Beyond pregnancy status, we found no significant interaction between patient demographics and substance use testing.\nConclusion:\n Pregnant women presenting to the ED were 75% less likely to be tested for drug or alcohol use than non-pregnant women. Our study showed only pregnancy status as a statistically significant variable in drug- and alcohol-screening rates when pregnant and non-pregnant patient chief complaints and demographics were compared. Increased attention to the screening of pregnant women for substance use may be necessary to provide adequate care and intervention to this 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":"substance use disorders"},{"word":"pregnancy"},{"word":"Alcohol"},{"word":"drugs"},{"word":"emergency services"},{"word":"Women"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6tj8p43x","frozenauthors":[{"first_name":"C.","middle_name":"Leigh","last_name":"Moyer","name_suffix":"","institution":"University of North Dakota School of Medicine and Health Sciences, North Dakota Fetal Alcohol Syndrome Center, Department of Pediatrics, Grand Forks, North Dakota","department":"None"},{"first_name":"Sean","middle_name":"","last_name":"Johnson","name_suffix":"","institution":"University of North Dakota School of Medicine and Health Sciences, North Dakota Fetal Alcohol Syndrome Center, Department of Pediatrics, Grand Forks, North Dakota","department":"None"},{"first_name":"Marilyn","middle_name":"G.","last_name":"Klug","name_suffix":"","institution":"University of North Dakota School of Medicine and Health Sciences, North Dakota Fetal Alcohol Syndrome Center, Department of Pediatrics, Grand Forks, North Dakota","department":"None"},{"first_name":"Larry","middle_name":"","last_name":"Burd","name_suffix":"","institution":"University of North Dakota School of Medicine and Health Sciences, North Dakota Fetal Alcohol Syndrome Center, Department of Pediatrics, Grand Forks, North Dakota","department":"None"}],"date_submitted":"2017-07-11T01:00:03+09:00","date_accepted":"2017-07-11T01:00:03+09:00","date_published":"2018-04-06T04:11:15+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11063/galley/5958/download/"}]},{"pk":11401,"title":"Peritoneal Dialysis in Austere Environments: An Emergent Approach to Renal Failure Management","subtitle":null,"abstract":"Peritoneal dialysis (PD) is a means of renal replacement therapy (RRT) that can be performed in remote settings with limited resources, including regions that lack electrical power. PD is a mainstay of end-stage renal disease (ESRD) therapy worldwide, and the ease of initiation and maintenance has enabled it to flourish in both resource-limited and resource-abundant settings. In natural disaster scenarios, military conflicts, and other austere areas, PD may be the only available life-saving measure for acute kidney injury (AKI) or ESRD. PD in austere environments is not without challenges, including catheter placement, availability of dialysate, and medical complications related to the procedure itself.  However, when hemodialysis is unavailable, PD can be performed using generally available medical supplies including sterile tubing and intravenous fluids. Amidst the ever-increasing global burden of ESRD and AKI, the ability to perform PD is essential for many medical facilities.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Emergency Medicine"},{"word":"Austere Medicine"},{"word":"Nephrology"}],"section":"Disaster Medicine/ Emergency Medical Services","is_remote":true,"remote_url":"https://escholarship.org/uc/item/49x587f6","frozenauthors":[{"first_name":"Chad","middle_name":"","last_name":"Gorbatkin","name_suffix":"","institution":"Uniformed Services University of the Health Sciences, Department of Emergency Medicine, Tacoma, Washington","department":"None"},{"first_name":"John","middle_name":"B.","last_name":"Bass","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"},{"first_name":"Frederic","middle_name":"O.","last_name":"Finkelstein","name_suffix":"","institution":"Yale University, Department of Nephrology, New Haven, Connecticut","department":"None"},{"first_name":"Steven","middle_name":"M.","last_name":"Gorbatkin","name_suffix":"","institution":"Atlanta VA Medical Center, Emory University, Department of Nephrology, Atlanta, Georgia","department":"None"}],"date_submitted":"2017-10-16T06:14:09+09:00","date_accepted":"2017-10-16T06:14:09+09:00","date_published":"2018-04-06T04:01:49+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11401/galley/6175/download/"}]},{"pk":11329,"title":"Severely Elevated Blood Pressure and Early Mortality in Children with Traumatic Brain Injuries: The Neglected End of the Spectrum","subtitle":null,"abstract":"Introduction:\n In adults with traumatic brain injuries (TBI), hypotension and hypertension at presentation are associated with mortality. The effect of age-adjusted blood pressure in children with TBI has been insufficiently studied. We sought to determine if age-adjusted hypertension in children with severe TBI is associated with mortality.\nMethods:\n This was a retrospective analysis of the Department of Defense Trauma Registry (DoDTR) between 2001 and 2013. We included for analysis patients <18 years with severe TBI defined as Abbreviated Injury Severity (AIS) scores of the head ≥3. We defined hypertension  as moderate for systolic blood pressures (SBP) between the 95th and 99th percentile for age and gender and severe if greater than the 99th percentile. Hypotension was defined as SBP <90 mmHg for children >10 years or < 70mmHg + (2 x age) for children ≤10 years. We performed multivariable logistic regression and Cox regression to determine if BP categories were associated with mortality. \nResults:\n Of 4,990 children included in the DoDTR, 740 met criteria for analysis. Fifty patients (6.8%) were hypotensive upon arrival to the ED, 385 (52.0%) were normotensive, 115 (15.5%) had moderate hypertension, and 190 (25.7%) had severe hypertension. When compared to normotensive patients, moderate and severe hypertension patients had similar Injury Severity Scores, similar AIS head scores, and similar frequencies of neurosurgical procedures. Multivariable logistic regression demonstrated that hypotension (odd ratio [OR] 2.85, 95 confidence interval [CI] 1.26-6.47) and severe hypertension (OR 2.58, 95 CI 1.32-5.03) were associated with increased 24-hour mortality. Neither hypotension (Hazard ratio (HR) 1.52, 95 CI 0.74-3.11) nor severe hypertension (HR 1.65, 95 CI 0.65-2.30) was associated with time to mortality. \nConclusion:\n Pediatric, age-adjusted hypertension is frequent after severe TBI. Severe hypertension is strongly associated with 24-hour mortality. Pediatric, age-adjusted blood pressure needs to be further evaluated as a critical marker of early mortality.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"pediatrics, trauma, traumatic brain injury, hypertension"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3pw236v6","frozenauthors":[{"first_name":"M.","middle_name":"Austin","last_name":"Johnson","name_suffix":"","institution":"University of California Davis Medical Center, Department of Emergency Medicine, Sacramento, California","department":"None"},{"first_name":"Matthew","middle_name":"A.","last_name":"Borgman","name_suffix":"","institution":"San Antonio Military Medical Center, Department of Pediatrics, Houston, Texas\nUniformed Services University of the Health Sciences, Department of Pediatrics, Bethesda, Maryland","department":"None"},{"first_name":"Jeremy","middle_name":"W.","last_name":"Cannon","name_suffix":"","institution":"Perelman School of Medicine at the University of Pennsylvania, Department of Surgery, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Nathan","middle_name":"","last_name":"Kuppermann","name_suffix":"","institution":"University of California Davis Medical Center, Department of Emergency Medicine, Sacramento, California","department":"None"},{"first_name":"Lucas","middle_name":"P.","last_name":"Neff","name_suffix":"","institution":"David Grant USAF Medical Center, Travis Air Force Base, Department of General Surgery, Fairfield, California\nUniversity of California Davis Medical Center, Department of Surgery, Sacramento, California\nUniformed Services University