Introduction: Emergency medicine (EM) historically enjoyed a nearly 100% match rate. A rapid change saw 46% of EM programs with one or more unfilled positions after the 2023 Match. Much has been discussed about potential causes, and characteristics of unfilled programs have been investigated. We surveyed recent applicants to EM to further understand what continues to draw them to EM and what concerns deter them from choosing a career in EM.
\nMethods: A cross-sectional, mixed methods survey was distributed in the summer of 2023 to a convenience sample of respondents via the listservs of national EM resident and student organizations as well as clerkship directors in EM. We did not calculate response rate due to listserv convenience sampling. A total of 213 responses were received, representing 7.7% of the total number of EM applicants (2,765) in 2023. Applicants were asked to rank from 1 to 5 their experiences with EM and the characteristics of the specialty that were important in their career decision. We calculated means and 95% confidence intervals for quantitative results. We performed qualitative analysis of free-text responses to identify themes.
\nResults: Positive factors for applicants were interactions with EM faculty (4.29 on 1–5 scale) and residents (4.42) as well as clinical experiences in third-year (4.53) and fourth-year clerkships (4.62). Applicants continue to be drawn to EM by the variety of pathology encountered (4.66), flexible lifestyle (4.63), and high-acuity patient care (4.43). Most applicants (68.5%) experienced advisement away from EM. Of those who received negative advisement, non-emergency physicians were the most common source (73.3%). Factors negatively influencing a career choice in EM were corporate influence (2.51), ED crowding (2.52), burnout (2.59), presence of advanced practice practitioners (APP) in EM (2.63), and workforce concerns (2.85). Job concerns stemming from the 2021 EM workforce report were identified by respondents as the primary reason for recent Match results.
\nConclusion: Applicants noted clinical experiences in the emergency department and interactions with EM attendings and residents as positive experiences. High-acuity patient care, variety of pathology, and flexible lifestyle continue to attract applicants. Applicants identified EM workforce concerns as the primary contributor to recent EM Match results. Corporate influence, ED crowding, burnout, and presence of APPs in the ED were also significant issues.
\n\n
","language":"eng","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":"match"},{"word":"recruitment"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/49z2n24h","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Kiemeney","name_suffix":"","institution":"Loma Linda University School of Medicine, Loma Linda, California","department":""},{"first_name":"James","middle_name":"","last_name":"Morris","name_suffix":"","institution":"Texas Tech University Health Sciences Center, Lubbock, Texas","department":""},{"first_name":"Lauren","middle_name":"","last_name":"Lamparter","name_suffix":"","institution":"University of Illinois Chicago, Chicago, Illinois","department":""},{"first_name":"Moshe","middle_name":"","last_name":"Weizberg","name_suffix":"","institution":"Staten Island University, Staten Island, New York","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Little","name_suffix":"","institution":"AdventHealth East Orlando, Orlando, Florida","department":""},{"first_name":"Brian","middle_name":"","last_name":"Milman","name_suffix":"","institution":"University of Texas Southwestern Medical Center, Dallas, Texas","department":""}],"date_submitted":"2024-05-25T08:57:53.977000+09:00","date_accepted":"2024-11-13T06:48:12.239000+09:00","date_published":"2025-02-14T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21249/galley/32351/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21249/galley/31261/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21249/galley/32351/download/"}]},{"pk":39614,"title":"Recycling Intentions Among Karachi's University Students: An Extended Theory of Planned Behavior Approach Considering Convenience and Consumer Innovativeness","subtitle":null,"abstract":"
Karachi, the largest city of Pakistan is facing the challenge of urban waste disposal. This makes academicians study the reasons for poor recycling culture and behaviour in Pakistan. The objective of this study is to analyse the factors impacting consumer recycling behaviour in urban households. This study integrates the extended TPB model with the Diffusion of innovation theory to investigate the influence of attitude, subjective norms, perceived behavioural control, environmental concern, and packaging attributes on consumer recycling intention. Additionally, it also seeks to check the moderating role of convenience and consumer innovativeness between recycling intention and recycling behaviour. The hypothetico-deductive approach was used to test the conceptualized hypotheses based on TPB and DOI theory. Non-probability convenience sampling method was used and data was collected via internet-administered questionnaire from 639 participants comprising of university students in Karachi. The data has been analysed using Smart PLS version 4. Path analysis and Structural Equation Modelling (SEM) have been further used to analyse the direct and moderating relationship between the variables. The results of this study confirmed a strong influence of the determinants of the extended TPB model on consumer recycle intention. Consumer innovativeness was found to have a positive significant impact on the relationship between recycling intention and behaviour, while convenience was found to insignificantly moderate the relationship between recycling intention and behaviour. The research findings can be used by the government in making policies relating to waste collection and creating awareness campaigns highlighting the advantages of recycling and sustainable consumption behaviour, with same can be applied to educational institutions for curriculum designing. Moreover, marketers can enhance recycling behaviour through innovative sustainable packaging and proper recycling mechanisms. Certain initiatives on a public and private level relating to environmental awareness can greatly enhance the frequency of household recycling waste.
","language":null,"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":"Household waste"},{"word":"Convenience"},{"word":"Consumer Innovativeness"},{"word":"Packaging"},{"word":"Environmental Concern"},{"word":"recycling"},{"word":"pakistan"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1j0716bp","frozenauthors":[{"first_name":"Arsalan","middle_name":"","last_name":"Ahmed","name_suffix":"","institution":"Iqra University","department":"None"},{"first_name":"Sara","middle_name":"","last_name":"Rashid","name_suffix":"","institution":"Iqra University","department":"None"}],"date_submitted":"2023-10-17T20:07:13+09:00","date_accepted":null,"date_published":"2025-02-14T02:37:00+09:00","render_galley":{"label":"recycling_galley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39614/galley/32348/download/"},"galleys":[{"label":"recycling_galley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39614/galley/32348/download/"}]},{"pk":20548,"title":"Validating an Electronic Health Record Algorithm for Diabetes Screening Eligibility in the Emergency Department","subtitle":null,"abstract":"Objective: While the American Diabetes Association (ADA) screening guidelines have been used widely, the way they are implemented and adapted to a particular setting can impact their practical application and usage. Our primary objective was to validate a best practice advisory (BPA) screening algorithm informed by the ADA guidelines to identify patients eligible for hemoglobin a1c (HbA1c) testing in the emergency department (ED).
\nMethods: This cross-sectional study included adults presenting to a large urban medical center’s ED in May 2021. We used sensitivity, specificity, likelihood ratios, and predictive values to estimate the algorithm’s ability to correctly identify patients eligible for diabetes screening, with manual chart review as the reference standard. Eligibility criteria targeted patients at risk for diabetes who were likely unaware of their elevated HbA1c. We also calculated the area under the receiver operating characteristic curve (AUC).
\nResults: In May 2021, 2,963 (77%) of the 3,850 adults admitted to the ED had a routine lab ordered. Among those, 796 (27%) had a BPA triggered, and of those 631 (79%) had an HbA1c test completed. The algorithm had acceptable sensitivity (0.69, 95% confidence interval [CI] 0.66-0.72), specificity (0.91, CI 0.89-0.92), positive predictive value (0.75, CI 0.72-0.78) and negative predictive value (0.88, CI 0.86-0.89). The positive likelihood ratio (7.39, CI 6.35-8.42 ) was adequate, and the negative likelihood ratio (0.34, CI 0.30-0.37) was informative. The AUC of 0.74 (CI 0.72-0.77) suggests that the algorithm had acceptable accuracy.
\nConclusion: Findings suggest that an electronic health record-based algorithm informed by the ADA guidelines is a valid tool for identifying patients presenting to the ED who are eligible for HbA1c testing and may be unaware of having prediabetes or diabetes. The ease of workflow integration and high yield of potentially undiagnosed diabetes and prediabetes makes the BPA algorithm an appealing method for diabetes screening within the ED.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"emergency department"},{"word":"diabetes screening"},{"word":"Validation"},{"word":"best practice alert"},{"word":"Electronic medical record"}],"section":"Clinical Practice","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3g00374m","frozenauthors":[{"first_name":"Mary","middle_name":"H.","last_name":"Smart","name_suffix":"","institution":"University of Illinois Chicago, College of Pharmacy, Department of Pharmacy Systems, Outcomes and Policy, Chicago, Illinois","department":""},{"first_name":"Janet","middle_name":"Y.","last_name":"Lin","name_suffix":"","institution":"University of Illinois Chicago, College of Medicine, Department of Emergency Medicine, Chicago, Illinois","department":""},{"first_name":"Brian","middle_name":"T.","last_name":"Layden","name_suffix":"","institution":"University of Illinois Chicago, Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Chicago, Illinois; Jesse Brown Department of Veterans Affairs Medical Center, Chicago, Illinois","department":""},{"first_name":"Yuval","middle_name":"","last_name":"Eisenberg","name_suffix":"","institution":"University of Illinois Chicago, Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Chicago, Illinois","department":""},{"first_name":"Kirstie","middle_name":"K.","last_name":"Danielson","name_suffix":"","institution":"University of Illinois Chicago, Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Chicago, Illinois","department":""},{"first_name":"Ruth","middle_name":"","last_name":"Pobee","name_suffix":"","institution":"University of Illinois Chicago, College of Medicine, Department of Emergency Medicine, Chicago, Illinois","department":""},{"first_name":"Chuxian","middle_name":"","last_name":"Tang","name_suffix":"","institution":"University of Illinois Chicago, College of Medicine, Department of Emergency Medicine, Chicago, Illinois","department":""},{"first_name":"Brett","middle_name":"","last_name":"Rydzon","name_suffix":"","institution":"University of Illinois Chicago, Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Chicago, Illinois","department":""},{"first_name":"Anjana","middle_name":"Bairavi","last_name":"Maheswaran","name_suffix":"","institution":"University of Illinois Chicago, College of Medicine, Department of Emergency Medicine, Chicago, Illinois","department":""},{"first_name":"A. Simon","middle_name":"","last_name":"Pickard","name_suffix":"","institution":"University of Illinois Chicago, College of Pharmacy, Department of Pharmacy Systems, Outcomes and Policy, Chicago, Illinois","department":""},{"first_name":"Lisa","middle_name":"K.","last_name":"Sharp","name_suffix":"","institution":"University of Illinois Chicago, College of Nursing, Department of Biobehavioral Nursing Science, Chicago, Illinois","department":""},{"first_name":"Angela","middle_name":"","last_name":"Kong","name_suffix":"","institution":"University of Illinois Chicago, College of Pharmacy, Department of Pharmacy Systems, Outcomes and Policy, Chicago, Illinois","department":""}],"date_submitted":"2024-04-03T06:08:01.537000+09:00","date_accepted":"2024-10-11T08:53:36.073000+09:00","date_published":"2025-02-13T23:21:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20548/galley/36417/download/"}]},{"pk":39625,"title":"Trends in Public Interest Towards Car-Free Urbanism: A Decade of Google Trends Analysis (2013–2022)","subtitle":null,"abstract":"Car-free urbanism is being adopted by a growing number of cities to enhance walkability, reduce pollution and combat climate change, and improve public health. One of the major challenges facing these initiatives is public sentiment and distrust. However, little research has been done to track public interest in this movement over time. Using Google Trends, this research report analyzed 20 search queries related to car-free urbanism and tracked their relative search volume between January 1, 2013, and December 31, 2022. The authors found a moderate rise in public interest in the United States for search terms that were highly specific to car-free urbanism. Among low-specificity search terms, no clear pattern was established.
\n","language":"eng","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":"New Urbanism"},{"word":"urban design"},{"word":"15 minute city"},{"word":"Car-free cities"}],"section":"Research Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/682322nw","frozenauthors":[{"first_name":"Eron","middle_name":"","last_name":"Powell","name_suffix":"","institution":"The University of Utah","department":"","country":"United States"},{"first_name":"Jeremy","middle_name":"R","last_name":"Ellis","name_suffix":"","institution":"Johns Hopkins University School of Medicine","department":"","country":"United States"},{"first_name":"Rachel","middle_name":"L","last_name":"Marcheskie","name_suffix":"","institution":"Johns Hopkins Bloomberg School of Public Health","department":"","country":"United States"},{"first_name":"Mckay","middle_name":"","last_name":"Muhlestein","name_suffix":"","institution":"The University of Utah","department":"Department of City and Metropolitan Planning","country":"United States"}],"date_submitted":"2024-03-04T14:29:49+09:00","date_accepted":"2025-02-11T13:38:48.528000+09:00","date_published":"2025-02-13T22:14:00+09:00","render_galley":{"label":"CarfreeGalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39625/galley/32344/download/"},"galleys":[{"label":"CarfreeGalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39625/galley/32344/download/"}]},{"pk":39629,"title":"The Storm is Here: Public Libraries' Role in Disaster Preparedness and Community Recovery","subtitle":null,"abstract":"
A national survey of public library directors and administrators was conducted in 2022 to assess the role of public libraries in community support following weather disasters. The results showed strong agreement (84%) among respondents that libraries have a critical service role in disaster response. Most respondents expressed concern about the impact of weather-related hazards on their communities. During and after disasters, libraries continued to offer regular services, with Wi-Fi access and computer stations being the most commonly provided. While the Stafford Act designates libraries as essential services and allows for relocation funding through the Federal Emergency Management Agency, only 36% of respondents were aware of this legislation. To fully leverage available support, libraries must enhance their preparedness prior to such events. Slightly over half of respondents (51%) indicated their libraries had an emergency preparedness plan. Among those with plans, most had a traditional emergency response plan (82%), while fewer had a continuity of operations plan (13%), and only one library had a community resilience plan. These findings highlight significant opportunities for increased preparation. Wider adoption of continuity of operations plans and greater visibility of these services would enhance libraries' effectiveness as community resources during weather disasters.
\n","language":null,"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":"sustainable libraries"},{"word":"Disaster preparedness"},{"word":"public libraries"},{"word":"climate change"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0bv114zh","frozenauthors":[{"first_name":"Monika","middle_name":"","last_name":"Antonelli","name_suffix":"","institution":"Minnesota State University, Mankato","department":"None"},{"first_name":"Rebekkah","middle_name":"","last_name":"Aldrich","name_suffix":"","institution":"Mid-Hudson Library System","department":"None"},{"first_name":"Rene","middle_name":"","last_name":"Tanner","name_suffix":"","institution":"Rollins College","department":"None"},{"first_name":"Adrian","middle_name":"","last_name":"Ho","name_suffix":"","institution":"University of Chicago","department":"None"}],"date_submitted":"2024-05-01T05:48:15+09:00","date_accepted":null,"date_published":"2025-02-13T19:18:00+09:00","render_galley":{"label":"stormgalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39629/galley/32347/download/"},"galleys":[{"label":"stormgalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39629/galley/32347/download/"}]},{"pk":41518,"title":"Book Review: Big Box USA: The Environmental Impact of America’s Biggest Retail Stores","subtitle":null,"abstract":"
Big box stores have become one of the most popular places for shopping in the United States, particularly in the last several decades. The editors of this volume Big Box USA: The Environmental Impact of America’s Biggest Retail Stores provide several essays to examine how these very large retail stores have impacted the environmental landscape physically. Additionally, the last two essays address cultural aspects of these stores. Using the “tools of environmental history” (p.7) this book does not completely cover the topic, instead providing an opening with some examples. The editors state in the introduction this volume to be an invitation for further research and discussion. Focused on the environment or the consumer, the essays do not consider other aspects such as being an employee of a big box store, with one rare instance this is mentioned.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8009q137","frozenauthors":[{"first_name":"Pamela","middle_name":"","last_name":"Gordon","name_suffix":"","institution":"University of California Irvine, Libraries","department":"Technical Services"}],"date_submitted":"2024-12-20T07:25:14.232000+09:00","date_accepted":"2025-02-04T10:36:30.767000+09:00","date_published":"2025-02-13T18:23:00+09:00","render_galley":{"label":"BigBoxPDF","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/41518/galley/32343/download/"},"galleys":[{"label":"BigBoxPDF","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/41518/galley/32343/download/"}]},{"pk":41208,"title":"Book Review: Invisible No More: Voices From Native America","subtitle":null,"abstract":"This edited book is divided into four parts. In the first part, the author’s arguments are centered around the issue of the invisibility of native voices in philanthropy practices, as well as in US society in general. The second and third parts of the book analysed the nexus between environmental issues, native people, and dominant structure. Notably, the authors have highlighted the indigenous people's major efforts to protect the environment and discussed how local leaders and organizations are challenging the dominant structure of environmental movements in the US. In the last part, the authors visualize building sustainable Indigenous economies by decolonizing native communities.
","language":"eng","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":"native"},{"word":"Native America"},{"word":"Voices"},{"word":"Indigenous"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/95h4v45m","frozenauthors":[{"first_name":"Bishnuprasad","middle_name":"","last_name":"Mohapatra","name_suffix":"","institution":"Malyagiri Mahavidyalaya (College Affiliated to Utkal University)","department":"Sociology"}],"date_submitted":"2024-12-10T23:51:49.483000+09:00","date_accepted":"2025-02-04T10:32:14.633000+09:00","date_published":"2025-02-13T18:21:00+09:00","render_galley":{"label":"InvisibleGalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/41208/galley/32346/download/"},"galleys":[{"label":"InvisibleGalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/41208/galley/32346/download/"}]},{"pk":39638,"title":"A Six-Decade Bibliometric Analysis of Market Orientation in the Steel Industry","subtitle":null,"abstract":"This article provides a detailed investigation and assessment of publication trends, authors productivity, citation impact, keyword frequencies, and co-citation networks in studies related to market orientation in the iron and steel industry from 1964 to 2024. The analysis was conducted using Biblioshiny and Nvivo, based on 19 documents sourced from the Scopus database. Additionally, the study examines common buzzwords beyond marketing and economic aspects, with a particular focus on the iron and steel industry. Co-citation networks are analyzed to understand the connections between researchers and their contributions. The results highlight the interconnectedness of various research areas and the significance of specific topics in shaping academic discourse and influence within the industry. This study provides insights into the research dynamics and intellectual landscape of the field, emphasizing key processes, market strategies, environmental, and economic elements. It offers valuable information for academics, policymakers, and industry participants seeking to understand the development and impact of research in this area.