of the Health Sciences, Department of Surgery, Bethesda, Maryland","department":"None"}],"date_submitted":"2017-09-16T02:56:21+09:00","date_accepted":"2017-09-16T02:56:21+09:00","date_published":"2018-04-06T04:00:38+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11329/galley/6148/download/"}]},{"pk":11571,"title":"Isolated Hand Palsy in National Institutes of Health Stroke Scale (NIHSS): Is It Useful?","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":"Ischemic stroke, NIHSS, Thrombolitic therapy"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5qs63447","frozenauthors":[{"first_name":"Antonio","middle_name":"","last_name":"Siniscalchi","name_suffix":"","institution":"Annunziata Hospital, Department of Neurology, Cosenza, Italy","department":"None"},{"first_name":"Piergiorgio","middle_name":"","last_name":"Lochner","name_suffix":"","institution":"Saarland University Medical Center, Department of Neurology, Homburg, Germany\nUniversity of Piedmont East A. Avogadro, Department of Translational Medicine, Section of Neurology, Novara, Italy","department":"None"},{"first_name":"Paolo","middle_name":"","last_name":"Perrotta","name_suffix":"","institution":"Annunziata Hospital, Department of Neuroradiology, Cosenza, Italy","department":"None"},{"first_name":"Stefano","middle_name":"","last_name":"Rizzuto","name_suffix":"","institution":"Annunziata Hospital, Department of Neurology, Cosenza, Italy","department":"None"},{"first_name":"Giovambattista","middle_name":"","last_name":"De Sarro","name_suffix":"","institution":"University of Catanzaro Clinical Pharmacology, School of Medicine, Department of Health Science, Catanzaro, Italy\nMater Domini University Hospital, Pharmacovigilance Unit, Catanzaro, Italy","department":"None"},{"first_name":"Luca","middle_name":"","last_name":"Gallelli","name_suffix":"","institution":"University of Catanzaro Clinical Pharmacology, School of Medicine, Department of Health Science, Catanzaro, Italy\nMater Domini University Hospital, Pharmacovigilance Unit, Catanzaro, Italy","department":"None"}],"date_submitted":"2018-01-18T01:46:08+09:00","date_accepted":"2018-01-18T01:46:08+09:00","date_published":"2018-04-06T04:00:02+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11571/galley/6235/download/"}]},{"pk":11084,"title":"Multicenter Study of Albuterol Use Among Infants Hospitalized with Bronchiolitis","subtitle":null,"abstract":"Introduction:\n Although bronchiolitis is a common reason for infant hospitalization, significant heterogeneity persists in its management. The American Academy of Pediatrics currently recommends that inhaled albuterol not be used in routine care of children with bronchiolitis. Our objective was to identify factors associated with pre-admission (e.g., emergency department or primary care) use of albuterol among infants hospitalized for bronchiolitis.\nMethods:\n We analyzed data from a 17-center observational study of 1,016 infants (age <1 year) hospitalized with bronchiolitis between 2011-2014. Pre-admission albuterol use was ascertained by chart review, and data were available for 1,008 (99%) infants. We used multivariable logistic regression to identify infant characteristics independently associated with pre-admission albuterol use.\nResults:\n Half of the infants (n=508) received at least one albuterol treatment before admission. Across the 17 hospitals, pre-admission albuterol use ranged from 23-84%. In adjusted analysis, independent predictors of albuterol use were the following: age ≥2 months (age 2.0-5.9 months [odds ratio (OR) 2.09, 95% confidence interval (CI) {1.45-3.01}] and age 6.0-11.9 months [OR 2.89, 95% CI {1.99-4.19}]); prior use of a bronchodilator (OR 1.89, 95% CI [1.24-2.90]); and presence of wheezing documented in pre-admission chart (OR 3.94, 95% CI [2.61-5.93]). By contrast, albuterol use was less likely among those with ≥7 days since the start of breathing problem (OR 0.66, 95% CI [0.44-1.00]) and parent-reported fever (OR 0.75, 95% CI [0.58-0.96]).\nConclusion:\n Variation in pre-admission albuterol use suggests that local practice had a strong influence on use, but that patient characteristics also influenced the decision. While we agree with current guidelines in recommending against albuterol for all infants with bronchiolitis, our understanding of possible subgroups of responders may improve through investigation of infants with the identified characteristics.","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":"Albuterol, Bronchiolitis"}],"section":"Treatment Protocol Assessment","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4w78h6sr","frozenauthors":[{"first_name":"Anna","middle_name":"","last_name":"Condella","name_suffix":"","institution":"Columbia University College of Physicians and Surgeons, Division of Pediatric Emergency Medicine, Department of Pediatrics, New York, New York","department":"None"},{"first_name":"Jonathan","middle_name":"M.","last_name":"Mansbach","name_suffix":"","institution":"Harvard Medical School, Boston Children’s Hospital, Department of Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Kohei","middle_name":"","last_name":"Hasegawa","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Peter","middle_name":"S.","last_name":"Dayan","name_suffix":"","institution":"Columbia University College of Physicians and Surgeons, Division of Pediatric Emergency Medicine, Department of Pediatrics, New York, New York","department":"None"},{"first_name":"Ashley","middle_name":"F.","last_name":"Sullivan","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Janice","middle_name":"A.","last_name":"Espinola","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Carlos","middle_name":"A.","last_name":"Camargo, Jr.","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2017-08-01T01:27:59+09:00","date_accepted":"2017-08-01T01:27:59+09:00","date_published":"2018-04-06T03:58:55+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11084/galley/5965/download/"}]},{"pk":11406,"title":"Free Open Access Medical Education (FOAM) in Emergency Medicine: The Global Distribution of Users in 2016","subtitle":null,"abstract":"Introduction:\n Free open-access medical education (FOAM) is a collection of interactive online medical education resources—free and accessible to students, physicians and other learners. This novel approach to medical education has the potential to reach learners across the globe; however, the extent of its global uptake is unknown.\nMethods:\n This descriptive report evaluates the 2016 web analytics data from a convenience sample of FOAM blogs and websites with a focus on emergency medicine (EM) and critical care. The number of times a site was accessed, or “sessions”, was categorized by country of access, cross-referenced with World Bank data for population and income level, and then analyzed using simple descriptive statistics and geographic mapping.\nResults:\n We analyzed 12 FOAM blogs published from six countries, with a total reported volume of approximately 18.7 million sessions worldwide in 2016. High-income countries accounted for 73.7% of population-weighted FOAM blog and website sessions in 2016, while upper-middle income countries, lower-middle income countries and low-income countries accounted for 17.5%, 8.5% and 0.3%, respectively.\nConclusion:\n FOAM, while largely used in high-income countries, is used in low- and middle-income countries as well. The potential to provide free, online training resources for EM in places where formal training is limited is significant and thus is prime for further investigation.","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":"FOAM"},{"word":"online learning"},{"word":"low- and middle-income countries"},{"word":"International"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3pz5k5rh","frozenauthors":[{"first_name":"Taylor","middle_name":"W.","last_name":"Burkholder","name_suffix":"","institution":"University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"},{"first_name":"Jennifer","middle_name":"W.","last_name":"Bellows","name_suffix":"","institution":"University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, Colorado\nDenver Health & Hospital Authority, Department of Emergency Medicine, Denver, Colorado","department":"None"},{"first_name":"Renee","middle_name":"A.","last_name":"King","name_suffix":"","institution":"University of Colorado, School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"}],"date_submitted":"2017-10-20T03:23:13+09:00","date_accepted":"2017-10-20T03:23:13+09:00","date_published":"2018-04-06T03:57:53+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11406/galley/6178/download/"}]},{"pk":11309,"title":"Decreased Nursing Staffing Adversely Affects Emergency Department Throughput Metrics","subtitle":null,"abstract":"Introduction:\n The effect of nurse staffing on emergency department (ED) efficiency remains a significant area of interest to administrators, physicians, and nurses. We believe that decreased nursing staffing adversely affects key ED throughput metrics. \nMethods:\n We conducted a retrospective observational review of our electronic medical record database from 1/1/2015 to 12/31/2015 at a high-volume, urban public hospital. We report nursing hours, door-to-discharge length of stay (LOS) and door-to-admit LOS, and percentage of patients who left without being seen (LWBS). ED nursing hours per day was examined across quartiles with the effect evaluated using analysis of covariance and controlled for total daily ED volume, hospital occupancy and ED admission rate. \nResults:\n From 1/1/15-12/31/15, 105,887 patients presented to the ED with a range of 336 to 580 nursing hours per day with a median of 464.7. Independent of daily ED volume, hospital occupancy and ED admission rate, days in the lowest quartile of nursing hours experienced a 28.2-minute increase per patient in door-to-discharge LOS compared to days in the highest quartile of nursing hours. Door-to-admit LOS showed no significant change across quartiles. There was also an increase of nine patients per day who left without being seen by a provider in the lowest quartile of nursing hours compared to the highest quartile. \nConclusion:\n Lower nursing hours contribute to a statistically significant increase in door-to-discharge LOS and number of LWBS patients, independent of daily ED volume, hospital occupancy and ED admission rate. Consideration of the impact of nursing staffing is needed to optimize throughput metrics for our urban, safety-net hospital.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Emergency Medicine"},{"word":"Throughput Metrics"},{"word":"Nursing"}],"section":"Emergency Department Administration","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4811645s","frozenauthors":[{"first_name":"Zachariah","middle_name":"","last_name":"Ramsey","name_suffix":"","institution":"John H. Stroger Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Joseph","middle_name":"S.","last_name":"Palter","name_suffix":"","institution":"John H. Stroger Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois \nRush Medical College, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"John","middle_name":"","last_name":"Hardwick","name_suffix":"","institution":"John H. Stroger Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Jordan","middle_name":"","last_name":"Moskoff","name_suffix":"","institution":"John H. Stroger Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois \nRush Medical College, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Errick","middle_name":"L.","last_name":"Christian","name_suffix":"","institution":"John H. Stroger Hospital of Cook County, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"John","middle_name":"","last_name":"Bailitz","name_suffix":"","institution":"Northwestern Memorial Hospital, Department of Emergency Medicine, Chicago, Illinois","department":"None"}],"date_submitted":"2017-09-06T05:20:11+09:00","date_accepted":"2017-09-06T05:20:11+09:00","date_published":"2018-04-06T03:56:45+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/11309/galley/6142/download/"}]},{"pk":515,"title":"Takotsubo Cardiomyopathy in the Emergency Department: A FOCUS Heart Breaker","subtitle":null,"abstract":"Takotsubo cardiomyopathy (TCM) is an important condition for the emergency physician to consider in patients with cardiovascular symptoms. A70-year-old woman presented with chest pain and nausea following emotional trauma. She had an elevated troponin and a normal electrocardiogram (ECG) with no history of previous cardiac disease. Point-of-care focused cardiac ultrasound (FOCUS) showed reduced left ventricular systolic function with mid to apical hypokinesis. Cardiac catheterization revealed clean coronary arteries and confirmed the suspected diagnosis of TCM. Few reports emphasize the importance of FOCUS in the diagnosis and management of TCM in the emergency department. We detail FOCUS findings that assisted with diagnosis of TCM and describe how this quick, noninvasive imaging modality can be used to assess and manage emergent conditions.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1pw2k0ph","frozenauthors":[{"first_name":"Kristin","middle_name":"","last_name":"Meigh","name_suffix":"","institution":"West Virginia University School of Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Madison","middle_name":"","last_name":"Caja","name_suffix":"","institution":"West Virginia University School of Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Melinda","middle_name":"","last_name":"Sharon","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Allison","middle_name":"","last_name":"Tadros","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Shane","middle_name":"","last_name":"Dragan","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"David","middle_name":"","last_name":"Henkel","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia","department":"None"},{"first_name":"Joseph","middle_name":"","last_name":"Minardi","name_suffix":"","institution":"West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia\nWest Virginia University, Department of Medical Education, Morgantown, West Virginia","department":"None"}],"date_submitted":"2018-03-15T00:56:27+09:00","date_accepted":"2018-03-15T00:56:27+09:00","date_published":"2018-04-06T03:11:48+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/515/galley/278/download/"}]},{"pk":521,"title":"Emergency Physicians, Beware of the Consent Standard of Care","subtitle":null,"abstract":"Many emergency physicians view informed consent as a necessary component of treatments or procedures to be performed on their patients. When such procedures are necessary, often there is a discussion of risks, benefits and alternatives with forms signed to validate the discussion. Two Wisconsin emergency department medical-legal cases have expanded liability of the duty of informed consent. These cases have focused on withholding medication and diagnostic tests.","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":"Medical Legal Case Report","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2sk587wd","frozenauthors":[{"first_name":"Gregory","middle_name":"P.","last_name":"Moore","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"},{"first_name":"Aaron","middle_name":"G.","last_name":"Matlock","name_suffix":"","institution":"Methodist Hospital, Department of Emergency Medicine, San Antonio, Texas","department":"None"},{"first_name":"John","middle_name":"L.","last_name":"Kiley","name_suffix":"","institution":"Brooke Army Medical Center, Department of Internal Medicine, San Antonio, Texas","department":"None"},{"first_name":"Katherine","middle_name":"D.","last_name":"Percy","name_suffix":"","institution":"Tripler Army Medical Center, Department of Emergency Medicine, Honolulu, Hawaii","department":"None"}],"date_submitted":"2018-03-15T01:12:46+09:00","date_accepted":"2018-03-15T01:12:46+09:00","date_published":"2018-04-06T03:08:48+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/521/galley/284/download/"}]},{"pk":520,"title":"Adolescent with Stroke-like Symptoms","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4pw5j320","frozenauthors":[{"first_name":"Joseph","middle_name":"C.","last_name":"Mazzei","name_suffix":"","institution":"Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia","department":"None"},{"first_name":"Stephanie","middle_name":"","last_name":"Louka","name_suffix":"","institution":"Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia","department":"None"},{"first_name":"Ravindra","middle_name":"","last_name":"Gopaul","name_suffix":"","institution":"Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia","department":"None"},{"first_name":"Lindsay","middle_name":"","last_name":"Taylor","name_suffix":"","institution":"Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia","department":"None"}],"date_submitted":"2018-03-15T01:08:41+09:00","date_accepted":"2018-03-15T01:08:41+09:00","date_published":"2018-04-06T03:07:40+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/520/galley/283/download/"}]},{"pk":522,"title":"Clozapine Intoxication Mimicking Acute Stroke","subtitle":null,"abstract":"Clozapine is an atypical antipsychotic drug prescribed for treatment-resistant schizophrenia. The risk of adverse hematologic, cardiovascular, and neurologic effects has tempered its use, and reports of overdoses remain rare. We report a case of accidental acute clozapine intoxication in a clozapine-naïve patient, who presented with symptoms mimicking acute stroke and later developed status epilepticus. Clozapine intoxication is a rare presentation in the emergency department with potential for iatrogenic harm if not correctly identified.