","language":null,"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":"Bibliometrics"},{"word":"Iron making"},{"word":"marketing"},{"word":"Scopus database"},{"word":"Steel Industry"},{"word":"Environmental impact"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5m89r3j2","frozenauthors":[{"first_name":"Mallikharjuna Rao","middle_name":"","last_name":"Jitta","name_suffix":"","institution":"GITAM Deemed to be University","department":"GITAM School of Business","country":"India"},{"first_name":"Subrahmanyam","middle_name":"","last_name":"Annamdevula","name_suffix":"Associate Professor","institution":"GITAM Deemed to be University","department":"GITAM School of Business","country":"India"}],"date_submitted":"2024-09-27T00:03:42+09:00","date_accepted":"2025-02-13T08:51:40.663000+09:00","date_published":"2025-02-13T18:19:00+09:00","render_galley":{"label":"SteelGalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39638/galley/32345/download/"},"galleys":[{"label":"SteelGalley","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39638/galley/32345/download/"}]},{"pk":41519,"title":"Response to the Letter to the Editor Regarding “Bicarbonate and Serum Lab Markers as Predictors of Mortality in the Trauma Patient”","subtitle":null,"abstract":"N/A
","language":"eng","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":"Letters to the Editor","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3jh34786","frozenauthors":[{"first_name":"Matthew","middle_name":"M.","last_name":"Talbott","name_suffix":"","institution":"University of Texas, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Dietrich","middle_name":"","last_name":"Jehle","name_suffix":"","institution":"University of Texas, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Krishna","middle_name":"","last_name":"Paul","name_suffix":"","institution":"University of Texas, Department of Emergency Medicine, Galveston, Texas","department":""}],"date_submitted":"2024-12-20T08:48:44.055000+09:00","date_accepted":"2024-12-20T11:46:50.160000+09:00","date_published":"2025-02-13T02:53:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/41519/galley/36423/download/"}]},{"pk":18471,"title":"“Oh, Another Overdose, for the Love of Pete”: First Responder Perspectives on Overdose Response Technology","subtitle":null,"abstract":"Background: Overdose response applications and hotlines are novel overdose response technologies (ORT)/virtual harm reduction strategies that have recently emerged as a strategy to reduce the harms associated with the ongoing opioid epidemic. First responders are often the first point of contact for people who have overdosed and play a significant role in responses enacted by these services. In this study our aim was to explore the attitudes and perceptions of first responders on these novel technologies.
\nMethods: We recruited 17 participants using purposive sampling through the province of Alberta between February–April 2023 including 11 paramedics, two firefighters, and five emergency communications operators. To be included in the study, participants were required to be older than 18 years of age, have the ability to communicate effectively in English, provide verbal informed consent, and work in an emergency responder role. Semi-structured interviews were conducted by two evaluators. When reviewing interview transcripts we used thematic analysis to identify key themes and subthemes.
\nResults: Participants discussed their current operating procedures, their current perspectives on overdose response hotlines and apps, how they would best integrate them into their current workloads, and how to raise awareness of these services within first-responder communities. Participants were apprehensive about the integration of these services into their current workloads, including their potential benefits, and raised concerns about their efficacy within communities of people who use drugs. Key strategies were raised for the successful integration of these services into emergency responses including providing information to clients and the feasibility of overdose responses by the general public.
\nConclusion: This study’s results add to the existing literature on the toll of the overdose epidemic seen within first-response communities. Furthermore, we explored the communities’ diverse perspectives on these novel technologies, including support and concerns, and propose additional strategies for their integration into emergency responses.
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Opioid"},{"word":"overdose"},{"word":"Virtual overdose monitoring services"},{"word":"Harm reduction"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4p77d01d","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Rioux","name_suffix":"","institution":"University of Alberta, Faculty of Medicine & Dentistry, Department of Medicine, Edmonton, Alberta, Canada","department":""},{"first_name":"Stephanie","middle_name":"","last_name":"Jones","name_suffix":"","institution":"Three Hive Consulting, Vancouver, British Columbia, Canada","department":""},{"first_name":"S. Monty","middle_name":"","last_name":"Ghosh","name_suffix":"","institution":"University of Alberta, Faculty of Medicine & Dentistry, Department of Internal Medicine, Edmonton, Alberta, Canada","department":""}],"date_submitted":"2023-09-19T14:11:05+09:00","date_accepted":null,"date_published":"2025-02-13T02:09:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18471/galley/36402/download/"}]},{"pk":41788,"title":"Multiple geniculated types in a single inoceramid (Bivalvia) species: “Inoceramus” nebrascensis","subtitle":null,"abstract":"ABSTRACT\n \nInoceramids have been studied extensively over the last 200 years and, along with ammonites, have become an important tool for Late Cretaceous biostratigraphy. Geniculation, the abrupt change in convexity/inflation of the valve disc, occurs in many inoceramids and has been recognized for decades. But despite extensive inoceramid research, it remains a relatively under-documented phenomenon. To understand the phylogenetic relationships within this cosmopolitan bivalve family, it is necessary to recognize the range of intraspecies variation. “\nInoceramus\n”\n nebrascensis\n is known to geniculate, but its morphological variability has not been effectively documented. This study identifies five morphotypes of \n“I.” nebrascensis\n from a single locality of the Late Campanian Pierre Shale in South Dakota. The most common form is non-geniculated (Type I). The four geniculated forms include: marked positive geniculation (Type II); slight positive geniculation followed promptly by marked negative geniculation (Type III); marked positive geniculation generating a conspicuous neck, followed by marked negative geniculation (Type IV); extreme positive geniculation with a “butterflied” configuration of the pre-adult shell (Type V). This study also argues for a three-stage shell development for this species (juvenile, intermediate, and adult) rather than the two stages described in previous studies.","language":"en","license":null,"keywords":[{"word":"Keywords: Late Cretaceous, Late Campanian, Pierre Shale, South Dakota, Didymoceras cheyennense zone."}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4p77k5pw","frozenauthors":[{"first_name":"William","middle_name":"Keith","last_name":"Halligan","name_suffix":"","institution":"University of Washington Burke Museum","department":""}],"date_submitted":"2024-05-15T13:20:45+09:00","date_accepted":"2025-01-10T09:27:09.785000+09:00","date_published":"2025-02-12T16:32:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucmp_paleobios/article/41788/galley/32334/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucmp_paleobios/article/41788/galley/32334/download/"}]},{"pk":48320,"title":"Effects of Choice-Based Art Education in the K-12 Art Classroom","subtitle":null,"abstract":"This action research project examined the effectiveness of choice-based learning in a K-12 art classroom in a small rural school with approximately 300 students, transitioning from kindergarten to advanced placement high school art. The intervention involved implementing a choice-based learning intervention and gathering data through surveys, pictures, and observations. Results from 127 students indicated that high school students preferred choosing from two project guidelines and enjoyed the freedom to choose their medium, leading to deeper creative thinking and engagement. Elementary students favored step-by-step guidance but also enjoyed creating their own versions of projects, increasing overall engagement. The study suggests that choice-based art education enhances creativity and engagement across all K-12 levels, but further research is needed to assess long-term impacts and applicability in other school districts.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"choice based learning"},{"word":"Art Education"},{"word":"art teaching"}],"section":"Teaching and Learning through the Arts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2kf570jz","frozenauthors":[{"first_name":"Kylie","middle_name":"","last_name":"Koehler","name_suffix":"","institution":"Kenesaw Public Schools","department":"None"},{"first_name":"Phu","middle_name":"","last_name":"Vu","name_suffix":"","institution":"University of Nebraska at Kearney","department":"None"}],"date_submitted":"2023-08-30T07:58:43+09:00","date_accepted":"2023-08-30T07:58:43+09:00","date_published":"2025-02-12T03:58:32+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cla_jlta/article/48320/galley/36349/download/"}]},{"pk":20915,"title":"A Tic-ing Time Bomb: Case Report of a Unique Presentation of Sudden-onset Tics","subtitle":null,"abstract":"Introduction: Tics in children are commonly diagnosed and not usually a cause for concern. Rarely, they may present as a symptom of underlying intracranial pathology.
\nCase Report: We describe an adolescent with sudden-onset tics following a fall who presented to the emergency department and was diagnosed with an arteriovenous malformation with parenchymal hemorrhage. He underwent a successful embolization, after which his tics resolved.
\nConclusion: When evaluating a patient with tics, an atypical history or abnormal physical exam findings should raise suspicion for possible secondary etiologies, including arteriovenous malformation and stroke.
","language":"eng","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":"Tics"},{"word":"rteriovenous malformation"},{"word":"parenchymal hemorrhage"},{"word":"hemorrhagic stroke"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5n01r24h","frozenauthors":[{"first_name":"Arino","middle_name":"","last_name":"Neto","name_suffix":"","institution":"Ann & Robert H. Lurie Children’s Hospital of Chicago, Division of Emergency Medicine, Chicago, Illinois; Nemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, Florida","department":""},{"first_name":"Vanessa","middle_name":"","last_name":"Perez","name_suffix":"","institution":"Nemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, Florida","department":""},{"first_name":"Kim","middle_name":"","last_name":"Manwaring","name_suffix":"","institution":"Nemours Children’s Hospital, Florida, Division of Neurosurgery, Orlando, Florida","department":""},{"first_name":"Lauren","middle_name":"","last_name":"Averill","name_suffix":"","institution":"Nemours Children’s Hospital, Delaware, Division of Radiology, Wilmington, Delaware","department":""},{"first_name":"Victoria","middle_name":"","last_name":"Wurster Ovalle","name_suffix":"","institution":"Nemours Children’s Hospital, Florida, Division of Emergency Medicine, Orlando, Florida","department":""}],"date_submitted":"2024-04-18T21:57:22.413000+09:00","date_accepted":"2024-07-30T00:07:52.368000+09:00","date_published":"2025-02-12T03:20:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20915/galley/31522/download/"}]},{"pk":48302,"title":"The Intersectionality of Arts-Integration and Social-Emotional Learning during COVID-19: Musical Bridges Around the World: The Musical Sprouts Program","subtitle":null,"abstract":"Musical Bridges Around the World’s Musical Sprouts program is a free education and art performance program with the goal of introducing arts-integrated and Science, Technology, Engineering, Arts, and Mathematics (STEAM) curricula to under-resourced students. The current study is a 3-year longitudinal study evaluating the impact of the Musical Sprouts program on STEAM learning outcomes and social emotional learning (SEL). Utilizing a mixed methods and iterative research design, this study evaluated the impact of the program on the content knowledge, cultural awareness, and SEL among elementary-aged students. Research components and data collection were administered and collected virtually using a pre and post survey in a classroom setting, and comparisons were made between treatment and control schools. Results suggested a statistically significant improvement in content knowledge and SEL outcomes for students in the program. Implications demonstrate that introduction of arts and culture into classroom curricula have a positive impact on educational attainment and emotional competency. Further research will continue to explore the positive impact of arts integration and STEAM with continuous improvements based on an ever-changing climate in the community.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Arts-Integration, STEAM, Social Emotional Learning, Music, Art, Culture"}],"section":"Performing Arts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/67w4z8r9","frozenauthors":[{"first_name":"Kimberly","middle_name":"Alexis","last_name":"Salazar","name_suffix":"","institution":"The University of Texas at San Antonio","department":"None"},{"first_name":"Belinda","middle_name":"","last_name":"Bustos-Flores","name_suffix":"","institution":"Associate Dean of Strategic Partnerships, Preparation, & Growth\nProfessor, Department of Bicultural-Bilingual Studies\nPrincipal Investigator & Founder, \nAcademy for Teacher Excellence Research Center\nUniversity of Texas at San Antonio\nCollege of Education and Human Development","department":"None"},{"first_name":"Awilda","middle_name":"","last_name":"Ramos","name_suffix":"","institution":"The University of Texas at San Antonio","department":"None"},{"first_name":"Becky","middle_name":"","last_name":"Huang, PhD","name_suffix":"","institution":"The University of Texas at San Antonio","department":"None"}],"date_submitted":"2022-10-12T05:17:02+09:00","date_accepted":"2022-10-12T05:17:02+09:00","date_published":"2025-02-11T09:21:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cla_jlta/article/48302/galley/36347/download/"}]},{"pk":48299,"title":"Improving Interpersonal Communication Skills for Future Healthcare Professionals Through Undergraduate Experiential Education in the Arts","subtitle":null,"abstract":"Interpersonal and communications skills (ICS) are an ACGME core competency and key attribute of effective physicians that leads to better health outcomes and increased patient satisfaction. Nevertheless, ICS remains an area of difficulty for many medical students and physicians; a problem that can be remedied by early and sustained opportunities for practicing communication. This long-range study investigates how a baccalaureate experience at the intersection of arts and health impacts the ICS of future healthcare professionals. A quantitative and qualitative self-evaluation of ICS skills was administered to individuals who completed \nConnections\n and are currently working in and/or enrolled in a post-graduate program in the healthcare field. \nConnections\n is a community-engaged course in which undergraduates facilitate therapeutic interactions with art for a range of patient groups. 81% of respondents reported improvements in the practice of active listening, 100% reported an increased ability to paraphrase, and 81% identified improved ability to pose open-ended questions. Overall, 76% responded that the ICS-building methods used in \nConnections\n are useful in their graduate program or career. Course structure and teaching methods are shared in this study so experiential learning practices in the arts can be replicated to provide opportunities for future healthcare professionals to build their ICS.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Medical Humanities"},{"word":"Experiential Learning, Interpersonal Communication, Medical Education, Arts"},{"word":"service learning"}],"section":"Medical Humanities","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9wc7s1p4","frozenauthors":[{"first_name":"Catherine","middle_name":"","last_name":"Wilkins","name_suffix":"","institution":"University of South Florida","department":"None"},{"first_name":"Jontae","middle_name":"","last_name":"Hohn","name_suffix":"","institution":"Missouri State University","department":"None"},{"first_name":"Rachel","middle_name":"","last_name":"Zigelsky","name_suffix":"","institution":"Brandeis College of Law","department":"None"}],"date_submitted":"2022-09-19T22:04:47+09:00","date_accepted":"2022-09-19T22:04:47+09:00","date_published":"2025-02-11T09:10:45+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cla_jlta/article/48299/galley/36344/download/"}]},{"pk":20527,"title":"Experimental evidence for semantic and morphophonological productivity in Kîîtharaka noun classes","subtitle":null,"abstract":"In nominal classification systems, both form (i.e., morphology, phonology or both) and meaning often interact to determine the class or gender of the noun. In Bantu languages in particular, linguistic analysis has often put the emphasis on meaning, both inherent and evaluative (e.g., diminutive). However, recent quantitative studies have argued that both meaning and morphophonology – the ubiquitous nominal prefixes – serve as cues to class in Bantu, with their robustness and specific aspects potentially differing across individual languages. Here, we conducted an experimental study aimed at establishing whether speakers of Kîîtharaka (Bantu, E54) are sensitive to both semantics and morphophonology when classifying novel Kîîtharaka nouns. We used two wug-task-style experiments to establish whether particular aspects of meaning or form (here, nominal prefixes) would influence participants’ production of agreement on nominal dependents. Results showed that speakers are sensitive to two inherent features, Human and Fruit, and evaluative features like Augmentative, Pejorative and Diminutive. On the other hand, they are robustly sensitive to all morphophonological features tested when classifying novel nouns. Our results suggest that semantic features are generally less productive than morphophonology in the Kîîtharaka nominal classification system.
","language":"eng","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":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5jk1q99w","frozenauthors":[{"first_name":"Patrick","middle_name":"Njue","last_name":"Kanampiu","name_suffix":"","institution":"University of Edinburgh","department":"Linguistics and English Language"},{"first_name":"Alexander","middle_name":"","last_name":"Martin","name_suffix":"","institution":"University of Groningen","department":""},{"first_name":"Jennifer","middle_name":"","last_name":"Culbertson","name_suffix":"","institution":"University of Edinburgh","department":""}],"date_submitted":"2024-03-27T10:20:00.561000+09:00","date_accepted":"2024-11-28T05:06:38.186000+09:00","date_published":"2025-02-10T23:00:00+09:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/20527/galley/31555/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/20527/galley/31554/download/"},{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/20527/galley/31555/download/"}]},{"pk":1636,"title":"Got it right up front? Further evidence for parallel graded prediction during prenominal article processing in a self-paced reading study","subtitle":null,"abstract":"Recent studies suggest that language users generate and maintain multiple predictions in parallel, especially in tasks that explicitly instruct participants to generate predictions. Here, we investigated the possibility of parallel gradedness of linguistic predictions in a simple reading task, using a new measure—imbalance—that captures the probabilistic difference between multiple sentence completions. We focus on prenominal gender-marked articles in German to obtain prediction-specific effects. Native speakers of German read predictable or unpredictable gender-marked nouns that were preceded by prediction-consistent or -inconsistent prenominal articles. Sentence frames either biased expectations more strongly toward the most likely continuation of the sentence, or balanced expectations between the first and second most likely continuation. The results showed reading facilitation for gender-marked articles when sentences were more biased but slowing when sentences were more balanced, irrespective of article predictability. We conclude that readers issue multiple prenominal predictions and weigh them according to their likelihood, providing evidence for parallel gradedness of prenominal predictions. The results are discussed in light of theoretical models on prediction and rational sentence processing.
","language":"eng","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":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7g30m0th","frozenauthors":[{"first_name":"Katja","middle_name":"I.","last_name":"Haeuser","name_suffix":"","institution":"Saarland University","department":"Department of Psychology"},{"first_name":"Arielle","middle_name":"","last_name":"Borovsky","name_suffix":"","institution":"Purdue University","department":"College of Health and Human Sciences"}],"date_submitted":"2023-08-24T21:13:53.152000+09:00","date_accepted":"2024-12-20T22:32:40.825000+09:00","date_published":"2025-02-10T23:00:00+09:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1636/galley/31557/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1636/galley/31556/download/"},{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1636/galley/31557/download/"}]},{"pk":39674,"title":"Chronic Nitrous Oxide Toxicity Despite Elevated Serum Vitamin B12 Level","subtitle":null,"abstract":"Introduction: Nitrous oxide (N2O) toxicity is an uncommon but important-to-recognize presentation of neurologic deficits and hematologic abnormalities, which may never resolve in some patients. In the United States, nitrous oxide is legal to possess and easily obtainable for purchase in stores and online. Nitrous oxide abuse and its long-term sequelae must be recognized by the emergency physician to ensure proper follow-up and maximize neurologic outcomes.
\nCase Report: A 28-year-old male with past medical history of alcoholism and polysubstance abuse presented to the emergency department with progressive paresthesias, shortness of breath, and neurologic complaints following daily inhalation of N2O for three weeks. He was diagnosed with N2O toxicity due to functional vitamin B12deficiency in the setting of elevated B12 levels from prophylactic self-supplementation.