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6sw560pd","frozenauthors":[{"first_name":"Jacob","middle_name":"A.","last_name":"Lebin","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Joshua","middle_name":"D.","last_name":"Villarreal","name_suffix":"","institution":"University of Washington, Department of Pharmacy, Seattle, Washington","department":"None"},{"first_name":"Betty","middle_name":"C.","last_name":"Chen","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"M.","middle_name":"Kennedy","last_name":"Hall","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"}],"date_submitted":"2018-03-15T01:19:13+09:00","date_accepted":"2018-03-15T01:19:13+09:00","date_published":"2018-04-06T03:07:12+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/522/galley/285/download/"}]},{"pk":514,"title":"An Unexpected Cause of Persistent Coughing","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/70w0j4zk","frozenauthors":[{"first_name":"Melissa","middle_name":"","last_name":"Myers","name_suffix":"","institution":"San Antonio Military Medical Center, Department of Emergency Medicine, San Antonio, Texas","department":"None"},{"first_name":"Jared","middle_name":"","last_name":"Cohen","name_suffix":"","institution":"San Antonio Military Medical Center, Department of Emergency Medicine, San Antonio, Texas","department":"None"}],"date_submitted":"2018-03-15T00:52:05+09:00","date_accepted":"2018-03-15T00:52:05+09:00","date_published":"2018-04-06T03:06:22+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/514/galley/277/download/"}]},{"pk":517,"title":"An Unusual Cause of Acute Urinary Retention","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3s49k303","frozenauthors":[{"first_name":"Adam","middle_name":"J.","last_name":"Smith","name_suffix":"","institution":"Maricopa Integrated Health System, Maricopa Medical Center, Emergency Medicine Residency, Phoenix, Arizona","department":"None"},{"first_name":"Paul","middle_name":"","last_name":"Blackburn","name_suffix":"","institution":"Maricopa Integrated Health System, Maricopa Medical Center, Emergency Medicine Residency, Phoenix, Arizona","department":"None"}],"date_submitted":"2018-03-15T01:01:13+09:00","date_accepted":"2018-03-15T01:01:13+09:00","date_published":"2018-04-06T03:04:41+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/517/galley/280/download/"}]},{"pk":516,"title":"Spontaneous Spinal Epidural Hematoma from  Rivaroxaban","subtitle":null,"abstract":"Spontaneous spinal epidural hematoma (SSEH) is a rare diagnosis. One known risk factor is anti-coagulation medication. We present a case of SSEH in a 74-year-old male on rivaroxaban therapy who clinically presented with an intermittently resolving and then worsening neurological exam. Due to the extremely high morbidity and mortality associated with this diagnosis, it is important to be aware of the various presentations and adverse effects related to novel anticoagulation.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9zp2k8r4","frozenauthors":[{"first_name":"Charlotte","middle_name":"","last_name":"Goldfine","name_suffix":"","institution":"University of Connecticut School of Medicine, Hartford Hospital, Department of Emergency Medicine, Hartford, Connecticut","department":"None"},{"first_name":"Catherine","middle_name":"","last_name":"Glazer","name_suffix":"","institution":"University of Connecticut School of Medicine, Hartford Hospital, Department of Emergency Medicine, Hartford, Connecticut","department":"None"},{"first_name":"Richard","middle_name":"M.","last_name":"Ratzan","name_suffix":"","institution":"University of Connecticut School of Medicine, Hartford Hospital, Department of Emergency Medicine, Hartford, Connecticut","department":"None"}],"date_submitted":"2018-03-15T00:58:42+09:00","date_accepted":"2018-03-15T00:58:42+09:00","date_published":"2018-04-06T03:04:07+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/516/galley/279/download/"}]},{"pk":518,"title":"Adult Male with Traumatic Eye Pain and Swelling","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7cs4j7vf","frozenauthors":[{"first_name":"Marc","middle_name":"","last_name":"Leshner","name_suffix":"","institution":"Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Gibbons","name_suffix":"","institution":"Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Thomas","middle_name":"","last_name":"Costantino","name_suffix":"","institution":"Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"}],"date_submitted":"2018-03-15T01:03:36+09:00","date_accepted":"2018-03-15T01:03:36+09:00","date_published":"2018-04-06T03:03:28+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/518/galley/281/download/"}]},{"pk":519,"title":"Vascular Occlusion after Hyaluronic Acid Filler Injection","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4683r6g2","frozenauthors":[{"first_name":"Sarah","middle_name":"","last_name":"Grzybinski","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Temin","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2018-03-15T01:05:37+09:00","date_accepted":"2018-03-15T01:05:37+09:00","date_published":"2018-04-06T03:02:49+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/519/galley/282/download/"}]},{"pk":33500,"title":"Shipping corridors through the Inuit homeland","subtitle":null,"abstract":"Claudio Aporta, Stephanie C. Kane, and Aldo Chircop explore the conceptual and lived tensions around ice in Arctic straits. They show how one group’s obstacle can be another group’s means of connection.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8mj407g2","frozenauthors":[{"first_name":"Claudio","middle_name":"","last_name":"Aporta","name_suffix":"","institution":"","department":""},{"first_name":"Stephanie C.","middle_name":"","last_name":"Kane","name_suffix":"","institution":"","department":""},{"first_name":"Aldo","middle_name":"","last_name":"Chircop","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-06T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33500/galley/24561/download/"}]},{"pk":33501,"title":"The Invisible ‘Jungle’ of Calais","subtitle":null,"abstract":"In 2016, French authorities bulldozed the migrant camp known as ‘the Jungle’ at the mouth of the Chunnel. In 2017, migrants returned. Photographer Eric Leleu and anthropologist Vincent Joos combine images and words to humanize this chokepoint and counter its infrastructures of invisibility.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4qg5771t","frozenauthors":[{"first_name":"Eric","middle_name":"","last_name":"Leleu","name_suffix":"","institution":"","department":""},{"first_name":"Vincent","middle_name":"","last_name":"Joos","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-06T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33501/galley/24562/download/"}]},{"pk":44479,"title":"Nocturnal Polyuria Syndrome in the Elderly","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/3pp8q8xh","frozenauthors":[{"first_name":"Susan","middle_name":"D","last_name":"Leonard","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-05T03:00:36+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44479/galley/33272/download/"}]},{"pk":33529,"title":"Preface: Little Development Devices / Humanitarian Goods","subtitle":null,"abstract":"A brief introduction to the idea behind Issue Number Nine, and the concepts associated with it.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6nr5245q","frozenauthors":[{"first_name":"Stephen J.","middle_name":"","last_name":"Collier","name_suffix":"","institution":"","department":""},{"first_name":"Jamie","middle_name":"","last_name":"Cross","name_suffix":"","institution":"","department":""},{"first_name":"Peter","middle_name":"","last_name":"Redfield","name_suffix":"","institution":"","department":""},{"first_name":"Alice","middle_name":"","last_name":"Street","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-05T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33529/galley/24602/download/"}]},{"pk":33530,"title":"Solar Basics","subtitle":null,"abstract":"Jamie Cross explores how a solar-powered lamp became the go-to solution to Puerto Rico’s energy crisis.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0w81v0cw","frozenauthors":[{"first_name":"Jamie","middle_name":"","last_name":"Cross","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-05T02:00:00+09:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33530/galley/24603/download/"}]},{"pk":55010,"title":"Ancient Roman Spaces that Served as Museums","subtitle":null,"abstract":"Between the 2nd century BCE and 2nd century CE, ancient Roman spaces, both public and private, served as museums that met religious, political, and social needs. Museums in the sense that they were places that acquired and exhibited art and objects; however, the purposes of these museums were strongly linked to where they were located and that space's uses. In religious contexts such as temples, shrines, and sanctuaries, art served primarily as votive offerings. Public buildings like the Atrium Libertatis displayed collections that commemorated important military victories and furthered political agendas. Other spaces, such as the Templum Pacis, served religious and political purposes simultaneously. Spoils of war dedicated to the god(s) associated with the military victory were exhibited alongside artworks to memorialize the military victor's piousness and achievements. Private collections were shaped by the interests of the collector and became popular due to practices in Pergamon and other Hellenistic courts. Owners of domus- and villa-style homes, like the master of the Villa of Papyri in Herculaneum, collected and displayed art to present themselves as culturally educated, upper-class men. Many of these homes even incorporated architectural, decorative, and literary elements to display their high status and facilitate reflective thinking and philosophical discussions. Since ancient times, museums have served to present a multitude of ideas, invite dialogue, and inspire an interest in culture.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Museums, Ancient Rome, Ancient Collections, Spaces"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/40r9q64k","frozenauthors":[{"first_name":"Reagan","middle_name":"A.","last_name":"Smith","name_suffix":"","institution":"University of California, Berkeley","department":""}],"date_submitted":"2018-01-27T06:44:15+09:00","date_accepted":"2018-01-27T06:44:15+09:00","date_published":"2018-04-04T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55010/galley/41463/download/"}]},{"pk":55008,"title":"Arguing for the Truth: The Conflict of Truth and Rhetoric and its Ramifications in Plato’s and Isocrates’ Educational Ideologies","subtitle":null,"abstract":"If truth is absolute, how is it possible that people can argue for or against it? If truth is not absolute, on what is our existence predicated? Plato and Isocrates, two contemporaries in Classical Athens, took very different stands on the age-old problem of truth and the rhetorical manipulation of it. A close examination of Platonic dialogues and Isocrates’ speeches reveals that they had different understandings of the concept and purpose of truth. This fundamental divergence caused Plato and Isocrates to have disparate notions of rhetoric and even “philosophy”. Accordingly, they devised drastically different educational programs suited to their respective visions of truth and rhetoric, attempting to realize their competing ideals by means of pedagogy.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Plato"},{"word":"Isocrates"},{"word":"education"},{"word":"Epistemology"},{"word":"Rhetoric"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1q34c89f","frozenauthors":[{"first_name":"Yifei","middle_name":"","last_name":"Shen","name_suffix":"","institution":"Yale University","department":""}],"date_submitted":"2017-12-27T16:15:58+09:00","date_accepted":"2017-12-27T16:15:58+09:00","date_published":"2018-04-04T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55008/galley/41462/download/"}]},{"pk":55015,"title":"Conflating Piety and Justice in Euripides' Orestes","subtitle":null,"abstract":"Scholars have long debated the exact difference between what is “pious” (ὅσιος) and what is “lawfully right” (δίκαιος). Many agree that τὰ ὅσια are actions or deeds that please the gods, while τὰ δίκαια are mortal customs. Although, by definition, these two realms of justice are distinct, they are largely conflated in Euripides’ \nOrestes\n. In the end, piety (ὅσιος) trumps justice (δίκαιος) and even the τὸν κοινὸν Ἑλλήνων νόμον.\n \nThis paper explores the syntactic differences between these two realms and how Euripides comments on them within the play. After establishing a general trend toward anti-intellectual and religiously motivated sentiment after the scandals of 415 BCE in addition to the many rumors of persecuting intellectuals for impiety, this paper seeks to understand why Euripides departed for Macedon just after the production of the \nOrestes\n in light of these sweeping attitudes toward intellectuals and impiety. If, in fact, the intellectuals and philosophers of Athens were being persecuted for their work, Euripides’ \nOrestes\n comments on the injustice of these allegations of impiety and puts the god Apollo front and center to correct the populace’s misgivings and misunderstandings on the meanings of ὅσιος and δίκαιος. Given these new developments, this paper explicates exactly how the \nOrestes \nfits into the political context of its performance in 408 BCE.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Classics"},{"word":"Greek Tragedy"},{"word":"philosophy"},{"word":"Ancient"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3cp3b1xm","frozenauthors":[{"first_name":"Chad","middle_name":"","last_name":"Uhl","name_suffix":"","institution":"University of Kansas","department":""}],"date_submitted":"2018-01-30T11:52:17+09:00","date_accepted":"2018-01-30T11:52:17+09:00","date_published":"2018-04-04T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55015/galley/41465/download/"}]},{"pk":55002,"title":"Playing Offense: A Deeper Look into the Motivations and Significance of Sulla's March on Rome","subtitle":null,"abstract":"In 88 BCE, Roman general Lucius Cornelius Sulla marched on his own city for the first time in the Roman Republic’s history to procure for himself political control that had been awarded to Gaius Marius. This paper examines not only the impact of this decision, but also some of the most important motivations behind it that help to shape the march’s significance. Specifically, narratives of Appian, Plutarch, and Velleius Paterculus, that describe this event, in conjunction with commentary from modern historian Allen M. Ward, are presented to illustrate that Sulla’s march on Rome was politically significant in that it set a precedent of violence against the state as a means to attain military command. However, it was not necessarily novel on its own: in fact, it was shaped by the Marian military reforms, Sulla's personal struggle for power in a rivalry with Marius, and the ongoing popular revolt against Roman authority during the Italian War.