\nConclusion: While most recreational users of nitrous oxide will experience transient neurologic symptoms resolving within minutes of cessation, frequent or heavy users may develop permanent neurotoxicity. Exposed patients require close follow-up with neurology and vitamin B12 supplementation to maximize neurologic recovery. In this patient, there was persistence of neurologic symptoms over 24 hours after cessation of use despite self-supplementation of vitamin B12.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"nitrous oxide toxicity"},{"word":"neurotoxicity"},{"word":"functional vitamin b12 deficiency"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9409068p","frozenauthors":[{"first_name":"Jessica","middle_name":"L","last_name":"Graves","name_suffix":"","institution":"Mercy Health-Lourdes Hospital LLC, Department of Emergency Medicine, Paducah, Kentucky","department":""},{"first_name":"John","middle_name":"William","last_name":"Hafner","name_suffix":"","institution":"The University of Illinois College of Medicine, Department of Emergency Medicine, Peoria, Illinois","department":""}],"date_submitted":"2024-11-04T11:49:37.500000+09:00","date_accepted":"2024-11-14T04:57:43.839000+09:00","date_published":"2025-02-09T08:18:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/39674/galley/35720/download/"}]},{"pk":42502,"title":"\n\n(How) Can “I” listen to the voices emerging from Comunidad de Solentiname? (Researcher’s Locus in Approaching the Other “Other”)\n","subtitle":null,"abstract":"“Comunidad de Solentiname” was one of the main Ecclesial Base Communities (CEBs) that played a significant role, in both cultural-symbolic and politico-military terms, during the Sandinista Revolution in Nicaragua (1960-1979). In my perception and interpretation, I shall deal with the theoretical-methodological implications of the testimonies-artistic works of this revolutionary Christian community. How can a person from far away India listen to and interact with the voices from Solentiname, Nicaragua, and produce “scientific” knowledge about the same in a context where the very framework (terms, words, categories, concepts, methodologies, etc.) of the production of that knowledge, emanates from the processes of colonization/otherization/domination of the non-western? The point of discussion is the ambivalent tension between the “subject” and the “object” of the research, localized on the exteriority (the two “Others” are relatively different but not distinct) to the modern-colonial scientific paradigm, whose basic research framework must shape the process of research. Subsequently, it discusses a useful methodological-theoretical praxis of “Non-negligence”—of Buddhist soteriological origins—in interaction with the works of decolonial studies and, also with the concepts of reflexivity and epistemological vigilance debated in recent developments in social sciences, seeking to engage in a conversation by way of a pluriversal translation.
","language":null,"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":"Comunidad de Solentiname"},{"word":"Non-negligent Locus of the Researcher"},{"word":"The other \"Other\""},{"word":"Modern-Colonial system/episteme"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0fq6f7gc","frozenauthors":[{"first_name":"Nilesh","middle_name":"","last_name":"Sharan","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T11:10:28.244000+09:00","date_accepted":"2025-02-08T11:10:59.363000+09:00","date_published":"2025-02-08T11:11:39.043000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42502/galley/31733/download/"}]},{"pk":42501,"title":"Dressing Asian to Look European: Chilean Writers Facing World Literature","subtitle":null,"abstract":"The article reviews two episodes from the Chilean literary circuit of the early twentieth century: the 1921 publication of the book of poems Fragments by the Afghan poet Karez-i-Roshan and the accusation against Pablo Neruda of plagiarism in 1934. Both events describe an unusual situation: twice and in different ways, a Chilean poet was transfigured into an Asian poet. The proposed analysis of these events allows us to assess two levels at which the cultural and literary exchanges between Chile and Asia were hindered by European mediation: first, in the understanding of a system of production and dissemination of works, and second, in local writers’ sense of belonging to a Western tradition.
","language":null,"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":"\"Oriental\" literature in Latin America"},{"word":"Chilean poetry"},{"word":"World Literature"},{"word":"Transpacific Studies"},{"word":"modern parody"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/84z32935","frozenauthors":[{"first_name":"Pablo","middle_name":"Faúndez","last_name":"Morán","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T11:04:45.041000+09:00","date_accepted":"2025-02-08T11:05:18.784000+09:00","date_published":"2025-02-08T11:05:58.671000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42501/galley/31732/download/"}]},{"pk":42500,"title":"\n\nTravel Memoirs of Indian Freedom Fighters to Post-Revolutionary Mexico: An Epitome of Transversal Dialogue Between Two Spaces of the Global South\n","subtitle":null,"abstract":"India and Latin America have historically witnessed the presence of cross-cultural dialogue for centuries. Latin American intelligentsia was well informed about the struggle for Indian national liberation and thus formed critical opinions about the ideas emanating from there. One of the ways of information flow was through the travelers who visited Latin America. These ideas from India led them, sometimes, toward spiritual matters (Theosophical) and others towards revolutionary politics. I will deal with the second aspect based on my reading of the Memoirs of two Indian freedom fighters, Pandurang Sadashiv Khankhoje and Manabendranath Roy. Similar conditions compelled the two contemporaries from India to travel to Mexico in the 1920s. Their engagement with Mexican people resulted in strengthening the existing knowledges, as well as proposing new ways of knowing and being. These contacts represent their world according to their perspectives so that “the cognitive justice may mirror and enhance the cognitive diversity of the world.” (Santos and Meneses 243). My reading of these memoirs will focus on the transversal dialogue between India and Mexico and discuss the transfer and sharing of knowledge between the two nations in their formation.
","language":null,"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":"Travel memoirs"},{"word":"cognitive justice"},{"word":"transversal dialogue"},{"word":"Indigenous knowledge"},{"word":"Indian independence"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0ws4r62c","frozenauthors":[{"first_name":"Vibha","middle_name":"","last_name":"Maurya","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T10:57:42.829000+09:00","date_accepted":"2025-02-08T10:58:18.727000+09:00","date_published":"2025-02-08T10:59:16.491000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42500/galley/31731/download/"}]},{"pk":42499,"title":"Two perspectives regarding post-Enlightenment violence: In an Antique Land by Amitav Ghosh and Nocturno de Chile by Roberto Bolaño","subtitle":null,"abstract":"In this article, we review two different visions regarding the relationship between Western Civilization and violence, two strategies used to expose the dark side of Enlightenment and the ways to overcome it. In In an Antique Land (1994), we examine Amitav Ghosh’s attempts to modify the modern/colonialist practice of anthropology, shifting the traditional axis of hegemony and subalternity, deconstructing the fixity of representation, and proposing a new, more horizontal and familiar relation with the Other. In Nocturno de Chile (2000), Roberto Bolaño exhibits how Enlightenment (and literature) has been used to hide and justify the deployment of violence. Also, we attempt to find Bolaño’s exit to that corridor, with apparently no way out.
","language":null,"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":"Amitav Ghosh"},{"word":"Roberto Bolaño"},{"word":"In an Antique Land"},{"word":"Nocturno de Chile"},{"word":"Postcolonialism"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4g35z6c0","frozenauthors":[{"first_name":"Alan","middle_name":"","last_name":"Meller","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T10:46:32.749000+09:00","date_accepted":"2025-02-08T10:47:11.517000+09:00","date_published":"2025-02-08T10:48:02.629000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42499/galley/31730/download/"}]},{"pk":42498,"title":"Negotiating the testimonial impulse from fictional spaces: Meena Kandasamy’s The Gypsy Goddess and Horacio Castellanos Moya’s Senselessness","subtitle":null,"abstract":"Meena Kandasamy’s The Gypsy Goddess (2014) and Horacio Castellanos Moya’s Senselessness (2004) are both novels based on historical events. While the former chronicles the 1968 massacre of Dalit agricultural workers in Kilvenmani (Tamil Nadu, India) by upper-caste landlords due to caste and class conflicts, the latter thematizes the production and reception of the testimonio in the context of a genocide of Indigenous people in Guatemala that lasted more than thirty years. This essay attempts to read both texts dialogically to offer insights into the epistemic interactions between two parts of the Global South through formal experimentations around ethics, justice, and truth. I argue that both texts use “novel” means to assemble real events from within a testimonial impulse. This unconventional and self-reflexive metafictional mode enables the retrieval of subaltern histories and the assertion of indigenous non-Western perspectives of historical events.
","language":null,"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":"testimonio"},{"word":"Dalit Literature"},{"word":"global south"},{"word":"caste"},{"word":"Indigenous"},{"word":"systemic violence"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0nf1917q","frozenauthors":[{"first_name":"Vijaya","middle_name":"","last_name":"Venkataraman","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T10:33:37.695000+09:00","date_accepted":"2025-02-08T10:34:13.930000+09:00","date_published":"2025-02-08T10:35:05.556000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42498/galley/31729/download/"}]},{"pk":42497,"title":"Comparative Liturgy: A Study of New Congregations in Liberation Theology and Dalit Buddhism","subtitle":null,"abstract":"This essay will study the relationship of religion and politics in the context of two specific liturgical practices. These practices originate in the historical congregations formed during the Liberation Theology movement in Latin America and in the context of the neo-Buddhist Ambedkarite movements in India. The idea of the congregation will be articulated with the liturgical logic of “public service” in so far as the Greek word(s) for liturgy refers both to the physical assembly of citizens and the structural capacity for creating a space for the “common.” Coupling congregation with the collective sharing of a “common feeling” (Ambedkar) provides the essential material for a political analysis of two historical societies of the global South. In the case of Chile, from the time of the reign of Pinochet, political resistance came from several quarters, including that of the Christian religion, not as practiced by the Church but as a subversive challenge posed by Liberation Theology. The Ambedkarite conversion from Hinduism to Buddhism in 1956 created a strange conjuncture, wherein conversion both signified liberation from the erstwhile religious oppression of the Hindus and the entry into a new form of communitarian thought. But the future of such an act of conversion could only be realized in history if the forms of thought of a new Buddhism were to be actualized in real ethical-political practices of a people called Dalits, which means being oppressed. This paper will confront the precarious task of a comparative analysis of incommensurable situations and affirm the political universalism of a world-historical tradition of the oppressed/Dalit.
","language":null,"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":"Ambedkarite movements"},{"word":"Liberation Theology"},{"word":"liturgy"},{"word":"neo-Buddhism"},{"word":"Dalit"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5q37v8tx","frozenauthors":[{"first_name":"Soumyabrata","middle_name":"","last_name":"Choudhury","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T10:23:23.536000+09:00","date_accepted":"2025-02-08T10:24:25.707000+09:00","date_published":"2025-02-08T10:26:00.287000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42497/galley/31728/download/"}]},{"pk":42496,"title":"Epistemological Decolonization of World History and Decolonizing the Conception of Modernity: Towards Transmodernity","subtitle":null,"abstract":"This essay explores the epistemological decolonization of World History and the critique of modernity through a transmodern perspective. It challenges the Eurocentric periodization of history, emphasizing the erasure and misrepresentation of non-European civilizations in the global narrative. By examining the ideological constructs underpinning modernity, capitalism, and colonialism, the essay advocates for a pluriversal approach to knowledge and cultural traditions. It also critiques the inadequacies of postmodernism in addressing systemic inequities, proposing transmodernity as a framework for integrating diverse traditions and fostering dialogue among cultures of the Global South. Through this lens, the essay seeks to redefine the future of humanity and knowledge production.
","language":null,"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":"Epistemological Decolonization"},{"word":"Transmodernity"},{"word":"Eurocentrism"},{"word":"Global South Dialogues"},{"word":"coloniality"},{"word":"Modernity"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8mz549kc","frozenauthors":[{"first_name":"Enrique","middle_name":"","last_name":"Dussel","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T10:08:22.596000+09:00","date_accepted":"2025-02-08T10:12:22.833000+09:00","date_published":"2025-02-08T10:13:35.630000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42496/galley/31727/download/"}]},{"pk":42495,"title":"India and Latin America: An Epistemic Site for a Cross-Cultural Dialogue","subtitle":null,"abstract":"","language":null,"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":"Introduction","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6jd8s0rq","frozenauthors":[{"first_name":"Vibha","middle_name":"","last_name":"Maurya","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T09:57:53.369000+09:00","date_accepted":"2025-02-08T09:59:22.569000+09:00","date_published":"2025-02-08T10:01:35.717000+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42495/galley/31726/download/"}]},{"pk":42494,"title":"Epistemological Decolonization of World History and Decolonizing the Conception of Modernity: Towards Transmodernity","subtitle":null,"abstract":"This essay explores the epistemological decolonization of World History and the critique of modernity through a transmodern perspective. It challenges the Eurocentric periodization of history, emphasizing the erasure and misrepresentation of non-European civilizations in the global narrative. By examining the ideological constructs underpinning modernity, capitalism, and colonialism, the essay advocates for a pluriversal approach to knowledge and cultural traditions. It also critiques the inadequacies of postmodernism in addressing systemic inequities, proposing transmodernity as a framework for integrating diverse traditions and fostering dialogue among cultures of the Global South. Through this lens, the essay seeks to redefine the future of humanity and knowledge production.
","language":null,"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":"Epistemological Decolonization"},{"word":" Transmodernity"},{"word":" Eurocentrism"},{"word":" Global South Dialogues"},{"word":" Coloniality and Modernity"},{"word":"Transmodernity"},{"word":"Eurocentrism"},{"word":"Global South Dialogues"},{"word":"coloniality"},{"word":"Modernity"}],"section":"Article","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Enrique","middle_name":"","last_name":"Dussel","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T09:35:59.746000+09:00","date_accepted":"2025-02-08T09:37:03.993000+09:00","date_published":"2025-02-08T09:38:12.368000+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42494/galley/31725/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42494/galley/31725/download/"}]},{"pk":42493,"title":"India and Latin America: An Epistemic Site for a Cross-Cultural Dialogue","subtitle":null,"abstract":"","language":"eng","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":"Introduction","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Vibha","middle_name":"","last_name":"Maurya","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-08T09:18:26.414000+09:00","date_accepted":"2025-02-08T09:22:05.766000+09:00","date_published":"2025-02-08T09:24:52.204000+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42493/galley/31724/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/42493/galley/31724/download/"}]},{"pk":20305,"title":"Immune Checkpoint Inhibitor-associated Pneumonitis: A Narrative Review","subtitle":null,"abstract":"Immune checkpoint inhibitors (ICI), such as pembrolizumab, nivolumab, durvalumab and ipilimumab, have significantly enhanced survival rates for multiple cancer types such as non-small cell lung cancer, melanoma, Hodgkin lymphoma, and breast cancer, and they have emerged as an adjunct or primary therapy for malignant disease. Approximately 40% of patients with cancer on ICI therapy experience side effects called immune-related adverse events (irAE). While not the most common, pulmonary toxicities can be rapidly progressive, potentially fatal, and pose a three-fold increased risk for requiring intensive care unit-level of care. Pneumonitis is a focal or diffuse inflammation of the lung parenchyma, and clinical manifestations may be highly variable. While the onset is generally observed 6–12 weeks after the initiation of therapy, drug toxicity can develop rapidly within days after the first infusion or many months into therapy. Pneumonitis symptoms can be subtle or non-specific; therefore, a thorough and systematic evaluation considering other possible etiologies is crucial. Moreover, extrapulmonary findings, such as skin lesions, colitis, or endocrinopathies, should raise suspicion for irAE as drug toxicity can affect multiple organs simultaneously. Due to the significant overlap of clinical features between ICI-associated pneumonitis and respiratory infections, it can be challenging to differentiate the two conditions based on clinical presentation alone. A multidisciplinary approach to management is recommended for the treatment of ICI-associated pneumonitis, and classification of severity helps to guide interventions. Treatment options in more severe cases include systemic immunosuppression. Given the increased use of ICIs and greater probability that patients with ICI-associated pneumonitis will be seen in the emergency department, we aimed to provide a comprehensive framework for the diagnosis and management. In addition, identifying potential challenges in diagnosis and/or other contributors of respiratory symptoms and radiographic manifestations is highlighted.
","language":"eng","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":"ICI pneumonitis"},{"word":"immune related adverse event"},{"word":"immune checkpoint inhibitor"}],"section":"Clinical Practice","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8jb3v6kf","frozenauthors":[{"first_name":"Chang","middle_name":"","last_name":"Li","name_suffix":"","institution":"McGovern Medical School at University of Texas Health, Divisions of Pulmonary, Critical Care Medicine and Sleep Medicine, Houston, Texas","department":""},{"first_name":"Saadia","middle_name":"A.","last_name":"Faiz","name_suffix":"","institution":"The University of Texas MD Anderson Cancer Center, Department of Pulmonary Medicine, Houston, Texas","department":""},{"first_name":"Megan","middle_name":"","last_name":"Boysen-Osborn","name_suffix":"","institution":"University of California Irvine School of Medicine, Department of Emergency Medicine, Irvine, California","department":""},{"first_name":"Ajay","middle_name":"","last_name":"Sheshadri","name_suffix":"","institution":"The University of Texas MD Anderson Cancer Center, Department of Pulmonary Medicine, Houston, Texas","department":""},{"first_name":"Monica","middle_name":"K.","last_name":"Wattana","name_suffix":"","institution":"The University of Texas MD Anderson Cancer Center, Department of Emergency Medicine, Houston, Texas","department":""}],"date_submitted":"2024-03-05T09:15:06.432000+09:00","date_accepted":"2024-09-14T00:49:41.250000+09:00","date_published":"2025-02-07T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20305/galley/31723/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20305/galley/31402/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20305/galley/31723/download/"}]},{"pk":24998,"title":"Effort During Ethanol Breath Testing Impacts Correlation with Serum Ethanol Concentration","subtitle":null,"abstract":"Introduction: The gold standard for quantifying ethanol intoxication in patients is serum testing. However, breath testing is faster, less expensive, and less invasive. It is unknown whether perceived effort during a breath ethanol test impacts the accuracy of the test and the correlation with serum concentration. In this study we analyzed whether perceived “poor” effort during breath ethanol testing would result in worse correlation than perceived “normal” breath-testing effort with respect to serum ethanol concentration.
\nMethods: Subjects were identified retrospectively over a 49-month period if they had both a breath ethanol test and a serum ethanol test obtained during the same ED visit within 60 minutes of each other, if they had their effort during the breath test recorded as “normal” or “poor” by the person administering the test, and had non-zero breath and serum ethanol concentrations. We completed descriptive and correlation analyses.
\nResults: A total of 480 patients were enrolled, 245 with normal and 235 with poor effort. The patients with normal breath-test effort had mean breath and serum concentrations of 0.19 grams per deciliter (g/dL) and 0.23 g/dL, respectively. The patients with poor breath-test effort had mean breath and serum concentrations of 0.19 and 0.29 g/dL, respectively. The correlation coefficient between breath and serum ethanol values was 0.92 (95% confidence interval (CI) 0.84–0.96) for good effort and 0.63 (95% CI 0.53–0.74) for poor effort.
\nConclusion: The assessment of breath exhalation effort is meaningful in determining how well a patient’s breath ethanol level correlates with the serum ethanol concentration. Poor breath effort, when compared to normal breath effort, was associated with higher ethanol levels as well as a larger difference and a greater variability between breath and serum values. If an accurate ethanol level is important for clinical decision-making, a physician should not rely on a poor-effort breathalyzer value.