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5hp5t0vt","frozenauthors":[{"first_name":"Hannah","middle_name":"","last_name":"Szapary","name_suffix":"","institution":"Brown University","department":""}],"date_submitted":"2017-09-20T01:07:20+09:00","date_accepted":"2017-09-20T01:07:20+09:00","date_published":"2018-04-04T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55002/galley/41459/download/"}]},{"pk":55018,"title":"Spring 2018 Cover","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Forematter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8bd146qs","frozenauthors":[{"first_name":"BUJC","middle_name":"","last_name":"Administrator","name_suffix":"","institution":"","department":""}],"date_submitted":"2018-04-05T10:30:53+09:00","date_accepted":"2018-04-05T10:30:53+09:00","date_published":"2018-04-04T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55018/galley/41467/download/"}]},{"pk":55019,"title":"Spring 2018 Letter from the Editors","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Forematter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/42w2d01s","frozenauthors":[{"first_name":"Katie","middle_name":"","last_name":"Berlin","name_suffix":"","institution":"","department":""},{"first_name":"Robert","middle_name":"","last_name":"Higgs","name_suffix":"","institution":"","department":""}],"date_submitted":"2018-04-05T10:57:50+09:00","date_accepted":"2018-04-05T10:57:50+09:00","date_published":"2018-04-04T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55019/galley/41468/download/"}]},{"pk":55011,"title":"The Rape of Persephone in Children’s Media: Feminist Receptions of Classical Mythology","subtitle":null,"abstract":"In contemporary academic contexts, the ‘Rape of Persephone’ myth is a source of insight into the powerlessness of women in patriarchal, Greco-Roman society. In popular culture, however, the myth has found a surprising second life amongst children’s media as the story of two unlikely, star-crossed lovers. Instead of simply rephrasing the myth as it is found in ancient sources, some Western authors and artists have changed the myth’s plot and characterization of Hades and Persephone in order to transform this rape myth into a love story. In this paper, I explore the ways in which each adaptation deviates from the source material and reveals contemporary views of gender politics. On the one hand, there are some adaptations in which the ‘Rape of Persephone’ is altered just enough to be deemed appropriate for children. On the other hand, there are retellings in which the changes appear to not simply censor the myth, but to subvert the sexism inherent in the myth itself. I argue that this latter phenomenon is an act of feminist resistance against centuries of reception to the Classical myths that perpetuate the sexist gender constructs of ancient society. Ultimately, I believe these adaptations will draw young audiences to study Classical mythology and will also open up new discussions of Classical material and the ways it is received by modern society.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"reception"},{"word":"Feminism"},{"word":"Rape of Persephone"},{"word":"Hades"},{"word":"Persephone"},{"word":"Demeter"},{"word":"gender politics"},{"word":"children's media"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/510508bs","frozenauthors":[{"first_name":"Sierra","middle_name":"","last_name":"Schiano","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2018-01-28T17:32:00+09:00","date_accepted":"2018-01-28T17:32:00+09:00","date_published":"2018-04-04T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/55011/galley/41464/download/"}]},{"pk":44477,"title":"A Rare Case of a Proliferative Glomerulonephritis with Monoclonal Immunoglobulin Deposition","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/2787633d","frozenauthors":[{"first_name":"Karo","middle_name":"","last_name":"Arzoo","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Maurice","middle_name":"","last_name":"Berkowitz","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-02T02:58:29+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44477/galley/33270/download/"}]},{"pk":44476,"title":"A Rare Case of Sinonasal Chondroblastoma","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/6n82c79k","frozenauthors":[{"first_name":"Karo","middle_name":"","last_name":"Arzoo","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Marurice","middle_name":"","last_name":"Berkowitz","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-04-02T02:54:36+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44476/galley/33269/download/"}]},{"pk":44487,"title":"Acute Renal Failure, Anemia, and Back Pain: Not to be Taken Lightly","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/08r732z7","frozenauthors":[{"first_name":"Alan","middle_name":"S","last_name":"Chu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Emily","middle_name":"","last_name":"Huang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-30T05:07:37+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44487/galley/33280/download/"}]},{"pk":33503,"title":"Cool Trading","subtitle":null,"abstract":"Financial algorithms have smoothed the vagaries of overheated markets. Christian Borch shows how algorithmic trading produces its own set of new chokepoints.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9333519x","frozenauthors":[{"first_name":"Christian","middle_name":"","last_name":"Borch","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-30T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33503/galley/24564/download/"}]},{"pk":33502,"title":"How pipelines constrict oil flows","subtitle":null,"abstract":"Christopher Jones explores how oilmen have used conduits as weapons to crush competitors, maintain industry dominance, and rake in huge profits.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2rj6w0d0","frozenauthors":[{"first_name":"Christopher F.","middle_name":"","last_name":"Jones","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-30T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33502/galley/24563/download/"}]},{"pk":44486,"title":"Complete Adult-Onset Kawasaki Disease: Case Report","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/5qw7p76g","frozenauthors":[{"first_name":"Jonas","middle_name":"","last_name":"Quach","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Michael","middle_name":"","last_name":"Yang","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-27T05:05:03+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44486/galley/33279/download/"}]},{"pk":44485,"title":"Acute Kidney Injury: When to Start Renal Replacement Therapy in the Non-Critical Inpatient","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/5h21h551","frozenauthors":[{"first_name":"Ridwa","middle_name":"","last_name":"Abdi","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Hamid","middle_name":"","last_name":"Hajmomenian","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Catherine","middle_name":"P","last_name":"Khoo","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-26T05:03:07+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44485/galley/33278/download/"}]},{"pk":44478,"title":"Acute Fatty Liver of Pregnancy – A Case Report","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/2mc1q915","frozenauthors":[{"first_name":"Albert","middle_name":"","last_name":"Lee","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Hamid","middle_name":"","last_name":"Hajmomenian","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-21T05:00:46+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44478/galley/33271/download/"}]},{"pk":44464,"title":"Development of a Chronic T Cell Leukemia in a Patient with B Cell Hairy Leukemia: Does One Lymphoid Malignancy Predispose to Another?","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/6dp9n56r","frozenauthors":[{"first_name":"Alexander","middle_name":"C","last_name":"Black","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-21T02:10:48+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44464/galley/33257/download/"}]},{"pk":33505,"title":"Strangling the Internet","subtitle":null,"abstract":"Every network has its chokepoints. Nicole Starosielski brings us under the ocean to explore the hidden ones along the information superhighway.