","language":"eng","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":"breathalyzer"},{"word":"Serum"},{"word":"blood"},{"word":"Alcohol"}],"section":"Toxicology","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1xt6z4p0","frozenauthors":[{"first_name":"Samuel","middle_name":"J.","last_name":"Stellpflug","name_suffix":"","institution":"Regions Hospital, Department of Emergency Medicine, Saint Paul, Minnesota","department":""},{"first_name":"William","middle_name":"H.","last_name":"Menton","name_suffix":"","institution":"VA Healthcare System, Minneapolis, Minnesota","department":""},{"first_name":"Bjorn","middle_name":"C.","last_name":"Westgard","name_suffix":"","institution":"Regions Hospital, Department of Emergency Medicine, Saint Paul, Minnesota","department":"Department of Emergency Medicine"},{"first_name":"Ryan","middle_name":"D.","last_name":"Johnsen","name_suffix":"","institution":"Regions Hospital, Department of Emergency Medicine, Saint Paul, Minnesota","department":"Department of Emergency Medicine"},{"first_name":"Alexander","middle_name":"M.","last_name":"Coomes","name_suffix":"","institution":"Regions Hospital, Department of Emergency Medicine, Saint Paul, Minnesota","department":""},{"first_name":"Robert","middle_name":"C.","last_name":"Lefevere","name_suffix":"","institution":"Regions Hospital, Department of Emergency Medicine, Saint Paul, Minnesota","department":""},{"first_name":"Michael","middle_name":"D.","last_name":"Zwank","name_suffix":"","institution":"Regions Hospital, Department of Emergency Medicine, Saint Paul, Minnesota","department":""}],"date_submitted":"2024-06-29T00:54:42.102000+09:00","date_accepted":"2024-11-04T06:25:35.364000+09:00","date_published":"2025-02-06T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/24998/galley/31586/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/24998/galley/31258/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/24998/galley/31586/download/"}]},{"pk":21227,"title":"Productivity and Efficiency Growth During Emergency Medicine Residency Training","subtitle":null,"abstract":"Introduction: Throughout training, an emergency medicine (EM) resident is required to increase efficiency and productivity to ensure safe practice after graduation. Multitasking is one of the 22 Accreditation Council for Graduate Medical Education (ACGME) EM milestones and is often measured through evaluations and observation. Providing quantitative data to both residents and residency administration on patients seen per hour (PPH) and efficiency could improve a resident experience and training in many ways. Our study was designed to analyze various throughput metrics and productivity trends using applied mathematics and a robust dataset. Our goals were to define the curve of resident PPH over time, adjust for relevant confounders, and analyze additional efficiency metrics related to throughput such as door-to-decision time (DTDT).
\nMethods: We used a retrospective, observational design in a single, tertiary-care center emergency department (ED) that sees approximately 110,000 adult patients per year; our study spanned the period July 1, 2019–December 31, 2021. A total of 42 residents from an ACGME-accredited three-year residency were included in the analysis. We excluded patients <18 years of age. Data was collected using a secure data vendor, and we created an exponential regression model to assess resident PPH data. Additional models were created accounting for patient covariates.
\nResults: We analyzed a total of 79,232 patients over 30 months. Using an exponential equation and adjusting for patient covariates, median PPH started at 0.898 and ended at 1.425 PPH. The median PPH by postgraduate (PGY) year were 1.13 for PGY 1; 1.38 for PGY 2; and 1.38 for PGY 3. Median DTDT in minutes was as follows: 185 minutes for PGY 1; 171 for PGY 2; and 166 for PGY 3.
\nConclusion: Productivity and efficiency metrics such as PPH and DTDT data are an essential part of working in an ED. Our study shows that residents improve with number of patients seen per hour over three years but tend to plateau in their second year. Door-to-decision time continued to improve throughout their three years of training.
","language":"eng","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":"productivity"},{"word":"Efficiency"},{"word":"residency training"},{"word":"Patients per hour"},{"word":"Door to Decision Time"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5ts624km","frozenauthors":[{"first_name":"Matthew","middle_name":"T.","last_name":"Singh","name_suffix":"","institution":"Corewell Health/Michigan State University College of Human Medicine, Grand Rapids, Michigan; Emergency Care Specialists, Grand Rapids, Michigan","department":""},{"first_name":"David","middle_name":"M.","last_name":"Austin","name_suffix":"","institution":"Grand Valley State University, Grand Rapids, Michigan","department":""},{"first_name":"Stephanie","middle_name":"C.","last_name":"Mullennix","name_suffix":"","institution":"Emergency Care Specialists, Grand Rapids, Michigan","department":""},{"first_name":"Joshua","middle_name":"C.","last_name":"Reynolds","name_suffix":"","institution":"Corewell Health/Michigan State University College of Human Medicine, Grand Rapids, Michigan; Emergency Care Specialists, Grand Rapids, Michigan","department":"Emergency Medicine"},{"first_name":"J.","middle_name":"Adam","last_name":"Oostema","name_suffix":"","institution":"Corewell Health/Michigan State University College of Human Medicine, Grand Rapids, Michigan; Emergency Care Specialists, Grand Rapids, Michigan","department":"Emergency Medicine"}],"date_submitted":"2024-05-22T02:59:17.721000+09:00","date_accepted":"2024-11-09T22:35:02.515000+09:00","date_published":"2025-02-05T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21227/galley/31583/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21227/galley/31092/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21227/galley/31583/download/"}]},{"pk":21292,"title":"Virtual Interviews Correlate with Home and In-State Match Rates at One Emergency Medicine Program","subtitle":null,"abstract":"Introduction: Incorporating virtual interviews into residency recruitment may help diversify access to residency programs while reducing the cost involved with travel and lodging. Programs may be more likely to rank students they have met in person at an interview when compared to unknown virtual applicants. Our objective was to characterize home institution, in-state, and in-region match rates to emergency medicine (EM) residency programs for fourth-year medical students.
\nMethods: We used National Residency Matching Program data available to the program director to identify medical school and match location of fourth-year medical students who interviewed at a large EM residency program in the Midwest from 2018–2023. Students’ medical schools and ultimately matched programs were mapped to Electronic Residency Application Service geographic regions; subgroup analyses evaluated allopathic and osteopathic medical students separately. We used chi-square tests to compare proportions of students matching to home, in-state, or in-region programs across years.
\nResults: There were 1,401 applicants with match information available. The percentage of students matching to a home institution remained stable over the course of the study. The percentage of students matching to an in-state institution increased over the first two years of virtual interviews rising from 23.2%in the 2020 match to 30.8% in-state matches for the 2022 match. Chi-square tests did not reveal any significant differences among groups for all applicants. Allopathic medical students demonstrated a significant increase in matches to home institutions. In-region matches stayed relatively stable over the study time frame regardless of subgroup.
\nConclusion: Virtual interviews changed the landscape of residency interviews. Home institution and in-state matches may be more likely for applicants from allopathic schools who participated in a virtual interview as both programs and applicants are more familiar with each other; however, our study did not find convincing evidence of this possibility among all applicants. Additional study is needed to determine ongoing effects of the transition to virtual interviews.
\n\n","language":"eng","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":"Graduate Medical Education"},{"word":"resident selection"},{"word":"Virtual Interview"},{"word":"emergency medicine education"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8rx7k1wf","frozenauthors":[{"first_name":"Christine","middle_name":"","last_name":"Motzkus","name_suffix":"","institution":"Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana","department":""},{"first_name":"Casey","middle_name":"","last_name":"Frey","name_suffix":"","institution":"Boone County Emergency Medicine, Indianapolis, Indiana","department":""},{"first_name":"Aloysius","middle_name":"","last_name":"Humbert","name_suffix":"","institution":"Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana","department":""}],"date_submitted":"2024-06-03T01:47:29.767000+09:00","date_accepted":"2024-11-23T07:40:43.322000+09:00","date_published":"2025-02-05T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21292/galley/31582/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21292/galley/31260/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21292/galley/31582/download/"}]},{"pk":57997,"title":"ʻAmui ʻi Muʻa/Ancient Futures: An Artist Re-flection","subtitle":null,"abstract":"The ʻAmui ʻi Muʻa/Ancient Futures project afforded me, as one of its investigator-artists, a rare opportunity to authentically engage with ancestral objects held in museum collections across the globe. This article provides a brief history of my art practice, as well as insights into my critical sense-making process and subsequent creative outputs. My reflections highlight the importance of nurturing relationships with Indigenous communities, and underscore the critical roles of museum practitioners in caring for and sharing our Indigenous treasures. Despite challenges including intergenerational knowledge loss and institutional barriers, the project advocates for decolonizing and re-Indigenizing museum practices. The ʻAmui 'i Mu‘a/Ancient Futures project exemplifies the power of authentic collaboration in preserving, honoring, and celebrating ancestral intelligence.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"ʻAmui ʻi Muʻa/Ancient Futures, Tonga, Dagmar Vaikalafi Dyck, Tongan art, con-temporary art, museums, decolonizing museums, collections, koloa, Indigenous knowledge, identity"}],"section":"The Project and Artists in Context","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2n55f7jn","frozenauthors":[{"first_name":"Dagmar","middle_name":"Vaikalafi","last_name":"Dyck","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:43:27+09:00","date_accepted":"2025-02-05T03:43:27+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57997/galley/44174/download/"}]},{"pk":58000,"title":"ʻAmui ʻi Muʻa/Ancient Futures: A Nukuʻalofa Dedication from the New Zealand High Commission","subtitle":null,"abstract":"This bilingual greeting from Tiffany Babington, then New Zealand High Commissioner to Tonga (to 2022), acknowledges the weeklong symposium ‘Amui ‘i Mu‘a/Ancient Futures held in Nuku‘alofa, October 7–12, 2019.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"ʻAmui ʻi Muʻa/Ancient Futures, Tonga, Tongan diaspora, Sopolemalama Filipe Tohi, Dagmar Vaikalafi Dyck, art, exhibitions, community engagement"}],"section":"Nukuʻalofa, Tonga, October 7–12, 2019","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4r4366fp","frozenauthors":[{"first_name":"Tiffany","middle_name":"","last_name":"Babington","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:49:02+09:00","date_accepted":"2025-02-05T03:49:02+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58000/galley/44177/download/"}]},{"pk":58005,"title":"ʻAmui ʻi Muʻa/Ancient Futures at the Hastings City Art Gallery, August 5– November 5, 2023","subtitle":null,"abstract":"This article explores the exhibition \n‘Amui ‘i Mu‘a/Ancient Futures\n, showcasing the work of Tongan artists Dagmar Vaikalafi Dyck and Sopolemalama Filipe Tohi from the 1990s to the 2020s. New texts in English and te reo Māori were developed for the exhibition at Hastings City Art Gallery–Te Whare Toi o Heretaunga; this article reproduces them alongside photographs of the installation. The exhibition was part of a research project examining the legacies of late eighteenth- and early nineteenth-century Tongan art practices. Dyck’s multimedia work reflects Tongan feminine textile traditions, while Tohi’s sculptures explore the ancient lashing technique of \nlalava\n. The overall project highlights how these artists, in collaboration with international scholars and communities, reclaim and repatriate Tongan knowledge systems encoded in woven, layered, and carved objects, bridging the past and future through art.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Dagmar Vaikalafi Dyck, Sopolemalama Filipe Tohi, ʻAmui ʻi Muʻa/Ancient Fu-tures, Hastings City Art Gallery, Tonga, Tongan diaspora, Oceanic art, contempo-rary art, exhibitions, museum collections, T.."}],"section":"Hastings City Art Gallery, Aotearoa New Zealand, August 5–November 5, 2023","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4kr6894c","frozenauthors":[{"first_name":"Dagmar","middle_name":"Vaikalafi","last_name":"Dyck","name_suffix":"","institution":"","department":""},{"first_name":"Sopolemalama","middle_name":"Filipe","last_name":"Tohi","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T04:00:37+09:00","date_accepted":"2025-02-05T04:00:37+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58005/galley/44182/download/"}]},{"pk":58001,"title":"ʻAmui ʻi Muʻa/Ancient Futures Conference, Tonga, October 2019","subtitle":null,"abstract":"The inaugural ‘Amui ‘i Mu‘a/Ancient Futures conference held at the Tanoa International Dateline Hotel in Tonga (October 7–12, 2019) brought together artists, academics, and traditional knowledge-holders from Tonga, Aotearoa New Zealand, Germany, and the United Kingdom to consider how the future of Tongan arts can best be guided by knowledge of their past. This article details the program and associated events.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"ʻAmui ʻi Muʻa/Ancient Futures, Tonga, Tongan diaspora, art, material culture, exhibitions"}],"section":"Nukuʻalofa, Tonga, October 7–12, 2019","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0x75r98x","frozenauthors":[{"first_name":"Billie","middle_name":"","last_name":"Lythberg","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:50:23+09:00","date_accepted":"2025-02-05T03:50:23+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58001/galley/44178/download/"}]},{"pk":57999,"title":"ʻAmui ʻi Muʻa/Ancient Futures: Fatu fala e fale lalanga (Weaving Threads)","subtitle":null,"abstract":"This article explores the intertwined worldviews of Queen Sālote Tupou III and Tongan scholar Epeli Hauʻofa on identity, kinship, and self-determination in the context of Tonga’s cultural preservation and artistic legacy. Through the lens of contemporary Tongan artists Dagmar Vaikalafi Dyck and Sopolemalama Filipe Tohi, the ʻAmui ʻi Muʻa/Ancient Futures project demonstrates how their artistic practices reclaim Tongan cultural narratives from colonial collections. This article examines their shared commitment to reconnecting with ancestral knowledge, navigating diasporic identities, and challenging institutional barriers to reclaim the koloa (treasures) and histories embedded in their art and practice.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"ʻAmuʻi ʻi Muʻa/Ancient Futures, Tonga, Tongan diaspora, Dagmar Vaikalafi Dyck, Sopolemalama Filipe Tohi, Queen Sālote, art, material culture, koloa, museums, decolonizing museums"}],"section":"The Project and Artists in Context","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0gt342p9","frozenauthors":[{"first_name":"Seini","middle_name":"","last_name":"Taufa","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:47:38+09:00","date_accepted":"2025-02-05T03:47:38+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57999/galley/44176/download/"}]},{"pk":57996,"title":"‘Amui ‘i Mu‘a/Ancient Futures in Context","subtitle":null,"abstract":"This article introduces, in English and Tongan, the volume of \nPacific Arts\n devoted to the project titled ‘Amui ‘i Mu‘a/Ancient Futures,\n \nwhich included\n a 2021 exhibition of the same name featuring artworks by Sopolemalama Filipe Tohi and Dagmar Vaikalafi Dyck. It also includes biographical sketches of Tohi and Dyck.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"ʻAmui ʻi Muʻa/Ancient Futures, Tongan art, Pacific art, Sopolemalama Filipe Tohi, Dagmar Vaikalafi Dyck, Tongan diaspora, art, material culture, printmaking"}],"section":"The Project and Artists in Context","is_remote":true,"remote_url":"https://escholarship.org/uc/item/85k5v3tk","frozenauthors":[{"first_name":"Billie","middle_name":"","last_name":"Lythberg","name_suffix":"","institution":"","department":""},{"first_name":"Phyllis","middle_name":"","last_name":"Herda","name_suffix":"","institution":"","department":""},{"first_name":"Melenaite","middle_name":"","last_name":"Taumoefolau","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:41:28+09:00","date_accepted":"2025-02-05T03:41:28+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57996/galley/44173/download/"}]},{"pk":57995,"title":"‘Amui ‘i Mu‘a/Ancient Futures: Late Eighteenth- and Early Nineteenth-Century Tongan Arts and Their Legacies","subtitle":null,"abstract":"This essay introduces the two issues of \nPacific Arts\n dedicated to the New Zealand-based, Marsden Fund (Royal Society of New Zealand)-financed research project ‘Amui ‘i Mu‘a/Ancient Futures: Late Eighteenth- and Early Nineteenth-Century Tongan Arts and Their Legacies and its affiliated traveling exhibition. The project’s participants included Phyllis Herda (anthropologist and Pacific historian), Billie Lythberg (art historian, anthropologist, and now lecturer in organizational studies), Melenaite Taumoefolau (Pacific linguist and researcher in Pacific studies), Hilary Scothorn (art historian and Pacific textile specialist), and Tongan artists Sopolemalama Filipe Tohi and Dagmar Vaikalafi Dyck. These academics and artists worked collaboratively to locate, examine, and interpret late eighteenth- and early nineteenth-century Tongan artifacts in more than thirty collections throughout Europe, the United Kingdom, the United States, Japan, and Australasia, as well as to investigate the legacies of Tongan–European encounters in this era.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"ʻAmui ʻi Muʻa/Ancient Futures, Tonga, Tongan art, Tongan history, Pacific art"}],"section":"Introduction to Special Issue: ʻAmui ʻi Muʻa/Ancient Futures","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2z8215s6","frozenauthors":[{"first_name":"Phyllis","middle_name":"","last_name":"Herda","name_suffix":"","institution":"","department":""},{"first_name":"Billie","middle_name":"","last_name":"Lythberg","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:37:04+09:00","date_accepted":"2025-02-05T03:37:04+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57995/galley/44172/download/"}]},{"pk":58007,"title":"Announcements","subtitle":null,"abstract":"Calls for papers & participation, PAA membership, advertisements, new publications, position announcements","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Pacific Arts Association, Oceanic art, Pacific art exhibitions, publications, call for papers, conferences"}],"section":"News & Events","is_remote":true,"remote_url":"https://escholarship.org/uc/item/15k0w0f6","frozenauthors":[{"first_name":"Pacific Arts","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T06:07:08+09:00","date_accepted":"2025-02-05T06:07:08+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58007/galley/44184/download/"}]},{"pk":57994,"title":"Foreword: ʻAmui ʻi Muʻa/Ancient Futures—Back to the Future","subtitle":null,"abstract":"A short introduction to the ʻAmui ʻi Muʻa/Ancient Futures project, presented in both English and Tongan, by the Honorable Lord Vaea, ‘Alipate Tuʻivanuavou Vaea of Houma.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Tonga, ‘Amui ‘i Muʻa/Ancient Futures, art, visual culture, material culture, Dagmar Vaikalafi Dyck, Sopolemalama Filipe Tohi"}],"section":"Introduction to Special Issue: ʻAmui ʻi Muʻa/Ancient Futures","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6x71k12k","frozenauthors":[{"first_name":"‘Alipate Tuʻivanuavou Vaea of Houma","middle_name":"","last_name":"Lord Vaea","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:35:19+09:00","date_accepted":"2025-02-05T03:35:19+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57994/galley/44171/download/"}]},{"pk":58006,"title":"History, Culture, and A Tale of Two Queens: Exploring the Ngatu in ‘Amui ‘i Mu‘a/Ancient Futures at Hastings City Art Gallery Te Whare Toi o Heretaunga, 2023, with a Preface by Elham Salari","subtitle":null,"abstract":"This article reproduces a gallery talk introducing the cultural and historical significance of three \nngatu\n (Tongan barkcloths) from the Hawkes Bay Museums Trust Collection, which were central to the 2023 exhibition ‘\nAmui ‘i Mu‘a/Ancient Futures\n at Hastings City Art Gallery Te Whare Toi o Heretaunga. \nNgatu,\n made from the inner bark of the paper mulberry tree, are integral to Tongan culture, functioning as both practical and ceremonial objects. They are used to mark important life events, including weddings, funerals, and royal ceremonies, and represent a material link between past and present. The article explores how \nngatu\n embody Tongan time, where the present is a dynamic intersection of past and future. It also highlights how \nngatu\n symbolized the deep connection and mutual respect between Queen Sālote Tupou III of Tonga and Queen Elizabeth II. During Queen Elizabeth’s visit to Tonga in 1953, lengths of \nngatu\n were laid out for her, both in her honor and to contain her \nmana\n (spiritual power). One of these cloths later accompanied Queen Sālote’s coffin when she was returned to Tonga after her death in Auckland in 1965.