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9nm589t2","frozenauthors":[{"first_name":"Nicole","middle_name":"","last_name":"Starosielski","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-21T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33505/galley/24566/download/"}]},{"pk":33504,"title":"The Funnel Effect","subtitle":null,"abstract":"In the docks of Sicily, surveillance and humanitarianism mingle with traces of lives and deaths beyond the point of entry. Cristiana Giordano explores what happens when migrants rescued at sea arrive at Europe’s shores.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sv6m05r","frozenauthors":[{"first_name":"Cristiana","middle_name":"","last_name":"Giordano","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-21T02:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33504/galley/24565/download/"}]},{"pk":41668,"title":"Western Association of Vertebrate Paleontologists Annual Meeting","subtitle":null,"abstract":"The 2018 Program with Abstracts volume for the Western Association of Vertebrate Paleontologists 52nd Annual Meeting held at Dixie State University, St. George, Utah, USA.","language":"en","license":null,"keywords":[{"word":"2018 WAVP, vertebrate, fossils, Utah, St. George"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1935d40d","frozenauthors":[{"first_name":"Tracy","middle_name":"J.","last_name":"Thomson","name_suffix":"","institution":"University of California, Davis","department":"None"},{"first_name":"Jerry","middle_name":"","last_name":"Harris","name_suffix":"","institution":"Dixie State University","department":"None"},{"first_name":"Andrew","middle_name":"R.C.","last_name":"Milner","name_suffix":"","institution":"St. George Dinosaur Discovery Site at Johnson Farm","department":"None"},{"first_name":"Jim","middle_name":"","last_name":"Kirkland","name_suffix":"","institution":"Utah State Geological Survey","department":"None"}],"date_submitted":"2018-03-21T02:58:27+09:00","date_accepted":"2018-03-21T02:58:27+09:00","date_published":"2018-03-20T16:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucmp_paleobios/article/41668/galley/31179/download/"}]},{"pk":44475,"title":"Improvement in Cognitive Function Post Cardiac Pacemaker","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/938325zp","frozenauthors":[{"first_name":"Maryum","middle_name":"","last_name":"White","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Sarah","middle_name":"","last_name":"Tubbesing","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-19T02:51:33+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44475/galley/33268/download/"}]},{"pk":44474,"title":"Fever of Unknown Origin as a Manifestation of Acute Ebstein-Barr Infection: A Case Report","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/1vc220vn","frozenauthors":[{"first_name":"Jonas","middle_name":"","last_name":"Aharoni","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-17T02:48:01+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44474/galley/33267/download/"}]},{"pk":44473,"title":"Symptomatic Glomangioma of the Trachea in a 33-Year-Old Man Initially Managed by Minimally Invasive Bronchoscopic Interventions","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/42j4871q","frozenauthors":[{"first_name":"Chidinma","middle_name":"","last_name":"Chima-Melton","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-16T02:43:33+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44473/galley/33266/download/"}]},{"pk":44472,"title":"Heraclitus Redux: Clinical Consequences of Licorice Ingestion, Once an Ancient Survival Strategy, Now Linked to Overindulgence in Modern Society","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/9pm095zh","frozenauthors":[{"first_name":"Susan","middle_name":"","last_name":"Ahern","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"George","middle_name":"","last_name":"Mitchell","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2018-03-16T02:41:05+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44472/galley/33265/download/"}]},{"pk":531,"title":"Ultrasound-guided Placement of a Foley Catheter Using a Hydrophilic Guide Wire","subtitle":null,"abstract":"Acute urinary retention is a common problem in the emergency department. Patients can present in significant distress, necessitating the placement of a urinary catheter. Foley catheter placementcan be difficult to accomplish depending on the etiology of the retention and the degree of the obstruction. In the case presented here, we used ultrasound guidance, a guidewire, and a Foley catheter to successfully relieve a patient’s urinary retention after multiple failed attempts.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/73b4343z","frozenauthors":[{"first_name":"Ryan","middle_name":"","last_name":"Joseph","name_suffix":"","institution":"Texas A&M University, Department of Emergency Medicine, Corpus Christi, Texas","department":"None"},{"first_name":"Mark","middle_name":"","last_name":"Huber","name_suffix":"","institution":"Texas A&M University, Department of Emergency Medicine, Corpus Christi, Texas","department":"None"},{"first_name":"Ben","middle_name":"","last_name":"Leeson","name_suffix":"","institution":"Texas A&M University, Department of Emergency Medicine, Corpus Christi, Texas","department":"None"},{"first_name":"Kimberly","middle_name":"","last_name":"Leeson","name_suffix":"","institution":"Texas A&M University, Department of Emergency Medicine, Corpus Christi, Texas","department":"None"}],"date_submitted":"2018-03-15T03:41:01+09:00","date_accepted":"2018-03-15T03:41:01+09:00","date_published":"2018-03-15T04:27:52+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/531/galley/294/download/"}]},{"pk":511,"title":"Scurvy: Dietary Discretion in a Developed Country","subtitle":null,"abstract":"Although the causes have changed, scurvy (vitamin C deficiency) is still diagnosed in developed countries. We report a case of an 18-year-old female who presented to our emergency department with thrombocytopenia, sinus tachycardia, hypotension, fatigue, gingival hyperplasia, knee effusion, petechiae and ecchymosis in lower extremities. The differential diagnosis included hematologic abnormalities, infectious etiologies, vasculitis and vitamin deficiency. A brief dietary history was performed revealing poor fruit and vegetable intake, thus increasing our suspicion for vitamin C deficiency. This experience illustrates the importance of a dietary history and reminds us to keep scurvy in the differential diagnosis.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2f23s7q7","frozenauthors":[{"first_name":"Megan","middle_name":"E.","last_name":"Perry","name_suffix":"","institution":"Wake Forest School of Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"Nathan","middle_name":"","last_name":"Page","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"David","middle_name":"E.","last_name":"Manthey","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"},{"first_name":"Joshua","middle_name":"M.","last_name":"Zavitz","name_suffix":"","institution":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina","department":"None"}],"date_submitted":"2018-03-15T00:30:27+09:00","date_accepted":"2018-03-15T00:30:27+09:00","date_published":"2018-03-15T04:11:55+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/511/galley/274/download/"}]},{"pk":530,"title":"An Unlikely Cause of Abdominal Pain","subtitle":null,"abstract":"Cecal bascule is a rare subtype of cecal volvulus where the cecum folds anterior to the ascending colon causing intestinal obstruction. It is a challenging diagnosis to make in the emergency department, as the mobile nature of the cecum leads to a great deal of variation in its clinical presentation. Our discussion of a 78-year-old female who presented with abdominal pain and was found to have a cecal bascule requiring right hemicolectomy, demonstrates how emergency physicians must expand their differential diagnosis for patients reporting signs of intestinal obstruction. Though cecal bascule does not present often, the need for early surgical intervention necessitates a high level of clinical suspicion to prevent life-threatening complications.