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Tongan barkcloth (ngatu), Koloa tukufakaholo, Amui ‘i Mu‘a/Ancient Futures, Tongan cultural heritage, Tongan diaspora, tapa, barkcloth, museum collections, Polynesian art, Queen Sālote Tupou III, Qu.."}],"section":"Hastings City Art Gallery, Aotearoa New Zealand, August 5–November 5, 2023","is_remote":true,"remote_url":"https://escholarship.org/uc/item/350437g1","frozenauthors":[{"first_name":"Billie","middle_name":"","last_name":"Lythberg","name_suffix":"","institution":"","department":""},{"first_name":"Elham","middle_name":"","last_name":"Salari","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T06:05:03+09:00","date_accepted":"2025-02-05T06:05:03+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58006/galley/44183/download/"}]},{"pk":58004,"title":"“Ngatu Led Me North”: Reflections on ‘Amui ʻi Muʻa/Ancient Futures at Pah Homestead","subtitle":null,"abstract":"This article, written as a personal response, follows two \nngatu\n (Tongan barkcloths) from Canterbury Museum to Auckland’s Pah Homestead for the \n‘Amui ‘i Mu‘a/Ancient Futures\n exhibition, which showcased the interconnectedness of Tongan material culture, identity, and visual language. The exhibition, part of a five-year collaborative project, featured works by senior Tongan artists Sopolemalama Filipe Tohi and Dagmar Vaikalafi Dyck alongside museum artifacts. This personal response highlights how Tongan artists are reclaiming cultural heritage and reasserting Indigenous knowledge in museum spaces, forging new pathways for understanding and representation.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"‘Amui ʻi Mu‘a/Ancient Futures, Tonga, Tongan art, Oceania, ngatu, barkcloth, Sopolemalama Filipe Tohi, Dagmar Vaikalafi Dyck, Tongan diaspora, customary arts, exhibitions, Tongan visual language, Cu.."}],"section":"Pah Homestead, Auckland, Aotearoa New Zealand, March 12–May 2, 2021","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6t09k0zb","frozenauthors":[{"first_name":"Hatesa","middle_name":"","last_name":"Seumanutafa","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:58:28+09:00","date_accepted":"2025-02-05T03:58:28+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58004/galley/44181/download/"}]},{"pk":57993,"title":"Pacific Arts N.S. Vol. 25, No. 1 (2025)","subtitle":null,"abstract":"Pacific Arts\n Vol. 25 No. 1 (2025) Cover, Journal Information, and Table of Contents","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Pacific Arts Association, Pacific Arts Association–North America, Oceanic art, Pacific art"}],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55g319t7","frozenauthors":[{"first_name":"Pacific Arts","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:28:02+09:00","date_accepted":"2025-02-05T03:28:02+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57993/galley/44170/download/"}]},{"pk":57992,"title":"Pacific Arts N.S. Vol. 25, No. 1 (2025)","subtitle":null,"abstract":"Special Issue: ʻAmui ʻi Muʻa/Ancient Futures","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Pacific Arts Association, Pacific Arts Association–North America, Oceanic art, Pacific art, art, visual culture, anthropology, art history, Tonga, Ancient Futures, Sopolemalama Filipe Tohi, Filipe T.."}],"section":"Full Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1hh6q0qm","frozenauthors":[{"first_name":"Pacific Arts","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:25:09+09:00","date_accepted":"2025-02-05T03:25:09+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57992/galley/44169/download/"}]},{"pk":57998,"title":"Past and Present Ancient Futures","subtitle":null,"abstract":"Tongan artist Sopolemalama Filipe Tohi presents a pictorial essay of his work included in the ‘\nAmui ‘i Mu‘a/Ancient Futures\n exhibition, part of the larger project of the same name. Works include formative ones from early in his career, along with those created during the research for the project.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Sopolemalama Filipe Tohi, Tonga, art, lashing, lalava, sculpture, Pah Homestead, ʻAmui ʻi Muʻa/Ancient Futures"}],"section":"The Project and Artists in Context","is_remote":true,"remote_url":"https://escholarship.org/uc/item/27z9v52k","frozenauthors":[{"first_name":"Filipe","middle_name":"Sopolemalama","last_name":"Tohi","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:46:04+09:00","date_accepted":"2025-02-05T03:46:04+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/57998/galley/44175/download/"}]},{"pk":58002,"title":"Return into Pacific Lights: The German “Welterkunder” Georg Forster on Captain Cook’s Second Voyage and his Tongan “Curiosities”","subtitle":null,"abstract":"This article focuses on two sorts of artifacts from Tonga that Georg Forster—a German naturalist and explorer of the late eighteenth century—translocated from Oceania to Europe. Forster traveled aboard Captain Cook’s ship \nResolution\n on Cook’s second voyage (1772–75). During the voyage, Forster and his father, Johann Reinhold Forster, collected Pacific art objects, many of which made their way to Wörlitz, Germany. This collection was featured in a permanent exhibition (Georg Forster South Sea Exhibition) at the UNESCO World Heritage site at Wörlitz. A parallel installation celebrating Tongan art and material culture was established in Nuku\nʻalofa, Tonga. This article follows the migration of Tongan objects to Europe and the cooperation which arose between the artists, curators, and academics involved in the ‘Amui ‘i Mu‘a/Ancient Futures project and their counterparts in Germany. The resulting relationship was instrumental in the formation of the two exhibitions.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"ʻAmui ʻi Muʻa/Ancient Futures, Tonga, Georg Forster, Cook voyages, art, materi-al culture, koloa, talanoa, exhibition, collections, Dessau-Wörlitz Foundation."}],"section":"Nukuʻalofa, Tonga, October 7–12, 2019","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2bz8j1cm","frozenauthors":[{"first_name":"Frank","middle_name":"","last_name":"Vorpahl","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:54:30+09:00","date_accepted":"2025-02-05T03:54:30+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58002/galley/44179/download/"}]},{"pk":58003,"title":"Situating the Amuʻi ʻi Muʻa/Ancient Futures Exhibition at Pah Homestead, Auckland, 2021","subtitle":null,"abstract":"This visual essay situates the \nAmuʻi ʻi Muʻa/Ancient Futures\n exhibition at Pah Homestead in Auckland/Tāmaki Makaurau with photographs of \nworks by\n \nTongan artists Sopolemalama Filipe Tohi and Dagmar Vaikalafi Dyck, alongside loans from Canterbury Museum and Auckland Museum. Curator and collections manager Nicholas Butler presents an exhibition dedication and welcome in English and lea faka-Tonga to the homestead. Interpretative labels prepared by Billie Lythberg and Auckland War Memorial Museum for the loaned artifacts are included in this essay.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Amuʻi ʻi Muʻa/Ancient Futures, exhibition, Tonga, Tongan diaspora, customary arts, contemporary art, Sopolemalama Filipe Tohi, Dagmar Vaikalafi Dyck, Pah Homestead, Oceanic art, collections"}],"section":"Pah Homestead, Auckland, Aotearoa New Zealand, March 12–May 2, 2021","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6b22r2n1","frozenauthors":[{"first_name":"Nicholas","middle_name":"","last_name":"Butler","name_suffix":"","institution":"","department":""},{"first_name":"Billie","middle_name":"","last_name":"Lythberg","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-05T03:56:50+09:00","date_accepted":"2025-02-05T03:56:50+09:00","date_published":"2025-02-04T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/58003/galley/44180/download/"}]},{"pk":20282,"title":"Harder, Better, Faster, Stronger? Residents Seeing More Patients Per Hour See Lower Complexity","subtitle":null,"abstract":"
Introduction: Patients seen per hour (PPH) is a popular metric for emergency medicine (EM) resident efficiency, although it is likely insufficient for encapsulating overall efficiency. In this study we explored the relationship between higher patient complexity, acuity on shift, and markers of clinical efficiency.
\nMethods: We performed a retrospective analysis using electronic health record data of the patients seen by EM residents during their final year of training who graduated between 2017–2020 at a single, urban, academic hospital. We compared the number of PPH seen during the third (final) year to patient acuity (Emergency Severity Index), complexity (Current Procedural Terminology codes [CPT]), propensity for admissions, and generated relative value units (RVU).
\nResults: A total of 46 residents were included in the analysis, representing 178,037 total cases. The number of PPH increased from first to second year of residency and fell slightly during the third year of residency. Overall, for each 50% increase in the odds of treating a patient requiring high-level evaluation and management (CPT code 99215), there was a 7.4% decrease in mean PPH. Each 50% increase in odds of treating a case requiring hospital admission was associated with a 6.7% reduction (95%confidence interval [CI] 0.73–12%; P = 0.03) in mean PPH. Each 0.1-point increase in PPH was associated with a 262 (95% CI 157–367; P < 0.001) unit increase in average RVUs generated.
\nConclusion: Seeing a greater number of patients per hour was associated with a lower volume of complex patients and patients requiring admission among EM residents.
","language":"eng","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":"GME"},{"word":"Residency"},{"word":"Clinical Efficiency"},{"word":"program evaluation"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5wg3g98h","frozenauthors":[{"first_name":"Corlin","middle_name":"M.","last_name":"Jewell","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Guangyu","middle_name":"(Anthony)","last_name":"Bai","name_suffix":"","institution":"Indiana University School of Medicine-Northwest, Gary, Indiana","department":""},{"first_name":"Dann","middle_name":"J.","last_name":"Hekman","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Adam","middle_name":"M.","last_name":"Nicholson","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"Department of Emergency Medicine"},{"first_name":"Michael","middle_name":"R.","last_name":"Lasarev","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, Department of Biostatistics and Medical Informatics, Madison, Wisconsin","department":""},{"first_name":"Roxana","middle_name":"","last_name":"Alexandridis","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, Department of Biostatistics and Medical Informatics, Madison, Wisconsin","department":""},{"first_name":"Benjamin","middle_name":"H.","last_name":"Schnapp","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":""}],"date_submitted":"2024-02-26T07:34:22.379000+09:00","date_accepted":"2024-11-13T05:54:03.592000+09:00","date_published":"2025-01-31T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20282/galley/31572/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20282/galley/31094/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20282/galley/31572/download/"}]},{"pk":21298,"title":"Modeling Hourly Productivity of Advanced Practice Clinicians in the Emergency Department","subtitle":null,"abstract":"Introduction: Advance practice clinicians (APC) play significant roles in academic and community emergency departments (ED). In attendings and residents, prior research demonstrated that productivity is dynamic and changes throughout a shift in a predictable way. However, this has not been studied in APCs. The primary outcome of this study was to model productivity for APCs in community EDs to determine whether it changes during a shift similar to the way it does for attendings and residents.
\nMethods: This was a retrospective, observational analysis of 10-hour APC shifts at two suburban hospitals, worked by 14 total individuals. We examined the number of patients seen per hour of the shift by experienced APCs who see all acuity and staff all patients with an attending. We used a generalized estimating equation to construct the model of hour-by-hour productivity change.
\nResults: We analyzed 862 shifts over one year across two sites, with three shift start times. Site 1 10 AM–8 PM saw an average of 13.31 (95% confidence interval [CI] 13.02–13.63) patients per shift; Site 2 8 AM–6 PM saw an average of 12.64 (95% CI 12.32–13.06) patients per shift; Site 2 4 PM–2 AM saw an average of 12.53 (95% CI 12.04–12.82) patients per shift. Across all sites and shifts, hour 1 saw the highest number of patients. Each subsequent hour was associated with a small, statistically significant decrease over the previous hours. This was most pronounced in the shift’s last two hours.
\nConclusion: The productivity of APCs demonstrates a similar pattern of hourly declines observed in both resident and attending physicians. This corroborates prior findings that patients per hour is a dynamic variable, decreasing throughout a shift. This provides further external validity to prior research to include both APCs and community EDs. These departments must take this phenomenon into account, as it has scheduling and operational consequences.
","language":"eng","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":"Throughput; Efficiency; Operations; Workflow; Emergency Service"},{"word":"Hospital; Advanced Practice Clinicians"},{"word":"throughput"},{"word":"Efficiency"},{"word":"operations"},{"word":"workflow"},{"word":"Advanced Practice Clinicians"},{"word":"Emergency Service Hospital"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7zm169jw","frozenauthors":[{"first_name":"Bryan","middle_name":"A.","last_name":"Stenson","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Peter","middle_name":"S.","last_name":"Antkowiak","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"David","middle_name":"T.","last_name":"Chiu","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Leon","middle_name":"D.","last_name":"Sanchez","name_suffix":"","institution":"Brigham and Women’s Faulkner Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Joshua","middle_name":"W.","last_name":"Joseph","name_suffix":"","institution":"Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""}],"date_submitted":"2024-06-08T01:07:14.715000+09:00","date_accepted":"2024-11-18T14:02:26.854000+09:00","date_published":"2025-01-31T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21298/galley/31573/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21298/galley/31259/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21298/galley/31573/download/"}]},{"pk":52268,"title":"A Case Report of Right Atrial Thrombosis Complicated by Multiple Pulmonary Emboli: POCUS For the Win!","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3zv0620b","frozenauthors":[{"first_name":"Andrea","middle_name":"","last_name":"Wolff","name_suffix":"","institution":"","department":""},{"first_name":"Evan","middle_name":"","last_name":"Leibner","name_suffix":"","institution":"","department":""},{"first_name":"Jill","middle_name":"","last_name":"Gualdoni","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:00:40+09:00","date_accepted":"2025-04-01T06:00:40+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52268/galley/39440/download/"}]},{"pk":52273,"title":"A Case Report on an Elusive Incident of Erythema Multiforme","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3bf7492s","frozenauthors":[{"first_name":"Cynthia","middle_name":"","last_name":"Tsang","name_suffix":"","institution":"","department":""},{"first_name":"Savannah","middle_name":"","last_name":"Tan","name_suffix":"","institution":"","department":""},{"first_name":"Lindsey","middle_name":"","last_name":"Spiegelman","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:21:32+09:00","date_accepted":"2025-04-01T06:21:32+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52273/galley/39444/download/"}]},{"pk":52269,"title":"Acetaminophen Toxicity","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Oral Boards","is_remote":true,"remote_url":"https://escholarship.org/uc/item/75v0c3sn","frozenauthors":[{"first_name":"Rachel","middle_name":"","last_name":"Whittaker","name_suffix":"","institution":"","department":""},{"first_name":"Navneet","middle_name":"","last_name":"Cheema","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:11:10+09:00","date_accepted":"2025-04-01T06:11:10+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52269/galley/39441/download/"}]},{"pk":52267,"title":"A Cold Case: Myxedema Coma","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5168z0h8","frozenauthors":[{"first_name":"Andrew","middle_name":"","last_name":"Namespetra","name_suffix":"","institution":"","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Petruso","name_suffix":"","institution":"","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Bazakis","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T05:56:24+09:00","date_accepted":"2025-04-01T05:56:24+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52267/galley/39439/download/"}]},{"pk":52266,"title":"Alcohol Withdrawl","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Oral Boards","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3mb5h192","frozenauthors":[{"first_name":"Patrik","middle_name":"","last_name":"Meloy","name_suffix":"","institution":"","department":""},{"first_name":"Dan","middle_name":"","last_name":"Rutz","name_suffix":"","institution":"","department":""},{"first_name":"Amit","middle_name":"","last_name":"Bhambri","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T05:51:06+09:00","date_accepted":"2025-04-01T05:51:06+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52266/galley/39438/download/"}]},{"pk":52276,"title":"Do’s and Don’ts of Taking Care of Deaf Patients","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Lectures/Podcasts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5ch687gm","frozenauthors":[{"first_name":"Luke","middle_name":"","last_name":"Johnson","name_suffix":"","institution":"","department":""},{"first_name":"Sarah","middle_name":"","last_name":"Smetana","name_suffix":"","institution":"","department":""},{"first_name":"Wyatte","middle_name":"","last_name":"Hall","name_suffix":"","institution":"","department":""},{"first_name":"Aaron","middle_name":"","last_name":"Weaver","name_suffix":"","institution":"","department":""},{"first_name":"Jason","middle_name":"","last_name":"Rotoli","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:35:12+09:00","date_accepted":"2025-04-01T06:35:12+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52276/galley/39447/download/"}]},{"pk":52271,"title":"Drowning Complicated by Hypothermia","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2jv1d6sq","frozenauthors":[{"first_name":"Alexander","middle_name":"","last_name":"Close","name_suffix":"","institution":"","department":""},{"first_name":"Jennifer","middle_name":"","last_name":"Yee","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:15:59+09:00","date_accepted":"2025-04-01T06:15:59+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52271/galley/39442/download/"}]},{"pk":54327,"title":"Front Matter v5 iss1","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9x1937cn","frozenauthors":[{"first_name":"JLPE","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-01T02:05:49+09:00","date_accepted":"2025-02-01T02:05:49+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54327/galley/41043/download/"}]},{"pk":54318,"title":"Infrastructural (Dis)Entitlement: Tactics of Dispossession on the Critical Minerals Frontier","subtitle":null,"abstract":"In Ontario’s far north, settler state authorities and extractive firms are engaged in coordinated tactics to gain ground amid a polarization in the positions of Indigenous leadership. Alongside a surging resistance, we also witness a resigned acceptance of critical minerals mining by some First Nations. Drawing on years of community-engaged research, I detail here the contemporary tactics of “infrastructural (dis)entitlement:” in this dynamic, infrastructural needs are both denied and fulfilled to differential effect. Infrastructural \ndisentitlement\n is passive; it is not necessarily deliberate, nor is it politically or institutionally organized. But infrastructural \nentitlement\n is strategic and aggressive: Indigenous prosperity and inclusion are key elements of the contemporary liberal justification for critical minerals extraction. From this, a pattern emerges of places toward which resources are flowing and places out of which they are draining. The chronic lack of community-focused infrastructure in some remote First Nations—characterized as a form of “letting die”—creates an attritional force that undermines the communities’ capacity to defend their homelands, to the advantage of the settler state and extractive firms.","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"Critical minerals"},{"word":"Indigenous dispossession"},{"word":"extractivism"},{"word":"infrastructural (dis)entitlement"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0m10m2r6","frozenauthors":[{"first_name":"Dayna","middle_name":"Nadine","last_name":"Scott","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-01-31T05:33:51+09:00","date_accepted":"2025-01-31T05:33:51+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54318/galley/41034/download/"}]},{"pk":54328,"title":"Introduction: Improvements, Complements, and Alternatives to Quantitative Analysis in Competition Law and Industrial Regulation","subtitle":null,"abstract":"The fundamental legal, normative, and politico-economic assumptions underpinning both competition law and administrative governance are in a period of considerable flux (Harris and Varellas 2020, 3; Britton-Purdy et al. 2020, 1801-02; Khan 2019; Rahman 2018). Past calls for a renewed economic analysis of law are striking a chord with present scholars. In this issue of the \nJournal of Law and Political Economy\n, we commence a specially edited series of articles focused on the value, shortcomings, and potential improvement of quantitative analysis in competition law and regulatory decision-making. This multi-year project aims to provide guidance and insight to advocates, judges, and regulators on the proper nature and scope of quantitative methods in several important areas of law and policy.","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"policy evaluation"},{"word":"Quantitative methods"},{"word":"administrative law"},{"word":"antitrust law"},{"word":"cost-benefit analysis"},{"word":"consumer welfare standard"},{"word":"gig economy"},{"word":"employment law"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3tm5v8q5","frozenauthors":[{"first_name":"Frank","middle_name":"","last_name":"Pasquale","name_suffix":"","institution":"","department":""},{"first_name":"James","middle_name":"J","last_name":"Varellas","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-01T02:11:41+09:00","date_accepted":"2025-02-01T02:11:41+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54328/galley/41044/download/"}]},{"pk":54321,"title":"Is the Problem with Antitrust Law or Antitrust Enforcement?","subtitle":null,"abstract":"There is an emerging belief that antitrust has failed marginalized populations. For example, exclusionary practices have helped to produce banking and food deserts in low-income communities, though antitrust has seldom intervened. But is this a problem of antitrust law? In fact, another claim is that antitrust \nlaw \nis just fine as opposed to how federal agencies \nenforce \nantitrust. Since agencies must decide which cases to bring, they should perhaps pay better attention to marginalized communities or draft complaints to emphasize their unique injuries. This topic is especially salient, given the ongoing debate about whether the consumer welfare standard is able to promote competition in modern markets. In essence, the root of why antitrust has yet to meet its potential of serving marginalized communities may lie with the law and its interpretation or, alternatively, people and organizations enforcing it.","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"antitrust"},{"word":"Sherman Act"},{"word":"discrimination"},{"word":"Equality"},{"word":"agencies"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/41d8x6np","frozenauthors":[{"first_name":"Gregory","middle_name":"","last_name":"Day","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-01-31T09:23:37+09:00","date_accepted":"2025-01-31T09:23:37+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54321/galley/41037/download/"}]},{"pk":52277,"title":"Journal Court: A Novel Approach to Incorporate Medicolegal Education into an Emergency Medicine Journal Club","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2m44k23t","frozenauthors":[{"first_name":"Kevin","middle_name":"","last_name":"McGurk","name_suffix":"","institution":"","department":""},{"first_name":"Mary","middle_name":"","last_name":"Jordan","name_suffix":"","institution":"","department":""},{"first_name":"Bradley","middle_name":"","last_name":"Davis","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:37:45+09:00","date_accepted":"2025-04-01T06:37:45+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52277/galley/39448/download/"}]},{"pk":52275,"title":"Medical Simulation Anywhere and Anytime: Simulation in a Backpack","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Innovations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7dh5x4f2","frozenauthors":[{"first_name":"Janice","middle_name":"","last_name":"Shin-Kim","name_suffix":"","institution":"","department":""},{"first_name":"Adam","middle_name":"","last_name":"Blumenberg","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:32:10+09:00","date_accepted":"2025-04-01T06:32:10+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52275/galley/39446/download/"}]},{"pk":52272,"title":"Retropharyngeal Abscess in an Adult Patient Presenting with Neck Fullness and Dysphagia: A Case Report","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6wk2k2zg","frozenauthors":[{"first_name":"Justin","middle_name":"","last_name":"Rederer","name_suffix":"","institution":"","department":""},{"first_name":"Tanner","middle_name":"","last_name":"Folster","name_suffix":"","institution":"","department":""},{"first_name":"Sara","middle_name":"","last_name":"Dimeo","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:17:58+09:00","date_accepted":"2025-04-01T06:17:58+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52272/galley/39443/download/"}]},{"pk":54323,"title":"Review of Andrew Schrank, The Economic Sociology of Development (Polity Press, 2023)","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1wj7x32x","frozenauthors":[{"first_name":"Pedro","middle_name":"","last_name":"Mouallem","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-01T01:44:32+09:00","date_accepted":"2025-02-01T01:44:32+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54323/galley/41039/download/"}]},{"pk":54324,"title":"Review of Julia Calvert, The Politics of Investment Treaties in Latin America (Oxford University Press, 2022)","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5md2708c","frozenauthors":[{"first_name":"Clara","middle_name":"","last_name":"Lopez","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-01T01:48:50+09:00","date_accepted":"2025-02-01T01:48:50+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54324/galley/41040/download/"}]},{"pk":54325,"title":"Review of Ruth Dukes and Wolfgang Streeck, Democracy at Work: Contract, Status and Post-Industrial Justice (Polity Press, 2023)","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8pc158nm","frozenauthors":[{"first_name":"Vladimir","middle_name":"","last_name":"Bogoeski","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-01T01:53:35+09:00","date_accepted":"2025-02-01T01:53:35+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54325/galley/41041/download/"}]},{"pk":52274,"title":"The Advantage of Using Video Laryngoscope in Puncture and Incisional Drainage of Peritonsillar Abscess: A Case Report","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.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0vs2r83p","frozenauthors":[{"first_name":"Daisuke","middle_name":"","last_name":"Goto","name_suffix":"","institution":"","department":""},{"first_name":"Jin","middle_name":"","last_name":"Takahashi","name_suffix":"","institution":"","department":""},{"first_name":"Hiraku","middle_name":"","last_name":"Funakoshi","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-01T06:23:57+09:00","date_accepted":"2025-04-01T06:23:57+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52274/galley/39445/download/"}]},{"pk":54326,"title":"The Biden Administration’s Initiative to Modernize Regulatory Review","subtitle":null,"abstract":"The Biden administration’s initiative to modernize regulatory review, while attempting to incorporate various criticisms of cost-benefit analysis (CBA), was hobbled by an insufficient theoretical analysis. Specifically, the administration failed to address its implicit naturalization of the economic subject, under which subjects and their preferences are regarded as exogenous givens. The justification for CBA is that it can use information regarding individual “willingness to pay” (WTP) or “willingness to accept” (WTA) to discern these preferences, and thereby create efficient policy. But if the naturalized subject is fictional, then there is nothing to discern. Subjects and their preferences are not waiting to be found; rather, they are endogenously shaped. Recognition of this endogeneity would allow for preferences, or values, constituted through democratic spaces to be no less salient to policy than those ostensibly exogenous to the market. Further, it would allow for regulatory institutions themselves to serve as those democratic spaces.","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"cost-benefit analysis"},{"word":"Neoclassical Economics"},{"word":"welfare economics"},{"word":"administrative law"},{"word":"Regulatory Law"},{"word":"Biden administration"},{"word":"climate change"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5784v5f1","frozenauthors":[{"first_name":"Mark","middle_name":"","last_name":"Silverman","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-01T01:59:51+09:00","date_accepted":"2025-02-01T01:59:51+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54326/galley/41042/download/"}]},{"pk":54317,"title":"The Intellectual Origins of the Modern International Tax Regime: Edwin R. A. Seligman, Economic Allegiance, and the League of Nations’ 1923 Report","subtitle":null,"abstract":"In March 1923, a group of prominent political economists and tax law experts gathered in Geneva, Switzerland to discuss the post–World War I framework for a new international tax regime. Commissioned by the League of Nations, these experts produced a comprehensive report that gradually became the intellectual foundation of the modern international tax regime. Relying on archival materials and other primary sources, this article contends that the US expert Edwin R. A. Seligman played a vital role in revising the report. While scholars have noted Seligman’s influence over US tax law and policy, his pivotal role in drafting the 1923 report has only recently been acknowledged. This article builds on this recent scholarship by investigating how Seligman’s background, experiences, and ideas—particularly his analysis and advocacy of the concept of “ability to pay” and “economic allegiance”—shaped the 1923 Report, and hence the subsequent development of the modern international tax regime.","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"international taxation"},{"word":"fiscal history"},{"word":"interwar period"},{"word":"Global Capitalism"},{"word":"League of Nations"},{"word":"Edwin R.A. Seligman"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3qn3f1c6","frozenauthors":[{"first_name":"Ajay","middle_name":"","last_name":"Mehrotra","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-01-31T03:16:02+09:00","date_accepted":"2025-01-31T03:16:02+09:00","date_published":"2025-01-31T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54317/galley/41033/download/"}]},{"pk":42228,"title":"Thanks to Reviewers","subtitle":null,"abstract":"The editors of L2 Journal are grateful to the following individuals who reviewed manuscripts in 2024. Peer review is a cornerstone of scholarship and relies on the contributions of reviewers who are willing to give of their time to support other scholars in the shaping of their work.
\n","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"From the Editors","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8dc7v0pg","frozenauthors":[{"first_name":"Kimberly","middle_name":"","last_name":"Vinall","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2025-01-31T02:39:26.012000+09:00","date_accepted":"2025-01-31T02:40:05.259000+09:00","date_published":"2025-01-31T02:42:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/42228/galley/31565/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/42228/galley/31565/download/"}]},{"pk":20800,"title":"Designing a Decentering Learning Experience with Advertisements: Teaching to Broaden Learners’ Interpretive Disposition","subtitle":null,"abstract":"
In line with the perspective of Álvarez Valencia and Michelson (2022) and Liddicoat and Scarino (2013), who see interpretation and meaning-making as core features of teaching for interculturality, this article delves into the potential of advertisements to foster the development of learners’ interculturality. Focused on a curricular sequence designed for an advanced French course, it offers an example of a classroom learning experience intended to create an increasingly dissonant context to decenter learners’ frames of reference surrounding symbolic representations of Frenchness. Advertisements are particularly effective in eliciting decentering because they are filled with culturally situated references. Whether explicit or implicit, these references can create both consonance and dissonance, thus exposing the subjective nature of interpretation and meaning-making. The article begins by outlining the approach and frameworks used to structure the sequence. It then details the methodology employed to search for, select, and sequence advertisements. Additionally, the article explains the choices of cultural references related to Frenchness and their potential to create consonance and dissonance. The description of the sequence highlights the questions guiding classroom interactions, illustrating how the selected advertisements successfully cultivate learners’ dispositions to move beyond the constraints of their frames of reference and interpret meaning from a different perspective. The article concludes with pedagogical interpretations and strategies for implementing a decentering-focused pedagogy using advertisements.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Interculturality"},{"word":"foreign language learning"},{"word":"French"},{"word":"advertising"},{"word":"cultural references"},{"word":"Decentering"}],"section":"Teachers' Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/88f4z489","frozenauthors":[{"first_name":"Isabelle","middle_name":"","last_name":"Drewelow","name_suffix":"","institution":"None","department":""}],"date_submitted":"2024-04-13T05:33:57.313000+09:00","date_accepted":"2024-11-27T05:04:09.413000+09:00","date_published":"2025-01-31T02:34:00+09:00","render_galley":{"label":"Galley v2","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/20800/galley/31249/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/20800/galley/31107/download/"},{"label":"Galley v2","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/20800/galley/31249/download/"}]},{"pk":35245,"title":"Reconceptualizing the Role of L1 in Second Language Pedagogy ","subtitle":null,"abstract":"This reflective report aims to reimagine the role of the first language (L1) in the second language (L2) classroom by challenging the prevalent monolingual approach in second language pedagogy. Drawing from personal teaching experiences and recent developments in applied linguistics, I argue for a more nuanced understanding of the L1's potential in the L2 classroom. Following a brief description of the historical context in which the monolingual approach gained prominence, I juxtapose the concepts of Common Underlying Proficiency and translanguaging with the artificial limitations imposed by adhering to a strict monolingual approach. By exploring how strategic L1 use can bridge cognitive-linguistic gaps and empower learners, I propose practical strategies for incorporating L1 into the L2 classroom. This report contributes to the ongoing debate on the effectiveness of Communicative Language Teaching (CLT) and advocates for a more inclusive approach that values learners' full linguistic repertoires.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Translanguaging"},{"word":"Communicative Language Teaching"},{"word":"Monolingual Approach"},{"word":"Common Underlying Proficiency"}],"section":"Teachers' Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6hh9p66t","frozenauthors":[{"first_name":"Hossam","middle_name":"A","last_name":"Elsherbiny","name_suffix":"","institution":"Rice University","department":"Center for Languages and Intercultural Communication"}],"date_submitted":"2024-08-30T06:29:28.348000+09:00","date_accepted":"2024-12-19T08:14:52.579000+09:00","date_published":"2025-01-31T02:32:00+09:00","render_galley":{"label":"galley final","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/35245/galley/31564/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/35245/galley/31414/download/"},{"label":"galley final","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/35245/galley/31564/download/"}]},{"pk":25002,"title":"Quantitative Analysis of Honey Bee Blood-Ethanol Levels Following Exposure to Ethanol Vapors","subtitle":null,"abstract":"The use of invertebrate models has allowed researchers to examine the mechanisms behind alcoholism and its effects with a cost-effective system. In that respect, the honey bee is an ideal model species to study the effects of ethanol (EtOH) due to the behavioral and physiological similarities of honey bees with humans when alcohol is consumed. Although both ingestion and inhalation methods are used to dose subjects in insect EtOH model systems, there is little literature on the use of the EtOH vapor-exposure method for experiments using honey bees. The experiment presented here provides baseline data for a dose EtOH-hemolymph response curve when using EtOH vapor-inhalation dosing with honey bees (Apis mellifera). Bees were exposed to EtOH vapors for 0, 1, 2.5, or 5 min, and hemolymph was collected 1 min post EtOH exposure. Hemolymph samples were analyzed using gas chromatography (GC) for hemolymph EtOH concentration. The ethanol-hemolymph level of the bees increased linearly with exposure time. The results provide a dosing guide for hemolymph EtOH level in the honey bee model ethanol-inhalation system, and thus makes the honey bee model more robust.
","language":"eng","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":"addiction"},{"word":"ethanol"},{"word":"Honey bee"},{"word":"inebriator"},{"word":"vapor ethanol"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/494804z7","frozenauthors":[{"first_name":"Kiri","middle_name":"","last_name":"Stauch","name_suffix":"","institution":"None","department":""},{"first_name":"Gabriel","middle_name":"","last_name":"LeBlanc","name_suffix":"","institution":"","department":""},{"first_name":"Harrington","middle_name":"","last_name":"Wells","name_suffix":"","institution":"None","department":""},{"first_name":"Riley","middle_name":"","last_name":"Wincheski","name_suffix":"","institution":"None","department":""},{"first_name":"Laura","middle_name":"M","last_name":"Grossner","name_suffix":"","institution":"Oklahoma State University","department":""},{"first_name":"Charles","middle_name":"I","last_name":"Abramson","name_suffix":"","institution":"Oklahoma State University","department":""}],"date_submitted":"2024-06-29T11:13:34.785000+09:00","date_accepted":"2024-11-26T07:05:48.914000+09:00","date_published":"2025-01-31T00:00:00+09:00","render_galley":{"label":"Stauch_FINAL _pdf","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/25002/galley/31563/download/"},"galleys":[{"label":"Stauch_FINAL _pdf","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/25002/galley/31563/download/"}]},{"pk":20779,"title":"Critical Time Intervals in Door-to-Balloon Time Linked to One-Year Mortality in ST-Elevation Myocardial Infarction","subtitle":null,"abstract":"Background: Timely activation of primary percutaneous coronary intervention (PCI) is crucial for patients with ST-segment elevation myocardial infarction (STEMI). Door-to-balloon (DTB) time, representing the duration from patient arrival to balloon inflation, is critical for prognosis. However, the specific time segment within the DTB that is most associated with long-term mortality remains unclear. In this study we aimed to identify the target time segment within the DTB that is most associated with one-year mortality in STEMI patients.
\nMethods: We conducted a retrospective cohort study at a tertiary teaching hospital. All patients diagnosed with STEMI and activated for primary PCI from the emergency department were identified between January 2013–December 2021. Patient demographics, medical history, triage information, electrocardiogram, troponin-I levels, and coronary angiography reports were obtained. We divided the DTB time into door-to-electrocardiogram (ECG), ECG-to-cardiac catheterization laboratory (cath lab) activation, activation-to-cath lab arrival, and cath lab arrival-to-balloon time. We used Kaplan-Meier survival analysis and multivariable Cox proportional hazards models to determine the independent effects of these time intervals on the risk of one-year mortality.
\nResults: A total of 732 STEMI patients were included. Kaplan-Meier analysis revealed that delayed door-to-ECG time (>10 min) and cath lab arrival-to-balloon time (>30 min) were associated with a higher risk of one-year mortality (log-rank test, P < .001 and P = 0.01, respectively). In the multivariable Cox models, door-to-ECG time was a significant predictor for one-year mortality, whether it was analyzed as a dichotomized (>10 min vs ≤10 min) or a continuous variable. The corresponding adjusted hazard ratios (aHR) were 2.81 (95% confidence interval [CI] 1.42–5.55) for the dichotomized analysis, and 1.03 (95%CI 1.00–1.06) per minute increase, respectively. Cath lab arrival-to-balloon time also showed an independent effect on one-year mortality when analyzed as a continuous variable, with an aHR of 1.02 (95% CI 1.00–1.04) per minute increase. However, ECG-to-cath lab activation and activation-to-cath lab arrival times did not show a significant association with the risk of one-year mortality.
\nConclusion: Within the door-to-balloon interval, the time from door-to-ECG completion is particularly crucial for one-year survival after STEMI, while cath lab arrival-to-balloon inflation may also be relevant.
","language":"eng","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":"ST-segment elevation myocardial infarction; STEMI; door-to-balloon time; door-to-ECG time; Survival"},{"word":"Mortality"},{"word":"ST-Segment Elevation Myocardial Infarction"},{"word":"STEMI"},{"word":"door-to-balloon time"},{"word":"door-to-ECG time"},{"word":"survival"}],"section":"Cardiology","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6q6149nn","frozenauthors":[{"first_name":"Shin-Ho","middle_name":"","last_name":"Tsai","name_suffix":"","institution":"Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Emergency Medicine, Chiayi City, Taiwan","department":""},{"first_name":"Yu-Ting","middle_name":"","last_name":"Hsiao","name_suffix":"","institution":"Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Emergency Medicine, Chiayi City, Taiwan","department":""},{"first_name":"Ya-Ni","middle_name":"","last_name":"Yeh","name_suffix":"","institution":"Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Emergency Medicine, Chiayi City, Taiwan","department":""},{"first_name":"Jih-Chun","middle_name":"","last_name":"Lin","name_suffix":"","institution":"Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Emergency Medicine, Chiayi City, Taiwan","department":""},{"first_name":"Shi-Quan","middle_name":"","last_name":"Zhang","name_suffix":"","institution":"Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Emergency Medicine, Chiayi City, Taiwan","department":""},{"first_name":"Ming-Jen","middle_name":"","last_name":"Tsai","name_suffix":"","institution":"Ditmanson Medical Foundation Chia-Yi Christian Hospital, Department of Emergency Medicine, Chiayi City, Taiwan","department":""}],"date_submitted":"2024-04-11T15:43:34.440000+09:00","date_accepted":"2024-10-31T05:45:19.543000+09:00","date_published":"2025-01-30T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20779/galley/31566/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20779/galley/31081/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20779/galley/31566/download/"}]},{"pk":20365,"title":"Development of a Reliable, Valid Procedural Checklist for Assessment of Emergency Medicine Resident Performance of Emergency Cricothyrotomy","subtitle":null,"abstract":"Introduction: Emergency cricothyrotomy is a rare but potentially life-saving procedure performed by emergency physicians. A comprehensive, dichotomous procedural checklist for emergency cricothyrotomy for emergency medicine (EM) resident education does not exist.
\nObjectives: We aimed to develop a checklist containing the critical steps for performing an open emergency cricothyrotomy, to assess performance of EM residents performing an open emergency cricothyrotomy using the checklist on a simulator, and to evaluate the reliability and validity of the checklist for performing the procedure.
\nCurricular Design: We developed a preliminary checklist based on literature review and sent it to experts in EM and trauma surgery. A modified Delphi approach was used to revise the checklist and reach consensus on a final version of the checklist. To assess usability of the checklist, we assessed EM residents using a cricothyrotomy task trainer. Scores were determined by the number of correctly performed items. We calculated inter-rater reliability using the Cohen kappa coefficient. Validity was assessed using the Welch t-test to compare the performance of residents who had and had not performed an open emergency cricothyrotomy, and we used analysis of variance to compare performance of postgraduate year (PGY) cohorts.
\nImpact/Effectiveness: The final 27-item checklist was developed after three rounds of revisions. Inter-rater reliability was strong overall (κ = 0.812) with individual checklist items ranging from slight to nearly perfect agreement. A total of 56 residents participated, with an average score of 14.3 (52.9%). Performance varied significantly among PGY groups (P < 0.001). Residents who had performed an emergency cricothyrotomy previously performed significantly better than those who had not (P = 0.005). The developed checklist, which can be used in procedural training for open emergency cricothyrotomy, suggests that improved training approaches to teaching and assessing emergency cricothyrotomy are needed given the overall poor performance of this cohort.
","language":"eng","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 cricothyrotomy"},{"word":"procedural training"},{"word":"Procedural checklist"},{"word":"Emergency Medicine"},{"word":"Medical Education"},{"word":"Simulation"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3q5956wh","frozenauthors":[{"first_name":"Dana","middle_name":"E.","last_name":"Loke","name_suffix":"","institution":"University of Wisconsin School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Andrew","middle_name":"M.","last_name":"Rogers","name_suffix":"","institution":"NorthShore University Health System, Division of Emergency Medicine, Evanston, Illinois","department":""},{"first_name":"Morgan","middle_name":"L.","last_name":"McCarthy","name_suffix":"","institution":"Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois; St Luke’s Hospital, Department of Emergency Medicine, New Bedford, Massachusetts","department":""},{"first_name":"Maren","middle_name":"K.","last_name":"Leibowitz","name_suffix":"","institution":"Icahn School of Medicine at Mount Sinai, Institute of Critical Care Medicine, New York, New York","department":""},{"first_name":"Elizabeth","middle_name":"T.","last_name":"Stulpin","name_suffix":"","institution":"Emory University Hospital, Department of Emergency Medicine, Atlanta, Georgia","department":""},{"first_name":"David","middle_name":"H.","last_name":"Salzman","name_suffix":"","institution":"Northwestern University, Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois; Northwestern University, Feinberg School of Medicine, Department of Medical Education, Chicago, Illinois","department":""}],"date_submitted":"2024-06-16T07:27:39.667000+09:00","date_accepted":"2024-11-02T00:39:19.145000+09:00","date_published":"2025-01-30T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20365/galley/31568/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20365/galley/31082/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20365/galley/31568/download/"}]},{"pk":35281,"title":"Injuries and Outcomes of Ground-level Falls Among Older Patients: A Retrospective Cohort Study","subtitle":null,"abstract":"Study Objective: We sought to determine the overall rates of traumatic injuries and whether the rates of traumatic injuries and various clinical outcomes differed among older patients presenting to a tertiary-care emergency department (ED) after a ground-level fall (GLF) and who underwent whole-body computed tomography.
\nMethods: We conducted a retrospective cohort study of patients ≥65 years of age who presented to the ED with a GLF and received a whole-body CT from January 1–December 31, 2021. Age was stratified into age groups: 65–74; 75–84; and 85+. We presented a descriptive analysis of traumatic injuries, intensive care unit (ICU) admissions, and all-cause mortality rates. We used multivariable logistic regression to determine the association between increasing age, traumatic injuries, and clinical outcomes.
\nResults: Of 638 patients in the cohort, 120 (18.9%) sustained thoracic injuries and 80 (12.5%) sustained intracranial hemorrhages. Only five (0.8%) patients sustained an intra-abdominal injury, while 134 (21.0%) were admitted to the ICU, and 31 (4.8%) died during their index hospitalization. Head injuries (odds ratio [OR] 6.21, 95% CI 3.65–10.6, P < 0.001) and thoracic injuries (OR 5.25, 95% CI 3.30–8.36, P < 0.001) were associated with increased odds of ICU admission, whereas head injuries (OR 3.21, 95%CI 1.41–7.31, P < 0.01) and cervical injuries (OR 3.37, 95% CI 1.08–10.5, P < 0.05) were associated with increased odds of in-hospital, all-cause mortality. There were no statistically significant differences in the rates of injuries sustained between the respective age groups. There was no association between increasing age and ICU admissions or in-hospital, all-cause mortality rates.
\nConclusion: Among patients aged ≥65 years of age who presented to the ED after a ground-level fall and underwent whole-body CT, thoracic injuries and intracranial hemorrhages were associated with increased odds of ICU admissions. We found no significant differences in injury rates or outcomes across age groups, indicating that age alone should not guide ICU admission decisions. These findings suggest that the use of whole-body CT in this population should be selective and guided by clinical judgment rather than applied universally.
","language":"eng","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":"ground-level fall"},{"word":"Trauma"},{"word":"whole-body CT"},{"word":"Older Adults"}],"section":"Geriatrics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9xf0v85g","frozenauthors":[{"first_name":"Vincent","middle_name":"","last_name":"Kan","name_suffix":"","institution":"UMass Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Wilson","middle_name":"","last_name":"Huang","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""},{"first_name":"Gretta","middle_name":"","last_name":"Steigauf-Regan","name_suffix":"","institution":"UMass Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Jill","middle_name":"","last_name":"Anderson","name_suffix":"","institution":"UMass Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Ivy","middle_name":"","last_name":"Dang","name_suffix":"","institution":"UMass Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Chad","middle_name":"","last_name":"Darling","name_suffix":"","institution":"UMass Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":""}],"date_submitted":"2024-09-05T18:13:52.817000+09:00","date_accepted":"2024-11-16T07:37:02.724000+09:00","date_published":"2025-01-30T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/35281/galley/31570/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/35281/galley/31090/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/35281/galley/31570/download/"}]},{"pk":21139,"title":"Personality Traits and Burnout in Emergency Medicine Residents","subtitle":null,"abstract":"Background: Burnout is prevalent in medical training, and some data indicates certain personality types are more susceptible. The criterion reference for measurement of burnout is the Maslach Burnout Inventory (MBI), which scores three factors: emotional exhaustion (EE); depersonalization (DP); and personal accomplishment (PA). Emotional exhaustion most closely correlates with burnout. Studies have yet to evaluate a link between burnout markers and certain personality traits in emergency medicine (EM) residents. The personality traits of openness, agreeableness, extraversion, conscientiousness, and neuroticism can be measured with a 50-item International Personality Item Pool (IPIP) Big 5 survey. Our goal in this study was to be the first to examine the relationship between personality traits and burnout among EM residents and guide future research on potential predictors of burnout and targeted interventions for resident well-being.
\nMethods: This was an observational, cross-sectional study conducted in March and April of 2023 in an urban, Level II trauma center, involving all EM residents at a three-year residency program. Two surveys, the IPIP and MBI-Human Services Survey, were distributed to all residents, and their responses were anonymous. We calculated raw/mean scores and standard deviations for each personality trait/burnout measure and compared them by the Pearson correlation coefficient.
\nResults: All 38 residents completed the surveys. A total of 31% of the cohort reported high exhaustion, 13% reported high DP, and 42% reported low PA. Two of 38 (5%) residents reported the combination of high EE, high DP, and low PA. There was a statistically significant negative correlation between conscientiousness and EE (n = 38; Pearson r = −0.40, P < 0.001) and a positive correlation between conscientiousness and PA (n = 38; Pearson r = 0.36, P = 0.03).
\nConclusion: In our sample, residents who were more conscientious reported experiencing lower levels of emotional exhaustion and a greater sense of personal accomplishment. Programs may cautiously explore the potential of assessing resident personality traits as part of broader efforts to identify predictors of burnout, but further research with larger, multicenter, longitudinal samples is needed to corroborate these results. The small sample size and single-center design may limit generalizability of these findings, and the use of self-reported measures introduces the risk of response bias.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"burnout"},{"word":"personality traits"},{"word":"Goldberg"},{"word":"the big 5"},{"word":"maslach burnout inventory"},{"word":"openness"},{"word":"conscientiousness"},{"word":"emotional exhaustion"},{"word":"extraversion"},{"word":"agreeableness"},{"word":"neuroticism"},{"word":"personal accomplishment"},{"word":"depersonalization"},{"word":"Wellness"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/08v021q4","frozenauthors":[{"first_name":"Brendan","middle_name":"","last_name":"Freeman","name_suffix":"","institution":"Staten Island University Hospital | Northwell Health, Department of Emergency Medicine, Staten Island, New York","department":""},{"first_name":"Lukasz","middle_name":"","last_name":"Cygan","name_suffix":"","institution":"New York-Presbyterian Brooklyn Methodist Hospital, Department of Emergency Medicine, Brooklyn, New York","department":""},{"first_name":"Laura","middle_name":"","last_name":"Melville","name_suffix":"","institution":"New York-Presbyterian Brooklyn Methodist Hospital, Department of Emergency Medicine, Brooklyn, New York","department":""},{"first_name":"Theodore","middle_name":"","last_name":"Gaeta","name_suffix":"","institution":"New York-Presbyterian Brooklyn Methodist Hospital, Department of Emergency Medicine, Brooklyn, New York","department":""}],"date_submitted":"2024-06-15T01:02:23.075000+09:00","date_accepted":"2024-11-04T03:29:27.686000+09:00","date_published":"2025-01-30T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21139/galley/31569/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21139/galley/31093/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21139/galley/31569/download/"}]},{"pk":29328,"title":"Use and Outcomes of Sugammadex for Neurological Examination after Neuromuscular Blockade in the Emergency Department","subtitle":null,"abstract":"Introduction: Non-depolarizing agents such as rocuronium and vecuronium are frequently used in the emergency department (ED) to facilitate intubation but may lead to delay in neurologic examination and intervention. Sugammadex is used for reversal of neuromuscular blockade by non-depolarizing agents but its role in the reversal of neuromuscular blockade for neurologic examination in the ED is poorly defined.
\nMethods: This was a multicenter cohort study using retrospective chart review. We reviewed all ED encounters from June 21, 2016–February 9, 2024 of the electronic health record of Mass General Brigham, a large multistate health system, and abstracted all ED administrations of sugammadex to facilitate neurologic examination. We calculated descriptive statistics and assessed outcomes.
\nResults: In 3,080,338 ED visits during the study period, 48 patients received sugammadex to facilitate neurologic examination. Of those patients, 23 (47.9%) underwent a procedure within 24 hours. Three (6.3%) had bradycardia, and one (2.1%) had hypotension following sugammadex administration. A total of 23 patients (47.9%) ultimately died during their admission, and 24 (50%) died within 30 days.
\nConclusion: Patients who received sugammadex in the ED to facilitate neurologic examination during the study period had rare associated adverse effects, high rates of procedures within 24 hours of administration, and significant in-hospital mortality. Prospective data is needed to assess the impact of sugammadex on decision-making.
","language":"eng","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":"Sugammadex"},{"word":"Neuromuscular blockade"},{"word":"Rocuronium"},{"word":"Vecuronium"},{"word":"Neurological Examination"},{"word":"emergency department"}],"section":"Neurology","is_remote":true,"remote_url":"https://escholarship.org/uc/item/30k5d2qq","frozenauthors":[{"first_name":"Stephen","middle_name":"D.","last_name":"Hallisey","name_suffix":"","institution":"Brigham and Women’s Hospital, Department of Emergency Medicine, Division of Emergency Critical Care Medicine, Boston, Massachusetts; Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Christiana","middle_name":"K.","last_name":"Prucnal","name_suffix":"","institution":"Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts; Brigham and Women’s Hospital, Department of Emergency Medicine, Boston, Massachusetts; Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Annette","middle_name":"M.","last_name":"Ilg","name_suffix":"","institution":"Brigham and Women’s Hospital, Department of Emergency Medicine, Division of Emergency Critical Care Medicine, Boston, Massachusetts; Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Raghu","middle_name":"R.","last_name":"Seethala","name_suffix":"","institution":"Brigham and Women’s Hospital, Department of Emergency Medicine, Division of Emergency Critical Care Medicine, Boston, Massachusetts; Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Paul","middle_name":"S.","last_name":"Jansson","name_suffix":"","institution":"Brigham and Women’s Hospital, Department of Emergency Medicine, Division of Emergency Critical Care Medicine, Boston, Massachusetts; Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts","department":""}],"date_submitted":"2024-07-13T11:20:52.112000+09:00","date_accepted":"2024-10-17T23:44:15.479000+09:00","date_published":"2025-01-30T23:00:00+09:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/29328/galley/31571/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/29328/galley/31091/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/29328/galley/31571/download/"}]},{"pk":54322,"title":"Antitrust’s Right Turn in the Late 1970s","subtitle":null,"abstract":"In this essay, we detail the fundamental reasons for antitrust policy’s right turn toward the consumer welfare theory and against antitrust enforcement in the 1970s. Two recent articles raise questions as to the cause of this turn, with one article arguing that big business capture facilitated the right turn, while another touts a consensus around science-based economics. We argue that while the capture theory is more persuasive, power dynamics between heterogeneous business alliances shifted due to changes in the economy that eroded the incomes of the wealthiest; reductions in antitrust enforcement was one means of restoring that lost income. This essay details that economic history in support of a more nuanced capture theory.","language":"en","license":{"name":"","short_name":"","text":null,"url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"antitrust"},{"word":"industrial organization"},{"word":"law and economics"},{"word":"Welfare"},{"word":"Economic History"}],"section":"Essays","is_remote":true,"remote_url":"https://escholarship.org/uc/item/74b905p6","frozenauthors":[{"first_name":"Darren","middle_name":"","last_name":"Bush","name_suffix":"","institution":"","department":""},{"first_name":"Mark","middle_name":"","last_name":"Glick","name_suffix":"","institution":"","department":""},{"first_name":"Gabriel","middle_name":"A.","last_name":"Lozada","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-01-31T10:15:17+09:00","date_accepted":"2025-01-31T10:15:17+09:00","date_published":"2025-01-30T17:00:00+09:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54322/galley/41038/download/"}]},{"pk":43491,"title":"Intersectionally-Informed Advocacy: A Structural Justice Account of Wrongful Convictions for Sexual Violence","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2ds38079","frozenauthors":[{"first_name":"Taylor","middle_name":"Elyse","last_name":"Mills","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-01-30T03:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jgl/article/43491/galley/32340/download/"}]},{"pk":42218,"title":"CPC-EM Full-Text Issue","subtitle":null,"abstract":"n/a
","language":null,"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/15r7j304","frozenauthors":[{"first_name":"Clinical Practice and Cases in Emergency Medicine","middle_name":"","last_name":"CPC-EM","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-01-29T05:02:52.686000+09:00","date_accepted":"2025-01-29T05:07:06.541000+09:00","date_published":"2025-01-29T14:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/42218/galley/31516/download/"}]},{"pk":21315,"title":"Active Liver Bleed Caught During FAST Exam from Spontaneous Hemangioma Rupture: A Case Report","subtitle":null,"abstract":"Introduction: This case highlights the advances that have been made when skilled sonographers using point-of-care ultrasound (POCUS) are able to evaluate for more than free fluid on the focused assessment with sonography in trauma (FAST) exam. Specific solid organ injury including an active liver bleed can also be detected during FAST exam, as seen in this case of a unstable hypotensive patient.
\nCase Report:A 55-year-old male who had recently been admitted to trauma service due to multiple rib fractures presented back to the emergency department (ED) due to an episode of syncope and was found to have an acute, left segmental pulmonary embolism. The patient was started on anticoagulation, and the following day was found to be hypotensive, encephalopathic, and minimally responsive to verbal stimuli. During the resuscitative efforts, a FAST exam performed by the emergency physician showed grossly positive free fluid in various quadrants and active flow around the liver concerning for active bleeding. Computed tomography subsequently confirmed an active subcapsular bleed of the liver, and patient was taken emergently to surgery for hemostasis from a ruptured liver hemangioma. This was then followed by a right hepatic arterial embolization.
\nConclusion: While the FAST exam is well established in the setting of trauma, this case further highlights the use of POCUS in a patient with undifferentiated hypotension and shock. It serves as a reminder of how imperative it is to not anchor on the primary diagnosis and reinforces the importance of ultrasonographic competency in physicians of all specialties and not just those in the realm of emergency medicine and critical care.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"FAST"},{"word":"liver"},{"word":"Hemangioma"},{"word":"rupture"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sw0t8mz","frozenauthors":[{"first_name":"Raul","middle_name":"Humberto","last_name":"Rodriguez","name_suffix":"","institution":"HCA Florida Kendall Hospital, Department of Emergency Medicine, Miami, Florida","department":"Emergency Medicine"},{"first_name":"Nicole","middle_name":"","last_name":"Aviles","name_suffix":"","institution":"HCA Florida Kendall Hospital, Department of Emergency Medicine, Miami, Florida","department":""}],"date_submitted":"2024-06-27T22:50:33.145000+09:00","date_accepted":"2024-11-27T20:12:08.977000+09:00","date_published":"2025-01-29T05:45:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/21315/galley/31541/download/"}]},{"pk":42067,"title":"CDEM CORD Special Issue on Educational Research and Practice","subtitle":null,"abstract":"n/a
","language":null,"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/7td6k92w","frozenauthors":[{"first_name":"Cassandra","middle_name":"","last_name":"Saucedo","name_suffix":"","institution":"UC Irvine","department":""}],"date_submitted":"2025-01-28T08:59:28.807000+09:00","date_accepted":"2025-01-28T09:15:39.349000+09:00","date_published":"2025-01-28T02:22:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/42067/galley/31416/download/"}]},{"pk":25340,"title":"Does productive agreement morphology increase sensitivity to agreement in a second language?","subtitle":null,"abstract":"Adult language learners have variable performance with subject-verb number agreement. But it is unclear whether their performance additionally depends on the availability of agreement morphology in their first language. To address this question, we conducted a self-paced reading task comparing different speaker groups: (a) first vs. second language speakers of German; (b) intermediate-to-advanced German learners whose first language had more or less productive number agreement morphology (Spanish vs. English). Two manipulations were used to diagnose number processing: agreement violations and agreement attraction. Our results showed decreased sensitivity to agreement violations in language learners, irrespective of the morphological productivity of their first language. Meanwhile, differences in attraction effects were inconclusive in all between-group comparisons. We suggest that second language variability with subject-verb agreement is unlikely to result from increased retrieval interference – the effect underlying attraction. Instead, variable performance more likely arises because learners have difficulties in the real-time mapping of inflectional morphemes to syntactic features.