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7h92r1wg","frozenauthors":[{"first_name":"Norah","middle_name":"","last_name":"Kairys","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Keegan","middle_name":"","last_name":"Skidmore","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Jennifer","middle_name":"","last_name":"Repanshek","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Wayne","middle_name":"","last_name":"Satz","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"}],"date_submitted":"2018-03-15T03:37:36+09:00","date_accepted":"2018-03-15T03:37:36+09:00","date_published":"2018-03-15T04:02:13+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/530/galley/293/download/"}]},{"pk":529,"title":"Latest Considerations in Diagnosis and Treatment of Appendicitis During Pregnancy","subtitle":null,"abstract":"Pregnancy can obscure signs and symptoms of acute appendicitis, making diagnosis challenging. Furthermore, avoiding radiation-based imaging due to fetal risk limits the diagnostic options clinicians have. Once appendicitis has been diagnosed, performing appendectomies has been the more commonly accepted course of action, but conservative, nonsurgical approaches are now being considered. This report describes the latest recommendations from different fields and organizations for the diagnosis and treatment of appendicitis during pregnancy.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/39c7f0wp","frozenauthors":[{"first_name":"Shahram","middle_name":"","last_name":"Lotfipour","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Max","middle_name":"","last_name":"Jason","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine,\nOrange, California","department":"None"},{"first_name":"Vincent","middle_name":"J.","last_name":"Liu","name_suffix":"","institution":"Taipei Medical University, College of Medicine, Taipei, Taiwan","department":"None"},{"first_name":"Mohammad","middle_name":"","last_name":"Helmy","name_suffix":"","institution":"University of California, Irvine, Department of Radiological Sciences, Orange, California","department":"None"},{"first_name":"Wirachin","middle_name":"","last_name":"Hoonpongsimanont","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"C.","middle_name":"Eric","last_name":"McCoy","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Bharath","middle_name":"","last_name":"Chakravarthy","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, California","department":"None"}],"date_submitted":"2018-03-15T03:34:27+09:00","date_accepted":"2018-03-15T03:34:27+09:00","date_published":"2018-03-15T04:01:23+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/529/galley/292/download/"}]},{"pk":528,"title":"Facial Baroparesis Mimicking Stroke","subtitle":null,"abstract":"We report a case of a 55-year-old male who experienced unilateral facial muscle paralysis upon ascent to altitude on a commercial airline flight, with resolution of symptoms shortly after descent. The etiology was determined to be facial nerve barotrauma, or facial baroparesis, which is a known but rarely reported complication of scuba diving, with even fewer cases reported related to aviation. The history and proposed pathogenesis of this unique disease process are described.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/45h3k76n","frozenauthors":[{"first_name":"Diann","middle_name":"M.","last_name":"Krywko","name_suffix":"","institution":"Medical University of South Carolina, Department of Emergency Medicine, Charleston, South Carolina","department":"None"},{"first_name":"D.","middle_name":"Tyler","last_name":"Clare","name_suffix":"","institution":"Medical University of South Carolina, Department of Emergency Medicine, Charleston, South Carolina","department":"None"},{"first_name":"Mohammad","middle_name":"","last_name":"Orabi","name_suffix":"","institution":"Medical University of South Carolina, Department of Neurology, Charleston, South Carolina","department":"None"}],"date_submitted":"2018-03-15T03:29:40+09:00","date_accepted":"2018-03-15T03:29:40+09:00","date_published":"2018-03-15T04:00:23+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/528/galley/291/download/"}]},{"pk":527,"title":"Diagnosis of Hand Infections in Intravenous Drug Users by Ultrasound and Water Bath: A Case Series","subtitle":null,"abstract":"We present three cases of hand injury by intravenous drug users in which point-of-care ultrasound, using a specific water bath technique, was able to quickly and efficiently delineate severity of injury. This technique benefited these patients by allowing a painless assessment of their injury for soft tissue injury vs. abscess formation and allowed providers to determine at the bedside whether these patients required immediate surgical intervention.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3cb8q23j","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"DeAngelis","name_suffix":"","institution":"University at Buffalo Jacobs School of Medicine and Biomedical Sciences,\nDepartment of Emergency Medicine, Buffalo, New York\nCambridge Health Alliance, Department of Emergency Medicine, Cambridge,\nMassachusetts","department":"None"},{"first_name":"Erika","middle_name":"","last_name":"St. James","name_suffix":"","institution":"University at Buffalo Jacobs School of Medicine and Biomedical Sciences,\nDepartment of Emergency Medicine, Buffalo, New York","department":"None"},{"first_name":"Penelope","middle_name":"C.","last_name":"James","name_suffix":"","institution":"University at Buffalo Jacobs School of Medicine and Biomedical Sciences,\nDepartment of Emergency Medicine, Buffalo, New York","department":"None"}],"date_submitted":"2018-03-15T03:25:47+09:00","date_accepted":"2018-03-15T03:25:47+09:00","date_published":"2018-03-15T03:59:35+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/527/galley/290/download/"}]},{"pk":526,"title":"Significant Lactic Acidosis from Albuterol","subtitle":null,"abstract":"Lactic acidosis is a clinical entity that demands rapid assessment and treatment to prevent significant morbidity and mortality. With increased lactate use across many clinical scenarios, lactate values themselves cannot be interpreted apart from their appropriate clinical picture. The significance of Type B lactic acidosis is likely understated in the emergency department (ED). Given the mortality that sepsis confers, a serum lactate is an important screening study. That said, it is with extreme caution that we should interpret and react to the resultant elevated value. We report a patient with a significant lactic acidosis. Though he had a high lactate value, he did not require aggressive resuscitation. A different classification scheme for lactic acidosis that focuses on the bifurcation of the “dangerous” and “not dangerous” causes of lactic acidosis may be of benefit. In addition, this case is demonstrative of the potential overuse of lactates in the ED.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0qx8w8nz","frozenauthors":[{"first_name":"Maxwell","middle_name":"","last_name":"Hockstein","name_suffix":"","institution":"University of Texas Southwestern, Department of Emergency Medicine, Dallas, Texas","department":"None"},{"first_name":"Deborah","middle_name":"","last_name":"Diercks","name_suffix":"","institution":"University of Texas Southwestern, Department of Emergency Medicine, Dallas, Texas","department":"None"}],"date_submitted":"2018-03-15T03:22:10+09:00","date_accepted":"2018-03-15T03:22:10+09:00","date_published":"2018-03-15T03:58:46+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/526/galley/289/download/"}]},{"pk":525,"title":"Man with Total Knee Arthroplasty Now Unable to Extend the Joint","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":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4989d4dd","frozenauthors":[{"first_name":"Matthias","middle_name":"","last_name":"Barden","name_suffix":"","institution":"Eisenhower Medical Center, Department of Emergency Medicine, Rancho Mirage, California","department":"None"},{"first_name":"Julie","middle_name":"K. A.","last_name":"Kasarjian","name_suffix":"","institution":"Eisenhower Medical Center, Department of Emergency Medicine, Rancho Mirage, California","department":"None"}],"date_submitted":"2018-03-15T03:19:47+09:00","date_accepted":"2018-03-15T03:19:47+09:00","date_published":"2018-03-15T03:57:47+09:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/525/galley/288/download/"}]}]}