","language":"eng","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":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7hk0941c","frozenauthors":[{"first_name":"Sol","middle_name":"","last_name":"Lago","name_suffix":"","institution":"Goethe University Frankfurt","department":"","country":"Germany"},{"first_name":"Elise","middle_name":"","last_name":"Oltrogge","name_suffix":"","institution":"Goethe University Frankfurt","department":"","country":"Germany"},{"first_name":"Kate","middle_name":"","last_name":"Stone","name_suffix":"","institution":"University of Hull","department":""}],"date_submitted":"2024-07-03T17:05:09.176000+09:00","date_accepted":"2024-12-10T03:51:54.602000+09:00","date_published":"2025-01-27T23:00:00+09:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/25340/galley/31327/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/25340/galley/31326/download/"},{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/25340/galley/31327/download/"}]},{"pk":19407,"title":"Non-plural interpretations of some: Mouse-tracking evidence for quick social reasoning in real-time","subtitle":null,"abstract":"In support of an account in which disfluency can cue social reasoning in real time, Loy et al. (2019) showed that listeners are more likely to make an early commitment to a socially undesirable meaning of some as all, if it follows disfluent uh in a context where larger values are associated with greed (“I ate, [uh], some biscuits”). However, their finding is also compatible with an account in which disfluency simply heightens attention to the core semantic meaning of some, namely, some and possibly all. The current study differentiates these two accounts, using contexts in which smaller values are the socially undesirable interpretations of some. In two experiments, we recorded participants’ mouse movements as they heard fluent and disfluent utterances in a job interview context (“I have, [uh], some qualifications”) and clicked on one of four images corresponding to specific interpretations of some. Here, in keeping with an account in which the effects of disfluency reflect social reasoning, and contrary to one in which such effects depend on heightened attention, disfluency reduces the value participants associate with some. We found that participants were more likely to select images corresponding to one, or zero, qualifications following disfluent utterances. However, their mouse movements show that they are quick to commit to one qualification (Experiment 1) and slow to commit to zero (Experiment 2), suggesting that social context and manner of speech can combine to affect the interpretation of some as an utterance unfolds. Assigning its meaning to one is relatively easy, but imposing a meaning of zero – in effect, deciding that a speaker is lying – is more demanding.
","language":"eng","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":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3bx719z9","frozenauthors":[{"first_name":"Wei","middle_name":"","last_name":"Li","name_suffix":"","institution":"The University of Edinburgh","department":"School of Philosophy, Psychology, and Language Sciences"},{"first_name":"Hannah","middle_name":"","last_name":"Rohde","name_suffix":"","institution":"University of Edinburgh","department":"Linguistics & English Language"},{"first_name":"Martin","middle_name":"","last_name":"Corley","name_suffix":"","institution":"The University of Edinburgh","department":"School of Philosophy, Psychology, and Language Sciences"}],"date_submitted":"2024-02-08T09:53:13.435000+09:00","date_accepted":"2024-11-19T03:12:53.701000+09:00","date_published":"2025-01-27T23:00:00+09:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/19407/galley/31128/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/19407/galley/31128/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/19407/galley/31129/download/"}]},{"pk":35491,"title":"Play Turned Painful: A Teenager’s Tibial Pilon Fracture from A Simple Jump ","subtitle":null,"abstract":"Case Presentation: An 18-year-old male presented with severe left ankle pain and inability to bear weight after jumping from a three-foot platform. Physical examination revealed decreased range of motion of the left ankle without visible deformity or neurovascular deficits. Imaging studies showed a vertical fracture of the distal tibia—a pilon fracture without fibular involvement.
\nDiscussion: Pilon fractures involve the distal tibial articular surface and are rare. They typically result from high-energy trauma and often involve the fibula. This case illustrates a low-energy mechanism resulting in a pilon fracture without fibular involvement in a young patient without typical risk factors. It highlights the importance of considering pilon fractures in low-energy ankle injuries and the need for appropriate management even in less-complex cases.
","language":"eng","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":"tibial pilon fracture"},{"word":"tibial plafond fracture"},{"word":"low-energy trauma"},{"word":"open reduction internal fixation (ORIF)"},{"word":"open reduction internal fixation"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6j780924","frozenauthors":[{"first_name":"Victoria","middle_name":"M","last_name":"Koniuk","name_suffix":"","institution":"Edward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South Carolina","department":""},{"first_name":"Brody","middle_name":"M","last_name":"Fogleman","name_suffix":"","institution":"Edward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South Carolina","department":""},{"first_name":"Lindsay","middle_name":"","last_name":"Tjiattas-Saleski","name_suffix":"","institution":"Edward Via College of Osteopathic Medicine – Carolinas, Department of Emergency Medicine, Spartanburg, South Carolina","department":""}],"date_submitted":"2024-09-23T00:11:00.815000+09:00","date_accepted":"2024-12-05T20:13:06.552000+09:00","date_published":"2025-01-27T15:46:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35491/galley/31542/download/"}]},{"pk":43490,"title":"Carceral Backlash: The Case for Changing the Course of Women's Homicide Convictions","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/700600tz","frozenauthors":[{"first_name":"Carol","middle_name":"","last_name":"Jacobsen","name_suffix":"","institution":"","department":""},{"first_name":"David","middle_name":"G.","last_name":"Winter","name_suffix":"","institution":"","department":""},{"first_name":"Abigail","middle_name":"","last_name":"Stewart","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-01-27T03:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jgl/article/43490/galley/32339/download/"}]},{"pk":43489,"title":"Transgender Students and the Fundamental Right to Self-Identify at Scholl","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/15302098","frozenauthors":[{"first_name":"Garreth","middle_name":"W.","last_name":"McCrudden","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-01-26T03:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jgl/article/43489/galley/32338/download/"}]},{"pk":43488,"title":"Birth Control Narratives: Jewish Women and the Law of Reproduction","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9xk346gj","frozenauthors":[{"first_name":"Viva","middle_name":"","last_name":"Hammer","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-01-25T03:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jgl/article/43488/galley/32337/download/"}]},{"pk":43487,"title":"Black Letter Law","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/94g8w8n2","frozenauthors":[{"first_name":"Aila","middle_name":"","last_name":"Hoss","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-01-24T03:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jgl/article/43487/galley/32336/download/"}]},{"pk":43486,"title":"Front Matter","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0cq7v8rv","frozenauthors":[],"date_submitted":null,"date_accepted":null,"date_published":"2025-01-23T03:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_jgl/article/43486/galley/32335/download/"}]},{"pk":41988,"title":"Special Issue on Substance Misuse and Addiction Disorders","subtitle":null,"abstract":"n/a
","language":null,"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/0np7c194","frozenauthors":[{"first_name":"Cassandra","middle_name":"","last_name":"Saucedo","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-01-21T05:20:08.884000+09:00","date_accepted":"2025-01-22T01:49:25.128000+09:00","date_published":"2025-01-22T00:53:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/41988/galley/31366/download/"}]},{"pk":42017,"title":"Editorial","subtitle":null,"abstract":"Start of 2025
","language":"eng","license":{"name":"Creative Commons Attribution 4.0 International (CC BY 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":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3th982sf","frozenauthors":[{"first_name":"William","middle_name":"F","last_name":"Romain","name_suffix":"","institution":"Indiana University","department":"Dept. of Earth and Atmospheric Sciences"}],"date_submitted":"2025-01-22T23:35:20.733000+09:00","date_accepted":"2025-01-22T23:36:40.329000+09:00","date_published":"2025-01-21T23:44:00+09:00","render_galley":{"label":"Editorial 2025 Typeset file","type":"pdf","path":"https://journalpub.escholarship.org/jac/article/42017/galley/31384/download/"},"galleys":[{"label":"Editorial 2025 Typeset file","type":"pdf","path":"https://journalpub.escholarship.org/jac/article/42017/galley/31384/download/"}]},{"pk":41808,"title":"Substance Use and Addiction Disorders : A Call for Increased Screening and Treatment in the Emergency Department","subtitle":null,"abstract":"n/a
","language":null,"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":"Editorials (Limit 2000 words) (Invitation Only)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0496h4qq","frozenauthors":[{"first_name":"R. Gentry","middle_name":"","last_name":"Wilkerson","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":""},{"first_name":"Alexis","middle_name":"M.","last_name":"LaPietra","name_suffix":"","institution":"RWJBarnabus Health, Division of Emergency Medicine, West Orange, New Jersey","department":""}],"date_submitted":"2025-01-11T05:27:02.236000+09:00","date_accepted":"2025-01-11T05:30:23.252000+09:00","date_published":"2025-01-20T17:09:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/41808/galley/31363/download/"}]},{"pk":35400,"title":"Case Report: Testicular Pseudoaneurysm Rupture","subtitle":null,"abstract":"Introduction: Gastroduodenal artery embolization is an increasingly common treatment method in patients with upper gastrointestinal (GI) bleeding who fail endoscopy or as a prophylactic procedure to help prevent further episodes. However, this new technique includes new risks including GI tract ischemia and risks associated with endovascular access such as hematoma formation, pseudoaneurysm development, and arterial dissection.
\nCase Report: We discuss a case of 51-year-old male with recurrent upper GI bleeding who presented to the emergency department for scrotal swelling following the prophylactic embolization of his gastroduodenal artery. He was subsequently found to have a ruptured testicular artery pseudoaneurysm resulting in hemorrhagic shock, which required massive transfusion protocol and vascular repair.
\nConclusion: While endovascular access is relatively safe, patients can develop severe complications such as pseudoaneurysm development and subsequent rupture that may not be obviously apparent on physical exam. Because of this, clinicians must have a high index of suspicion for arterial injury, and risk stratification should be used when selecting appropriate candidates for prophylactic procedures.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"testicular pseudoaneurysm"},{"word":"GI bleed"},{"word":"prophylactic embolization"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9kc502wr","frozenauthors":[{"first_name":"Caroline","middle_name":"","last_name":"Baber","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":""},{"first_name":"Eshaan","middle_name":"","last_name":"Daas","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":""},{"first_name":"Michelle","middle_name":"","last_name":"Mouri","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":""}],"date_submitted":"2024-09-13T08:40:15.477000+09:00","date_accepted":"2024-12-05T20:42:52.013000+09:00","date_published":"2025-01-20T09:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35400/galley/31539/download/"}]},{"pk":35602,"title":"Obstructive Nephropathy from Misplaced Suprapubic Catheter with Antegrade Migration into the Urethra","subtitle":null,"abstract":"Case Presentation: An 83-year-old male with a history of prostate cancer and prior prostatectomy presented with lower abdominal pain, urethral leakage, and hematuria after a routine suprapubic catheter exchange, which was found to be incorrectly positioned in the bulbar urethra, leading obstructive nephropathy with mild hydronephrosis.
\nDiscussion: This case highlights the increased risk of suprapubic catheter misplacement and complications in elderly patients with neurogenic bladder and altered urinary anatomy, particularly after prostatectomy and artificial urethral sphincter placement. It emphasizes the importance of careful management during catheter exchanges in such patients to prevent complications of misplacement.
","language":"eng","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":"Suprapubic Catheter"},{"word":"Urethral Malposition"},{"word":"Neurogenic Bladder"},{"word":"Emergency Medicine"},{"word":"Obstructive Nephropathy"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3j79z68t","frozenauthors":[{"first_name":"Alexander","middle_name":"","last_name":"Lipinski","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, Arizona","department":""},{"first_name":"Jordan","middle_name":"Riley","last_name":"Pollock","name_suffix":"","institution":"Mayo Clinic, Department of Radiology, Phoenix, Arizona","department":""},{"first_name":"Nelly","middle_name":"","last_name":"Tan","name_suffix":"","institution":"Mayo Clinic, Department of Radiology, Phoenix, Arizona","department":""},{"first_name":"Douglas","middle_name":"","last_name":"Rappaport","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Phoenix, Arizona","department":""}],"date_submitted":"2024-10-03T14:17:19.912000+09:00","date_accepted":"2024-11-26T02:10:13.554000+09:00","date_published":"2025-01-20T08:45:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35602/galley/31549/download/"}]},{"pk":20761,"title":"Polyarticular Septic Arthritis Caused by Haemophilus Influenzae in an Asplenic Patient: A Case Report","subtitle":null,"abstract":"Introduction: Prevalence of serious infections from Haemophilus influenzae has diminished over the last few decades because of immunizations against the most virulent serotype. However, over the last few years a handful of septic arthritis cases secondary to H influenzae have been documented. Most of the cases documented are in the pediatric and unimmunized population. This is a case of polyarticular septic arthritis in a 69-year-old male who presented with syncope and ankle pain.
\nCase report: A 69-year-old male presented to the emergency department after a syncopal event at home and complaining of right ankle pain. He was tachycardic and tachypneic on presentation and had an erythematous painful right ankle and right elbow. Aspiration of both joints produced purulent aspirate that grew H influenzae. Antibiotics were started, and the patient was taken to the operating room for emergent joint lavage. The patient made a full recovery and was discharged home with a peripherally inserted central catheter line for continued intravenous (IV) antibiotics.
\nConclusion: Our case highlights an atypical presentation for a case of polyarticular septic arthritis caused by H influenzae. We were unable to rule out endocarditis as a source of the bacterial seeding, and the patient improved with IV antibiotics and surgical lavage of the affected joints.
","language":"eng","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":"Haemophilus influenzae"},{"word":"polyarticular septic arthritis"},{"word":"sepsis"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3vr565mr","frozenauthors":[{"first_name":"Roberto","middle_name":"","last_name":"Desarden","name_suffix":"","institution":"Ascension Genesys Hospital","department":"Emergency Medicine"},{"first_name":"Roya","middle_name":"Z","last_name":"Caloia","name_suffix":"","institution":"Ascension Genesys Hospital","department":"Emergency Department"}],"date_submitted":"2024-05-07T06:11:52.851000+09:00","date_accepted":"2024-11-05T03:33:07.389000+09:00","date_published":"2025-01-20T08:05:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20761/galley/31535/download/"}]},{"pk":35395,"title":"Gastric Outlet Obstruction as a Result of an Inguinal Hernia","subtitle":null,"abstract":"Case Presentation: We present a case of a 79-year-old male with gastric outlet obstruction resulting from a stomach herniation through a large left inguinal hernia.
\nDiscussion: Stomach-containing inguinal hernias are a rare cause of gastric outlet obstruction. Treatment options range from conservative to surgical management. Once identified with imaging, prompt treatment should be initiated to prevent incarceration, strangulation, and gastric necrosis.
","language":"eng","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":"Gastric outlet obstruction"},{"word":"Inguinal Hernia"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8sc6j07f","frozenauthors":[{"first_name":"Luke","middle_name":"","last_name":"Wohlford","name_suffix":"","institution":"The University of Vermont Medical Center, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Rich","middle_name":"","last_name":"Bounds","name_suffix":"","institution":"The University of Vermont Medical Center, Department of Emergency Medicine, Burlington, Vermont","department":""}],"date_submitted":"2024-10-16T08:31:23.990000+09:00","date_accepted":"2024-12-17T03:09:44.769000+09:00","date_published":"2025-01-20T08:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35395/galley/31550/download/"}]},{"pk":20386,"title":"Successful Management of Pseudo-Ludwig Angina from Supratherapeutic Warfarin Use: A Case Report","subtitle":null,"abstract":"Introduction: Ludwig angina is a potentially fatal condition characterized by soft tissue infection of the submandibular, sublingual, and submental compartments. Pseudo-Ludwig angina is a rare condition characterized by sublingual swelling of non-infectious etiology, typically in the setting of supratherapeutic anticoagulation.
\nHowever, other etiologies, such as angioedema and trauma, have been described.
\n\n
Case Report: We present the case of a 59-year-old female with pseudo-Ludwig angina that developed in the setting of warfarin therapy and supratherapeutic international normalized ratio. She presented with sublingual swelling and dysphagia. She was successfully treated with dexamethasone, vitamin K, and fresh frozen plasma. The most appropriate imaging modalities in these cases are contrast-enhanced computed tomography (CT) and CT angiogram. If a hematoma is present, antibiotics for anaerobic coverage are also appropriate.
\n\n
Conclusion: We hope this case sheds light upon this rare pathology and ultimately hastens recognition and proper intervention.
\n","language":"eng","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":"Warfarin"},{"word":"anticoagulation"},{"word":"pseudo-Ludwig's angina"},{"word":"hematoma"},{"word":"case report"},{"word":"sublingual hematoma"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/93v8g0kz","frozenauthors":[{"first_name":"Utku","middle_name":"","last_name":"Ekin","name_suffix":"","institution":"St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey","department":""},{"first_name":"Arham","middle_name":"","last_name":"Hazari","name_suffix":"","institution":"St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey","department":""},{"first_name":"Nizar","middle_name":"","last_name":"Alyassin","name_suffix":"","institution":"St. Joseph’s University Medical Center, Department of Internal Medicine, Paterson, New Jersey","department":""},{"first_name":"Alan","middle_name":"","last_name":"Alcantara","name_suffix":"","institution":"St. Joseph’s University Medical Center, Department of Internal Medicine, Paterson, New Jersey","department":""},{"first_name":"Moh'd","middle_name":"Hazem","last_name":"Azzam","name_suffix":"","institution":"St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey","department":""},{"first_name":"Mourad","middle_name":"","last_name":"Ismail","name_suffix":"","institution":"St. Joseph’s University Medical Center, Department of Pulmonary and Critical Care Medicine, Paterson, New Jersey","department":""}],"date_submitted":"2024-08-09T19:00:46.938000+09:00","date_accepted":"2024-12-11T01:46:34.113000+09:00","date_published":"2025-01-20T07:45:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20386/galley/31538/download/"}]}]}